NUTRITION COUNSELING TO SUPPORT RECOVERY FROM DISORDERED EATING, ALL EATING DISORDERS, AND CHRONIC DIETING

We work at an outpatient level of care for the treatment of eating disorders. An outpatient team consists of a dietitian, therapist, primary care physician and psychiatrist at minimum. An outpatient team works collaboratively to ensure clients get the best care for their recovery while staying in their day-to-day life. Clients in eating disorder recovery being treated on the outpatient level will typically visit with their dietitians 1-2x/week, therapist 1-2x/week, PCP monthly, and psychiatrist as needed.

Dietitians at Peachy Nutrition work with adolescents ages 10 and up. We work collaboratively with your entire team: family therapist, PCP and psychiatrist. For family-based treatment, it is incredibly important to have consistency and meet regularly with both the adolescent and family. Our protocol at Peachy Nutrition is to meet 1-2x/week with the adolescent and family, splitting the time in a way that is best for your individual family. Your dietitian will act as a guide and support to the parents to help facilitate feeding at home. This can often be an effective alternative to higher levels of care for adolescents and is very successful when the entire family is on board and dedicated to caring for their child in eating disorder recovery.

Health at Every Size™ is a compassionate care framework that recognizes and promotes body diversity and holistic health. We recognize a focus on intentional weight loss causes harm, does not improve health, and further invokes weight stigma and discrimination. We believe any person in any size body can pursue health and create positive behavior change that prioritizes their individual health desires. The 5 pillars of HAES include:

1. Weight Inclusivity: Accept and respect the inherent diversity of body shapes and sizes and reject the idealizing or pathologizing of specific weights.

2. Health Enhancement: Support health policies that improve and equalize access to information and services, and personal practices that improve human well-being, including attention to individual physical, economic, social, spiritual, emotional, and other needs.

3. Eating for Well Being: Promote flexible, individualized eating based on hunger, satiety, nutritional needs, and pleasure, rather than any externally regulated eating plan focused on weight control.

4. Respectful Care: Acknowledge our biases, and work to end weight discrimination, weight stigma, and weight bias. Provide information and services from an understanding that socio-economic status, race, gender, sexual orientation, age, and other identities impact weight stigma, and support environments that address these inequities.

5. Life-Enhancing Movement: Support physical activities that allow people of all sizes, abilities, and interests to engage in enjoyable movement, to the degree that they choose.

For more information on Health at Every Size, please visit: https://asdah.org/

Intuitive Eating is a self-care eating framework that integrates instinct, emotion, and rational thought. Intuitive Eating allows for self-compassion, curiosity, and a gentle approach to food. There are 10 principles of Intuitive Eating:

1. Reject the Diet Mentality
2. Honor Your Hunger
3. Make Peace with Food
4. Challenge the Food Police
5. Respect Your Fullness
6. Discover the Satisfaction Factor
7. Honor Your Feelings without Using Food
8. Respect Your Body
9. Exercise—Feel the Difference
10. Honor Your Health with Gentle Nutrition

Intuitive Eating is the last part of eating disorder recovery, and we fully believe in clients getting to this part of their journey.

For more information on intuitive eating, please visit: https://www.intuitiveeating.org/

First, I want to extend compassion to you. Of course, you have a desire to lose weight- we live in a fatphobic diet culture that praises thinness at all costs. We are not anti-dieters, or anti people who want to lose weight. We are here for you and support your humanity. We can hold space for your desires to lose weight and process that with you, while also encouraging you to have a therapist on board who can do deeper work around body beliefs and values. We recognize that research shows 95% of diets and intentional weight loss attempts fail: in 2-5 years folks tend to gain weight back, plus more, and enter a process called "weight cycling" which is harmful to your physical and mental health. We also have hundreds of clients come through our practice each week and listen to their lived experience of losing and gaining weight, and how toxic that has been for them. Promoting weight loss not only doesn't work but encourages eating disorder behaviors which we are actively trying to help people work through these behaviors. Your body is welcome here.