Monarch Cove Nutritional Philosophy- Kelly Walker, RD, LD


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Kelly Walker, registered and licensed dietitian, shares about Monarch Cove's unique nutritional philosophy combining evidenced based eating disorder treatment with intuitive eating.

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Monarch Cove Nutritional Philosophy- Kelly Walker, RD, LD

  1. 1. KELLY WALKER, RD LD CASTLEWOOD TREATMENT CENTER Understanding Our Nutrition Philosophy
  2. 2. Our focus today Castlewood’s philosophy The role of a Dietitian Nutrition Therapy and Intuitive Eating Exercise philosophy
  3. 3. Castlewood’s philosophy Our goal is to provide education, support, and nurturing guidance as our clients let go of their eating disorder behaviors and distorted thoughts regarding food and weight  Abstinence from eating disorder behaviors  Recognize how it got to this point  Understand the internal core belief system  Facilitate autonomy around eating
  4. 4. Our Nutrition Approach Internally-driven “All foods fit” Nutritionally Balanced according to the ADA’s guidelines and recommendations Understanding food’s role and function Goal is Intuitive/normalized eating
  5. 5. Three Phases of Intuitive Eating in Eating Disorder Treatment Nutrition Rehabilitation Phase I: Intuitive Eating is Contra-Indicated. Phase II- Identifying, Normalizing, and Responding to Satiety Cues. Phase III- Indicators of Readiness for Intuitive Eating (Tribole & Resch, 2004)
  6. 6. Ten Principles of Intuitive Eating 1- Reject the Diet Mentality 2- Honor your Hunger 3- Make Peace with Food 4- Challenge the Food Police 5- Feel your Fullness 6- Discover the Satisfaction Factor 7- Cope with your Emotions without using Food 8- Respect your Body 9- Exercise- Feel the Difference 10- Honor your Health- Gentle Nutrition (Tribole & Resch, 2004)
  7. 7. The Role of a Dietitian Gaining the client’s trust- First Session is Key Understanding the client as a whole  Therapy  Nutrition intake  Body image Part of the therapy process
  8. 8. The Role of a Dietitian Manage the clients food and fluid intake  Meal Planning and Portioning  Variety  Moderation  Consistency Achieve healthy weight and weight stabilization Address medical concerns and provide nutritional management Teach the Role of Food in the body
  9. 9. The Role of a Dietitian Challenge the Diet Mentality Discuss appropriate exercise plans Teach mindful and respectful eating Work to understand hunger and fullness  Emotional and Physical
  10. 10. The keys to meeting our goals Understanding the function Connect the dots Process along the way Decrease shame Aid in compassion
  11. 11. Food Rituals Work to eliminate from beginning Understand the function Facilitate client’s desire to change Vary differences depending on diagnosis
  12. 12. Where do food rituals come from? Control: “If you’re going to make me eat…” Fear of not getting enough Fear of getting too much Never enough and always too much Deny food as food A way to further disconnect from the food
  13. 13. How do we work on trauma foods? GOAL: to detach the association between trauma and food and to eventually eliminate fear response with exposure. Not encouraged until therapist indicates and/or trauma has been processed Work gradually to decrease association between food and trauma Continue processing with client during and after eating Encourage client to be patient
  14. 14. Eating disorder fear foods Introduce from beginning Consistently increase variety and reinforce by educating the importance Help them maintain variety as autonomy increases
  15. 15. Fluids Restriction Fluid loading Bingeing on fluids Understand what’s behind the behavior Fluid protocol/role in refeeding
  16. 16. We model a realistic structure for normalized eating by incorporating: Artificial Sweeteners Soda Caffeine Meal outings Vegetarianism Grocery Shopping Cooking
  17. 17. Meal Experience Self portioning Modeling Mindful Meals vs. Distraction Meals Discussion After Eating How to support struggles at the table Supplementing
  18. 18. De-coding “I’m terrified of gaining weight.” Getting to know themselves/core beliefs Needs going unmet Being Unloved Unpredictability
  19. 19. Relapse Prevention How food effects mood and can set one up for behaviors Urge Cards Teaching how to create meal-structure in “the real world.” Behavioral Chain Analysis
  20. 20. Our Exercise Philosophy Individualized Learning moderation and re-learning what it feels like to enjoy exercise A privilege – the food comes first Focus on How it Feels Disassociate Exercise from Weight Loss  A Way to Take Care of Yourself  The mind, body connection  Yoga, Walks, Mindful Walks, Nia, Community Activities, Strength Building (Tribole, 2010)
  21. 21. Recovery process An ongoing process Constant challenging of fear foods, trauma foods, food rituals Maintaining “stabilization weight” Utilize support from others  Eliminating the “I can do this myself” mentality Identifying “Red Flags” before they turn into a laspe and/or a relapse.
  22. 22. Questions?
  23. 23. References Tribole, E. (2010). Intuitive eating in the treatment of eating disoders: The journey of attunement. Perspectives, 11-14. Tribole, E., & Resch, E. (2004). Intuitive eating, a revolutionary program that works. (2 ed.). St. Martin's Griffin.