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Outline of presentation content:
I) What is Intuitive Eating?
A. The Science behind Intuitive Eating
B. Weight loss on back burner
II) Why diets don’t work
A. Physiological/Neurochemical reasons
1.) Metabolism
2.) Neuropeptide Y
B. Psychological reasons.
1.) Deprivation
2.) Drive toward autonomy
III) Presentation of Intuitive Eating Principles for various treatment settings
A. Principle 1: Reject the Diet Mentality
1.) Damage from dieting
2.) Diet mentality
B. Principle 2: Honor Your Hunger
1.) Forms of hunger
2.) Effect of macronutrients
C. Principle 3: Make Peace with Food
1.) Restrained eating studies
2.) Unconditional permission
D. Principle 4: Challenge the Food Police
1.) Negative self-talk
2.) Cognitive/Behavior Therapy
E. Principle 5: Feel Your Fullness
1.) Fullness factors
2.) Mindfulness
F. Principle 6: Discover the Satisfaction Factor
1.) Driving force
2.) Eating experience
G. Principle 7: Cope with Your Emotions without Using Food
1.) Continuum of emotional eating
2.) Coping mechanisms
H. Principle 8: Respect Your Body
1.) Respect
2.) Acceptance
I. Principle 9: Exercise—Feel the Difference
1.) Movement vs. exercise
2.) Compulsive exercise
J. Principle 10: Honor Your Health—Gentle Nutrition
1.) Readiness
2.) Guidelines
IV) Stages of healing
V) The treatment team
VI) General Concepts of treating eating disorders with Intuitive Eating
A. Trust, non-judgment, small steps
B. Spiral of healing
C. Start with where the patient is
D. Conceptual Framework of treatment
1.) Physiological/Neurochemical
2.) Cognitive
3.) Emotional
4.) Spiritual
a.) Meaning of life
b.) Soul’s purpose
c.) Connections/Empathy for self and others
VII) How to use Intuitive Eating with Binge Eating Disorder and Bulimia
A. Scientific education
B. In various treatment settings
1. re-nourishing, no matter the weight
2. legalizing, eating enough
3. laying the foundation with mindfulness
4. building a bridge using the Intuitive Eating principles
VIII) When and how it’s appropriate to use Intuitive Eating with Anorexia Nervosa
A. Importance of motivation
B. In various treatment settings
1. re-nourishing/full weight restoration
2. meal plans as a mindfulness practice
3. building a bridge using the Intuitive Eating principles
4. practicing within structure
IX) Raising Intuitive Eaters—The prevention of eating disorders
X) Experiential section—Guided practices of Intuitive Eating principles
Presentation ideas, themes, and goals
In the early days of treatment of eating disorders, it was often thought that if the psychological antecedents to the eating disorder were addressed and the patient was weight restored, then eating would normalize. Unfortunately, this was often not the outcome. People who are healing from an eating disorder must not only physically and psychologically heal, but they must also feel confident that they know how to eat. Many treatment settings accomplish the goals of physical and psychological recovery, but patients often leave treatment feeling uncertain about how to eat on their own. This uncertainty can lead to relapse of the eating disorder.
Intuitive Eating is a philosophy that is based on the premise that most people are born with all of the wisdom they need to have to know how to eat. Many factors can steer one away from this wisdom. These factors include societal influences, familial lack of attunement, biological predispositions, a history of dieting, and emotional coping mechanisms. Once the eating disorder takes hold, there is a disconnection from the body’s innate signals of hunger, fullness, and satisfaction.
There are numerous dietary approaches to the treatment of eating disorders. In recent years, Intuitive Eating has been incorporated into many inpatient and outpatient settings. The goal of this presentation will be to teach practitioners the philosophy of Intuitive Eating, including how the 10 Principles of Intuitive Eating can be utilized in the treatment process of Binge Eating Disorder, Bulimia Nervosa, and Anorexia Nervosa at various levels of care. Case studies of patients who have practiced Intuitive Eating concepts along the continuum of recovery and have healed from their eating disorders will be presented.
There will also be a discussion of some of the recent research studies that have validated the benefits of Intuitive Eating. In addition, in the experiential component of the presentation, participants will be given the opportunity to experience several guided practices that they will be able to use to help their patients incorporate the principles of Intuitive Eating into their daily lives.
Elyse Resch has been in private practice for thirty years as a Nutrition Therapist, specializing in the treatment of eating disorders and disordered eating. She is the co-author of “Intuitive Eating”, 1995, 2003,2012, and the audio book “Intuitive Eating” 2009; has published journal articles, and does regular speaking engagements and press interviews. She is known for her work in helping patients heal through the Intuitive Eating process. Elyse counsels patients and supervises dietitians, therapists, and interns; individually and in group. She is a fellow of the American Dietetic Association, a Certified Eating Disorder RD, and a member of professional organizations.
Amanda Mellowspring is a Certified Eating Disorder Registered Dietitian and serves as the Director of Nutrition Services at the Oliver-Pyatt Centers of Miami. Amanda has worked as a leader in nutrition services in a variety of treatment settings for eating disorder recovery including residential, partial hospitalization, intensive outpatient, college health, and private practice. Amanda served as the secondary author of JADA’s recent publication of Standards of Practice and Standards of Professional Performance for dietitians working with the eating disorder population. Amanda is a nationally recognized author and speaker regarding nutrition in the treatment of eating disorders.
