Background: Dialectical Behavioral Therapy, an established treatment for eating disorders, alters brain activity allowing emotional regulation and eating disorder symptom reduction as well as commitment to change. DBT uniquely guides the exploration of the relationship of symptoms to long-term goals. The emphasis on skill acquisition and behavior change applies expertly to nutrition therapy. Presenters will translate DBT core principles and treatment modules to the nutrition care process. Participants will learn techniques to enhance their ability to provide empirically-sound treatment as well as the benefits in establishing multidisciplinary DBT Consultation Teams to enhance patient motivation, coordinate care and reduce clinician burnout.
Objectives: 1. At least 2 core principles of DBT that translate well to nutrition practice 2. At least 2 examples of applications for specific DBT skills to nutrition care 3. At least 1 benefit of multidisciplinary DBT Consultation Teams.
- Introduction & Disclosures
- History of DBT’s use in eating disorders treatment
- Effect of DBT on brain function/circuitry
- Relationship of nutrition to the neurological capacity required to effectively utilize DBT
- DBT 101 through a nutrition therapy lens
- DBT Core Principles applied to nutrition practice
- Therapeutic relationship
- Non-judgmental approach
- Differentiation between effective and ineffective behaviors
- Dialectical Thinking
- DBT Treatment Modules applied to nutrition practice
- Mindfulness
- Distress tolerance
- Emotion regulation
- Interpersonal effectiveness
- DBT Core Principles applied to nutrition practice
- Discussion of RO-DBT comparing/contrasting with traditional DBT
- DBT Nutrition Therapy in group settings
- Inpatient/residential settings
- Partial hospital setting
- Outpatient setting
- DBT Nutrition Therapy in the individual setting
- DBT Consultation Team
- Structure and process
- Functions
- Benefits
- Small group activity: divide into small groups
- Groups will be given one treatment module to use
- Groups will identify one nutrition-related activity that fits into the assigned module
- Groups will share results with the rest of the workshop
- Conclusions
- Questions
Alyssa Kalata is a Licensed Clinical Psychologist and the Clinical Director of the Adult Hospital at Veritas Collaborative, a specialty hospital system for the treatment of eating disorders. She received her graduate degrees from Western Michigan University, and completed her pre-doctoral internship at Duke University Medical Center, focusing on cognitive-behavioral therapy. Alyssa has a passion for the dissemination and implementation of empirically-supported treatments, particularly third-wave cognitive-behavioral therapies, such as Dialectical Behavior Therapy. Alyssa believes that all individuals have the right to competent, compassionate care and approaches treatment with a balance between understanding, validation, and a focus on cultivating change.
Nealie is a Registered Dietitian licensed in North Carolina to provide medical nutrition therapy. She specializes in providing medical nutrition therapy for child and adolescents in inpatient behavioral health facilities. Nealie is dedicated to helping others improve their relationship with food and physical activity and incorporate mindful eating practices into their daily lives. She is a member of the Academy of Nutrition and Dietetics and Treasurer for the North Carolina Dietetic Association.
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Sara Wilburn, MS, RDN, LDN
Sara is a Registered Dietitian licensed in North Carolina to provide medical nutrition therapy. She received both her Bachelors of Science in Dietetics and Nutrition and Masters of Science in Food and Nutrition Services from the University of Mississippi. She is a member of the Academy of Nutrition and Dietetics, the International Association of Eating Disorder Professionals (IAEDP), International Federation of Eating Disorder Dietitians (IFEDD), Behavioral Health Nutrition (BHN) and Sports, Cardiovascular, and Wellness Nutrition (SCAN) dietetic practice groups. Sara currently practices at Veritas Collaborative LLC, a specialty hospital for the treatment of eating disorders for children and adolescents.
