Episode 016

Title: Treating to the Traits: An Introduction to Temperament- Based Treatment with Supports (TBT-S) (with Dr. Stephanie Knatz Peck)

In this episode, Jenni Gaines and Laura Cohen sit down with Dr. Stephanie Knatz Peck, clinical psychologist and co-developer of Temperament Based Treatment with Supports (TBT-S), to explore a model of eating disorder care built on neuroscience and personality research. Dr. Knatz Peck explains what TBT-S is, how specific temperament traits—like anxiety, perfectionism, and harm avoidance—are overrepresented in eating disorders, and why treating to the trait rather than against it changes everything. The conversation covers how parents can access TBT-S, what the five-day intensive format looks like, and why understanding the biology behind their child's behavior helps caregivers show up more effectively.

00:00 Introduction and Disclaimer

01:16 Guest Introduction: Dr. Stephanie Knatz Peck

01:36 What Is TBT-S and Why It Was Developed

06:00 The "S" in TBT-S: Why Words and Supports Matter

08:22 What Temperament Actually Means

11:23 Temperament Traits Across Eating Disorder Subtypes

17:27 Traits as Gifts: Treat to the Trait

25:04 Honoring Traits Without Colluding with the Eating Disorder

30:06 How Environment Interacts with Traits

32:17 Why Parents Are the Primary Agent of Change

36:14 Neurobiological Empathy: What Parents Gain from TBT-S

38:33 How Families Access TBT-S: Intensives and Provider Training

43:58 Case Study: Finding Engagement After Years of Being Stuck

49:23 Three Practical Tips for Supports

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST programs and services:

https://feast-ed.org/programs-and-services/

FEAST Blog Post-Laura Hill PhD:

https://feast-ed.org/how-temperament-influences-support-given-to-loved-ones-with-eating-disorders/

Bright Mind Therapy (Dr. Knatz Peck's clinic):

https://www.brightmindtherapy.com/

TBTS Institute:

https://tbtstraining.com

Guest Bio:

Dr. Stephanie Knatz Peck is a clinical psychologist and the founder and clinical director of BrightMind Therapy. She is a practitioner-scientist trained in the UCSD Departments of Pediatrics and Psychiatry in child and adolescent mental health and evidence-based treatments for parents and youth. In addition to her role at BrightMind Therapy, Dr. Peck is an Associate Clinical Professor of Psychiatry at the University of California, San Diego (UCSD), where she directs an Intensive Family Treatment (IFT) program for adolescents and young adults with eating disorders and their families.

Dr. Peck is involved in clinical research underway at UCSD evaluating novel psychiatric treatments including psychedelic-assisted psychotherapy and family-focused eating disorders treatment. She provides regular workshops and trainings around the world focused on parent training, family-based treatment, and eating disorders. Dr. Peck is passionate about high-impact treatments and working with youth, with a particular focus on adolescents. She is dedicated to ensuring that youth feel connected and safe while receiving high quality treatments that are rooted in science, adapted for age, family-involved, and last but not least, creative and fun!

Outside of her professional life, she enjoys being in nature, surfing, yoga, hiking, writing, and spending time with her young daughter and husband. Born and raised throughout Central and South America to American parents, Dr. Peck identifies as “third-culture” which she credits for the value she places on openness, flexibility, and appreciation for diversity of opinion.

Episode 015

Title: Facing the Toughest Moments in Eating Disorder Caregiving (with Dr. Erin Parks)

In this episode, Jenni Gaines and Laura Cohen sit down with Dr. Erin Parks, clinical psychologist and co-founder of Equip, to tackle the situations caregivers dread most: mealtime meltdowns, a child who seems to have stopped caring about everything, and the terrifying reality of self-harm and suicidality. Dr. Parks explains the neurobiology behind why consequences and rewards work differently in the eating disorder brain, and shares a vivid real-world example of how one family used that understanding to break through a months-long standoff. She also offers direct, compassionate guidance on how to talk openly about self-harm, when to involve emergency services, and how to protect your child while accepting the limits of your own control. Listeners will come away with practical tools for the hardest moments of caregiving and a reminder that imperfect support is still meaningful support.

00:00 Introduction, Disclaimer, and Content Warning

01:02 Guest Introduction: Dr. Erin Parks

04:40 When Meals Go Wrong: What to Do After You Snap

08:40 De-escalating in the Moment

11:35 Repairing After a Blow-Up

14:35 What Distress Tolerance Actually Means

23:48 Neurobiology 101: How the Eating Disorder Brain Processes Consequences and Rewards

30:19 The Shake Story: Finding the Key That Motivates Your Child

34:56 When Your Child Feels Nothing: Depression and Eating Disorders

39:22 Self-Harm and Suicidality: How to Keep the Conversation Open

47:53 Safety Planning and Imminent Risk

52:41 One Practical Tip: Choose One

SUPPORT & RESOURCES - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

FEAST website:

https://feast-ed.org/

FEAST programs and services:

https://feast-ed.org/programs-and-services/

FEAST webinar - How to Talk to Your Child When ED Has You Walking on Eggshells: https://www.youtube.com/watch?v=W6ibx-8YhWE

Brainstorms podcast episode:

https://brainstormsorg.wordpress.com/2016/10/29/episode-8-eating-disorder-interview-with-dr-erin-parks/

Guest Bio:

Dr. Erin Parks is a clinical psychologist and researcher who co-founded Equip in 2019. Equip is now the largest virtual eating disorder treatment program in the United States. As Chief Clinical Officer, she leads the clinical and research efforts that keep Equip's outcomes best in class. Before Equip, Dr. Parks was on the faculty at UC San Diego, where she treated patients across all levels of care for eating disorders. She earned her PhD from UC San Diego and completed her undergraduate work at Northwestern University.

Episode 014

Title: Voices of Hope: Untangling OCD and Anorexia (with Kyle King)

This episode is part of our Voices of Hope series. In these conversations, you'll hear from individuals who have walked through an eating disorder and come out on the other side. Our intention is to highlight that recovery is possible, relationships can survive, and even during the most challenging moments, hope is real.

In this episode, Jenni Gaines and Laura Cohen sit down with Kyle King, a second-year medical student at Yale and mental health advocate with lived experience of both OCD and anorexia nervosa. Kyle shares his journey from an OCD diagnosis at 12 to an eating disorder at 17, the ways anorexia drove him to lie to the people closest to him, what it was like to relapse in college and hide it from his parents, and how family-based treatment ultimately saved his life. He also offers a rare inside look at how OCD and eating disorders interact, why being male shaped his experience, and why he now dedicates his advocacy work to supporting caregivers.

00:00 Introduction and Disclaimer

01:22 Guest Introduction: Kyle King

02:34 Kyle's Lived Experience: From OCD to Anorexia

05:47 When ERP Didn't Work: The Limits of OCD-Only Treatment

07:15 Family-Based Treatment and Starting to Recover

08:06 The Lying Piece: What Parents Need to Know

09:30 Relapse in College: Fabricating Weights and Hiding

13:13 How Being Male Impacted the Eating Disorder Experience

17:09 Lying to Therapists and the Role of Pride

19:31 Why Kyle Fabricated His Weight: It Wasn't for Himself

21:05 How OCD and an Eating Disorder Interact

24:26 Should OCD and Eating Disorders Be Classified Differently?

28:06 Temperament, Brain Circuitry, and Environment

29:15 What Parents Did That Helped Most

32:40 How an Eating Disorder Affects the Whole Family

37:02 OCD Unfiltered: A Program Built for Parents

41:08 Why Kyle Shifted His Focus to Caregivers

44:06 The Power of Parental Vulnerability

46:51 From Lived Experience to Psychiatry

49:41 Hopes for the Future of Eating Disorder Treatment

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

Guest Bio:

Kyle King is a second-year medical student at Yale School of Medicine. More central to his identity, however, Kyle is a mental health advocate with lived experience of OCD and anorexia nervosa. He serves as a National Advocate with the International OCD Foundation (IOCDF), is the founder and co-leader of the IOCDF's Young Adult Special Interest Group, and hosts the IOCDF Research Roundtable. In addition, Kyle works as a research assistant in the Yale OCD Clinic and is a frequent speaker at OCD conferences across the country. His primary interests include investigating novel treatments for psychiatric conditions, addressing inequities in access to mental health care, and exploring the complex overlaps between OCD and related conditions such as eating disorders.

Episode 013

Title: Voices of Hope: A Mother and Daughter Reflect on Their Eating Disorder Journey (with Alexa Cohen)

This episode is part of our Voices of Hope series. In these conversations, you’ll hear from individuals who have walked through an eating disorder and come out on the other side. Our intention is to highlight that recovery is possible, relationships can survive, and even during the most challenging moments, hope is real.

In this episode, Laura Cohen sits down with her daughter, Alexa Cohen, to talk openly about Alexa's eating disorder diagnosis at 16, the hard road through family-based treatment and higher levels of care, and what their relationship looks like on the other side. Alexa, now 22 and working in inpatient eating disorder care, shares her perspective from both sides of recovery.

00:00 Introduction and Disclaimer

01:02 Guest Introduction: Alexa Cohen

04:06 Life Before the Diagnosis: Ages 13–16

06:49 The Role of Lockdown, Social Media, and the ED Voice

10:02 How Laura First Learned Something Was Wrong

11:44 Starting FBT: Refeeding at Home During COVID

16:17 What FBT Felt Like from Alexa's Perspective

19:11 Why Giving In Was Never an Option

20:44 Finding the Right Treatment Team (and How Long It Took)

25:26 Deciding to Pursue a Higher Level of Care

32:00 College, Contracts, and Choosing Recovery

37:18 Alexa's Work in Eating Disorder Care Today

40:12 Advice for Caregivers Whose Kids Are in Treatment

45:49 What Alexa Would Tell Her 13-Year-Old Self

47:26 Advice to Caregivers: It Won't Ruin the Relationship

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

In this episode, Jenni Gaines and Laura Cohen sit down with Nathalia Trees, a certified eating disorder Registered Dietitian, to unpack ARFID (Avoidant Restrictive Food Intake Disorder), a diagnosis that often gets mistaken for simple picky eating. Nathalia breaks down the three presentations of ARFID, explains why a malnourished brain makes food trials nearly impossible without nutritional rehabilitation first, and offers a realistic picture of what success actually looks like in treatment. Listeners will come away with a clearer understanding of when to raise a red flag with their pediatrician, who should be on their child's treatment team, and how to manage the anxiety and fatigue that come with supporting a loved one through recovery.

00:00 Introduction and Disclaimer

01:11 Guest Introduction: Nathalia Trees

03:20 What Is ARFID? The Three Presentations

05:20 How ARFID Differs from Anorexia, Bulimia, and Anxiety Disorders

07:30 Motivation vs. Anxiety in ARFID Treatment

09:10 Picky Eating vs. ARFID: Where's the Line?

11:20 First Steps for Caregivers: Advocating with Your Pediatrician

15:06 What Does ARFID Treatment Look Like?

16:20 Why Nutrition Rehabilitation Comes Before Food Trials

18:15 Weight Gain Goals and Growth Curve Realities

19:55 The Malnourished Brain: Why Food Trials Can't Come First

23:26 What Does Success Actually Look Like?

25:45 Tracking Progress and Celebrating Small Wins

26:00 Common Setbacks: Travel, Illness, and Food Fatigue

29:40 Building Your Treatment Team: Who Does What

33:15 Caregiver Anxiety and Distress Tolerance at the Table

36:01 Is There a Timeline for ARFID Recovery?

38:08 When to Consider a Higher Level of Care

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

FEAST Webinar - Feeding Without Fear: Navigating Nutrition in ARFID

Feeding Without Fear: Navigating Nutrition in ARFID - YouTube

FEAST Family Guide - Beyond Picky Eating: Strategies for Navigating ARFID and Supporting Your Loved One (with Nathalia Trees)

https://feast-ed.org/wp-content/uploads/2026/01/FamilyGuide_BeyondPickyEating_2026_v1.2.pdf

Guest Bio:

Nathalia Trees is a certified eating disorder Registered Dietitian and consultant specializing in the treatment of adults and adolescents with eating disorders. She was granted a Bachelor of Science from the University of Colorado and a Master of Science in clinical nutrition from Tufts University. She completed her dietetics internship at Tufts Medical Center in Boston, MA.

Nathalia’s experience spans over 13 years in medical nutrition therapy, nutrition education, public speaking, and eating disorder related research. Her passion is advocacy, training, and education for current and future dietitians and helping individuals rebuild their relationship with food. Nathalia’s approach focuses on non-diet centered, weight inclusive, and compassionate care. Nathalia’s leadership style focuses on community, connection, and striving for clinical excellence in the field of eating disorders.

Episode 011

Title: Stronger Together: How Caregiver Alignment Supports Recovery

In this episode, Jenni Gaines and Laura Cohen dive into the vital but often overlooked topic of caregiver alignment. They discuss how eating disorders can exploit "cracks" in relationships and the profound impact—both positive and negative—that caregiver unity has on a child’s recovery trajectory. Listeners will gain practical tools for managing disagreements, setting non-negotiable boundaries, and balancing the heavy lifting of treatment with the need to protect their own relationships.

00:00 Introduction and Disclaimer

01:02 Defining Caregiver Alignment

03:09 Why Alignment is Critical for Recovery

07:46 The Consequences of Misalignment

09:10 Common Conflict Areas: Meals, Consequences, and Parenting Styles

11:02 Balancing the Workload: Resentment vs. Appreciating Strengths

16:53 External Alignment: Grandparents, Teachers, and Coaches

20:25 Navigating Co-Parenting and Divorce

24:59 Practical Strategies: Education and the Family Recovery Plan

30:34 Managing Disagreements in Front of Your Loved One

40:03 The Power of the 10-Minute Check-In

42:16 Trusting Yourself When Alignment Isn’t Possible

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

The Other Side of the Plate podcast episode:

The Importance of Male Caregivers in ED Recovery (with Kevin Dunn)

https://player.captivate.fm/episode/19f1d2bb-799e-4111-823d-e0db02f3e6c5

(FEAST Blog Post-Abby Sarrett-Cooper)

Parental Alignment in FBT

(FEAST Blog Post-Judy Krasna)

Parenting and Partnership

(FEAST Blog Post-Sarah)

Not on Board But Weathering the Same Storm

Host Bios

Jenni Gaines and Laura Cohen are caregivers with lived experience who have supported their loved ones through eating disorder treatment. Together, they serve the FEAST community by sharing personal insights and connecting parents with the professional resources necessary to navigate recovery.

Episode 010

A Personal Recovery Journey: Insights for Caregivers (with Hannah Hickinbotham)

In this episode, Jenni speaks with Hannah Hickenbotham, founder of the UK-based "Full of Beans" podcast about eating disorder awareness. Hannah shares her personal journey through atypical anorexia, body dysmorphia, and the late ADHD diagnosis (after 14 years of struggling) that finally unlocked her path to recovery. This conversation offers caregivers rare insight into what recovery looks like from the inside: why resistance happens, what support actually helps, and how to find "glimmers" of hope even in the darkest moments.

00:00 Introduction to the Podcast

06:19 What Caregivers Can Learn from Lived Experience

10:03 Hannah's Journey: Diet Culture and Feeling Different

15:53 Atypical Anorexia: The Pain of "Not Quite There"

17:22 Eating Disorders as Emotional Regulation

26:33 Advice for Parents: What Helped and What Didn't

34:21 Understanding Resistance: "Facing Your Worst Nightmare"

44:46 Thanking and Releasing the Eating Disorder (EMDR)

47:32 Supporters Who Made a Difference

54:41 Finding Daily Glimmers: Advice for Struggling Families

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

Hannah’s website:

https://www.wearefullofbeans.com/

Listen to Hannah’s podcast on your favorite app: The Full of Beans Podcast

Guest Bio

Hannah Hickinbotham is the founder of Full of Beans, an eating disorder awareness podcast all about reducing stigma and amplifying lived experience. Through inspiring conversations with people with lived experience of an eating disorder, alongside clinicians and researchers, Hannah creates a space where listeners can feel understood, validated, and a little less alone.

Hannah has lived experience of atypical anorexia, body dysmorphia, and ADHD, and found her path to recovery after finally receiving an ADHD diagnosis 14 years later. Passionate about widening the conversation beyond stereotypes, she reminds people that recovery is possible, even when it doesn’t look how you expected.

Episode 009

Navigating Family Based Treatment (with Dr. Amy Boyers)

In this episode of The Other Side of the Plate, hosts Laura and Jenni welcome Dr. Amy Boyers, co-founder and president of Galen Hope and a clinical psychologist with over two decades of experience treating eating disorders. Laura and Amy's friendship stretches back to childhood in Miami, making for a warm and candid conversation about family-based treatment (FBT). Dr. Boyers traces the evolution of eating disorder treatment from the "parentectomy" era of the eighties and nineties through the emergence of FBT, explaining the three phases of the manualized protocol while advocating for what she calls "FBT with a twist": adding meal support coaches, dietitians, respite from grandparents, and regular therapy sessions for burnt-out caregivers. She addresses common reasons families stall (inconsistent monitoring, "clean eating" that can't achieve caloric density, reluctance to enforce meaningful consequences) and offers a memorable reframe: when one part of a family system changes, the other parts engage in "change back behaviors" to restore the status quo. Dr. Boyers emphasizes that FBT is only the "gold standard" if it works for your family, and encourages parents to develop a Plan B before they need it.

00:00 Introduction to the Podcast

01:03 Meet Dr. Amy Boyers: From Childhood Friends to Eating Disorder Expert

06:42 What Is FBT? From Maudsley to Lock and Le Grange

13:25 When FBT Isn't the Right Fit: Recognizing Family Dynamics

21:52 Common Reasons Families Stall: "Change Back Behaviors"

27:07 Caloric Density and the "Two Entire Birds" Problem

29:25 Consequences That Signal Commitment

37:00 FBT with a Twist: Adding Coaches, Dietitians, and Therapy

45:02 When to Transition Away from FBT

51:35 The Future of FBT and Treatment

53:57 Advice for Families Starting Their FBT Journey

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

Link from Dr. Amy Boyers:

https://www.galenhope.com/eating-disorders/10-foods-for-anorexia-refeeding/

FEAST flyer:

https://feast-ed.org/programs-and-services/

(FEAST webinar August 2025)

When FBT Alone May Not Be Enough: Adding DBT into Treatment

(FEAST webinar slides August 2025)

When FBT Alone May Not Be Enough: Adding DBT into Treatment

(FEAST Webinar-July 2024)

How We Developed FBT and Why it Works

(FEAST webinar December 2025)

Family Based Treatment for Young Adults: Parents as Partners in Recovery

(FEAST webinar slides December 2025)

Family Based Treatment for Young Adults: Parents as Partners in Recovery

Treating Eating Disorders - F.E.A.S.T.

Anorexia Weight Gain: 13 Foods For Anorexia Refeeding

Guest Bio

Dr. Amy Boyers is the co-founder and president of Galen Hope, which is a physician-led program providing eating disorder and mental health treatment for adolescents and adults across a wide range of diagnoses. Galen Hope emphasizes community integration, family support, and fostering a sense of connection and belonging as essential to healing.

She has been in private practice in Miami since 2001, where she provides therapy to adolescents and adults, with a focus on women’s health, eating disorders, anxiety and mood disorders, and behavioral medicine.

After graduating with honors from the University of Pennsylvania, she was awarded a prestigious U.S. Department of Defense psychological research fellowship at the University of Miami, where she completed her masters and doctoral degrees.

Dr. Boyers is adjunct faculty at the University of Miami Counseling Center and has spoken locally and nationally on the topics of eating disorders, stress, trauma, and adolescent development. She has also co-authored several articles in professional journals. She was the founding president of the Miami Chapter of the International Association of Eating Disorders Professionals (IAEDP) and served on the national board.

Episode 008

Body Image and Eating Disorders (with Dr. Anita Federici)

In this episode of The Other Side of the Plate, hosts Jenni and Laura welcome Dr. Anita Federici, a clinical psychologist and globally respected expert on eating disorders and DBT. Dr. Federici challenges the common assumption that body image naturally improves after weight restoration, explaining that for many people, body disturbance isn't a "lag" but a core neurobiological feature of eating disorders rooted in sensory and perceptual differences. The conversation explores the distinction between body dysmorphia and negative body image, the power of validation as a "safety signal," and practical communication strategies for caregivers—including Dr. Federici's four-step framework: validate what makes sense, reinforce adaptive behavior, invite rather than impose help, and offer sensory-based coping tools. Drawing parallels to how clinicians treat psychosis and dementia, Dr. Federici makes a compelling case for believing patients' lived experiences rather than dismissing them. This episode offers caregivers both scientific grounding and practical hope for supporting loved ones through the often-misunderstood struggles of living in their "earth suit."

00:00 Introduction to the Podcast

01:02 Meet Dr. Anita Federici: 25 Years in the Eating Disorders Field

06:30 The Body Image "Lag": Why It May Not Be a Lag at All

14:36 Validation as a Safety Signal

17:39 Body Dysmorphia vs. Negative Body Image: The "Earth Suit"

24:27 Normal Body Dissatisfaction vs. Warning Signs

30:35 What to Say: The "You Make Sense" Conversation

41:33 Hair on Fire: Sensory Tools During Acute Treatment

44:47 Lessons from Treating Psychosis and Dementia

50:01 A Message of Hope: Start Where You Are

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

FEAST Weekend Workshops - F.E.A.S.T.

Workshop 8 (Sunday – December 21, 2025)

What To Say When You Don’t Know What To Say

Led by Dr. Anita Federici

Bio:

Dr. Anita Federici is a Clinical Psychologist and Owner of The Centre for Psychology and Emotion Regulation, specializing in evidence-based treatment for eating disorders, emotion regulation challenges, and trauma. A sought-after international trainer, consultant, and researcher, she is also co-author of Treating Eating Disorders with DBT: The MED-DBT Protocol (Guilford Press, 2024) https://www.guilford.com/books/Treating-Eating-Disorders-with-DBT/Federici-Wisniewski/9781462558483?srsltid=AfmBOooqJiiIH63_128Czz7N-n3W5tZvzP_8I5o5mOPsw0JhVuQN5PAZ

Episode 007

The Importance of Male Caregivers in Eating Disorder Recovery (with Kevin Dunn)

In this episode of The Other Side of the Plate, hosts Jenni and Laura discuss the often overlooked role of male caregivers in eating disorder recovery with special guest Kevin Dunn. Kevin, a seasoned volunteer and the Director of Family Mentorship at Equip, shares insights from his eight-year journey supporting his daughter through an eating disorder. The conversation covers the emotional challenges men face, the importance of humility, validation, distress tolerance, and the transformative power of Dialectical Behavior Therapy (DBT). Kevin emphasizes the need for male caregivers to be present, practice active listening, and collaborate openly with other caregivers. This episode aims to shed light on how inclusive caregiving can enhance recovery outcomes and the unique strengths men bring to the table.

00:00  Introduction to the Podcast

01:02  Meet Kevin Dunn: From Caregiver to Men of FEAST Founder

04:01  Kevin's Personal Story: A Daughter's Diagnosis at Age 8

10:55  The Birth of Men of FEAST

14:56  Creating a Safe Space for Male Caregivers

18:16  Why Male Voices Matter in Recovery

22:26  Getting Aligned as a Team: "Same Bookstore, Not Same Page"

27:29  Essential Skills: Humility, Acceptance, and Validation

42:58  Baby Steps for Dads: Be Present, Be Available, Listen

51:18  Silver Linings and a Message of Hope

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

Men of FEAST: 

https://feast-ed.org/men-of-feast/

FEAST flyer:

https://feast-ed.org/programs-and-services/