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Conversations with Dietitians about body inclusive practice
Episodes
Monday Apr 09, 2018
Monday Apr 09, 2018
Dr Dawn Clifford on transforming Dietetic practice through the power of kindness, Motivational Interviewing & find your voice.
Thanks for joining me today to hear from the very wise and multi-talented Dawn Clifford, co-author of "Motivational Interviewing for Nutrition & Fitness Professionals"
Here Dawn shares:
- Discovering her passion for nutrition and dietetics in high school as a competitive swimmer.
- Being captivated by the psychology of health behaviour change during her studies and seeing her strengths in nutrition counselling and teaching.
- Her experience in the NA university recreation centre and as an Outpatient Dietitian, leading to HAES and the pursuit for more knowledge on how to best be with clients.
- More about her book; Motivational Interviewing in Nutrition and Fitness, co-written with Laura Curtis, MS, RD.
- Motivational Interviewing learning strategies; how you can begin even if it doesn’t yet resonate and why it is effective and important as a therapeutic model in this paradigm.
- As a HAES practitioner, how you can approach different philosophies collegially and with clients; “it is a countercultural message – you can expect some resistance!”
- Navigating mixed messages in academia; for teachers and students.
- Tips on how to approach fatigue working in the HAES/non-diet paradigm;
- One important tip being the use of Motivational Interviewing and the two key questions for your clients.
- Her new project – watch this space!
Dawn Clifford, PhD, RD. Dawn is an Associate Professor at Northern Arizona University and is the co-author of Motivational Interviewing in Nutrition and Fitness. She teaches nutrition education and counselling, and has experience implementing and directing university-based health coaching programs. Dawn conducts research and is an accomplished speaker in the areas of motivational interviewing and non-diet approaches to health and wellness. In addition, she has published several research articles in the Journal of Nutrition Education and Behaviour and written curriculum for Today’s Dietitian and Nutrition Dimensions.
Connect with Dawn
Thursday Mar 15, 2018
Thursday Mar 15, 2018
Edie Shreckengast on the complexities and dilemmas of working with athletes, supporting nourishment and dealing with diet culture in settings where there are competing demands, and how she puts it all together!
Please help me welcome Edie (Edith) Shreckengast from Pittsburg, Pennsylvania, USA. Edie is a Registered Dietitian/Nutritionist specialising in the area of Sports and Performance. Using her own experience as a runner and triathlete, Edie is able to connect with her clients in supporting nourishment from a performance perspective but also by discouraging the thin ideal and food restriction by promoting a healing relationship with food and body and sustainable behaviours which encourages eating and activity for enjoyment and pleasure.
Here Edie shares:
- Her experience as a runner and triathlete and how this lead to an interest in nutrition and becoming a Sports Dietitian.
- The natural transition to finding healing in her relationship with food and body and the HAES/non-diet approach.
- The pressures encountered by female athletes from her personal lived experienced and client work.
- The athletics settings; a culture within a culture, the underground diet mentality, expectations and the identity crisis.
- Using social media to understand client influencers and as a way to connect.
- Self-comparison and the blame towards body composition for low performance rather than considering under-fuelling.
- Sports science and research; the harmful message that “anything that is new; works”
- Working with athletes at different life stages, considering social pressures, culture backgrounds and resources.
- Overall the use of HAES/Non-diet principles in sports nutrition and how to start.
- Working with athletes in weight classes and with body composition demands and the use of the ‘car’ analogy.
Connect with Edie:
Monday Feb 26, 2018
Monday Feb 26, 2018
Katherine Zavodni, MPH, RDN, CD, on finding creative ways to develop age-appropriate food and nutrition messaging for children and families, finding her niche the non-conventional way and the importance of client validation.
Here Katherine shares:
- Her journey to dietetics and early experiences with eating disorders and disordered eating.
- Finding her niche (non-diet/HAES) and a supportive practice after gaining her first role and feeling uncomfortable practicing from an incompatible paradigm.
- Mixed-messages in the standard paradigm (weight-centred) and how the non-diet/HAES approach aligned with personal and professional values.
- Importance of validating a client’s experience and how the non-diet approach “provides an alternative for clients to partner with their bodies instead of constantly trying to battle their bodies”.
- Understanding the human experience; the behavioural similarities between those diagnosed with an eating disorder and those non-diagnosed and need for strengthened training programmes.
- Importance of broadening eating disorders/disorder eating screening and assessment perspectives.
- Working with Anna Lutz, colleague, mentor and friend, to develop workshops for BEDA and NEDA on ‘Age Appropriate Nutrition Education’ based on child development and developmentally appropriate principles.
- Current nutrition education programs at schools; their abstract and flawed design and suggestions for improvements.
- Our cultures concern for ‘the health/moral crisis’, weight bias and fat phobia and how it moves us away from holistic health.
- Her new exciting project – watch this space!
About Katherine:
Katherine is a registered dietitian/nutritionist from Salt Lake City, Utah who provides nutrition therapy for eating disorders, intuitive eating, chronic dieting, weight concerns, and family and childhood feeding dynamics. Her therapeutic approach adopts non-diet principles consistent with the Intuitive Eating and HAES® models. Katherine, along with her friend and colleague Anna Lutz, developed and facilitated workshops on ‘Age Appropriate Nutrition Education’ based on child development and developmentally appropriate principles for the Binge Eating Disorder Association (BEDA) and National Eating Disorders Association (NEDA) conferences last year (2017). These incredible workshops were well-received by professionals globally and are intended to be developed into curriculum by the end of 2018.
Connect with Katherine:
Wednesday Feb 14, 2018
Wednesday Feb 14, 2018
Lindsay Stenovec on supporting expecting and new mothers to push back on diet culture, connect with their bodies during some of the most vulnerable times and fostering a culture of connection and support.
Introducing the wonderful and passionate Lindsay Stenovec MS, RD, CEDRD, CLEC of Sunny San Diego, This is a very special interview as Lindsay joins us today 39 weeks pregnant!
(postscript - little James was born a week after we recorded, welcome to the world, little man!)
As we are aware, there are times when women in particular are more vulnerable to falling prey to diet culture messages and arguably, one of the most troubling times is around pregnancy, and parenting. We want to acknowledge that there are many ways to be a parent, including not have the experience of pregnancy, and here Lindsay speaks so compassionately about the variety of experiences which can influence the way we see our bodies during this important time of life.
Lindsay also shares:
- More about her specialised/unique area of work; supporting and empowering pregnant women and mothers.
- How the motherhood experience impacts body image and food choices.
- Her personal struggles during pregnancy; noticing the gap in the peri-natal community and recognising the need/opportunity to bridge it.
- ‘Taking your experiences with you’; how Lindsay’s work experiences and opportunities impacted her direction and lead her to this specialised work.
- Healing; the importance of client validation, self-care and knowing they are not alone.
- The birth of The Nurtured Mama and community
- How dietitians and eating disorder specialists can support their clients in navigating pregnancy, planning and motherhood;
- Supporting client to become self-advocates and find the right provider
- Developing a post-partum plan
- Support in navigating through the messengers
- Impact of mindfulness
- Connecting, referring your clients for community support and top podcast recommendations!
More about Lindsay:
Connect with Lindsay:
Website
Podcast
Sunday Dec 31, 2017
Sunday Dec 31, 2017
In preparation for Mindful Eating (ME) Day celebration on 25th of January 2018, Linn shares her personal story and how her own experiences lead her to mindfulness and mindful eating, the benefits of mindfulness in practice and life, the common assumptions, importance of client self-care and self-acceptance as well as her new exciting project for 2018 and plans for ME Day.
Please join me today as I speak with the inspiring Linn Thorstensson of Cork, Ireland. Linn is a Nutritional Therapist and the co-founder of Straight Forward Nutrition; Mindful Eating -Wholehearted Living. Linn helps guide her clients to healing their body and relationship with food through nourishing nutrition, mindfulness and mindful eating techniques. She offers a series of programmes as well as one-on-one consultations with clients. Linn is also an avid foodie with a passion for photography. She shares her recipes, which emphasis mindful eating and colour, across her many platforms which she hopes will encourage curiosity and creativity within her clients and others.
Here Linn shares:
● Meeting during the first Mindful Eating Day in 2015.
● Her personal story of healing and how her struggles lead her to mindfulness and mindful eating.
● Intuitive Eating and Mindful Eating; how they differ.
● The many benefits of mindfulness in practice and in life.
● Mindful Eating assumptions; it is not as simple as ‘eating slower’!
● Mindfulness and Stress.
● “The lack of self-care is an epidemic” – “we need to be kinder to ourselves”!
● How you can encourage compassionate self-care within your clients.
● “Importance of doing our own personal work to help our clients better”.
● Her new, exciting, smooth-a-licious project.
● Recognising the challenges of mindfulness – “it takes time, trust and courage!”
● Plans for ME Day.
Connect with Linn:
Find out more about ME Day celebrations:
Sunday Dec 31, 2017
Sunday Dec 31, 2017
In collaboration with The Center for Mindful Eating, Megrette Fletcher on the purpose of mindful eating, significance of mindfulness in practice, common assumptions and confusions around mindful eating, the principles and resources available and how you can get involved in Mindful Eating Day, 25th Jan 2018.
Please join me as I speak with the kind and compassionate Megrette Fletcher. Megrette is the co-founder of The Center for Mindful Eating (TCME), the organisers behind Mindful Eating (ME) Day set to take place for its third year on the 25th of January 2018. This special, internationally recognised day aspires to bring more awareness and appreciation to the practice and principles of mindful eating and gives practitioners the opportunity to join force and cultivate a harm-free January message!
Here Megrette and I discuss:
● The commons assumptions of mindful eating and its true purpose in practice.
● Mindfulness; the significance of recognising the practice as a fundamental element in any change process.
● How desires for urgency and control disserves our clients.
● The importance of role modelling compassion by being present for our clients.
● “I don’t have the answers; the client holds the answers”.
● The Center for Mindfulness resources; “They are there to get us out of the mud and into the nice evidence-based, best-clinical-practices, deep blue water!”.
● The main confusions around mindful eating.
● Mindful Eating principles
● Self-care and compassion for practitioners; how supervision can facilitate and support this.
● About ME day; an opportunity to join forces and craft a January message countering the New Year Resolution pattern.
Friday Dec 22, 2017
Friday Dec 22, 2017
Tara MacGregor, Counsellor, Psychotherapist and APD, on the psychotherapeutic model for behaviour change, client centred practice misconceptions, context in practice, motivational interviewing, getting out of ‘fix it’ mode and the importance of professional supervision.
Please join me today as I speak with the inspiring and very experienced Tara
MacGregor; a qualified Counsellor, Psychotherapist and APD. After many years in
clinical dietetics, Tara currently manages a successful private practice located in
Sydneyss North Shore. Tara assists adults suffering with chronic yo-yo dieting,
disordered eating and eating disorders by combining skilful client centred counselling with nutrition knowledge using the HAES/non-diet approach. Through her training organisation Practice Pavestones, Tara also provides training for health professionals focussing principally on motivational interviewing. Tara also offers clinical supervision and mentoring for dietitians and mental health professionals.
Here Tara shares:
How she became interested in the overlapping/space between dietetics and
counselling/psychotherapy and what her current space encompasses.
Taking off the white coat; the growth of the psychotherapeutic model and
limitations of client ‘education’ in behaviour change.
Client Centred Practice misconception; how it is not doing what your client
wants, the ethics and how you can navigate this space!
The importance of ‘context’ in practice and allowing your client to have their
reality.
Motivational Interviewing; a conversational, guiding style perfect for HAES/non-
diet approach
“Laying the burden down of being the fixer and tapping into our foundational
qualities that were already there”
“There is an alternative to traditional dietary therapy” and how supervision can
complement the transition by bringing out your strengths.
Supervision – the key questions answered:
o The difference between professional supervision and mentoring
o How would a dietitian know if they needed supervision?
o What ‘should’ supervision feel (afterwards)?
o Should a supervisor be another dietitian?
o How you can find a supervisor?
Current work and involvement with the DAA; Dietitians Association of Australia
Connect with Tara;
Website: http://taramacgregor.com.au/
Wednesday Dec 13, 2017
Wednesday Dec 13, 2017
Susan Williams, RD, on beinga HAES Dietitian working in a traditional weight-focussed workplace, Non-Diet Ninja-ing, incorporating HAES into the public health setting and using our privilege to speak up for what is right!
Please join me today as I speak with the passionate and fun-loving Susan Williams. Susan is based in west Sydney and is the principal dietitian at Zest. She specialises is eating habits and behaviours, body image and weight concerns, and recovery from eating disorders. Susan practises HAES/non-diet approach and is currently advocating for a weight neutral, client centric focus as she works as part of a multidisciplinary group within the public health sector.
Here Susan shares:
- ‘Fangirling’ - being on the same bill as Dr Anita Johnson and meeting Fi
- The journey to dietetics and ‘I’ve graduated – now what?’; feeling uncomfortable with the traditional dietary therapy focussed on weight-loss.
- Reading ‘Child of Mine’ by Ellyn Satter; how it provided me with confidence; “I am okay - I can be a dietitian like this (with a HAES/non-diet approach)!”
- Activism; the controversial hiring of a HAES/non-diet dietitian within a government funded family health service scheme and Susan’s own lived experience providing a weight neutral approach within this programme.
- The many challenges of working within the public health sector; ‘everything happens SO slowly’, also but recognising the small wins and many opportunities.
- The importance of not ‘keeping quiet’ around the HAES/non-diet approach – “not playing nice strengthens the weight neutral voice and brings awareness to the issues surrounding weight stigma/bias and how this effects client health outcomes” – we need to be loud for our clients!
- The need for health behaviour research and for a stronger focus on the social determinants for health; “we must recognise that the playing fields are uneven!”
- How working in this paradigm can feel like being in the ‘upside down’ (Stranger Things!); no one can hear you from the other side and NO this is NOT the easy/passive approach!
- How the HAES/non-diet approach can really focus on nourishment and allows our clients to be reverent and respectful of food rather than fearful!
- Susan’s night-time ninja activities last week; how we can use and acknowledge our privilege to speak up for what is right!
Connect with Susan;
Sunday Nov 19, 2017
Sunday Nov 19, 2017
Grace Wong, RD on finding courage in discomfort, the importance of tough conversations both with our clients and within our communities and the confusions around HAES and client-centered practice.
Join to me hear the inspiring Grace Wong from Calgary, Canada who is a registered dietitian specializing in eating disorders, mental health nutrition and parent-child feeding relationships. Graces advocates for the non-diet approach, HAES and weight acceptance in her practise and campaigns for a supportive community where practitioners can engage in respectful disagreements and ongoing professional and personal develop to broaden perspectives and strengthen and advance our work.
Here Grace shares:
- ‘Renting & Venting’ - meeting on The Mindful Dietitian FaceBook page and the importance of giving our emotions a safe space.
- ‘Weight/Food’ = Emotions. Why and how we need to move emotionally with our clients.
- Working with Ellyn Satter - Models and Attitude in practise;
- Understanding the entire development process and behaviours and how they progress.
- Being clear, assertive and confident in our work.
- The importance of talking through our disagreements with other professionals.
- Exploring discomfort; how to become comfortable with conflict and how it can advance our work.
- Emotions continued; making room for clients to experience the full spectrum of emotions for change and healing.
- Patient Centric Care in HAES/non-diet approach and the confusion around motivational interviewing
- ‘Focussing not only on the approach, but discussing the science with clients means weight loss will not stand’.
- Uncertainty and perfectionism in practise and hopes for the future.
Connect with Grace here.
Sunday Oct 22, 2017
Sunday Oct 22, 2017
Tracy Brown on attunement, somatic-based nutrition therapy, trauma and moving away from shame through connecting with the body's wisdom. PLUS a BONUS meditation!
Please join me as I speak with the passionate Tracy Brown of Florida, USA. Tracy is a registered dietitian, eating disorder specialist, body image and attuned eating coach who also specialises in the unique practice of somatic nutrition therapy. Here Tracy shares:
- The bigger scope; leading clients to trust their bodies for life
- Importance of attunement and mindful presence in nutritional practice
- Being comfortable with mess; the art of knowing when to use cognitive and counselling/mindful skills
- Client journey and recovery; importance of patience, non-judgment, compassion,helping them feel seen and heard
- Diet-culture in practice; using it to reprogramme and show clients they have a power and choice – they are in charge!
- Trauma; introduction to Big T’s and Little T’s
- An introduction to somatic nutrition therapy; things getting stuck in the nervous system - a transformation of neural pathways, not just strategies for coping
- Recognising client needs and what they are ready for; making their choices okay for them by building safety
- Shame; how it arrives, recognising it, sitting with it and bringing it out in the open for healing
- Her new project and leads us in a meditation to help us find our centre to increase worthiness
Connect with Tracy:
https://www.facebook.com/tracybrownrd/
https://twitter.com/tracybrownrd
Find out more about Tracy here