This first question revolves around the decision-making process regarding various levels of care for eating disorder treatment. Many individuals with eating disorders receive outpatient treatment, but some may consider stepping up to higher levels of care like intensive outpatient programs, partial hospitalization, or even residential treatment. The challenge is figuring out which level of care is best for them. The answer is not one-size-fits-all.

In our journey to understand the distinction between CBT and psychodynamic therapy, it's essential to understand the intricacies underlying the medical model and its limitations when applied to mental health. Unlike physical ailments, mental health conditions aren't as straightforward to diagnose, with no blood tests or scans to conclusively pinpoint their existence.

In a world where intuitive eating has become a buzzword, it's crucial to sift through the chatter and truly understand what it means. We're not here to entertain misconceptions or misinterpretations of intuitive eating—those are a whole different story. Instead, we're bringing you a discussion that revolves around the insightful critiques of intuitive eating from individuals who genuinely respect and comprehend its principles.

In a world driven by absolutes and quick fixes, where opinions often seem black or white, it's time to stop for a minute and just think about how complex the situation really is. Let’s embrace the nuance in our decision-making, whether it pertains to nutrition, relationships, or any other aspect of life.

As I sat down with Dr. Gaudiani, she wasted no time in emphasizing the personalized and intricate nature of eating disorders. These conditions are shaped by a complex interplay of genetics and an array of factors still shrouded in mystery. Dr. Gaudiani made it clear that the web of complexities surrounding eating disorders extends far beyond our current comprehension, revealing the need for a bespoke approach to treatment.

As clinicians, our role goes beyond that of typical interpersonal relationships. We are healers, listeners, and guides to our clients, offering them a safe space to explore their emotions and experiences. When a client becomes upset or frustrated, it becomes a unique opportunity for us to understand their inner world better.

What do we do with the limitations in nutrition science? Much of the conversation among nutrition scientists, outside the realm of eating disorders, revolves around various fad diets or approaches involving highly processed foods, intermittent fasting, and keto diets, among other trends. But the majority of this evidence may lack comprehensive scientific support.

Since 2020, online therapy platforms like BetterHelp have become very popular, mainly because of their convenience and affordability. With a subscription-based model, easy therapist switching, and 24/7 accessibility, they promise an accessible and hassle-free mental health solution. But are these platforms really a replacement for traditional therapy? Are these platforms providing true therapeutic value?

In the world of mental health and therapy, there's often a buzz around "evidence-based treatment" or EBT. It sounds great, right? But what exactly does it mean, and is it the be-all and end-all of effective therapy? Is there a difference between EBT and psychodynamic psychotherapy (deep work therapy)? Why has CBT gotten a monopoly on the evidence-based title? So many questions!

In today’s episode, I am joined by Douglas Bunnell. Douglas W. Bunnell, Ph.D., FAED, CEDS-S is a clinical psychologist in Fairfield, Connecticut. He has specialized in the treatment of people with eating disorders for the past 30 years. Dr. Bunnell is a past board chair of the NEDA and recipient of their Lifetime Achievement Award.

Today I am talking with Dr. Elizabeth Hamlin. Elizabeth Hamlin, MD, is a psychiatrist, psychotherapist, and psychoanalytic candidate who has spent her career working intensively with patients with severe eating disorders.

I’ll say it once and I’ll say it again: Eating disorders are a way to communicate.

Eating disorders are really not just about the food. They're a way to regulate and communicate emotions. By understanding what is potentially going on for someone via their eating disorder, we can use it as information to actually get to what's underneath.

In moments of high emotions, like feeling stressed from work, angry at your spouse, or sad from grieving, how are you regulating your emotions? Do you bury them deep down and move on? Do you let them take control of you and guide your actions? There has to be a balance on the emotional scale, but where does the balance lie? In this solo episode, we’re covering how our emotions play into eating disorders and how emotion regulation is crucial.

Learn more about eating disorder therapy and treatment in NYC and Brooklyn with Rachelle Heinemann at rachelleheinemann.com.

Today, we are talking with Hilmar Wagner about what eating needs to look like when someone is starting their eating disorder recovery and what happens when you jump straight into Intuitive Eating. 

If you are looking for a trusted, Registered Dietitian/Nutritionist to answer all those FAQs about Intuitive Eating- this is your episode! 

Learn more about eating disorder therapy and treatment in NYC and Brooklyn with Rachelle Heinemann at rachelleheinemann.com.