The SeasonED RD

Kayla Jessop, RDN, CDN, CEDRD-S 

Registration is open for RO-DBT (Radically Open Dialectical Behavioral Therapy) for dietitians. 

This modality might be a game-changer for us ED RDs.  It sure has been for our guest, Kayla Jessop RDN, CDN, CEDRD-S. 

Kayla shares that RO-DBT is considered THE most effective for adults with AN, and she answers questions for us like: 

How is RO-DBT different from DBT? 

What is an over controlled temperament (OC) and how OC is “often a lovely thing” 

Can RO help with body image? 

Does this work with people with autism? 

Is RO-DBT a scope of practice concern for dietitians? 

What are Pain Points and Self-Inquiry?  

Kayla’s Recommended Seasonings: 

EDRD Pro RO-DBT Course  (https://edrdpro.com/dbt-ro-dbt-workshops/) 

EDRD Pro stands for Eating Disorder Registered Dietitians and Professionals online learning platform. 

Bio: 

Kayla Jessop, RDN, CDN, CEDRD-S is a Certified Eating Disorder Registered Dietitian and an approved supervisor who has completed the RO DBT Intensive training in 2020. She continues to receive individual and group supervision from Dr. Nicole Little, Ph.D, R.C.C and Karyn Hall Ph.D. 

Kayla owns a private practice in Utah where she offers individual nutrition therapy, meal support, supervision, and RO DBT skills classes for adolescents, adults, and clinicians. 
 
Kayla is an expert on Intuitive Eating, Health at Every Size, and improving people’s relationship with food. She is an Anti-Diet registered dietitian who has specialized in helping individuals of all ages regain peace with food and body.  
 
Outside of her passions for recovery, she loves to spend time outside on land or deep in the sea with her family. 

@kaylajessopnutrition

RO4RD.com 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Rebecca K. Brumm, MA, LPC, CEDS-S

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Crystal Bowlby Simmons, Ph.D., CEDS-S 

Full and complete healing and recovery are possible 

Remember as a clinician, we are humans first  

Honest direct conversations 

Desperate people do desperate things 

It’s not about BLAME 

Trying to will ourselves into ‘right actions’ leads to burnout and exhaustion 

Finding a container or place to land 

Butterfly metaphor – DNA is the same for the caterpillar as for the butterfly  

Struggle is not a bad thing. 

Reframing shame and judgment as curiosity–seeking questions instead of answers 

People in larger bodies – how weightism shows up  

Dr. Bowlby’s Suggested Seasonings: 

Start with a little Carolyn Costin – Healthy Self, Eating Disorder Self 

Add a heaping amount of Carolyn’s “8 Keys to ED recovery” 

Simmer slowly with Adele LaFrance – https://dradelelafrance.com/ 

Top it off with The Four-Fold Way book by https://www.amazon.com/Four-Fold-Way-Walking-Warrior-Visionary/dp/0062500597 

A Key ingredient (no substitutions), Health At Every Size https://asdah.org/health-at-every-size-haes-approach/ 

Bio:  Crystal Bowlby, Ph.D., CEDS-S, is a licensed clinical psychologist (Health Service Psychologist) serving patients and staff for the Laureate Eating Disorders Program in Tulsa, Oklahoma. As an adult therapist, Crystal serves patients in individual, family, and group therapy, meal support, and crisis intervention. As a supervisor, Crystal works with clinicians towards specialty certification for IAEDP as well as works with doctoral students gathering practicum and internship hours. Crystal is passionate about inpatient care and enjoys both the relational aspect and intensity of the work--- feeling grateful for mealtimes with patients, being present for struggles in real-time, and watching dynamics unfold in a relational milieu. Working from a strong relational framework, she approaches her work from a human-to-human stance, whereby the therapist is both a learner and a teacher, an observer/witness, and a co-traveler. Crystal’s passion and curiosity to grow, to learn, and to relate to others engenders her work. She is drawn to depth/Jungian perspectives, transpersonal psychology, positive psychology, embodiment, and soul care. Research interests surround the therapist's use of self in the therapeutic process, the role of gratitude to enhance the quality of life, and the themes of hope, curiosity, and surrender. 

You can reach Dr. Bowlby here SaintFrancis.com/Laureate  

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Anna Sweeney, MS, RD, LDN, CEDRD-S

Anna Sweeney, MS, RD, LDN, CEDRD-S is a social media phenomenon for all things anti-eating disorders and gives us nuggets that help our clients shift the messages that pull them down.  

She challenges us to think about what happens when a person surrounds themselves with messages from influencers to “Eat like me, Move like me, Look like me”.  She reminds us that “This is causing social development of eating disorders to happen at a faster pace than ever before.” 

Anna’s messages are real and raw and help our clients shift their algorithm towards the authentic and away from bodies and diets that are unreal. 

In the office, Anna shares how she gets curious about a person’s desire to ‘Eat Clean,’ and reveals the best part of her work is being able to witness a person find what feels right with food. 

Anna says “start here”: 

Anything HAES 

Learning about body wisdom – reclaim body expertise 

Intuitive Eating 

Article referenced - Dr. Steven Bratman on orthorexia 

 Bio:  Anna Sweeney, MS, RD, LDN, CEDRD-S (she/her) is a Certified Eating Disorder Registered Dietitian and Supervisor, Certified Intuitive Eating Specialist, and owner of Whole Life Nutrition Counseling, a nutrition therapy practice dedicated to the social justice forward treatment of eating disorders, disordered eating, and body image concerns. Anna has dedicated her career to nutrition counseling and supervising in the field of eating disorders, and works to use her many privileges to increase awareness of eating disorders, the complexities of these conditions, and to unabashedly challenge diet culture. Anna is a full-time disabled person and uses her lived experience to enhance the work she does. 

IG - @dietitiananna 

Virtual Connection 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Stefanie Boone, MS, RD, CEDRD-S

DBT and RO-DBT for the EDRD 

Two Opposite Things Can Be True at the Same Time 

Radical Acceptance  

Mindfulness, distress tolerance, and emotion regulation 

DBT skills are like psychoeducation and are within the scope of practice of the RD 

What does it take to reach AND’s Expert Proficiency level for eating disorder dietitians?  

RDs can’t gloss over the feelings in this work 

DBT nugget – assumption that all our clients are doing the best they can and that all can do better and can try harder 

Acceptance and change – it’s ok to want to work on accepting your body and still want to change it.

The course through EDRD Pro is VAST 

If you’re newer to eating disorders work, it’s ok to not be an expert  

Stepfanie’s early learning journey includes: 

Motivational Interviewing 

Carolyn Costin 

Intuitive Eating 

EDRD Pro https://edrdpro.com/ 

Bio: 

Stefanie Boone, MS, RD, CEDRD-S is a nutrition therapist for adults and adolescents of all genders with eating and exercise disorders. She has worked with clients in her Private Practice in Santa Monica individually and in groups for the past 20 years, using a combination of philosophies centering around Intuitive Eating, DBT, and RO-DBT to help clients heal their relationship with food, exercise, and body image. Stefanie also has an added specialization in treating eating disorders in those with co-occurring mood disorders and addictions. She has held positions as Lead Dietitian at several treatment centers for Eating Disorders, Dual Diagnosis, and Addictions, including Eating Disorder Center of California, Visions Adolescent Treatment Centers, Kaiser Permanente Eating Disorders Program (Hollywood, CA), Clearview Treatment Centers, and Resolutions Therapeutic Services. Stefanie is Immediate President of IAEDP Los Angeles (International Association of Eating Disorders Professionals). 

Stefanie received her undergraduate education in dietetics and Masters of Science Degree in Nutrition from California State University, Northridge. She has spoken at numerous professional events, conferences, and panels on Nutrition Therapy for Eating Disorders in past years. She is currently focusing her time and energy on supervising and training other RDN’s on using DBT and Radically Open DBT in nutrition therapy for eating disorders, has spoken on the topic at multiple events and conferences. Stefanie is one of the contributing authors of Real World Recovery: Intuitive Food Program Curriculum for the Treatment of Eating Disorders, and she has written articles for Today’s Dietitian, The Behavioral Nutrition newsletter, and The Huffington Post. 

[email protected] 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr. Anna B. Tanner, MD, CEDS-S

With kids, some medical complications are not reversible. 

Systems affected are bone density, height, brain growth 

Intrusive thoughts vs Healthy thoughts 

Never play the woulda, coulda, shoulda game – if it led to an eating disorder, something would have anyway.  

American Academy of Pediatrics Publication on prevention of obesity and eating disorders 

The family meal is protective 

Not focusing on shape or weight 

Not making negative comments 

Being active for the sake of health 

Eating for the sake of nourishing the body

All of us need to stay humble, no matter how much science, no matter how long we’ve done this.   

Bio: 

Dr. Anna B. Tanner is Vice President of Child and Adolescent Medicine for Accanto Health. She is a board-certified Pediatrician who has specialized in the care of complicated adolescent patients, in particular patients with eating disorders, for over 20 years. Dr. Tanner completed medical school and residency at Vanderbilt University and then remained there to serve on the Pediatrics faculty in the Division of Young Adult and Adolescent Medicine.

Dr. Tanner has been very involved in advocacy and education efforts and serves on national and international committees for eating disorders education. She speaks frequently across the United States on the Medical Complications of Eating Disorders, especially as they affect children and young adolescents.

Dr. Tanner currently serves as an Adjunct Assistant Professor of Pediatrics for Emory University School of Medicine and as an Adjunct Clinical Assistant Professor in the Department of Psychiatry and Behavioral Science for Morehouse School of Medicine.

She is co-chair of the Academy of Eating Disorders (AED) Medical Care Standards Committee and a member of the International Association of Eating Disorders Professionals (IAEDP) Certification Committee Task Force. Dr. Tanner is a Fellow in the Society for Adolescent Health and Medicine (SAHM), a Certified Eating Disorder Specialist, and a Certified Eating Disorders Supervisor. 

She has been named by Atlanta magazine as a “Top Doctor” every year from 2013 to 2021 and named by Castle Connelly as an Exceptional Woman in Medicine and one of America’s Most Honored Doctors.  

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Scott Moseman 

The Medical Director of the Laureate Eating Disorders Program in Tulsa, Oklahoma.

Learning through the Laureate Institute for Brain Research that we professionals are working with brains that constantly need to be rewarded.   

Listen in for the discussion between Dr. Voss and Dr. Moseman about how they define recovery,  including setting weight goals.  What is the brain’s definition of recovery?  

How does communication happen between the brain and the gut? GI-based anxiety for kids affects the ability to eat and grow to potential. “Who wants to eat when their stomach hurts”?  

And you’re hearing it again about the trabecular bone scan to help inform our assessments of bone health (see Dr. Mehler’s episodes). 

Finally, learn by being with people, get a group that meets regularly – journal club, peer case consultation.  "Clinical supervision is hugely more important than reading books." 

Learn more about the life change happening at Laureate at SaintFrancis.com/Laureate. 

Bio: 

Scott Moseman is the Medical Director of the Laureate Eating Disorders Program in Tulsa, Oklahoma.  Dr. Moseman is a board-certified child and adolescent psychiatrist who received his fellowship training at Western Psychiatric Institute and Clinic in Pittsburgh, Pennsylvania, where he served as chief fellow. He received his medical training from Texas A&M Health Science Center and completed his adult psychiatric training at the University of Arizona. He serves as the medical director and attending physician of the adolescent eating disorders program at Laureate. He is a certified eating disorders specialist supervisor. 

 Dr. Moseman is also an active research investigator, currently collaborating with Dr. Sahib Khalsa at the Laureate Institute for Brain Research to study neural circuits associated with eating disorders, nutrition, and body image using the facility's state-of-the-art fMRI and float clinic. 

Dr. Moseman is a strong advocate for families of eating disorders patients and has served on the board for the Oklahoma Eating Disorders Association, the American Academy of Child and Adolescent Psychiatry, and as co-chair of the Academy for Eating Disorders special interest group on child and adolescent eating disorders. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr Phillip Mehler, MD, CEDS

Don’t be afraid of IBS these are very real concerns 

Trabecular bone score and DEXA together inform treatment 

Eating disorders as Metabo-psychiatric illness (along with Dr. Bulik) 

If you’re in ER Medicine, you’re seeing a good number of folx with EDs. 

Patterns of the microbiome that predict weight gain. 

Why patients can’t hear and feel like they are talking in a tunnel, and what’s going on in the olfactory area 

“Atypical” AN = bradycardia very marked, refeeding hypophosphatemia is very real, a bone disease with rapid weight loss even though BMI is in a normal range.  Amenorrhea is common. 

We can no longer applaud drastic forms of weight loss. 

The focus at ACUTE includes IBS and cancer cachexia. 

Angel Med Flight is a covered service for ACUTE

Cross-reference Dr. Voss’s episode on differentials.

Bio:  

Dr. Philip Mehler founded the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health and continues to serve as its Chief Executive Officer. He began his career at Denver Health more than 30 years ago and was formerly its Chief of Internal Medicine. He was Denver Health’s Chief Medical Officer (CMO) for 10 years until he was promoted to its Medical Director, a position he held until his retirement in 2014. He is also the Glassman Professor of Medicine at the University of Colorado School of Medicine and has conducted research into the optimal medical treatment of the most severe cases of Anorexia Nervosa and Bulimia. Dr. Mehler has authored more than 500 scientific publications, including three textbooks published by Johns Hopkins University Press and with a fourth edition slated for release later this year. Dr. Mehler was the recipient of the Academy of Eating Disorders 2012 Outstanding Clinician Award, has been recognized among the “Best Doctors in America” for the past 22 years in a row, and was voted the “Top Internal Medicine physician in Denver” multiple times by 5280 Magazine. Dr. Mehler is a member and fellow of the Eating Disorders Research Society and the Academy of Eating Disorders, as well as a member of the editorial board of the International Journal of Eating Disorders and serves as the Senior Editor of The Journal of Eating Disorders. He has lectured extensively on a national and international level as the leading medical expert on the topic of the medical complications of eating disorders. 

Tour of ACUTE 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Dr Phillip Mehler, MD, CEDS

HOPE becomes a reality with dedication and expert evidence-based care.  

How to build hope into your medical practice. 

Medical malnutrition looks different for eating disorders than for other illnesses. 

ACUTE breaks all the rules of nutrition in the best ways possible – go RD’s! 

Myth’s dispelled about how to treat severe hypoglycemia, about having a baby post-recovery, QTc elongation. 

The heart, the liver, the bones – all things medical. 

Cross-reference Dr. Voss’s episode on differentials.

Join us for more of Dr. Mehler next week as he discusses DEXA scans and reveals his new model to treat low-weight anorexia. 

Bio:  

Dr. Philip Mehler founded the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health and continues to serve as its Chief Executive Officer. He began his career at Denver Health more than 30 years ago and was formerly its Chief of Internal Medicine. He was Denver Health’s Chief Medical Officer (CMO) for 10 years until he was promoted to its Medical Director, a position he held until his retirement in 2014. He is also the Glassman Professor of Medicine at the University of Colorado School of Medicine and has conducted research into the optimal medical treatment of the most severe cases of Anorexia Nervosa and Bulimia. Dr. Mehler has authored more than 500 scientific publications, including three textbooks published by Johns Hopkins University Press and with a fourth edition slated for release later this year. Dr. Mehler was the recipient of the Academy of Eating Disorders 2012 Outstanding Clinician Award, has been recognized among the “Best Doctors in America” for the past 22 years in a row, and was voted the “Top Internal Medicine physician in Denver” multiple times by 5280 Magazine. Dr. Mehler is a member and fellow of the Eating Disorders Research Society and the Academy of Eating Disorders, as well as a member of the editorial board of the International Journal of Eating Disorders and serves as the Senior Editor of The Journal of Eating Disorders. He has lectured extensively on a national and international level as the leading medical expert on the topic of the medical complications of eating disorders. 

Tour of ACUTE 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Letter -Dear Doctor, don’t talk to my child about weight  

Tips for the Holidays 

Why can’t this doctor use the “O” word 

Ellyn Satter’s work, “Child of Mine” 

Doc-talk during a pandemic is about weight gain, but missing the talk about the massive increase in eating disorders and lack of hospital access 

Trauma-informed care training – the bottom-up, nervous system and how trauma resides in the body. 

Mealtime hostage  Skye Van Zetten https://mealtimehostage.com/  EPE extreme picky eating 

Virginia Sole smith Burnt toast blog https://virginiasolesmith.substack.com/about 

Reagan Chastain – https://danceswithfat.org/ Dealing with Fatphobia at the Holidays 

Anna Lutz, RD, CEDRD-S 

Bio: 

Anna Lutz is a Registered Dietitian with Lutz, Alexander & Associates Nutrition Therapy in Raleigh, NC. She specializes in eating disorders and pediatric/family nutrition and provides clinical supervision to other dietitians. Anna received her Bachelor of Science degree in Psychology from Duke University and Master of Public Health in Nutrition from The University of North Carolina at Chapel Hill. She is a Certified Eating Disorders Registered Dietitian (CEDRD) and an Approved Supervisor, both through the International Association of Eating Disorder Professionals (iaedp). Anna previously worked at Children’s National Medical Center in Washington, DC, and Duke University Student Health, treating individuals with eating disorders. She has completed extensive training through the Embodied Recovery Institute and strives to provide her clients trauma and somatically informed care. Anna is a national speaker and delivers workshops and presentations on eating disorders, weight-inclusive healthcare, and childhood feeding. She also writes and talks about nutrition and family feeding, free of diet culture, on her blog, Sunny Side Up Nutrition, and her podcast, Sunny Side Up Nutrition Podcast. 

https://sunnysideupnutrition.com/ 

Katja Rowell M.D

Katja Rowell M.D. is a family doctor, author, and responsive childhood feeding specialist. Described as “academic, but warm and down to earth,” she is a popular speaker and has appeared in numerous publications. Katja has developed an expertise in anxious and avoidant eating (including ARFID), food preoccupation, and supporting foster and adopted children. Katja is a co-founder and part of a multidisciplinary team behind ResponsiveFeedingPro.com, a digital online learning platform for professionals working with children and families around food. She's also on the SPOON adoption nutrition advisory board. Her books include: Helping Your Child with Extremely Picky Eating: A Step-by-Step Guide to Overcoming Selective Eating, Food Aversion, and Feeding Disorders, Love Me, Feed Me, and Conquer Picky Eating: a Workbook for Teens and Adults. Learn more about Katja at The Feeding Doctor. 

https://responsivefeedingpro.com/   

IG -@KatjaRowellMD 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies