Pediatric Meltdown

Trigger warning: depression, suicide

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Dr. Colleen Cullinan is a pediatric psychologist at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware. She specializes in integrated primary care within the Division of Behavioral Health. Dr. Cullinan completed her PhD in Clinical Psychology at Western Michigan University in 2015. Dr. Cullinan supervises psychology externs and interns, and she directs medical education efforts for Nemours’ residency training programs. Her presentation and publication records center around integrated care, family-based interventions, and experiential cultural humility training. 

[00:01] Dr. Colleen Cullinan Shares Her Thoughts About Depression

• Colleen’s thoughts about the effects of the pandemic on people’s mental health
• What to do if depression hinders a person to live normal life
• Why Colleen is veering away from symptom-based approach of depression

[08:15] What Matters Most to Kids Are Their Everyday Experiences

• What matters most to kids that pediatricians should prioritize
• Colleen breaks down the different therapies available currently
• Here’s why problems are not always fixable according to Colleen

[18:32] How to Apply Acceptance and Commitment Therapy

• Colleen gives us a background about Acceptance and Commitment Therapy
• She gives us a lesson that we can learn from watching a horror movie
• What is its connection to approaching depression?
• She talks about diffusion and why people should know more about it

[28:10] The Power of the Brain in Helping a Child Going Through Depression

• We talk about Motivational Interviewing
• The right questions to ask to kids according to Colleen
• A popular intervention under Acceptance and Commitment Therapy
• How to train the brain to generate something that helps the kids

[43:31] Challenge the Frame, Not the Content

• We have an interesting exchange about “creative hopelessness”
• The role of values in Acceptance and Commitment Therapy
• A great definition of goals that pediatricians should keep in mind
• The messages that people receive everyday matter in therapies
• Challenging the frame, not the content
• Colleen explains further the Acceptance and Commitment Therapy

[58:43] Why People Should Not Be Serious Always

• Colleen gives a few take home messages for pediatricians
• Why people should not take everything so seriously
• She talks about the transformative impact that pediatrics brought to her

 [01:06:14] Closing Segment  

• Connect with Dr. Colleen Cullinan on Twitter @colleencullinan and @Nemours
• Final takeaways:
• Recognizing the “negative” emotions that we feel
• Effects of impairment to the body
• Cognitive behavioral therapy
• Acceptance and Commitment Therapy
• An important lesson from playing a beach ball
• Naming the “thing”
• Avoidance at the heart of suffering 
• Some crossovers with mindfulness
• Curiosity and the suffering
• Why language matters
• Experiences and language
• What the patient values
• Connection and belonging
• Safe, stable, nurturing relationships
• Appreciation for Colleen!

Key Quotes:

“Avoidance is really at the heart of all mental [suffering] in my opinion.” - Dr. Colleen Cullinan

“There's a lot of data that shows that when people are more invested in the...

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Pediatricians get up every day thinking about how to meet the needs of children. And very often we forget about our own health. In this episode of Pediatric Meltdown, Dr. Lia and Dr. Michelle Fiscus discusses physician burnout, what it means to face identity challenges as a physician, and overcoming these challenges. 

Dr. Michelle Fiscus is a board-certified pediatrician who practiced general pediatrics in Franklin, TN for 17 years before joining the Tennessee Department of Health in 2016. She most recently served as medical director of the Tennessee Vaccine-Preventable Diseases and Immunization Program until she was terminated from that position for sharing a memo regarding a 34-year-old case law that allows certain minors to consent for their own medical care. Dr. Fiscus was thrust into the national spotlight after she released a statement shedding light on the choice of those in leadership in Tennessee state government to place their political agendas over the best interest of the people they serve. She has used this platform to support the work of public health and reinforce the importance of vaccines and other public health measures in ending the COVID-19 pandemic.

Dr. Fiscus is an associate clinical professor in the Department of Pediatrics at the Monroe Carell Jr. Children’s Hospital at Vanderbilt. She is a past president of the Tennessee Chapter of the American Academy of Pediatrics and now serves on the Board of Directors of the American Academy of Pediatrics as District IV Chair.

[00:01] Dr. MIchelle Fiscus Shares Her Story With Us

• Why she went into pediatrics 
• Suffering from significant burnout that led her to Public Health
• Going into the Vaccine-Preventable Diseases and Immunization Program

[11:52] Covid-19, the Vaccine Rollout, and Controversy 

• Dr. Fiscus’ role in COVID mitigation and responses
• Tennessee's hesitation in promoting COVID-19 vaccines
• Controversy and pushback regarding vaccination in Tennessee
• Dr. Fiscus choosing to acknowledge the expiration of her executive service
• 
  

[21:06] The Interference of Politics and Public Health

• The overstepping of political opinion into COVID-19 management 
• Dr. Fiscus’ exposure to National and International news 
• How it’s been for Dr. Fiscus and the difficulty and challenges of this exposure
• The toll on mental health when facing criticism and pushback 

[32:54] Being a Disruptor in Pediatrics

• What’s next for Dr. Fiscus?  
• Pediatricians taking the darkest punches and overcoming challenges 
• If you could go back to when you were in residency what would you tell yourself? 

 [42:57] Closing Segment  

• Connect with Dr. Michelle Fiscus on twitter @drfixus
• Final takeaways:
• Pursue your passion 
• Burn out looks like exhaustion  and unhappiness
• Being a pediatrician can look like many things 
• The right thing keeps me going; I can move the needle, I am a problem solver, I will hold others accountable in the face of misinformation

Key Quotes:

“If you know that there's something that you would just love, then figure out how to go get it. You have to make yourself a little bit vulnerable to get there. But don't be afraid to pursue the thing that you think is going to make you happiest.” - Dr. Michelle Fiscus

“I honestly couldn't stomach the interference of politics in public health. Just the unwillingness to understand that the decisions that are...

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Dr. Miko Rose is the creator and Program Director of the “Joy Initiative,” a project she started at the Michigan State University College of Human Medicine and College of Osteopathic Medicine schools. In 2013, she was awarded the SAMHSA American Psychiatric Association Minority Leadership Fellowship Grant, from which she built the foundation to develop emotional resilience, happiness, and mindfulness training tailored to meet the unique needs of medical providers. 

She now offers one of the first formal classes on happiness and joy in medical schools in the nation--which she has been teaching as a for-credit class in two medical schools for the past seven years. This curriculum has since expanded to provide training for peak performance for team coaches, trainers and student athletes.

[00:01] Dr. Miko Rose Shares Her Story With Us

• Miko talks about her journey into the psychiatric field
• We talk about trauma and how they affect patients

[06:40] What People Don’t Ask About Depression 

• How at-risk populations inform the approach of the healthcare system
• Why healthcare providers should let parents lead the discussions
• What people don’t ask about depression that we should know

[16:58] The Birth of the Joy Initiative 

• Healthcare providers have struggles of their own too
• Listen to Miko’s story
• The happiness and wellbeing programs that Miko started
• The Joy Initiative and learning about the science of happiness

[28:54] The Power of Mindfulness Meditation

• What can healthcare providers do with the Joy Initiative?
• The four tiers that any wellness program should have
• The different techniques to try to get one’s self to relax
• We did an exercise that you can do with us right now!

[40:00] Why Mind Vacation is a Must

• Mindfulness meditation also has a positive effect on the physical body
• Connect with Miko with the links below!
• The “mind vacation” that everyone should take everyday

 [47:01] Closing Segment  

• Final takeaways:
• Mental health conditions and trauma
• Healthcare providers have their own struggles too
• The power of empathy
• The body of research about mindfulness continues to grow
• Seeking our own healing to be a healer
• The Joy Initiative and its mission 
• The four tiers of the Joy Initiative
• One-minute vacations
• How to start a mindfulness journey

Key Quotes:

“I knew that ultimately nobody needs to be alone just because we're expected to be superheroes.” - Dr. Miko Rose

“We don't need something outside of ourselves to be with ourselves.” - Dr. Miko Rose

Email [email protected] to connect with Miko. Check out https://joyinitiative.com/ to know more about her work. 

Resources Mentioned:

• Joy Initiative-COSGP-SOMA Community

If you’d like to connect with me, you can find me on LinkedIn, Facebook, and

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Dr. Alison Schonwald is a Developmental Behavioral Pediatrician and co-founder of Touchstone Neurodevelopmental Center. After her undergraduate education at Yale University and medical school at the University of Pennsylvania, Dr. Schonwald completed pediatric residency and Developmental Behavioral pediatrics fellowship at Boston Children's Hospital, where she served as faculty from 2001-2019. 

Dr. Schonwald’s clinical interests include early diagnosis of autism and developmental delays, psychopharmacology for children with a variety of developmental disorders, cultural competence in families of children with developmental disorders, and transition to adult care. She is the author of two books, “Pocket Idiot’s Guide to Potty Training Problems,” and “ADHD in Adolescents: A Comprehensive Guide.” She currently serves on the American Board of Pediatrics Subboard for Developmental Behavioral Pediatrics and the MA Board of Early Education and Care, while maintaining a busy clinical practice and continuing to teach primary care pediatricians.

[00:01] Dr. Alison Schonwald Shares Her Story With Us

• Alison talks about her pediatric career in the developmental behavior field
• How to approach a parent who’s thinking their child has ADHD

[07:26] How to Identify Developmental Delays in a Child

• The importance of knowing the history of the child
• Alison talks about how she determines potential developmental delays
• How language can help pediatricians point out potential issues in a child
• Alison reveals her tips to ask about possible traumatic experiences
• Parents should bring these pieces of information in the consultation

[17:35] Thoughts About Existing Screening Tests

• Here’s why pediatricians should not be afraid to diagnose patients
• How small and rural communities can help kids with ADHD
• We talk about prescription medicines like stimulants and non-stimulants
• Alison shares her thoughts about current screenings tests
• She gives a few recommended resources that can access now

[27:22] The True Role of a Pediatrician in a Child’s Life

• Alison shares some tips for pediatricians to improve their craft
• Here’s an inspiring story about a patient who had made a friend
• When the journey with the child patient really starts according to Alison
• The true role of the pediatricians in taking care of a child

[37:40] Being a Healthcare Provider is More Than Just Diagnosis

• The relationship among children, their families, and communities
• Don’t miss these inspiring message from Alison to her younger self
• Why you should listen to this TED Talk by Abraham Verghese

 [41:38] Closing Segment  

• Final takeaways:
• The first step is always listening to the story
• Assuring families that they get the help they need
• Developmental trajectories and ADHD
• What to observe in a child 
• What to look for in teenagers
• The possibility of trauma
• Collateral information is key
• Teacher feedbacks are important too
• Being upfront to parents about your diagnosis
• The role of stimulants in screening tests
• Other possible factors that affect a child aside from ADHD
• Available resources for parents and families
• Diagnosis is not the start of the journey
• Sorting through the many differential diagnoses

Key Quotes:

“The journey starts when you first recognize there is something different about your child.”

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Dr. Paul Dworkin is the Executive Vice President for Community Child Health at Connecticut Children's Medical Center and professor of pediatrics at the University of Connecticut School of Medicine.   For 15 years, he previously served as physician-in-chief at Connecticut Children’s and chair of Pediatrics at UCONN.  Dr. Dworkin’s interests are at the interface among child development, child health services, and child health policy.

Dr. Dworkin’s honors include teaching awards, visiting professorships, and named lectureships.  He was the editor of the Journal of Developmental and Behavioral Pediatrics from 1997-2002 and was a member of the first entering class of the Academy of Distinguished Educators at the UCONN School of Medicine. Dr. Dworkin has served on the boards of numerous community-based organizations and recently completed his tenure as chair of the board of the Urban League of Greater Hartford.

[00:01] Dr. Paul Dworkin Shares His Story With Us

• Paul talks about his journey into the pediatrics space
• What’s his belief about the science of development and behavior?

[05:19] Biology of Adversity

• Questions to ponder on about child health services
• The driving factors that can make or break a pediatrician
• Paul talks about the “biology of adversity”
• The basic premises of delivering child health services
• How to encourage a family-led agenda in a child health context

[15:13] The Decade of the Brain

• The extremely important red flags to watch out for according to Paul
• The power of surveillance and screening in detecting problems in the child
• Assumptions about children that you should hear right now
• Paul reveals the story behind their pilot study on children’s health
• What’s the study about?

[26:47] Proactive Approach in Child Health Interventions 

• All relevant sectors should be consulted in crafting child health interventions
• Here’s why
• 2 problems that healthcare providers encounter everyday
• Why being proactive in checking up on children is a must

[36:23] Reach Out and Read  

• We have an interesting exchange about the Reach Out and Read program
• Specific calculations to drive support to healthcare investments
• Paul gives us a sneak peek on how they replicated the Reach Out and Read strategy
• How to scale the existing systems and processes we have right now

[48:25] Politics and Healthcare

• How to make sure that investments in healthcare will generate positive outcomes
• The case for prioritizing child health services transformation
• Data is important but should be relevant and appropriate
• Listen to our exchange
• Is there a correlation between political colors and child health services?

[01:01:07] Paul’s Advice for Resident Pediatricians

• Lack of coordination among the supposed coordinators create a bottleneck
• What kind of bottleneck and how to resolve it?
• Here’s Paul’s message for healthcare providers today
• Don’t miss his advice for his resident self!

 [01:12:05] Closing Segment  

• Final takeaways:
• Actionable steps for child health reform
• Big ideas to consider such as child health promotion instead of prevention
• Decade of Brain
• Impacts of poverty and racism to children
• Problems that providers encounter daily
• Cross-sectoral efforts are the ways to go
• “Help Me Grow,” a bold...

Trigger warning: suicide, gun violence

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Dr. Zakia Alavi is a Diplomat of American Board of Psychiatry and Neurology in general psychiatry and child & adolescent psychiatry. Dr. Alavi is an Associate Professor in the Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University. For the Department of Pediatrics, Dr. Alavi is involved with developing and training pediatric residents and general pediatricians about children’s mental health through a State of Michigan and HRSA funded grant. 

Currently, Dr. Alavi provides psychiatric services to children through the Community Mental Health clinic in Jackson Michigan. Dr. Alavi is the chief medical officer for Midstate Health Network, and NorthCare Network which are  Medicaid Managed Behavior health Plans for  21 counties in lower Michigan and Michigan’s Upper Peninsula, respectively.

[00:01] Dr. Zakia Alavi and I Talk about the Recent School Shootings 

• Why school shootings are still happening
• How we should protect our kids from gun-related violence

[06:32] How to Discuss School Shootings With Kids

• When to bring up discussions about gun violence
• Looking at school shootings as awful tragedies
• Who should also be considered as victims?
• The appropriate things to say to early elementary children
• Why adults should regulate their own emotions
• What to say to children aged 9-10 years old
• The topics that should be included in dinner conversations

[17:23] Resolving Gun Violence in Schools

• Strategies from Zakia to discuss firearms as a public health hazard
• The age group that is the easiest and most difficult to support according to Zakia
• Gun violence is a public health problem and should not be a debate
• The unique opportunity for healthcare providers to resolve gun violence
• Warning signs to watch out for in relation to homicide risk
• The dangers of the language that we use

[30:06] Take a Deep Breath Then Take Action

• The right questions to ask to parents or families 
• The resources that families can access right now
• Zakia’s message for patients and pediatricians alike

 [38:33] Closing Segment  

• Final takeaways:
• Appreciation to Zakia for raising awareness about gun violence in this episode
• We are still prioritizing guns over children
• Our job as adults in protecting children
• The right words to say to kids and families
• What to consider in talking with the youngest children
• What to say to elementary school kids
• The easiest and hardest age group to work with
• How to talk to parents about guns in the household
• Don’t glorify guns
• How guns are stored at homes
• Talk about intense emotions and the use of words and threats.
• When should a parent worry about their child being either a risk to themselves or to others?
• Talking with families about gun violence is inevitable
• Why reach out to child psychiatrists
• The time for change is NOW

Key Quotes:

“If your child is asking questions, then you've done a great job creating a safe holding environment at home.” - Dr. Zakia Alavi

“Take a deep breath and talk to each other, talk to your families. Give families, your children a big hug.” - Dr. Zakia Alavi

Email [email protected] to connect with Zakia or check out

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Dr. Whitney Casares is a private practice pediatrician, American Academy of Pediatrics author, and a mom to 2 young girls in Portland, Oregon.  She says that her kids are her best teachers, but that she also went to school for forever. After completing her undergraduate degree in journalism, she completed her medical school training at the University of Vermont and pediatric residency training at Stanford University. She also holds a Masters of Public Health in Maternal and Child Health from the University of California, Berkeley. 

Whitney said that after her daughters were born, she got lost in their needs and let hers fall to the wayside. When she went back to work postpartum, life got even more complicated as she layered on more responsibilities and added more to-dos. She had to dive deep to redefine what it means to be a successful mom.  By flipping the switch and investing in her own social and emotional health, she stopped just surviving motherhood and started thriving.

[00:01] Dr. Whitney Casares Shares Her Story With Us

• Whitney talks about her story as a privately practicing pediatrician
• Here’s why she started blogging and podcasting

[07:11] Achieving Work-Life Balance

• Whitney gives us a sneak peek into the life of a pediatrician mom
• The pressure of being a working mom--regardless if you’re a patient or not
• If pediatricians are always stressed, this is what will happen
• Is work-life balance really possible?

[17:48] Dealing with Trauma and Stress

• Here are some practical tips from Whitney to de-stress
• How to deal with trauma as a pediatrician?
• What listeners can learn from Whitney’s podcast
• The priorities that working pediatrician moms should always have
• Whitney’s life framework

[31:45] The Special Part of Working in the Pediatric Sector

• Holiday hacks from Whitney that you should not miss!
• Whitney has a message for her resident self 
• The special part of being a pediatrician according to Whitney

 [39:27] Closing Segment  

• Final takeaways:
• The reality of being a working mom
• The harder we work, the less we have to give
• What people should realize about work-life balance
• You just can't be present if you don't feel good
• Practical steps for working moms to improve their lives
• Resources you can access in Whitney’s website
• Whitney’s life framework that you can follow too
• 2 holiday hacks you can try
• Why pediatricians should take care of themselves
• Things to reflect upon this holiday season

Key Quotes:

“We can control how we show up for our own lives.” - Dr. Whitney Casares

“You are enough.” - Dr. Whitney Casares

Email [email protected] to connect with Whitney. Check out Modern Mommy Doc or her Facebook, Twitter, and Instagram pages to know more about her work. 

Listen to The Modern Mommy Doc Podcast to learn tips and strategies to be successful as a working...

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Wendy is a writer, poet, and educator, is a former university vice president, professor, policy advisor, and attorney. She is also the founder and curator of the tiny poetry project – narrative medicine for the soul. She uses narrative medicine and medical humanities as a way of healing, understanding, teaching, and connecting to others regarding issues of illness and health. 

In this episode, she shares her experience and the lessons that she learned when they found out her baby had a life-threatening congenital heart condition. A few lessons she talked about today include why pediatricians should introduce themselves properly, how immortality can be a normal topic between parents, and what patients should feel when they’re in the hospital. 

[00:01] Wendy Hind, Ph.D. Hind Shares Her Story With Us

• Wendy talks about how they found an irregularity in her baby
• How she and her husband came up with the decision to keep their baby 

[05:52] It’s Okay If You Don’t Know All The Answers 

• What being in a healthy marriage can do to a family 
• Wendy shares her experience of having to go to hospitals often
• Wendy’s message for pediatricians who don’t know all the answers 

[15:15] What Patients Need to Feel in a Hospital Setting 

• The importance of mentors in a pediatrician’s life 
• Why patients need to feel they are heard
• The things that frustrate parents in a hospital setting 

[20:12] The Power of a Simple Introduction 

• The pediatrician as the ringleader and conductor 
• Wendy explains 
• Why pediatricians should introduce themselves properly to patients
• Talking about mortality between parents 

[30:00] What You Should Know About Narrative Medicine 

• Wendy breaks down narrative medicine and why you should learn it too
• The power of hearing another person’s story and humanity 
• Don’t miss this poem reading from Wendy! 
• Read more from her in the links below

 [40:51] Closing Segment  

• Final takeaways:
• Always keep humanity and basic kindness in mind 
• It’s okay for pediatricians to not know everything 
• The power of listening 
• Pediatricians should introduce themselves properly
• Read the chart before you see the patient
• Parents and patients know more about their own situation than you do
• Parents and patients worry about outcomes and mortality
• Deliver the important news yourself 
• Talk to the other specialists involved
• Narrative Medicine allows patients and parents to tell their stories
• A powerful poem from Wendy you need to read now 
• Find out more about Wendy’s work on the links below 

Key Quotes:

“Never underestimate the power of a simple introduction and who you are and why you’ve come in the room.” - Wendy Hind, Ph.D.

“Poetry has been my mode of telling my story.” - Wendy Hind, Ph.D.

Email [email protected] or [email protected] to connect with Wendy. Check out Tiny Poetry Project or its Facebook,

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Emilee Young, RDN, LD is a Registered Dietitian dedicated to helping those in recovery. She has worked in both an intensive outpatient and a partial hospitalization setting where she has been able to support clients in recovery. 

Emilee practices based on the philosophy that “all foods fit” and wants to help clients create a sustainable and joyful experience with food and movement. She specializes in binge eating disorder recovery and enjoys working with clients to establish peace with food. Emilee is a fat-positive and anti-diet dietitian working from a Health At Every Size © and Intuitive Eating model.

[00:01] Emilee Young Shares Her Story With Us

• I introduce and welcome Emilee Young, RDN, LD
• Emilee tells us the story on why she’s focused on eating disorders

[05:15] Weight is Not Health

• What dieticians would advise to pediatricians
• Listen to Emilee’s advice!
• Here’s the truth about body mass index that you should know
• Weight is not health
• Emilee mentions some factors to consider when defining health
• She breaks down her specialization in terms of food movement in the body

[15:44] Division of Responsibility

• Emilee talks about “division of responsibility” in a nutshell
• What is food bargaining and why is it not advisable?
• No one is immune to the diet culture
• Here’s what to do with it

[25:44] When to Refer a Patient About Eating Disorders

• Our patients are the experts of their own body
• Healthcare providers should always listen
• When pediatricians should refer patients to other healthcare providers
• Why patients should be allowed to eat their preferred food
• How often should this be allowed?
• How to deal with patients with food restrictions

[35:33] How to Build Safe Spaces for Kids

• Having a team of experts is a good support system for the child
• Pediatricians should choose their words very carefully
• Kids are sponges
• What pediatricians should understand about safe spaces
• Healthcare providers should pay attention to these points of reflection
• GIving autonomy to patients
• Reflecting about patient-centered care

 [42:37] Closing Segment  

• Final takeaways:
• When pediatricians should refer their patients for eating disorders
• Attitudes about weight, diet, culture and fat shaming among pediatricians
• The right way to talk about the growth trajectory of a child
• “Health at every size” and intuitive eating
• A child’s food preferences change over time
• Body mass index may be flawed
• Factors to consider when looking into a child’s health
• Division of responsibility for parents
• Setting up rewards food is not advisable
• Listen to the patient and validate their feelings
• Interventions for patients with anorexia
• The antidote to diet culture
• Choosing our words wisely 

Key Quotes:

“I think a part of that division of responsibility is making sure that your child has its preferred foods.” - Emilee Young, RDN, LD

“I think one of the biggest things that I've learned as a dietitian is being a good listener.” - Emilee Young, RDN, LD

Email [email protected] to reach out to Emilee or follow her on Instagram. Check out

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Jayne Mattingly is a masters-level eating disorder recovery coach and the owner and Chief Executive Officer of the Global Virtual Coaching Group Practice, Recovery Love and Care. Jayne identifies as fully recovered from a lifelong eating disorder and also lives with a chronic illness and is disabled, which has inspired her to help others within their own healing journeys. 

Jayne’s coaching style is a collaborative approach where she perseveres with and advocates for each and every one of her client’s. She has a passion for helping those within their recovery, especially when it comes to body image conception, chronic illness, living with disability and body betrayal and helping others find self-compassion and body kindness. 

Jayne’s overall mission is to help those within their eating disorder recovery find success within the hostile recovery environment in which we live! 

[00:01] Jayne Mattingly Shares Her Story With Us

• I introduce and welcome Jayne Mattingly
• Why she pursued a career as an eating disorder specialist

[05:32] Eating Disorder Recovery Coaching

• What do Jayne’s clients look like?
• Not all of them have anorexia
• How can eating disorders specialists work with physicians?
• Jayne shares her experience
• Eating disorders should be resolved with as much support as possible
• She tells us how

[15:47] Misconceptions About Recovery Coaches

• Children might misinterpret eating disorders 
• Here’s how to avoid misinterpretation
• Jayne gives us a sneak peek at their body of knowledge
• What recovery coaches are not according to Jayne

[25:16] Health At Every Size

• What to know about intuitive eating and “health at every size”
• The relation of weight and trauma according to Jayne
• The connection between recovery and weight that you don’t want to miss

[35:25] The Reality About Diet Culture

• Listen to our interesting exchange about diet culture
• Don’t miss Jayne’s message to healthcare professionals
• How to break our preconceived notions about body sizes

 [45:02] Closing Segment  

• Final takeaways:
• Common misconceptions about eating disorders
• Team-based care for individuals offers a safety net
• A health coach provides support with goal setting, not diagnosis
• Reframing weight in the context of the 8 pillars of health
• Health At Every Size: What does this mean?
• Connection of trauma and weight
• The effects of cognitive trauma
• Our words matter when we're talking about the children's BMI, and using language like obese
• How to not succumb to diet culture

Key Quotes:

“With eating disorders, you could not have too much support.” - Jayne Mattingly

“Listen to your patients and your clients because there's usually so much more going on than just the weight piece.” - Jayne Mattingly

Email [email protected] to reach out to Jayne or follow her on Instagram. Check out Recovery Love and Care to know more about her work.

Resources Mentioned:

• Book
• Health At Every Size