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Healing the Trauma of Malnutrition


Saturday, March 25, 2017: 8:30 AM-10:00 AM

Background: Healing the body from the trauma of an eating disorder demands a creatively integrated and dynamic treatment plan rooted in proper nutritional bioavailability. Participants will develop a deeper understanding of environmental factors impacting food intake while developing new insights in the field of culinary medicine.

Objectives: 1. Name three attachment styles and behavioral indicators for each 2. Utilize clinical and environmental strategies to accelerate nutritional restoration from malnutrition 3. Translate biochemical problems into culinary solutions

  1. Explanation of Eating Competence 
    1. Relationship between feeding and self-esteem development
    2. Division of responsibility (Satter)
  2. Trauma that influences the ability to eat
    1. Morphology of the mouth and throat
    2. Prematurity
    3. Oral pain/surgery
    4. Non-oral feeding
    5. Digestive motility
    6. Motor skills/age inappropriate expectations
    7. Intellectual/developmental delay
    8. Food insecurity
    9. Neglectful feeding
  3. Trauma that influences the desire/willingness to eat
    1. Fatigue
    2. Painful elimination
    3. Anxiety
    4. Depression
    5. Bullying/criticism of food choices
    6. Punitive feeding
    7. Chaotic or tense eating environment
    8. Body shame
    9. Peer pressure
    10. Abusive feeding
  4. Assessment of childhood feeding history
  5. Development of treatment plan to promote appropriate eating
  6. Physiological signs of malnutrition and food-based principles for correction

The experience of trauma is often intertwined with an experience of eating dysfunction. Emotional trauma causes chemical changes that make destructive eating behaviors rewarding; biologically habit-forming. Malnutrition then causes physical trauma to the body, on both organ system and biochemical levels, and often impairs an individual’s ability to proceed with recommended treatment.

Eating disorder treatment that focuses on only one of these areas at the expense of others is likely to provide only temporary relief from symptoms, rather than healing the underlying damage. In this presentation, two CEDRDs describe the trauma that occurs to the mind and body once the process of malnutrition has begun. Utilization of this knowledge can acclerate the healing process. In addition, non-nutrition professionals will can understanding a deeper understanding of the intersection of nutritional rehabilition and mental health counseling.

Primary Presenter:
April N. Winslow, MS, RDN, CEDRD

April Winslow, MS, RDN, CEDRD is the founder of Choose to Change Nutrition Services and is completing doctoral studies at the University of Illinois at Urbana-Champaign. She examines dietary patterns of individuals with anxiety disorders. The aim is to develop food-based protocols for the modulation and stabilization of mental health conditions. April speaks internationally on clinical signs of malnutrition in Psychiatric conditions and believes in educating professionals to recognize food as a powerful non-verbal communication tool and symbol of emotional attachment. Her TEDx talk entitled, "Turn in at the fork," reveals the personal connection to the professional passion in promoting conscious eating.



Co-Presenter:
Jessica Setnick, MS, RD, CEDRD

Jessica Setnick has one of the most recognizable names in the eating disorders (EDs) field, thanks to her engaging, charismatic presentation style, her unique point of view, and her ability to connect on a deep level, even from the podium. She has spent her career developing ED treatment protocols in every level of care and shares her extensive knowledge with professionals and the public in multiple formats, including presentations, the EDs Boot Camp: Training Workshop for Professionals audio course, The ED Clinical Pocket Guide, The AND Pocket Guide to EDs, as ED Editor at Recovery Campus Magazine, in the forthcoming book Managing EDs on Campus, and as CEDRD Supervisor and mentor to clinicians around the world. Jessica’s mission is to work toward a world where everyone who needs care for eating issues has access to qualified professionals, and no one is turned away due to insurance issues or mistaken stereotypes



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