Dietitian Seasonings &
to the show notes for Jill and Meredith's Podcast: Dietitian Seasonings & Therapist Reasonings!
Whether you are just starting in the field of eating disorders or a seasoned, wise clinician, everyone needs support, guidance and advice once in awhile.
What is our podcast about?
This podcast is hosted by dietitian Jill Sechi and therapist Meredith Riddick, eating disorders specialists supervisors with A Collaborative Approach. This podcast is intended to support, educated and validate clinicians in the eating disorders field; emphasizing the team approach as best practice and encouraging evidence based care.
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Episode 0: In The Beginning
In this episode (episode 0), we introduce therapist Meredith Riddick and Dietitian Jill Sechi, certified eating disorders specialists supervisors with A Collaborative Approach. Meredith and Jill share their story of when they first met and began collaborating together in the field of eating disorders. Meredith introduces Jill and Jill introduces Meredith elaborating on work experience, time in the field and how they developed their expertise. In this brief episode we hope you get to know Jill and Meredith a little better as they begin their journey in the podcast world.
Episode 1: Give Me One Good Reason to Collaborate
“Team communication and collaboration are essential to prevent confusion and misunderstandings and to reinforce a unified message (Alexander & Treasure, 2012, p.146)." In episode 1, therapist Meredith Riddick and Dietitian Jill Sechi dive into their take on a collaborative approach and why it is important to promote a unified message. They talk about how having a collaborative team approach can be very beneficial, and how not having a collaborative approach can end up being problematic. Meredith and Jill also go into the different challenges when trying to collaborate with different clinicians, and how to face those challenges head on while still "staying in your lane." They also discuss the different themes of collaborating and how to utilize these themes in your practice daily. We hope you get an understanding of why we are A Collaborative Approach, and hope to spike your interest into our next Episode 2: Part 1 of the Ten Commandments.
Episode 2: Part 1 of the Ten Commandments
In this episode, Meredith and Jill talk about their first five commandments of collaboration. If you are thinking about implementing a more collaborative approach in your practice, this is a great episode to listen to. They talk about five different "commandments" that they live by in their private practices in order to maintain a healthy relationship with the client and other clinicians on the treatment team. Meredith and Jill go into how communication, respect, honor, and honesty are all used throughout the commandments. They go into what each commandment means, importance and how to avoid "disobeying" each commandment. We hope that you leave this podcast with a little direction on how to begin your collaborative approach, but we hope to give you more direction in our next Episode 3: Part 2 of the Ten Commandments.
First Commandment: Thou shalt talk to one another.
Second Commandment: Thou shalt not allow false testimony of other providers.
Third Commandment: Thou shalt honor treatment team as best practice.
Fourth Commandment: Thou shalt not covet each other's profession.
Fifth Commandment: Thou Shalt not commit treatment team adultery.
Episode 3: Part 2 of the Ten Commandments
In this episode, Meredith and Jill talk about their second half of the Ten Commandments for Collaboration. They continue to go into what each commandment means, , how to apply, and how to avoid "disobeying" each commandment. If you missed the first half of the Ten Commandments of Collaboration Meredith and Jill talked about those in Episode 2. If you have already listened to the first five, give this podcast a listen to get the full picture and learn how to put all the commandments together. Meredith and Jill strongly believe in and practice these Ten Commandments for Collaboration, and use them as their backbone in their practices. Stay tuned for Episode 4 as they dive deep into Body Image from a dietitian and therapist perspective.
Sixth Commandment: Thou shalt watch out for treatment bias.
Seventh Commandment: Thou shalt not misuse the name of Recovery.
Eighth Commandment: Remember major events and keep them holy.
Ninth Commandment: Thou shalt not throw in the towel with other providers.
Tenth Commandment: Thou shalt not steal the thunder of other providers.
Episode 4: Body Image, Diving Deep
In this episode, Jill and Meredith dive deep into body image and even divide into three different parts. They both discuss body image when working with clients, their own body image, and what the treatment provider roles are and how to address them. Meredith and Jill both go into the attitudes and emotions around body image; when to address body image in your sessions, what to engage in, and how to engage from a dietitian's and therapist's perspective. When discussing their own body image, they talk about how they personally deal with body image in the client/clinician relationship. They also go into clinician's roles and the education that is helpful to provide depending on their scope of practice. Do you as a clinician know how to handle body image? Is it realistic to always have a positive body image? Listen to our take on body image and how we as seasoned clinicians deal with body image in the field of eating disorders.
Episode 5: You're fired!
How do you feel when a client doesn't respond well to your practice? Have you ever been fired by a client? If so, how has this made you feel? Many can feel disliked, which is a feeling that no one wants to feel. In this episode, Jill and Meredith discuss how they feel and deal with clients that "fire them." They go into their own experiences and how they deal with a client moving on from them, or even maybe a client never clicking with them in the beginning. They talk about signs that they look out for based on their own experiences, that usually lead to being "fired" by their client. Tune in!
Episode 6: Tigger and Eeyore
Tigger and Eeyore? You may be wondering what in the world this episode could possibly be about. Instead of Tigger and Eeyore, could we be talking about anxiety and depression? In this episode, we go into an overview for how these topics show up for our clients. Meredith talks about the diagnostic criteria for anxiety and depression, she explains the differences in both of them, and goes into what to look for in sessions. Jill goes into how she sees anxiety and depression and how it can affect a client's behaviors around food. Did you ever wonder what a therapist might know verses what a registered dietitian might need to know when having clients that struggle with anxiety or depression? If so, tune in to Episode 6 and let us know what you think!
Episode 7: Let's Talk about Sex, Baby!
In this episode, Jill and Meredith talk about how eating disorders can impact intimacy. They discuss both physical and emotional intimacy as well as multiple examples of intimacy such as sex, being open and honest, or being vulnerable with friends and family. Intimacy concerns can come up in multiple ways with clients and you may be unsure how to approach it. Jill discusses how intimacy concerns can show up in nutrition sessions and the impact it can have on the client's relationship with food and or their body. Meredith talks about how it can appear in therapy, when addresses it in session, as well as and attachment therapy and how it can be used to predict a client's adult relationships or a client's eating patterns. How can a client's relationship with food mimic their relationship with people? How does a dietitian handle intimacy concerns? What about a therapist? Why is it helpful for a therapist to share intimacy concerns with a dietitian or other members of the treatment team? How can a therapist collaborate with treatment team members regarding this topic without disclosing too much information? Listen to Episode 7 to get answers to these questions and learn how seasoned clinicians treat intimacy concerns in the field of eating disorders.
Episode 8: Part 1 Are we a little OCPD about Dxs in Tx?
Have you ever had a client feel like they are being labeled or judged when they are diagnosed when an eating disorder? Do you tell the client what eating disorder they are diagnosed with? Do you know the criteria for all types of eating disorders? In this episode, Meredith and Jill discuss the importance of diagnosing a client with an eating disorder and basic criteria that distinguishes anorexia nervosa (AN), bulimia (BN), and binge eating disorder (BED). The more you know the each eating disorder diagnosis, the better you are to serve the client as each diagnosis has a different evidenced based treatment. Often we see that a client struggling with bulimia gets misdiagnosed with binge eating disorder. Why? What role does a dietitian play in diagnosing eating disorders? This episode will answer those questions and so much more in episode 8. In episode will focus on AN, BN, and BED, but stay tuned for episode 9, where they will continue this discussion on other specified feeding or eating disorders (OSFED), avoidant restrictive intake disorder (ARFID), and unspecified feeding or eating disorders.
Episode 9: Part 2 Are we a little OCPD about Dxs in Tx?
In episode 9 part 2, Jill and Meredith continue the discussion about different eating disorder diagnosis, focusing on other specified feeding or eating disorder (OSFED), avoidant restrictive intake disorder (ARFID), and unspecified feeding or eating disorder. This could be a possible diagnosis your client may receive if they are struggling with an eating disorder, but doesn't quite fit the diagnostic criteria of anorexia nervosa, bulimia nervosa, or binge eating disorder. Examples may include atypical anorexia, purging disorder (without bingeing), night eating syndrome, etc. They review different features of ARFID to be mindful of as well as some treatment strategies that may be used. This is a good listen to prepare you for upcoming episodes that will discuss the treatments more in detail. Listen in and let us know if this helped you gain a better understanding of Dx in ED Tx!
Episode 10: Perfection vs. Obsession
In Episode 10, Jill and Meredith dive in a good discussion about anorexia nervosa (AN) and obsessive compulsive disorder (OCD). Whether you are a dietitian or a therapist, it is important to know comorbidities that can occur with eating disorders; OCD is a major one. AN behaviors and OCD behaviors often look very similar and can easily be confused. Jill and Meredith help clear up any misconceptions there may be about this by defining OCD and providing examples of OCD behaviors, discussing the similarities and differences in AN and OCD behaviors and treatment, and providing examples of features that would help distinguish OCD versus AN when it comes to excessive exercise, restriction, eating behaviors, and anxiety around food. Lastly, Jill and Meredith talk exposure response prevention (ERP), a treatment approach for each diagnosis. Do you know when to diagnosis AN versus OCD? Is it possible for a client to be diagnosed with both at the same? Or do they have to be diagnosed separately? Does the therapist or dietitian do ERP? What is the therapist's role in ERP. What about the dietitian? Are there differences in the ERP approach for each diagnosis? You'll know the answer to these questions by the end of the podcast.
Discussed in this podcast:
The starvation study (click here! to read it)
Peace of Mind (non-profit organization whose mission is to help improve the quality of life of OCD sufferers): link to their website