The Eating Disorder Recovery Podcast

I've not written a blog for months. I've been moving house, had little internet connection, and been generally busy, and tired. I'm glad that this past couple of weeks I had felt like I have the time and space to start writing again, so there will be blogs to come, soon.

I wanted to put something down to express my gratitude for all of you who have listened to and supported my podcast over the past three years. I didn't think that it would go anywhere, or that anyone would really listen to it. Well, you did. So thank you.

I've had such support for the podcast, that I feel extremely guilty about announcing that I will not be producing any more episodes. But, as I discovered in the last 6 months or so, feeling guilty about stopping is not a good enough reason to keep going. I'd rather than stop completely than keep it going, but only publish episodes sporadically.

Podcasts are a lot of work. Finding people to interview, scheduling interviews, and editing audio after interviews. If I am quick, an episode may take 6 hours start to finish (including scheduling etc), but many episodes take more like 10.

It is a time thing. It's not that I don't have time. I can always make time. These days, my "free" time — time to do absolutely nothing productive at all — is increasingly precious and glorious to me. I am growing less inclined to give it up. I'm more selfish about my time — unapologetically, I enjoy that I enjoy being just me, without being the 'doing stuff' me.

This 'wanting to do nothing' is actually exactly something that scared me when I had anorexia. I was scared that if I allowed myself to rest, I would always want to rest. I would forget how to be productive. My 'value' would decrease. Because when I was sick, I thought my value was in my ability to never rest, and always be productive. (Which, if you think about it, in a famine, would be about right.)

The wonderful thing about being human in a brain that doesn't have anorexia any more, doesn't perceive that resources are scarce, and therefore doesn't believe that value is in productivity, is that I have the freedom to see the real value of being human. I know that sounds incredibly deep and ridiculous, but it is true.

The other night, I was going to make this podcast. I had an hour or so. I was making my way up my back porch steps, and one of the puppies followed me up and "pawed" me on the leg, asking for attention. Years ago, when my value was in being productive, I either wouldn't have noticed him, or I would have noticed him, and gone inside anyway. These days, I'm more inclined to sit on the floor and play with the dogs because they asked than I am to go inside and start editing audio. Sometimes it is a puppy. Sometimes it is a horse. Sometimes it is a pattern that the wind has made in the snow that I need to stare at. Sometimes, very often, it is snuggling with Matt.

I never take for granted my recovered brain. A brain that allows me to see the value in happiness, and being human. Never, ever, take it for granted. I feel blessed to have known a brain in starvation mode, if only because it allows me to know the bliss of not being there.

Anyway. That's my way of saying there will be no more podcasts. Just because it is the right time to stop. I appreciate you for listening.

In this podcast Tabitha talks to Donna about her experience of bariatric surgery and eating disorder recovery

The social importance of food

 

Blog post: https://tabithafarrar.com/2019/09/food-is-so-much-more-than-just-nutrition-by-design/

This week, Tabitha talks to peer mentor JD Ouellette about experts by experience and peer mentoring in the eating disorder field. 

JD Ouellette is a peer coach with a specialty in "Full Metal Apron" Eating Disorders Parent coaching. She is the mother of a young adult in full recovery and living a relapse-prevention lifestyle. JD works globally with families who have a loved one of any age impacted by an eating disorder on education, system navigation, boundaries to support full recovery, and interventions. Having experienced cutting edge treatment at the UC San Diego Eating Disorders Center for Treatment and Research, she understands that families who receive comprehensive psychoeducation and specific skills training can make all the difference in the outcome.

Warning: This episode may be difficult or triggering for some listeners. It involves talking about a person who recently died of anorexia.

 

In this podcast, Tabitha talks about a person who recently died as a result of the malnutrition associated with anorexia. 

Sarah was a joyful, incredibly like-able, intelligent woman with a good sense of humour. She came to me as a client, and someone determined to recover. She was also a person who had been through 30 years of traditional treatment, but never lost hope in her ability to get well. Sarah wasn't non- compliant, she was the opposite of difficult, and she was on her way and actively in recovery when she died. Apparently, a lifetime of malnutrition had resulted in a weak heart, and it was too little too late. Sarah was truly let down by the traditional treatment model. The tragedy is that at the time of her death, she was at the best place she had been for years. Sarah didn't die in the way we stereotypically expect people with anorexia die in a IP bed rejecting food. Sarah was eating better, feeling better, and actively living her recovery when she died. 

The effects of malnutrition are serious and can be long-lasting. Treatment has to prioritise unrestricted eating, and spreading the message that hunger and desire to eat can be trusted. 

 In this podcast, Tabitha takes to the wonderful Dr Jennifer Gaudiani about trans and non-binary individuals in eating disorder treatment. 

 

The Gaudiani Clinic provides superb expert outpatient medical care to adolescents and adults of all sizes, shapes, and genders with eating disorders or disordered eating. The Gaudiani Clinic also offers comprehensive person-centered care to those who are recovered from an eating disorder. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

Under the care of Jennifer L. Gaudiani, MD, CEDS, FAED, patients receive expert medical care provided in a comfortable and highly discreet private practice setting. Dr. Gaudiani is one of the only outpatient internists in the United States who carries the Certified Eating Disorder Specialist designation and is internationally recognized as an expert in the eating disorder field. In her role as an expert outpatient medical doctor, Dr. Gaudiani can function as a patient’s primary care physician or as an expert adjunctive physician as part of a multidisciplinary team.

The Gaudiani Clinic is located in Denver, Colorado with both local and telemedicine treatment plans available.

Dr. Gaudiani also offers professional services including private and group consultation, professional webinars, and presentations.

Jen's book on Amazon: https://www.amazon.com/Sick-Enough-Jennifer-L-Gaudiani-dp-0815382456/dp/0815382456/ref=mt_paperback?_encoding=UTF8&me=&qid=1553546290  

 

Clinic: www.gaudianiclinic.com

 

In this podcast Tabitha Farrar talks to Dr Cynthia Bulik about recent study that identifies eight risk loci and implicates metabo-psychiatric origins for anorexia nervosa. 

Link to paper: https://www.nature.com/articles/s41588-019-0439-2

-----------------------------------

Dr. Bulik, a clinical psychologist, is Distinguished Professor of Eating Disorders in the Department of Psychiatry, professor of nutrition in the Gillings School of Global Public Health and founding director of the UNC Center of Excellence for Eating Disorders. 

She is also professor of medical epidemiology and biostatistics at Karolinska Institutet in Stockholm, Sweden, where she spends half of her time. 

Her research includes treatment, laboratory, epidemiological, twin and molecular genetic studies of eating disorders and weight regulation. She has written more than 590 scientific papers and chapters on eating disorders and is the author of  Crave: Why You Binge Eat and How to Stop, The Woman in the Mirror, Midlife Eating Disorders: Your Journey to Recovery, and Binge Control: A Compact Recovery Guide. 

She is a recipient of the Eating Disorders Coalition Research Award, the Academy for Eating Disorders' Leadership Award for Research, the Price Family National Eating Disorders Association Research Award  and the Women’s Leadership Council Faculty-to-Faculty Mentorship Award. 

Dr. Bulik is past president of the Academy for Eating Disorders, past vice-president of the Eating Disorders Coalition and past Associate Editor of the International Journal of Eating Disorders. She holds the first endowed professorship in eating disorders in the United States.

Her academic life is balanced by being happily married with three children and performing as an ice dancer and ballroom dancer.

 

 

In this podcast, Tabitha answers the question "What are your thoughts on the term Atypical Anorexia?"

Dannielle B. Grossman is a California licensed marriage and family therapist in private practice in Truckee, California. She also works by phone and FaceTime with clients throughout California. 

 

Danielle understands that food deprivation and fear responses around eating are at the core of all eating disorders and disordered eating patterns. She helps clients to truly get it that their struggles with food are not their fault and do not mean ANYTHING negative about them. It is a powerful and empowering shift when clients can observe that their patterns with eating are simply their brainbodies doing their job to ensure survival amidst real or perceived threats to getting the food they want or need. Then, the work of therapy is getting out of this chronic threat mode with eating by developing patterns with food that are based in full nourishment, unconditional permission to eat and an ability to honor all signals of hunger. 

 

Danielle’s work is based in compassion, an understanding of trauma and survival responses and current science in the fields of weight stigma and eating disorders. 

 

truckeecounseling.com.

In this podcast, Tabitha Farrar talks to Jennifer Thomas and Kamryn Eddy about their new book on ARFID. 

 

-Cognitive-behavioral therapy for avoidant/restrictive food intake disorder patient/family workbook (free) — https://www.cambridge.org/files/1015/4408/8646/CBT-AR_workbook_12.4.18.pdf

 

-Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder: Children, Adolescents, and Adults (Cambridge University Press, 2019) — https://www.amazon.com/Cognitive-Behavioral-Therapy-Avoidant-Restrictive-Disorder/dp/1108401155/ref=sr_1_2?ie=UTF8&qid=1542036242&sr=8-2&keywords=cognitive+behavioral+therapy+for+avoidant%2Frestrictive+food+intake+disorder&dpID=41PGcm%252BEHuL&preST=_SX218_BO1,204,203,200_QL40_&dpSrc=srch

 

-Fudo app (free) — https://www.novosi.com/fudo

 

-Study on reward and flexibility in restrictive eating disorders or amenorrheic athletes (research participation opportunity for females ages 16-26 years old who have amenorrhea) —anereact@mgh.harvard.edu

 

-Neurobiology of ARFID study (research participation opportunity for males and females ages 10-22 years with or without avoidant/restrictive eating)— CAREstudy@partners.org

In this podcast Tabitha talks to B, a guy who totally didn't have anorexia ... but probably did! 

 

B thought of himself as a normal guy, doing normal things: obsessively tracking calories, running absurd distances, and hiding in closets to avoid being invited to lunch. After an incident involving a blog post, evolutionary biology, and a semi-anonymous e-mail exchange, he did the normal thing: he researched and wrote a guide on anorexia recovery, and then started following it.

 

Study cited:

 

https://www.researchgate.net/profile/Stephanie_Klenotich/publication/220016913_The_Activity-Based_Anorexia_Model/links/0a85e52d80de043a13000000.pdf

 

"The no-nonsense guide for people who think they might have an eating disorder" is at http://nononsenseguide.net 

In this podcast Tabitha Farrar talks to David Wiss about eating disorders co-occurring with substance abuse.

David Wiss, MS, RDN is the founder of Nutrition in Recovery, which specializes in: Addictions, Eating Disorders, Mental Health, Gut Health, Body Image, and General Wellness. Mr. Wiss works closely with individuals to help them revolutionize their relationship with food and has shared his expertise with numerous eating disorder and addiction facilities throughout the greater Los Angeles area. David is a published author and a nationally recognized expert in nutrition for addiction, currently working on his PhD in Public Health from UCLA. View some of his work at www.nutritioninrecovery.com

In this podcast, Tabitha Farrar talks about how eating disorder change our beliefs and values, and how recovery also changes these aspects. 

 

 

Podcast dedicated to "Mary." I miss you. 

In this podcast Tabitha talks to Dr Gaudiani about what happens to the muscular system when a person is in recovery from and eating disorder and/or malnutrition as a result of dietary restriction. 

 

Jen's book on Amazon: https://www.amazon.com/Sick-Enough-Jennifer-L-Gaudiani-dp-0815382456/dp/0815382456/ref=mt_paperback?_encoding=UTF8&me=&qid=1553546290

 

Clinic: www.gaudianiclinic.com

In this podcast Tabitha Farrar talks to Hannah, about eating disorders and cerebral palsy. 

Tabitha's note: I have worked with a number of clients with anorexia who also have cerebral palsy. The aspects of body image and body control justification that Hannah speaks of in this podcast I have witnessed in every client I have worked with who also have cerebral palsy. That's not to say it exists in all, but certainly people with disabilities are very under-represented in eating disorder treatment and advocacy. 

In this podcast, Tabitha Farrar has a discussion with Shan Guisinger — author of the Adapt to Flee Famine paper — about the biological fear of eating response. 

In this podcast, Tabitha talks to "S" an 11-year-old in recovery, about his recovery journey, and his desire and motivation to get well. 

In this podcast, Tabitha Farrar talks to Dr Trisha Greenhaugh about the paper titled Six ‘biases’ against patients and carers in evidence-based medicine."

 

Link to paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556220/

 

This week Tabitha talks to Sarah Rzemieniak, a fellow recovery coach who has recovered from an eating disorder herself.

 

Sarah Rzemieniak previously worked as an eating disorder dietitian before recognizing that her true passion was in the coaching and counselling aspect of the work. She then became a certified eating disorder recovery coach through The Carolyn Costin Institute, where she was supervised and trained directly under Carolyn Costin, eating disorder therapist, author, and founder of Monte Nido residential treatment centers. Sarah is now an eating disorder recovery coach with The Eating Disorder Center, providing virtual recovery coaching services worldwide. She also co-leads an eating disorder support group in Victoria, BC, and has past experience serving as an eating disorder recovery mentor through MentorConnect, as well as working as a hotline staffer for The Crisis Intervention and Suicide Prevention Centre of BC. Sarah has been interviewed and has written about eating disorder recovery for Psych Central Professional, Thrive Global, The Looking Glass Foundation for Eating Disorders, The Eating Disorder Recovery Speakers Podcast and Real Health Radio. She was a featured contributing expert to the book, Thrive: Expert Tips For Coping With Depression and An Eating Disorder. 

 

 

And my blog is: https://sarahrzemieniak.com/blog/

 

Favourite books page: https://sarahrzemieniak.com/favourite-books/

 

Recovery coaching website: https://www.theeatingdisordercenter.com/sarah-rzemieniak-eating-disorder-recovery-coach.html