The Mindful Dietitian - Snack Sized Insights

I'm back and this time there's no fluff. Just 10-15 minutes of a topic that I want to rave on about. This first one's about the mess and the meaning.

Virgie Tovar on how we lose our sense of body belonging, then how we can make our way back. In this episode, Virgie shares what fat phobia and diet culture is and how they are linked, the many ways healthcare professionals can bring themselves and others closer to body justice, how people lose belonging of their bodies, the first thing we need to do in the unravelling of fat phobia and diet culture and meaningful lessons from her own journey back to her body. As mentioned in the podcast: Fatphobia and Diet Culture With Virgie Tovar‬ on The Laverne Cox Show Study about restriction, hunger, long term decisions – Glasgow Scotland *did you find this Fi? Dr Cat Pausé, PhD MPH (she/her) Anti-Fat Attitudes Test (AFA) More about Virgie: Virgie Tovar holds a Master's degree in Sexuality Studies with a focus on the intersections of body size, race and gender. She is a contributor for Forbes where she covers the plus-size market and how to end weight discrimination at work. She started the hashtag campaign #LoseHateNotWeight and in 2018 gave a TedX talk on the origins of the campaign. Tovar is the author of You Have the Right to Remain Fat (Feminist Press August 2018) and The Self-Love Revolution: Radical Body Positivity for Girls of Color (New Harbinger Publications 2020). She is the host of the podcast, Rebel Eaters Club. Connect with Natasha: Website Instagram Books Podcast

Rachel Larkey on her recent research investigating barriers to HAES(R)-aligned Dietetic practice. In this episode, Rachel shares how her thesis evolved into a research paper recently published in journal of critical dietetics, she shares the three key barriers identified by dietitians when introducing IE and HAES approaches with clients in the community setting and how they showed up, how autonomy can help facilitate the use of IE and HAES in community practice and other ways forward for dietitians working in this space. As mentioned in the podcast & additional links suggested by Rachel: HAES dietitians in Community and Public Health Nutrition (Private Facebook Group) “Intuitive Eating and Health At Every Size in community settings – a dietitian’s perspective of practice barriers” research paper. “These are some cool scholarships and groups/orgs that I recommend to my patients frequently, and they could do with some love” LK Nutrition Scholarship Fund Loveland Therapy Fund Nalgona Positivity Pride More about Rachel: Rachel Larkey, MS, RD, CDN, CLC is a dietitian and certified intuitive eating counselor. She currently works full time at a federally qualified healthcare center in New York and sees a limited amount of private clients virtually. She is dedicated to exploring ways to adapt HAES-based care and Intuitive Eating to the needs of public health and community nutrition spaces. Connect with Rachel: Website – currently under construction and coming soon! Instagram Linkedin Facebook group

Judith Matz on uncovering the sneakiness of diet culture, how it shows up in healthcare and how we can move forward. In this episode, Judith shares more about her inspiring and long career, how her first book ‘Beyond the Shadow of a Diet evolved and how it helped her find community, how this work has changed over time, the process of learning and unlearning and the cruciality of the ongoing learning/work, the many sneaky faces of diet culture, more about the Body Positive Card Deck created by Judith and Amy Pershing and Judith’s hope for the future of HAES and anti-diet work. As mentioned in the podcast: Beyond the Shadow of a Diet, 2nd Edition (Book), by Judith Matz, LCSW and Dr Ellen Frankel, PhD. The Diet Survivors Handbook, by Judith Matz, LCSW Body Positive Card Deck by Judith Matz, LCSW and Amy Pershing, LMSW, ACSW, CCTP-II Jess Campbell, HAES student doctor and Nutritionist. Dr Natasha Larmie, The Fat Doctor. Dr Joshua Wolrich MBBS MRCS, NHS Surgical Doctor (HAES). Dr Lisa Erlanger, MD Dr Lesley Williams, MD, Author, Physician, Advocate About Judith: Judith Matz, LCSW is a nationally recognized speaker on the topics of diet culture, binge eating, emotional eating, body image, and weight stigma. She is co-author of The Body Positivity Card Deck, The Diet Survivor’s Handbook and Beyond a Shadow of a Diet, and author of the children's book, Amanda's Big Dream. Judith's work has been featured in the media including NPR, New York Times and Psychotherapy Networker, and she has a private practice in the Chicago area. Judith offers a popular full day training (live webinar or digital) for mental health/health professionals: Emotional Eating, Chronic Dieting, Bingeing and Body Image: What Every Clinician Needs to Know through PESI, Inc. Connect with Judith: Website Instagram Books Facebook Training

Whitney Trotter on Trafficking, Trauma and coming back to our bodies in Anti Diet work. In this episode, Whitney shares her goals for 2021 and more about her specialisation as a Human Trafficking Activist to include what defines human trafficking, the most important factors for us to understanding about human trafficking and how we can begin to screen our clients. She also shares more on trauma-informed care in practice and how we can address and prioritise grief in anti-diet work. As mentioned in the podcast: RestoreCorps, anti-trafficking organisation co-founded by Whitney Trotter. Body Image: The Missing Piece of Body Healing, by Fiona Sutherland and Marci Evans Courses & Webinars by Whitney Trotter (coming soon) WIND Spring 2021 Symposium Dianne Bondy – Yoga is for Everyone! More about Whitney: Whitney Trotter: (she/her) is dually licensed as a Registered Dietitian, Nurse, and yoga instructor. Whitney has over nine years of experience working as a registered dietitian serving in the HIV/AIDS community as well as working in the eating disorder field. Whitney also previously worked at a Level One Pediatric Trauma center, as a pediatric emergency room nurse. In addition to working as a RDN and RN ,Whitney served as a member of her county's Rape Crisis Center as a member of their Sexual Assault Response Team. Her work at the Rape Crisis Center equipped her to co-found an anti-trafficking organization Restore Corps, where she now provides medical training to the community focusing on human trafficking response. Whitney is the founder/owner of Bluff City Health, a practice dedicated to embodiment, social justice and eating disorders. Connect with Whitney: Website Instagram

Rebecca McConville on breaking down stereotypes and stigma in sport. In this episode, Rebecca shares her experience from college athlete to sport dietitian and gives us a comprehensive insight into Relative Energy Deficiency in Sport (RED-S) to include how it came to be, the current gaps and room for improvements, an introduction into assessing and screening for RED-S, and the main myths surround the condition. She also shares how we can overcome hesitations from coaches and athletes when it comes to bringing a dietitian onboard and the importance of sports clinicians coming together to create a safer environment for athletes. Here Fi and Rebecca speak about: First meeting each other within the sport dietetic sector and what Becca has currently been up to Becca’s experience as a college athlete, to landing her first job as a dietitian and then finding the IE / HAES / non-diet movement. Relative energy deficiency in sport (RED-S); What RED-S is? How RED-S came to be and how it has evolved – whilst paying homage to the important work of those who have come before us! Where there are gaps, room for improvements and the need for further research. An intro to assessing and screening; what to look out for and how people are presenting. The main myths, stigma and stereotypes surrounding RED-S. What the main hesitations are of bringing dietitians into sporting cultures and ways we can help overcome concerns and get involved. The problematic behaviour of not speaking about and overlooking disordered eating and eating disorders in sports and how we must work towards creating safer environments for athletes. How you can learn to support and impower your athletes by joining Becca’s clinician training program – find out more here! As mentioned in the podcast: RED-S: The Female Athlete Triad, Roberta Trattner Sherman PhD, Ron A. Thompson, PhD https://doi.org/10.1177/10598405040200040301 Roberta Sherman, PhD, FAED, CEDS, Consulting Psychologist and Co-Founder of The Victory Program Kathryn Ackerman, MD, MPH, Physician, Sports Medicine Division; Director, Female Athlete Program Ron A. Thompson, PhD, FAED, CEDS, Consulting Psychologist and Co-Founder of The Victory Program The Mindful Dietitian Podcast Episode 43 with Nicola Rinaldi Dr Claire-Marie Roberts InPower Masterclass on RED-S by Becca McConville Finding your Sweet Spot by Rebecca McConville More about Rebecca: Becca McConville MS, RD, LDN, CSSD, CEDRD-S is a board certified sports specialist and eating disorder dietitian. In addition to Becca’s private practice, she has served as a consultant to the University of Missouri Kansas City Athletics, Kansas City Ballet, local colleges and previously worked with the Kansas City Chiefs. Becca is also the author of Finding your Sweet Spot: How to Avoid RED-S (Relative Energy Deficit in Sport) by Optimizing Your Energy Balance and the InPower masterclass on RED-S. She is a co-host of a podcast called PHIT for a Queen devoted to female athletes. Co-author with sports psychologist Dr. Mel Streno on a workbook devoted to transition out of sport soon to be released-Spring 2021. Connect with Rebecca: Website Instagram Twitter

In this episode, Safeena and Gurneet share what justice means to them, how privilege can manifest in health care, ‘calling in’ Dietitians of Canada, their hopes for greater diversity within the profession, the extension of Diversify Dietetics USA into Canada, the need for new HAES and Weight-Inclusive frameworks to ensure consideration of race, ethnicity and culture and how we can begin to make our practice more inclusive – right now! On this important episode of The Mindful Dietitian, Fi chats to Safeena Jabar and Gurneet K. Dhami, Dietetic Students and RD’s-to-be based in Canada, we hear; What justice means to Gurneet; from what it is to fit in, to the lack of diversity in dietetics and questioning; why are these conversations being centred now? What justice means to Safeena; from being asked the hard questions, to her lived experience, and understanding; that with our personal privileges, comes power. Gurneet and Safenna step us through the origins, definitions and meaning behind the term; white privilege, and ways privilege can manifest in health care. ‘Calling in’ Dietitians of Canada; Safeena and Gurneet share how their cowritten statement to Dietitians Canada came about and the current developments brought about by it. Their hopes for how the statement might start a shift towards racial and ethnical diversity within the dietetic profession. How in response to the statement, extensions of diverse groups and communities have been built and why we need to power groups and movements that are already happening, rather than reinventing the wheel. HAES and Weight Inclusive Practice and the ways in which we are not including race and culture into the framework; Safeena shares her experience finding HAES and weight inclusive practice and her difficulty and discomfort in trying to reconcile HAES with her culture identity. She also shares how a new HAES framework can become more inclusive and applicable to all different types of people. Gurneet shares her experience learning about HAES, the challenge of putting it into practice (as it stands) with a consideration for culture and race and why we need to understand all the intersections at play. She also shares the need to meet clients where they are at to ensure client-centred care and why we need to continue to have these messy and mucky conversations. In finishing up, Safeena and Gurneet graciously offer us additional ways in which we can begin to enhance our practice to ensure it is truly inclusive. As mentioned in the podcast: Safeena Jabar - IGTV unpacking privilege Dietitians of Canada Diversify Dietetics Diversify Dietetics Canada Chapter Book: White Fragility - Why it's So Hard for White People to Talk About Racism by Robin DiAngelo Safura Syed, MSc. Applied Human Nutrition (c) and Dietetic Intern Kimberlé Crenshaw, Civil rights advocate Stephanie Yeboah, author, content creator, lifestyle and fashion blogger Hunter Shackelford Sonya Renee Taylor Sabrina Strings, author of fearing the black body The Rosy Nutritionist, by Rosie Mensah Nutrition Positive, by Julia Lévy-Ndejuru Exercises to work through our privilege: Flower power exercise: http://lgbtq2stoolkit.learningcommunity.ca/wp/wp-content/uploads/2014/12/flower-power-exercise.pdf Peggy McIntosh - White Privilege: Unpacking the Invisible Knapsack https://www.racialequitytools.org/resourcefiles/mcintosh.pdf Peggy McIntosh - Extending the Knapsack: https://www.tandfonline.com/doi/full/10.1080/02703149.2015.1059195 Checking Your Privilege with the Social Determinants of Health: https://www.instagram.com/tv/CAx8TC6AKaR/?utm_source=ig_web_copy_link Social Location Wheel Exercise: https://sites.lsa.umich.edu/inclusive-teaching/sample-activities/social-identity-wheel/ Weight inclusive RDs that are incorporating justice into their practice: Vincci Tsui (vinccird): http://vinccitsui.com/ Grace Wong: https://www.facebook.com/gracewongrd/ Rosie Mensah (@therosienutritionist): https://therosienutritionist.

Chevese Turner & Amy Pershing on the power of advocacy, much over-due community call-ins and making sense of Binge Eating Disorder. In this episode, Amy and Chevese share their lived experiences with an eating disorder and how it has influenced and enhanced their work. We discuss the pervasive myths, assumptions, stigmatisations and biases surrounding Binge Eating Disorder (BED), what it was like starting a non-for-profit organisation and having BED recognised in the DSM-5. Amy talks about why and how making sense of BED can support healing, more about the Internal Family Systems (IFS) model and how Health At Every Size (HAES) (R) can change and define ones practice. On this episode, you’ll hear; Chevese’s experience and observations of the myths, assumptions, stigmatisations and biases surrounding Binge Eating Disorder - see Chapter 4 of their book "Binge Eating Disorder; The Journey to Recovery and Beyond" The pervasive & disturbing fat phobic attitudes of the eating disorder community; why it unfortunately reflects the illness and how some of the community need help to come along, in order to not cause harm. Amy’s own personal lived experience with an eating disorder and what she heard when entering treatment for the first time. Why making sense of Binge Eating Disorder supports healing and recovery – see Chapter 2 of their book. More about the Internal Family Systems (IFS) model that can be used withing eating disorder treatment How IFS can support healing and recovery through creating a safe space so clients and practitioners can go ‘within’ - safely – see Chapter 3 of their book. Chevese’s lived experience; from being born a political advocate, to obtaining her political science degree, working as an advocate in the health care space and continuing her own treatment for her eating disorder. How Chevese she came to be an advocate for Binge Eating Disorder (BED) and her journey to start a non-for-profit organisation. The critical point of having BED recognised in the DSM-5 and the needed validation and utility it provided. Health at Every Size: how the framework has solidified Amy’s personal and professional work and how it has changed and defined her practice and work with clients. As mentioned in the podcast: Binge Eating Disorder: The Journey to Recovery and Beyond, Book by Amy Pershing and Chevese Turner Diagnostic and Statistical Manual of Mental Disorders (DSM–5) Chapter 4 of Binge Eating Disorder Book by Amy and Chevese; The Epic Myths About Your Body That Keep You Stuck (and How to Give Them Up) Chapter 2 of Binge Eating Disorder Book by Amy and Chevese; How BED Happens and Why it Makes Sense: Moving Forward by Healing the Past Chapter 3 of Binge Eating Disorder Book by Amy and Chevese; Taking Your POWER Back Health at Every Size Book by Dr Lindo Bacon, PhD Intuitive Eating: A Revolutionary Program that Works, Book by Elyse Resch and Evelyn Tribole Connect with Amy: Website: The Body Wise Program The Body Wise Program on Facebook The Body Wise Program on Twitter Connect with Chevese: Instagram Facebook

Lisa Pearl on deeply and critically examining the ways in which we consider body image and embodiment. In this episode, Lisa shares her well-established career trajectory and motive for staying in this work for over 30 years, she discusses how body image, embodiment and ED / body image treatment has changed over time, why social justice for body liberation is essential – now more than ever, she shares a different way we can comprehend embodiment, the challenges and barriers to experiencing our authentic self / obtaining authentic spaces; especially for those in minority groups, why we need diversity in dietetics and how we can make it happen, why we must amplify voices and people of colour today and consistently, and the direction she would like to see the future of dietetics head. Here Fi and Lisa speak about: First meeting at Fi & Marci’s body image workshop almost 3 years ago and Fi’s initial shock of seeing Lisa’s name on the attendance list as an esteemed colleague! Lisa’s long-standing career as an eating disorder specialist; Lisa shares her core motive for staying in this work for so long. Lisa’s observations of how body image and body embodiment has evolved and matured over time, to include her experience; Fighting against the goliaths of the 80’s diet industry. First hearing about and connecting with NAAFA: the National Association to Advance Fat Acceptance, who introduced her to the embodiment work of HAES. And the great opportunities and positive impact brought about from a presentation she gave during her master’s education. ED and body image treatment; the advancements, declines and regressions. Social justice and body liberation; Embodiment; Lisa provides us with a new way in which we can truly understand embodiment. The challenges and barriers of experiencing our authentic selves and spaces, particularly for those in minority groups. The importance of acknowledging our privilege and the essential skills that providers in this field need. Why we must have more diversity to foster safe spaces for minority groups and how we can start making it happen. Amplifying people and voices of colour – why we must do it NOW and consistently. Lisa’s vision for the future of dietetics, particularly the structure and content of dietetic education and her wish for all dietitians. As mentioned in the podcast: Fat Is A Feminist Issue, the book by Susie Orbach NAAFA: the National Association to Advance Fat Acceptance. Diversify Dietetics #amplifymelanatedvoices on Instagram by Jessica Wilson, MS. RD @jessicawilson.msrd & Alishia McCullough, @blackandembodied New grad program at Simmons Counselling and Nutrition Centre 360; the team and supervision opportunities. About Lisa: Lisa Pearl is a licensed clinical nutritionist and eating disorder specialist. She is the founder of the Counseling and Nutrition Center 360, LLC. She is also the co-founder of the first graduate certificate and internship program at Simmons University for the study of eating disorders. In addition to teaching at Simmons, Lisa maintains her clinical practice, provides group and individual supervision for other clinicians, and teaches a mindful movement practice. Find out more: Website

In this episode, Cristel shares her lived experience and how it lead her onto the path to becoming a dietitian, how she found healing through therapy, the core elements that supported her to find food and body peace, how she navigated weight stigma within her family dynamic, whether you should be sharing your lived experience as a health care professional and how it can be done professionally so to support and understand your client, how she found her place within dietetics (as an entrepreneurial superstar!) and how you can too through accepting that you are valuable and needed in this profession - just as you are! Here Fi and Cristel speak about: How they came to be connected, what it's like working in Canada from a weight inclusive framework and Cristel’s dream for dietitians. Cristel’s work within her business; NutriFoodie, her work with clients and in education. Lived experience, the path to dietetics and finding her ‘why’; Cristel shares her experience with disordered eating, dieting, weight stigma and healing through therapy. The 3 core elements that contributed to Cristel finding food and body peace. Navigating weight stigma within the family dynamic. Sharing your lived experience in health care / dietetic care; Why your lived experience matters (and doesn’t make you less professional!) and how sharing it can help you connect with and understand your client. Ways in which you may be projecting your story and how you can avoid it. How to side-step the power struggle between yourself and your client, along with a beautiful ‘planting’ metaphor to support self-reflection. Being a powerhouse in the entrepreneurial space; how Cristel found her place As mentioned in the podcast: The Mindful Dietitian Newsletter – sign up here! Radical Acceptance by Tara Brach Marie Forleo – the intentional awkward pause video More about Cristel: Cristel is NutriFoodie's dietitian & founder. She is passionate about helping people give up chronic dieting & weight cycling to cultivate a positive and peaceful relationship with their bodies and food through group & one-on-one nutrition counseling & food coaching. Cristel believes our relationship (with one another, community, food, and body) rises above number counting and idealistic (and unrealistic) expectations around food, eating and body image or size. We all deserve to respect this body we're in, and we all have the right to eat and enjoy food, too. All services are offered virtually in British Columbia, Canada. Find out more: Website Blog Instagram Facebook

Nikki Estep on how Emotion Focussed Family Therapy (EFFT) provides a powerful modality for defusing shame and blame, and promoting food and body healing in Eating Disorder Treatment. In this episode, Nikki shares how she began working in this space and her experience moving to private practice, she introduces us to Emotion Focused Family Therapy (EFFT) as a therapeutic approach for dietitians in eating disorder treatment; she walks us through the EFFT modules, demonstrates how the model addresses self-blame, shame and avoidance and shows us how it may sound in practice, she shares how EFFT has the ability to address clinician blocks and what she has learnt about herself through practicing this family inclusive approach. Here Fi and Nikki speak about: How Nikki began working with adolescents in the eating disorder treatment space and her evolution into private practice. An introduction to EFFT; Emotion Focused Family Therapy: How Nikki first heard about it as a therapeutic approach, What the approach aims to do, How the model provides a shift in ED treatment. What EFFT sounds like in practice and how it activates the limbic system. The EFFT modules; Nikki walks us through them and explains how Janet Treasure’s animal models are incorporated. Nikki also demonstrates how EFFT addresses self-blame, shame and avoidance for the young person / client, for the parents and within the family system. Clinician blocks; how the model provides an opportunity to address blocks for clinicians, which can then be taken to supervision. What Nikki has learnt about herself and her work with others through using EFFT as a therapeutic approach in dietetics. As mentioned in the podcast: Resource: The Why of Parental and Caregiver Involvement in the Treatment of Mental Health Issues - EFFT Janet Treasures Animal Models explained (hey Fi – I found this online but you may have a better resource!) Animal Models: Disorders of Eating Behaviour and Body Composition, Janet Treasure Mental Health Foundations – EFFT resources and training More about Dr. Adele Lafrance About Nikki: Find out more: Website Facebook Instagram

Laura Thomas on the process of de-experting, unlearning and weight inclusive MNT for Dietitians and Nutritionists. In this episode, Laura shares about her book; Just Eat It, to include getting the idea off the ground, the writing and publishing processes and evolving since publication, also the frameworks and principles that dietitians and nutritionists may find difficult when first moving to the non-diet / HAES & IE paradigm from the traditional weight-centric models and how they can overcome them and developing Weight-Inclusive guides for health professionals and clients; more about them and where you can find them. Here Fi and Laura discuss: Flipping the tables on Laura for a round of "Quick-Fire Action" (a fun, introductory activity which Laura uses to begin her Don’t Salt My Game Podcast) Laura’s Book, Just Eat It; How the book came to be written. The writing and publishing process. And changing and evolving as a health professional and human-being over time. What dietitians and nutritionists may find difficult when first starting to adopt non-diet / HAES / intuitive eating frameworks and principles and practices that can help; The importance of de-experting and unlearning and using person-centred care to flick the ‘fixing’ instinct and uncover our client’s values. Slowing down the intuitive eating principles and starting where it makes sense for the client. Why it might be helpful to establish a tool kit of coping skills for clients before commencing IE and where acceptance and commitment therapy fits in the process. Weight-Inclusive Guides for dietitians, nutritionists and clients produced by the London Centre for Intuitive Eating; their aim, putting them into practice and where you can find them. As mentioned in the podcast: Just Eat It: How Intuitive Eating Can Help You Get Your Shit Together Around Food – The Book – by Laura Thomas, PhD, RNutr Carl R Rogers – Client-Centred Therapy London Centre for Intuitive Eating – Weight-Inclusive Guides Meghan Cichy, RD – HAES MNT Handouts More about Laura: Laura established LCIE in 2017 to help support clients who have a difficult relationship with food and their body. She has a passion for delivering inclusive, trauma informed, and person-centred care for all bodies. She draws upon different therapeutic and counselling skills to support her clients in their recovery from disordered eating, chronic dieting, and body dissatisfaction. She also incorporates different health care frameworks into her work, such as Health and Every Size Ⓡ, Intuitive Eating, and Body Image Healing. Much of her work focusses on advocacy and reducing weight-based discrimination within the nutrition profession. Laura takes a collaborative approach to working with clients, recognising that they are the experts of their own bodies and experiences. Her advice and recommendations are not didactic, rather she helps guide and support clients to reconnect with their bodies. In January 2019, Laura published her 1st book with Bluebird Books: Just Eat It: How Intuitive Eating Can Help You Get Your Shit Together Around Food. Find out more: Podcast Book Website Instagram Twitter Pinterest London Centre for Intuitive Eating

At this unprecedented time of chaos and uncertainty, we seek connection and care in ways that may feel really difficult. As health practitioners, we too can be caught up in what these events mean for us, our families, communities and the world. Here, Marci and I have an important conversation about what “self care” really means - perhaps in even unconventional ways - and how we can become more attuned, receptive, grounded and creative when tough moments, days and times arise. About Marci: Marci is a Food and Body Image Healer®. 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, certified Intuitive Eating Counselor and Certified ACSM personal trainer. In addition to her group private practice and three adjunct teaching positions, Marci launched an online eating disorders training for dietitians in 2015 and co-directs a specialized eating disorder internship at Simmons College. She volunteers for a number of national eating disorder organizations including the iaedp certification committee and is serving as an eating disorder resource professional for The Academy of Nutrition and Dietetics. She has spoken locally and nationally at numerous conferences and media outlets. She loves social media so tweet her @marciRD, follow her on Facebook and Instagram, and check out her blog at www.marciRD.com/blog. Marci's Online Courses