@understandingnutrition
Posted: 1 month ago

At FNCE Member Marketplace between these two legends!!!

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@understandingnutrition
Posted: 3 months ago

I realize I’ve been so excited about the new workshop next month that I haven’t sent a reminder about the end of intro pricing for the group version of the Eating Disorders Boot Camp Ultimate Training Package. The group package (up to 6 dietitians plus unlimited students, interns & other professionals) price goes up on Thursday from the intro price of $1100 to the regular price of $2100. It will still be an incredible deal (the total value for 6 dietitians is a staggering $8,800 back when these Boot Camps were sold separately), but I wanted to mention it for anyone who’s had it on their mind and wants to get in on the intro price. You don’t all have to be in the same facility or practice - if you gather three friends you each get it all for $300 instead of $480 (and even more savings if you get 4 or 5 to join you) and Celena will happily run multiple credit cards - just don’t purchase online, email her instead. The individual price will be staying the same, and Celena is always happy to work out payment plans for anyone who asks. Detailed scoop at EatingDisordersBootCamp.com and of course I’ll happily answer questions here.

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@understandingnutrition
Posted: 3 months ago

Mic drop.

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@understandingnutrition
Posted: 3 months ago

Discrepancies in recommendations are a recurring theme in supervision. “How do I reconcile differences of opinion?” “Is it ever ok to openly disagree in front of the client?” “How do I disagree without undermining other professionals?” “What if I know for a fact the other person is giving bad advice?” I’ve got answers to these challenges plus other things no one ever talks about at conferences and I’ll show you what to do and exactly what to say in each of these sticky situations at Supervision Boot Camp next month. Join me live in Atlanta or live online. Link in bio, and I’m still taking questions.

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@understandingnutrition
Posted: 3 months ago

Not everyone who crosses your path is going to be a good fit for your practice. It’s obvious, but so often we’re too optimistic, or don’t like to say no to people, or disappoint our referral source, or a hundred other reasons why we try to make it work. Start thinking - and describing to clients - that your first meeting is an interview (which goes both ways) to evaluate whether or not you’re a good fit together. And every session after that will continue the assessment. Both parties have the option to renew, revisit, or rescind the relationship at any time. You don’t have to know for a fact on the first day that you can solve someone’s problems… a willingness to try can often be enough. But if you know up front that a client’s not a match, have the courage to let them go. Have you ever seen a client for waaaay too long because you weren’t sure how to say goodbye? More at SupervisionBootCamp.com September 23rd, live in Atlanta, live-streamed and recorded. Even more in The Sleepless Dietitian’s Book of Answers, SleeplessDietitian.com. See link in bio for the scoop.

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@understandingnutrition
Posted: 3 months ago

I was honored to be invited back to The SeasonED RD podcast with Beth and Abbi — two fun gals to spend time with for any reason — but since we got our polite chit chat out o’ the way on my first visit, this time we just let it rip! I mean my first episode wasn’t tea with the queen or anything, but this one was downright uncensored. You’ll find out for yourself when you listen (link in bio, obv) so I’ll just sum it up by paraphrasing a classic… “When I look back on all the crap I learned in RD school, it’s a wonder I can even think at all…”

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@understandingnutrition
Posted: 4 months ago

@gaudianiclinic Jennifer Gaudiani has written an amazingly clear explanation of Mast Cell Activation Syndrome (MCAS) that everyone who works in the eating disorder treatment field should read. There are so many causes of what we mistakenly call “eating disorders” and the biological contributors - concussion, Pediatric Acute-onset Neuropsychiatric Syndrome (PANS), sleep disorders, MCAS, Chronic Anovulation (PCOS), Postural Orthostatic Tachycardia Syndrome (POTS), MTHFR & other DNA mutations just as a few examples - are the least studied and the most pooh-poohed by people who only believe in their one-modality training. Please, PLEASE believe your patients’ report of their experiences and don’t be the person who says it’s all in their head, or worse - that they’ve caused their own problems with their eating or their weight, and everything will be better if they eat better or lose weight. MANY of these symptoms predate the eating disturbances and often dysfunctional eating behaviors are the tool the individual is using to try to relieve their own discomfort. It’s not hard or time-consuming to try to get a history of symptoms. Remember that half of the women with bulimia in one study reported irregular menstrual cycles BEFORE their eating symptoms ever developed. Think of the individuals with insulin resistance or hypothyroidism who starved to lose weight and were still chastised by their providers for not trying hard enough. I have had patients who were told that their acanthosis around their neck was a normal sign of their ethnic heritage. Multiple dietitians have told me they thought they had night-eating syndrome until they were correctly diagnosed with sleep disorders. I was told at different times it was impossible that my new glasses were causing migraines and that if I was dreaming I was getting rested - both completely incorrect. You probably have your own story of being told your symptoms aren’t real….(continued in comments)

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@understandingnutrition
Posted: 4 months ago

Dietitians are sensitive and smart - good qualities but a tough combination. We’re sensitive to how eating disorders are hurting our clients but smart enough to know we can’t solve it all. It’s hard to accept that we don’t have all the answers about eating disorders or eating disorder treatment. How do we maintain integrity amidst uncertainty? How do we balance optimism for recovery with fears of the unknown? How do we guide our clients to face this same uncertainty with courage? How do we withstand criticism or tolerate the zealots who claim to have all the answers? How do we sleep at night knowing diet culture is making more eating disorders every day? How do we go to work every morning unsure of what the day will bring? Our work can be unspeakably hard, and it’s not something you can talk about at book club where no one will understand. It’s time to open up these topics and time to get some answers. September 23rd in Atlanta, live-streamed and recorded. More info at SupervisionBootCamp.com.

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@understandingnutrition
Posted: 4 months ago

Stop feeling sneaky if you’re sharing EatingDisordersBootCamp with your interns.… it’s totally fine with me, in fact I encourage it. They’re not getting this information in school, and we all know they’re going to need it.

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@understandingnutrition
Posted: 4 months ago

A new kind of workshop

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@understandingnutrition
Posted: 4 months ago

I decided it’s time for a new workshop - just this once - to ask all your questions with no holds barred. Things we only talk about behind closed doors or calls. All the problems you encounter that are NOT about nutrition but you still have to handle... and yet they're never - not ever - even mentioned in school: Interpersonal challenges with conflicting personalities... Differences of opinion, disagreements and debates... Ethical dilemmas you don't know how to answer... The constant conversation you're having in your mind: What if they get hostile? Can I fire this patient?Why is this person giving terrible advice?Am I doing enough?They're not listening to me. Am I out of my scope? Plus the secret, silent worries that keep you up at night: Did I screw this up? Am I doing it wrong? and What do I do now? It's time to get these problems in the daylight so you can get them solved, surmounted or just move on. Depending where you work, there may be no one to ask. You may not want your boss to know you don't have all the answers. Supervision is great but not always accessible. So I'm ready to tell you everything I know. All the strategies I've cooked up, all the wording that I've used, all the sticky situations that I somehow have got out of… and the things I learned from my regrets. Ask me everything you worry about: stressful conversations, toxic situations, unrealistic expectations… I'll be taking questions live and anonymously in advance. This is my gift, the thing I'm really good at, and gifts like this are meant to be shared. Welcome to Supervision Boot Camp. More info at SupervisionBootCamp.com.

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@understandingnutrition
Posted: 5 months ago

How do you lead Nutrition Group when upsetting news and current events are going on in the world? Do you mention them or just press on? This question is from a supervision session last week, and the bad news just keeps coming, so I’ve shared my answer here. It applies to individual sessions, too. I’d love to know your strategies if you’re willing to share in the comments. Follow up questions welcome, too. I’ll answer them here if I can, or in a future video. Keep your other questions coming, as I’m taking notes on what to cover in the Supervision event I’m doing in September. To schedule a private session or get more info on the event, message me or visit my link in bio

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@understandingnutrition
Posted: 5 months ago

Remind me not to crop my face so close 😂

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@understandingnutrition
Posted: 5 months ago

How do you lead Nutrition Group when upsetting news and current events are going on in the world? Do you mention them or just press on? This question is from a supervision session last week, and the bad news just keeps coming, so I’ve shared my answer here. It applies to individual sessions, too. I’d love to know your strategies if you’re willing to share in the comments. Follow up questions welcome, too. I’ll answer them here if I can, or in a future video. Keep your other questions coming, as I’m taking notes on what to cover in the Supervision event I’m doing in September. To schedule a private session or get more info on the event, message me or visit my link in bio: www.direct.me/jessicasetnick.

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@understandingnutrition
Posted: 5 months ago

Period.

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