The SeasonED RD

Katherine Godwin, MD 

In the medical field, there’s a general assumption that our patients are well-nourished, and that the medications we give them will function in their bodies like they would in a nourished body and that’s not true in a malnourished body. When a person is malnourished, meds don’t work. 

Our body assimilates nutrients like a lego system –when we eat, our bodies break down the nutrients to then build up serotonin, norepinephrine, dopamine (and more).  Listen in to hear more of this nutrition connection. 

Medications can improve brain plasticity and enhance the hard work being done, but what to do if there’s medical or medication ambivalence?  

Listen in to hear about some of the fascinating research on float tanks, avatars, body image, MTHFR, and more. 

Bio: 

Katherine Godwin, MD, joined Laureate in 2005. She has served as medical director of outpatient services and of Laureate’s independent living program for an outpatient eating disorder care, Magnolia House, before taking over as medical director and attending physician of the Adult Eating Disorders Program. Dr. Godwin is board certified by the American Board of Psychiatry and Neurology and is a Diplomate of the American Board of Psychiatry and Neurology. She has a special professional interest in the treatment of eating disorders and psychopharmacology and has spoken nationally about these topics. She is a member of the International Association of Eating Disorders Professionals, the Neuroscience Education Institute, and the Academy for Eating Disorders. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Jennifer L. Gaudiani, MD, CEDS-S, FAED

Jennifer L. Gaudiani, MD, CEDS-S, FAED gives us tangible take-homes to enhance our practices and to heal the medical complications of eating disorders. 

Supervision for doctors is key - Doctors are not taught about their emotional contributions to the patient outcome,.and her approach using Narrative Medicine is evident.

She shares her research about weight-inclusive medical care – spoiler – a weight-inclusive perspective is the ONLY thing to do because, in the final analysis, the best way to be well is to nourish throughout the day abundantly, adequately, rest, and move according to joy and interest.

Finally, Healthism makes a LOT of assumptions so listen in to hear her approach! 

Bio: 

Jennifer L. Gaudiani, MD, CEDS-S, FAED, is the Founder and Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency and chief residency at Yale. 

Dr. Gaudiani has been a leader in the eating disorders field since 2008 and served as the Medical Director at the ACUTE Center for Eating Disorders prior to founding the Gaudiani Clinic which is a Denver-based outpatient medical clinic dedicated to people with eating disorders and disordered eating. 

The Gaudiani Clinic is a HAES (Health At Every Size)®-informed provider and embraces treating people of all shapes and sizes. The Gaudiani Clinic is licensed to practice in over 35 US states via telemedicine and offers international professional consultation and education. 

Dr. Gaudiani has lectured nationally and internationally, is widely published in the scientific literature as well as on blogs, is a current member of the editorial board of the International Journal of Eating Disorders and the Academy for Eating Disorders Medical Care Standards Committee, and is a former board member of iaedp.

Dr. Gaudiani is one of a very small number of internal medicine physicians who are certified as an eating disorders expert. She is also a Fellow of the Academy for Eating Disorders.

Dr. Gaudiani’s first book, Sick Enough: A Guide to the Medical Complications of Eating Disorders, was released by Routledge in October 2018 and is available on Amazon.

www.gaudianiclinic.com 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Michaela Voss, MD 

Nuggets from Dr. Voss to all medical providers include being ok with not always having a diagnosis for a symptom and assuring your patients “we will figure it out” and that eating disorders should always be on your differential. 

How to determine target weight range (hint: Health determines weight, weight does not determine health) and how to know if a low heart rate is a sign of a strong conditioned heart (like in an athlete) or malnutrition. 

People don't need to be a specialist in the ED world to catch and treat eating disorders! They're there, they don't discriminate and check biases. 

Bio: 

Michaela Voss, MD, is the Medical Director of The Eating Disorder Center at Children’s Mercy – Kansas City, MO.  She graduated medical school from the University of Kansas Medical Center – Kansas City, KS, in 2010.

She completed a pediatric internship and residency in 2013 at Children’s Hospital of Wisconsin – Milwaukee, WI. Afterward, she pursued advanced training in the field of adolescent medicine, graduating from fellowship in 2016 at Seattle Children’s Hospital – Seattle, WA. During this time, Dr. Voss was a Leadership and Education in Adolescent Health (LEAH) Fellow and participated in research under a T32 grant.

In addition to her clinical and administrative duties, Dr. Voss enjoys educating medical professionals and the general community about adolescent health and eating disorders. She participates in multiple research and quality improvement projects to expand evidence-based medical knowledge of eating disorders. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Cynthia Bulik, PhD, FAED 

Clinical psychologist Cynthia M. Bulik, Ph.D., FAED is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders, Distinguished Professor of Eating Disorders at the University of North Carolina at Chapel Hill, and Professor of Nutrition in the Gillings School of Global Public Health. She is also Professor in the Department of Medical Epidemiology and Biostatistics and Director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. She leads global eating disorder genetics initiatives and develops, evaluates, and disseminates evidence-based treatments for eating disorders. Dr. Bulik has been the recipient of numerous awards including the Eating Disorders Coalition Research Award, the Academy for Eating Disorders Leadership Awards for Research and Advocacy, the Price Family National Eating Disorders Association Research Award, and the Don and Melissa Nielsen Lifetime Achievement Award from the National Eating Disorders Association. 

Prof. Bulik is past president of the Academy for Eating Disorders, past Vice-President of the Eating Disorders Coalition, and past Associate Editor of the International Journal of Eating Disorders. She serves on advisory boards of several advocacy organizations and is founder and co-chair of the Eating Disorders Working Group of the Psychiatric Genomics Consortium. See https://www.cynthiabulik.com.  

Dr. Bulik is a prolific writer having penned more than 600 papers and 50 chapters on eating disorders. She is author of seven books including Crave: Why You Binge Eat and How to Stop, The Woman in the Mirror, Midlife Eating Disorders: Your Journey to Recovery, and Binge Control: A Compact Recovery Guide.

For more books written by Cynthia Bulik go to https://www.cynthiabulik.com/books/.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Melainie Rogers, MS, RDN, CDN, CEDRD-S

Nuggets:

Melainie Rogers is a Certified Eating Disorder Registered Dietitian and is accredited by the International Association of Eating Disorder Professionals as a clinical supervisor in the treatment of eating disorders (CEDRD-S). She started in the field of eating disorders treating Binge Eating Disorder even before it was recognized as an official DSM diagnosis and reminds us that although many undergrad programs don’t teach RDs what they need to know to treat eating disorders, the RD is the best equipped member of the healthcare team because of the many years of required training in nutrition.  For example, what do we do with clean eating, orthorexia or those “colorful allergy tests” that our clients put so much trust in ‘because it’s medical’.

• Maintenance Phase podcast (celery juice episode)

Bio:

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Molly Kellogg, CEDRD-S, LCSW helps us understand how she uses Internal Family Systems (IFS) as her primary treatment model.  She is the author of Counseling Tips for Nutrition Therapists: Practice Workbook series and a nationally recognized trainer on health behavior change based in Philadelphia, PA. She is a member of the Motivational Interviewing Network of Trainers and served on the American Dietetic Association Evidence Analysis Library Nutrition Counseling Workgroup. Her Motivational Interviewing training materials and home study courses have been used by nutrition professors and dietetic internship programs. 

In her private psychotherapy practice, her primary treatment model is Internal Family Systems (IFS). She partners with Diana Dugan Richards, RDN, LDN. to provide an introduction to IFS for dietitians. 
 

Introduction to Internal Family Systems (IFS) 
for Nutrition Professionals  
Live Virtual workshop with a pre-workshop course 

Workshop Presenters: 

Diana Dugan Richards, RDN, LDN 

Molly Kellogg, LCSW, CEDRD 

2021 dates: 
October 29, 9 – 4:30, Eastern Time 
We plan on adding a couple of dates in 2022. Email to be added to our interest list. 

$449 This fee includes a 3-hour recorded pre-workshop course (a $198 value) 

Register here 

CEUs: 6 for RDs 

Internal Family Systems (IFS) is an evidence-based therapeutic technique, conceptual framework, and practice used by a wide range of professionals. It is particularly effective in treating trauma. Integrating the IFS model within counseling guides the client to 1) identify the self-protective function of polarized cognitions expressed through eating and resultant eating disorder behaviors; 2) identify and address the cognitive, emotional, and physical triggers driving this internal dialogue particularly the anticipation of the loss of control, negative self-evaluations, and self-blaming, self-shaming thoughts; 3) identify the ambivalence behind nutritious vs. inappropriate eating patterns, and 4) identify fears and other feelings that arise in response to shifting to more nourishing choices. There is more information about IFS at https://ifs-institute.com/ 

This interactive workshop is designed to give dietitians a comprehensive introduction to the IFS model. The concepts and processes of IFS will be examined from a dietitian’s perspective using a mix of presentation, small and large group discussion, demonstration, short videos, and practice. 

Educational Objectives: 

Discover the basic concepts of the Internal Family Systems (IFS) Model. 

Examine how the IFS model approaches the treatment of eating disorders and disordered eating. 

Integrate the IFS model concepts with clients with disordered eating. 

Differentiate the role of the Dietitian in an IFS treatment team. 

Evaluate the issues that arise for dietitians who adopt the IFS model. 

Suggested pre-workshop reading: Introduction to the Internal Family Systems Model, by Richard C. Schwartz.  https://ifs-institute.com/store  We highly recommend reading this prior to the workshop if you have had little or no exposure to IFS. 

Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

In today’s episode we talk with Ariel Johnston, Registered Dietitian, who is nearing completion of requirements for the CEDS credential (Certified Eating Disorders Specialist). 

Ariel shares her learning path with us from undergrad to now, and highlights how choosing the right supervisor is important, knowing what our blind spots are, and how to be humble. 

We talk about teachers, treatment programs, insurance woes, PCOS, HAES and a lot about our supervision and our past and present supervisors. 

Listen in to hear how Ariel navigates a common topic, how to help the client with their relationship to food, and what to do when your patient is 'doing everything the doctor says' (including starving themselves) but still isn't 'cured'. 

Bio:

Ariel Johnston is a registered dietitian, cooking instructor, and owner of her own private practice in Kansas City, The Tasty Balance. She was voted to be Winner of Best Nutritionist in The Pitch’s Best of Kansas City 2020.

Ariel's own experience as a collegiate athlete lead her to a career in nutrition. She completed her undergraduate at the Kansas State University and an internship through Iowa State University. She went on to focus in eating disorders and has worked at EDCare in Kansas City and the outpatient level. Her vision is to create a space both in practice and blog that provides a safe space for clients to learn how to trust themselves around food; to see it as a gift, not a necessary evil and to learn how to love and appreciate their bodies and themselves. In 2020 Ariel expanded her practice to include other dietitians practicing from a Health at Every Size lens.

In her spare time, you'll likely find her on the trails around Kansas City with her dog or biking and enjoying time outside. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Jill Sechi, MS, RDN, LD, CEDRD-S 

Best way to learn is 

• supervision

Advice includes: 

• Create a therapeutic alliance because the client is the expert 

What she’s up to: 

• Jill offers a residency for dietitians serious about eating disorders work 

https://www.jsechinutritiontherapy.com/restored 

How to emotionally eat - https://www.youtube.com/watch?v=R7s9Kmdr5Z4&t=47s 

• (refer to episode 15 - Molly’s episode for difference between case consult and supervision) 

Bio: 

Bio: Jill has been a Registered and Licensed Dietitian since 1996. She is one of the few dietitians in Houston who is certified as an Eating Disorders Specialist Dietitian (CEDRD-S), and currently supervises other CEDRD candidates (approved supervisor) through the first ever residency program for dietitians entering the field of eating disorders. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Marci Evans, MS, CEDRD-S, LDN, shares some her work in body image, digestive disorders and nutrition counseling. 

And the number one most important thing? If you're going to be working in the field of eating disorders, to be in clinical supervision (it's more important than who you follow on Instagram!!)

She reminds us that regardless of your role in healthcare, you are interacting with people with eating disorders. And although many of us get "zero training in eating disorders",  we need good healthcare professionals to dive in and do this work!

Supervision is to help us become stronger and more confident, and it’s ok to be a beginner.  Even the most seasoned practitioners feel like beginners sometimes, which is why we keep learning!

BIO:

Marci identifies as a Food and Body Imager Healer® practicing from a Health At Every Size and anti-oppression lens. She has dedicated her career to counseling, supervising, and teaching in the field of eating disorders. She is a Certified Eating Disorder Registered Dietitian and Supervisor and certified Intuitive Eating Counselor.

In addition to her group private practice, Marci launched an online eating disorders training platform for clinicians in 2015 and co-directs a specialized eating disorder internship at Simmons University.

In 2018 she received the Professional Integrity Award from The Behavioral Health Dietetics Practice Group of The Academy of Nutrition and Dietetics. She has spoken locally and nationally at numerous conferences and media outlets. She loves social media so be sure to connect on Instagram or Facebook  or tweet her @marciRD, and check out her blog at www.marciRD.com/blog.

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies  

Molly Kellogg, CEDRD-S, LCSW helps us understand the difference between supervision and case consults, motivational interviewing for counseling, and so much more. 

Because she is a dietitian and therapist, she understands what dietitians are (not) taught about counseling and supervision and what is needed to be a solid clinician in the field of eating disorders. 

She asks us to think about how it is that we learn. Sure we can read books and attend webinars, but supervision is a place to work on the specific skills of counseling and to attend to transference and counter transference described as “our personal stuff, and our stuff that comes up with our client”. 

She’s a pioneer and reminds us how (even) she is still learning – “it is an endless learning process” 

A word of advice is to never work alone – it takes a team to do it right. 

If Molly has helped you, as she has me and many others, and you would like to support the future of dietitians learning how to provide Nutrition Counseling, check out the new Molly Kellogg Nutrition Counseling Fund through the Academy of Nutrition and Dietetics. 

https://mollykellogg.com/molly-kellogg-nutrition-counseling-fund/ 

Bio: Molly Kellogg, CEDRD, LCSW, is the author of Counseling Tips for Nutrition Therapists: Practice Workbook series and a nationally recognized trainer on health behavior change based in Philadelphia, PA. She is a member of the Motivational Interviewing Network of Trainers and served on the American Dietetic Association Evidence Analysis Library Nutrition Counseling Workgroup. Her Motivational Interviewing training materials and home study courses have been used by nutrition professors and dietetic internship programs. 

With your host Beth Harrell 

IG  @beth.harrell.cedss  

Supervision Freebies