Nutrition Therapy
 
Eating Disorders
Disordered Eating
Athletes with Eating Disorders
Treating clinically and sub-clinically diagnosed people with Anorexia, Bulimia, Binge Eating Disorder, ARFID, and OSFED via meal planning, food logging and exposures, nutrition education, and goal setting. Therapy modalities in DBT, CBT, and FBT (when appropriate with parent involvement). 

Meal planning 

Assistance with organization of outlining what you need to nourish your body, when you need to nourish your body, and how much you need to nourish your body. Meal Planning is used as a skill in the beginning of recovery from an eating disorder as a way to provide stability, and comfort in the midst of the eating disorder chaos. Often, the level of planning decreases as someone progresses through treatment and discovers trust in themselves to get their nutritional needs met. 

Food logging

Photographing and logging intake can be a valuable tool in the beginning of eating disorder recovery. The accountability of this action have a positive effect on establishing a balanced habitual intake. Food logging also allows real-time comments and expression of emotion in the moment of that meal. Many people also use this to report hunger and/or fullness ratings at that time. Similar to meal planning, food logging is a tool that usually decreases as recovery continues. 

Exposures

Food exposures are a cornerstone within recovery treatment. Increased variety of intake has been shown in research to provide a decreased risk of relapse. As you increase the types of foods you are comfortable with and can remember being successful with, you create a stronger foundation of trust with food. Exposures to uncomfortable and often feared foods is a difficult, and fundamental part of nutrition treatment for eating disorders. 

Nutrition education

Everyone eats and as such, everyone has experiences to share about food and nutrition. Often much of the information available surrounding the field of nutrition is subjective and not evidenced-based. Human physiology, macro-nutrient science, micro-nutrient science, and the science of metabolism can help to challenge incorrect disordered theories about nutrition that might be fueling negative beliefs about food. 

Goal setting

Setting goals is a common tool in many types of coaching, counseling, and therapy. Utilizing thoughts of someone's ideal wants and needs can help to remind one of the original goal that is at the heart of this journey. 

DBT

Dialectical Behavioral Therapy is a specific type of cognitive-behavioral psychotherapy to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders, including eating disorders. 

CBT

Cognitive Behavioral Therapy is a psycho-social intervention that aims to improve mental health by focusing on challenging and changing unhelpful, often negative cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.

FBT

Family Based Treatment for eating disorders (also commonly known as The Maudsley Model) is used to treat adolescents with Anorexia and Bulimia Nervosa. FBT aims to assist the family (mainly the parents) to create recovery in their child with an eating disorder through empowerment and education. 

Body Positive Counseling

Based on the Be Body Positive Model, Cognitive and Dialectical Behavioral Therapy skills, and years of experience helping those suffering from disordered food and body thoughts.

Reclaim Health

Uncover the messages that have influenced your relationships with your body, food, and exercise. Develop a weight-neutral, health-centered approach to self-care. Become the authority of your own body by sorting our facts from distorted societal myths about health, weight, and identity.

Practice Intuitive Self-Care

Learn to listen to - and follow - your body's wisdom. Acquire tools and resources to help you eat, exercise, and live intuitively. Trust your innate wisdom to guide daily eating, exercise, and life choices.

Cultivate Self Love

Develop a practice of self-love. Employ compassion, forgiveness, and humor as you leave behind the need for self-criticism. Gain confidence and free up energy to make life-affirming choices.

Declare Your Own Authentic Beauty

Experience beauty as a creative, dynamic process. Inhabit your unique body with joy and confidence. Expand your imagination to behold authentic beauty in yourself and others.

Build Community

Connect to others through a shared positive approach to beauty, health, and identity. Role model love and respect for your own body. Build community to support your Body Positive lifestyle.

Sports Nutrition Counseling
Meeting performance-based goals via individualized meal planning, food logging, and tracking of response and results. Approaches involve non-diet, body neutrality challenges, with nutrition myth-correcting education. 

Performance-based goals

Focusing on aesthetic goals can delay performance gains and put an athlete at risk of over-training and injury. Performance-based goals targets individual improvements of time, distance, speed, agility, etc. from supportive nutrition. 

Individualized meal planning, food logging....Response and results

Response to specific foods can vary dramatically from one athlete to another. Best practice in sports nutrition is to explore which fueling items settle and provide focus on your sport, rather than your stomach. Trial and error can be lightly explored during training and practice bouts in order to specialize ideal items for fueling by competition or performance. 

Non-diet

Dieting and/or ignoring hunger causes food preoccupation and cravings, and makes it harder to stop eating when satisfied. Diets backfire and cause out-of-control eating. The goal is to relearn to eat in response to hunger and satiety cues, while learning what foods fuel and nourish you best. Following in the model of 'All foods fit', the restriction and judgement of any foods can make them stand out as special, without warrant. Free access to all foods can make 'forbidden' foods less special, and 'healthier' foods more desirable because they all become equal.  When performance nutrition guidelines are unbiased, individual athletes gain freedom to seek enjoyable, satiating foods that meet their needs. No rules, no diets, and full freedom for curiosity of food and outcomes.

Body neutrality challenges

We were all born with the ability to trust ourselves and our bodies. If people do not diet or restrict, eat when hungry & stop when satisfied most of the time, and enjoy exercise/training/competition/movement, their bodies' will reach/maintain a natural, healthy size that is good for them. Healthy weight is highly individualized and cannot be determined by a standardized table and performance is not determined by size. The goal is to enhance athleticism and health without focusing on weight. 

Nutrition myth-correcting education

Healthy weight is highly individualized and cannot be determined by a standardized table. The goal is to enhance health without focusing on weight. Most medical problems can be ameliorated without weight loss. The body will seek its natural, healthy weight as one eats in response to body cues and engages in physical activity. It is possible to be healthy and happy at weights higher than the government and society advocates. 

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For more information

Call: 619-357-6229

Email: rebecca@dehamer.com​