1 00:00:09,680 --> 00:00:12,879 Speaker 1: I started to realize that not being an expert isn't 2 00:00:12,920 --> 00:00:16,600 Speaker 1: a liability, it's a real gift. If we don't know 3 00:00:16,680 --> 00:00:18,920 Speaker 1: something about ourselves at this point in our life, it's 4 00:00:19,000 --> 00:00:22,439 Speaker 1: probably because it's uncomfortable to know. If you can die 5 00:00:22,520 --> 00:00:25,880 Speaker 1: before you die, then you can really live. There's a 6 00:00:25,920 --> 00:00:30,520 Speaker 1: wisdom at death's door. I thought I was insane. Yeah, 7 00:00:31,040 --> 00:00:32,479 Speaker 1: and I didn't know what to do because there was 8 00:00:32,479 --> 00:00:36,000 Speaker 1: no internet. I don't know, man, I'm like, I feel 9 00:00:36,000 --> 00:00:41,480 Speaker 1: like everything is hard. Hey, y'all, my name is Kat. 10 00:00:41,920 --> 00:00:45,080 Speaker 1: I'm a human first and a licensed therapist second. And 11 00:00:45,200 --> 00:00:48,440 Speaker 1: right now I'm inviting you into conversations that I hope 12 00:00:48,520 --> 00:00:53,960 Speaker 1: encourage you to become more curious and less judgmental about yourself, others, 13 00:00:54,080 --> 00:00:59,680 Speaker 1: and the world around you. Welcome to You Need Therapy. Hi, guys, 14 00:01:00,040 --> 00:01:02,600 Speaker 1: come to a new episode of Therapy podcast. My name 15 00:01:02,680 --> 00:01:05,800 Speaker 1: is Kat, I am the host, and quick reminder up 16 00:01:05,880 --> 00:01:09,120 Speaker 1: top before we get into today's episode that although this 17 00:01:09,240 --> 00:01:12,280 Speaker 1: podcast is called You Need Therapy and I am a therapist, 18 00:01:12,600 --> 00:01:15,039 Speaker 1: it does not serve as a replacement or substitute for 19 00:01:15,120 --> 00:01:18,440 Speaker 1: any actual mental health service. However, we always hope that 20 00:01:18,480 --> 00:01:21,880 Speaker 1: these episodes can help you, guys in some way on 21 00:01:21,920 --> 00:01:24,760 Speaker 1: whatever journey you guys are on at the current moment 22 00:01:24,880 --> 00:01:27,640 Speaker 1: or maybe in the future. So today is going to 23 00:01:27,680 --> 00:01:31,240 Speaker 1: be a solo episode, and we're going to be talking 24 00:01:31,240 --> 00:01:34,840 Speaker 1: about something that I could talk about for hours and 25 00:01:34,920 --> 00:01:37,319 Speaker 1: years and years and years and years and years and years. 26 00:01:38,120 --> 00:01:41,440 Speaker 1: It is the topic and the subject of eating disorders. 27 00:01:41,640 --> 00:01:44,960 Speaker 1: And we've done a lot of different content on eating 28 00:01:44,959 --> 00:01:47,400 Speaker 1: disorders in the past, but I also think it's helpful 29 00:01:47,400 --> 00:01:49,480 Speaker 1: every once in a while just to go back and 30 00:01:49,680 --> 00:01:52,560 Speaker 1: talk about different parts of it, whether it's the basics 31 00:01:52,800 --> 00:01:56,560 Speaker 1: or the functions, or the different types of eating disorders. 32 00:01:56,560 --> 00:01:58,440 Speaker 1: And today we're going to kind of tie some of 33 00:01:58,480 --> 00:02:02,440 Speaker 1: that together. Simply went to a treatment center outside of 34 00:02:02,520 --> 00:02:06,680 Speaker 1: Nashville to talk to the therapist and give some insight 35 00:02:06,800 --> 00:02:09,079 Speaker 1: on how these might show up in the work that 36 00:02:09,120 --> 00:02:12,440 Speaker 1: they're doing, even though they aren't eating disorder therapists. Because 37 00:02:12,480 --> 00:02:16,959 Speaker 1: these disorders are so common, and what's even more common 38 00:02:17,080 --> 00:02:20,040 Speaker 1: is what happened before the disorder, which is disordered eating, 39 00:02:20,520 --> 00:02:22,359 Speaker 1: and a lot of that stuff can pop up when 40 00:02:22,440 --> 00:02:25,680 Speaker 1: we are going through difficult times as a way to 41 00:02:25,760 --> 00:02:27,960 Speaker 1: cope with some of that stuff, and at the same time, 42 00:02:28,280 --> 00:02:33,280 Speaker 1: a lot of that stuff happens unknowingly because the world 43 00:02:33,440 --> 00:02:38,400 Speaker 1: of disordered eating is just so pervasive and it is 44 00:02:38,440 --> 00:02:41,679 Speaker 1: seen as healthy in some aspects. And we'll get into 45 00:02:41,680 --> 00:02:43,440 Speaker 1: a lot of that, but I just thought it would 46 00:02:43,440 --> 00:02:46,520 Speaker 1: be nice to get back on here and talk about 47 00:02:46,760 --> 00:02:50,320 Speaker 1: something that is very near and dear to my heart 48 00:02:50,800 --> 00:02:54,160 Speaker 1: full disclosure. As I was preparing to go talk to 49 00:02:54,200 --> 00:02:57,720 Speaker 1: these therapists, what was coming up for me is how 50 00:02:58,120 --> 00:03:04,880 Speaker 1: chaotic I felt the presentation was developing, and as I 51 00:03:04,919 --> 00:03:07,679 Speaker 1: sat with that, a lot of thoughts ran through my head. 52 00:03:07,840 --> 00:03:13,000 Speaker 1: One was like, why are you so disorganized? Or why 53 00:03:13,000 --> 00:03:16,119 Speaker 1: can't you make this more fluid? Or this isn't flowing right. 54 00:03:16,560 --> 00:03:18,239 Speaker 1: I put a lot of that pressure back on me, 55 00:03:18,480 --> 00:03:21,440 Speaker 1: and then when I sat with it, I thought, actually, 56 00:03:21,480 --> 00:03:24,519 Speaker 1: I think this is the nature of eating disorders. They 57 00:03:24,919 --> 00:03:28,600 Speaker 1: are so nuanced and they're so complex and they are 58 00:03:29,000 --> 00:03:32,480 Speaker 1: so different from client to client that we can try 59 00:03:33,040 --> 00:03:36,440 Speaker 1: to put things into boxes, but generally that's not helpful, 60 00:03:36,600 --> 00:03:38,640 Speaker 1: and what we have to really do is look at 61 00:03:38,680 --> 00:03:42,720 Speaker 1: each individual differently and give them their own space and 62 00:03:42,800 --> 00:03:46,520 Speaker 1: understand their disorder versus the disorder as a whole to 63 00:03:46,680 --> 00:03:50,040 Speaker 1: really be able to help them. And that gets tricky 64 00:03:50,080 --> 00:03:52,400 Speaker 1: when we're trying to train people or teach people about 65 00:03:52,440 --> 00:03:55,400 Speaker 1: these things, because it feels like you have to like 66 00:03:55,520 --> 00:04:00,640 Speaker 1: teach the therapist about every single different iteration of it. 67 00:04:00,680 --> 00:04:03,760 Speaker 1: But that's not possible. And so I think if any 68 00:04:03,880 --> 00:04:06,920 Speaker 1: of this feels chaotic, and anything that I am talking 69 00:04:06,920 --> 00:04:10,080 Speaker 1: about today feels chaotic, that is kind of almost by 70 00:04:10,160 --> 00:04:14,160 Speaker 1: design at this point, because eating disorders are chaotic. So 71 00:04:14,200 --> 00:04:17,880 Speaker 1: it's going to feel like that. We can look at themes, 72 00:04:17,920 --> 00:04:20,039 Speaker 1: and we can look at the big picture stuff, and 73 00:04:20,040 --> 00:04:22,359 Speaker 1: I think that's really helpful. And we also have to 74 00:04:22,440 --> 00:04:25,240 Speaker 1: leave a lot of room for there to be differences 75 00:04:25,640 --> 00:04:29,080 Speaker 1: and for things to not always follow a formula or 76 00:04:29,120 --> 00:04:32,560 Speaker 1: a path, and one person's function of their eating disorder 77 00:04:32,720 --> 00:04:35,880 Speaker 1: can be very different than another's, and we really want 78 00:04:35,920 --> 00:04:38,320 Speaker 1: to help those people, we have to look at them 79 00:04:38,320 --> 00:04:41,360 Speaker 1: individually and not just assume this person did that because 80 00:04:41,400 --> 00:04:43,200 Speaker 1: of that, so that's why this person is doing it. 81 00:04:43,640 --> 00:04:46,640 Speaker 1: So we'll do that, we'll talk about common themes and trends. 82 00:04:46,839 --> 00:04:48,800 Speaker 1: And I just wanted to say that up top, because 83 00:04:49,600 --> 00:04:52,200 Speaker 1: that's not the whole picture. I don't ever want to 84 00:04:52,240 --> 00:04:56,839 Speaker 1: give the idea that we can whittle things down into 85 00:04:57,200 --> 00:04:59,880 Speaker 1: these different boxes. It would be a lot easier for you. 86 00:05:00,440 --> 00:05:03,800 Speaker 1: And I think that the treatment of eating disorders would 87 00:05:03,880 --> 00:05:06,280 Speaker 1: be I don't want to say more successful, but it 88 00:05:06,320 --> 00:05:09,960 Speaker 1: would feel easier than it is for everybody involved. But 89 00:05:10,040 --> 00:05:12,440 Speaker 1: that's just not the case. And if I have learned 90 00:05:12,480 --> 00:05:15,520 Speaker 1: anything from working with clients with eating disorders and in 91 00:05:15,560 --> 00:05:18,240 Speaker 1: this space, it's that the more that I come to 92 00:05:18,320 --> 00:05:20,880 Speaker 1: know and the more I come to learn, the more 93 00:05:20,920 --> 00:05:24,520 Speaker 1: I realize I don't know a lot. And it is 94 00:05:24,600 --> 00:05:27,160 Speaker 1: weird because there's a part of me that wants to 95 00:05:27,200 --> 00:05:30,440 Speaker 1: be and wants to become an expert in this area. 96 00:05:30,520 --> 00:05:33,279 Speaker 1: But I think the more quotes expert you become in 97 00:05:33,320 --> 00:05:36,720 Speaker 1: this area, the more you realize there is so much 98 00:05:36,880 --> 00:05:39,240 Speaker 1: more that you cannot know and we do not know. 99 00:05:39,960 --> 00:05:43,400 Speaker 1: And that is also a really important factor in I 100 00:05:43,520 --> 00:05:46,479 Speaker 1: just I think really anything, but especially in the mental 101 00:05:46,480 --> 00:05:48,599 Speaker 1: health space when it comes to things like this, where 102 00:05:49,000 --> 00:05:51,640 Speaker 1: we have information, but we also don't have a lot 103 00:05:51,640 --> 00:05:55,360 Speaker 1: of the information, and in order to be a really 104 00:05:55,400 --> 00:05:59,599 Speaker 1: helpful clinician or just helper, we have to leave space 105 00:05:59,640 --> 00:06:02,599 Speaker 1: for that as well. Right, that we don't know everything. 106 00:06:03,279 --> 00:06:05,719 Speaker 1: And instead of calling myself an expert in this field, 107 00:06:06,200 --> 00:06:09,400 Speaker 1: what feels more true is I'm somebody who cares very 108 00:06:09,440 --> 00:06:12,960 Speaker 1: deeply about this work, and the work that I do 109 00:06:13,120 --> 00:06:16,240 Speaker 1: has become more about getting to know my clients than 110 00:06:16,360 --> 00:06:20,119 Speaker 1: just getting to know a certain disease that the people 111 00:06:20,120 --> 00:06:24,599 Speaker 1: that I'm working with might be attached to or be experiencing. 112 00:06:25,279 --> 00:06:28,080 Speaker 1: So if you hear anything while listening today, I hope 113 00:06:28,080 --> 00:06:29,840 Speaker 1: that one of the things that you hear is this 114 00:06:30,360 --> 00:06:32,719 Speaker 1: is not a one size fits all way to understand 115 00:06:32,839 --> 00:06:36,000 Speaker 1: or treat these disorders. And I think being open to 116 00:06:36,000 --> 00:06:38,640 Speaker 1: different ideas is what is most helpful for individuals who 117 00:06:38,680 --> 00:06:42,240 Speaker 1: are experiencing these It's not all about behavioral changes. It's 118 00:06:42,279 --> 00:06:45,040 Speaker 1: not all about trauma work, it's not all about diet culture. 119 00:06:45,360 --> 00:06:48,080 Speaker 1: It is a combination of all of those things in 120 00:06:48,080 --> 00:06:51,240 Speaker 1: a billion different ways, plus more stuff that I didn't name, 121 00:06:51,560 --> 00:06:55,400 Speaker 1: which leads me to this quote that I brought up 122 00:06:55,400 --> 00:06:58,240 Speaker 1: when I interviewed Amanda Montel a couple of weeks ago, 123 00:06:58,360 --> 00:07:00,360 Speaker 1: might have been a month ago. At this point. She 124 00:07:00,480 --> 00:07:04,000 Speaker 1: wrote the book The Age of Magical Overthinking. Such a 125 00:07:04,040 --> 00:07:06,080 Speaker 1: good book. I cannot recommend it enough. It was just 126 00:07:06,160 --> 00:07:08,599 Speaker 1: interesting and also helpful for me in my life and 127 00:07:08,600 --> 00:07:11,000 Speaker 1: also the work that I do. It's a book about 128 00:07:11,000 --> 00:07:14,160 Speaker 1: the different cognitive biases that we use in order to 129 00:07:14,240 --> 00:07:18,480 Speaker 1: understand the world and this information overload, and so what 130 00:07:18,560 --> 00:07:22,320 Speaker 1: has been very helpful in understanding how to do this 131 00:07:22,400 --> 00:07:24,600 Speaker 1: work is one of the quotes that she put in 132 00:07:24,760 --> 00:07:27,360 Speaker 1: the very beginning of this book, and she said, learning 133 00:07:27,400 --> 00:07:30,240 Speaker 1: to stomach a sense of irresolution might be the only 134 00:07:30,280 --> 00:07:34,080 Speaker 1: way to survive the crisis. And to me, that means 135 00:07:34,040 --> 00:07:36,320 Speaker 1: it is not always going to make sense. We're not 136 00:07:36,440 --> 00:07:39,400 Speaker 1: always going to be able to draw a perfect path 137 00:07:39,480 --> 00:07:41,280 Speaker 1: that this led here and this led here, and this 138 00:07:41,320 --> 00:07:43,600 Speaker 1: goes here, and this goes here and this equals this. 139 00:07:43,680 --> 00:07:46,120 Speaker 1: And when we try to do that, sometimes we force 140 00:07:46,200 --> 00:07:49,240 Speaker 1: things to be things that they're not, just so our 141 00:07:49,280 --> 00:07:51,960 Speaker 1: like formula makes sense. And so we feel more comfortable 142 00:07:51,960 --> 00:07:55,160 Speaker 1: in what we're doing because we want to understand things right. 143 00:07:55,280 --> 00:07:58,960 Speaker 1: We feel calmer, we feel a sense of relief, we 144 00:07:59,000 --> 00:08:02,000 Speaker 1: feel a sense of can when we can understand how 145 00:08:02,040 --> 00:08:05,320 Speaker 1: things work and where things are going and what something 146 00:08:05,360 --> 00:08:08,920 Speaker 1: came from. And oftentimes when we do that, we are 147 00:08:09,280 --> 00:08:13,760 Speaker 1: creating lies or we're essentially shoving like a square peg 148 00:08:13,800 --> 00:08:17,800 Speaker 1: in a round hole or vice versa. And so understanding 149 00:08:17,840 --> 00:08:21,320 Speaker 1: that there might not be a perfect way to fit 150 00:08:21,440 --> 00:08:24,880 Speaker 1: or understand something as a whole helps us do the 151 00:08:24,960 --> 00:08:28,200 Speaker 1: work to really be able to understand each individual. It's 152 00:08:28,200 --> 00:08:31,640 Speaker 1: not always going to make sense to us, and that's 153 00:08:31,760 --> 00:08:36,480 Speaker 1: not really the point. Making logical sense of something isn't 154 00:08:36,520 --> 00:08:40,839 Speaker 1: always the road to recovery and health. Now, one thing 155 00:08:40,880 --> 00:08:43,319 Speaker 1: that I have come to know that feels actually very 156 00:08:43,360 --> 00:08:47,120 Speaker 1: true is that eating disorders are very misunderstood. I think 157 00:08:47,160 --> 00:08:50,360 Speaker 1: a lot of times people view them as just an 158 00:08:50,360 --> 00:08:54,520 Speaker 1: obsession with looking a certain way and just a lot 159 00:08:54,559 --> 00:08:57,200 Speaker 1: of dieting. A lot of times they are misunderstood in 160 00:08:57,200 --> 00:09:00,520 Speaker 1: the way that an actual life threatening disorder or looks 161 00:09:00,520 --> 00:09:03,520 Speaker 1: like somebody taking care of themselves, and we actually can 162 00:09:03,520 --> 00:09:06,840 Speaker 1: applaud them for some of the really dysfunctional behaviors that 163 00:09:06,840 --> 00:09:09,320 Speaker 1: they're engaging in. But what a lot of people don't know, 164 00:09:09,360 --> 00:09:11,520 Speaker 1: and I think we're getting more of this information out, 165 00:09:11,600 --> 00:09:14,720 Speaker 1: is that eating disorders actually have the second highest mortality 166 00:09:14,800 --> 00:09:18,400 Speaker 1: rate of any psychiatric illness there is, and they are 167 00:09:18,480 --> 00:09:22,040 Speaker 1: second to opiate addiction. I've even seen depending on the 168 00:09:22,120 --> 00:09:24,920 Speaker 1: year that the research is being done, that moves from 169 00:09:24,960 --> 00:09:27,640 Speaker 1: want to too. But that's a big deal, and a 170 00:09:27,640 --> 00:09:30,200 Speaker 1: lot of people are confused by that or it's pretty shocking. 171 00:09:30,240 --> 00:09:33,720 Speaker 1: And what's also true is people that are struggling with 172 00:09:33,760 --> 00:09:37,280 Speaker 1: eating disorders usually are struggling with more than one disorder, 173 00:09:37,360 --> 00:09:40,600 Speaker 1: So a lot of that's paired with a lot of anxiety, depression, 174 00:09:41,160 --> 00:09:46,839 Speaker 1: some personality disorders, some more anxiety based obsessive compulsive kind 175 00:09:46,840 --> 00:09:49,720 Speaker 1: of disorders. And there's also a lot of brain function 176 00:09:49,840 --> 00:09:52,520 Speaker 1: that is lost in these disorders because of the way 177 00:09:52,559 --> 00:09:56,240 Speaker 1: that nutrients are either not being given to the body 178 00:09:56,520 --> 00:09:59,880 Speaker 1: or taken away from the body. And a lot of 179 00:10:00,000 --> 00:10:02,600 Speaker 1: the deaths that happen within people that are struggling with 180 00:10:02,640 --> 00:10:06,760 Speaker 1: these disorders are death by suicide. And studies recently have 181 00:10:06,800 --> 00:10:10,240 Speaker 1: found that approximately thirty one percent of individuals with inarexia, 182 00:10:10,840 --> 00:10:13,559 Speaker 1: twenty three percent of individuals with bolimia, and twenty three 183 00:10:13,600 --> 00:10:18,440 Speaker 1: percent of individuals with bingetine disorder have attempted suicide. And 184 00:10:18,480 --> 00:10:21,800 Speaker 1: that's a lot. Those numbers are very high. And I 185 00:10:22,480 --> 00:10:26,920 Speaker 1: just can't stress enough why this is so important to 186 00:10:27,240 --> 00:10:30,760 Speaker 1: care about somebody that might not look like they're going 187 00:10:30,840 --> 00:10:35,240 Speaker 1: to die from malnutrition. That doesn't mean that they are safe. 188 00:10:35,280 --> 00:10:37,560 Speaker 1: It doesn't mean that they are in a place where 189 00:10:37,960 --> 00:10:39,880 Speaker 1: we don't have to worry or we don't have to care. 190 00:10:40,160 --> 00:10:44,360 Speaker 1: And these disorders are progressive, which means they might not 191 00:10:44,559 --> 00:10:49,439 Speaker 1: start how they end. They continue to get worse over time, 192 00:10:49,600 --> 00:10:52,440 Speaker 1: and the more time we ignore, or the more time 193 00:10:52,520 --> 00:10:54,160 Speaker 1: we are like, oh, it's not the big of a deal, 194 00:10:54,400 --> 00:10:57,040 Speaker 1: the more time these disorders have to develop into some 195 00:10:57,120 --> 00:11:06,920 Speaker 1: of the things that would lead to some losing their life. 196 00:11:07,800 --> 00:11:09,800 Speaker 1: The way that I work with eating disorders is I 197 00:11:09,960 --> 00:11:13,800 Speaker 1: have come to use the view of addiction to help 198 00:11:14,000 --> 00:11:16,600 Speaker 1: a lot of the work that I do. And not 199 00:11:16,679 --> 00:11:19,719 Speaker 1: everybody is going to agree with that. It's what has 200 00:11:19,760 --> 00:11:22,400 Speaker 1: helped me and helped a lot of my clients look 201 00:11:22,480 --> 00:11:25,440 Speaker 1: at their disorder and work with their disorder in a 202 00:11:25,480 --> 00:11:29,520 Speaker 1: way that feels true. And if you look at the 203 00:11:29,520 --> 00:11:32,959 Speaker 1: way a lot of people define addiction, including somebody that 204 00:11:32,960 --> 00:11:35,960 Speaker 1: I've talked about a lot on here, Gabor Mate, he says, 205 00:11:36,000 --> 00:11:39,199 Speaker 1: addiction includes any behavior that a person craves and finds 206 00:11:39,280 --> 00:11:43,560 Speaker 1: temporary relief or pleasure in, but suffers negative consequences as 207 00:11:43,559 --> 00:11:48,400 Speaker 1: a result of and yet difficulty giving up. So these 208 00:11:48,440 --> 00:11:51,800 Speaker 1: disorders are things that have helped them, right, We've found 209 00:11:51,840 --> 00:11:54,520 Speaker 1: behaviors that have really helped us live in a world 210 00:11:55,040 --> 00:12:01,000 Speaker 1: that has you know, hurt us or fell short or 211 00:12:01,440 --> 00:12:05,400 Speaker 1: been scary. It's helped us survive a world. And at 212 00:12:05,400 --> 00:12:07,920 Speaker 1: a certain point these behaviors are no longer helping us, 213 00:12:07,920 --> 00:12:10,560 Speaker 1: but we cannot let go of them. Like I said, 214 00:12:10,559 --> 00:12:14,760 Speaker 1: it's a progressive disorder, and it often begins with harmless intentions. 215 00:12:15,200 --> 00:12:19,640 Speaker 1: This isn't bad people or unintelligent people, or people that 216 00:12:19,760 --> 00:12:22,280 Speaker 1: just want to wreak havoc on their lives and other 217 00:12:22,280 --> 00:12:25,160 Speaker 1: people's lives. These are people who are trying to survive. 218 00:12:26,000 --> 00:12:29,600 Speaker 1: And I've used this metaphor on here before. I usually 219 00:12:30,000 --> 00:12:31,400 Speaker 1: use this metaphor and the work that I do a 220 00:12:31,440 --> 00:12:33,880 Speaker 1: lot with clients to help them and their families understand 221 00:12:34,160 --> 00:12:36,839 Speaker 1: a different way of looking at what they're doing. It's 222 00:12:36,880 --> 00:12:40,360 Speaker 1: a log metaphor. So imagine you are swimming in a 223 00:12:40,440 --> 00:12:44,160 Speaker 1: river and you're having a wonderful time and everything's fine, 224 00:12:44,160 --> 00:12:47,199 Speaker 1: and then all of a sudden, a storm comes and 225 00:12:47,280 --> 00:12:50,080 Speaker 1: you are feeling like you're drowning, like your head is 226 00:12:50,080 --> 00:12:52,560 Speaker 1: bobbing up and down. You're reaching, you're grabbing for anything, 227 00:12:52,600 --> 00:12:55,320 Speaker 1: and finally you come upon a log and you grab 228 00:12:55,360 --> 00:12:57,319 Speaker 1: onto this log and you hold it and it helps 229 00:12:57,360 --> 00:13:01,280 Speaker 1: you float and it keeps you there till the storm passes. 230 00:13:02,320 --> 00:13:04,280 Speaker 1: And then the storm passes and you can't let go 231 00:13:04,320 --> 00:13:08,200 Speaker 1: of the log, and you want to get out of 232 00:13:08,200 --> 00:13:10,960 Speaker 1: the water. You want to walk to land, like you 233 00:13:11,000 --> 00:13:12,760 Speaker 1: want to be done swimming, but you can't let go 234 00:13:12,800 --> 00:13:15,920 Speaker 1: of this log. And so this thing that once helped 235 00:13:16,000 --> 00:13:18,720 Speaker 1: keep you afloat and keep you alive now is holding 236 00:13:18,760 --> 00:13:20,600 Speaker 1: you back from doing the things that you want to do. 237 00:13:21,040 --> 00:13:23,000 Speaker 1: And so this thing that was very helpful now is 238 00:13:23,040 --> 00:13:27,079 Speaker 1: giving you negative consequences. But it's so hard to let go. 239 00:13:27,880 --> 00:13:30,640 Speaker 1: People ask all the time, like where do these disorders 240 00:13:30,640 --> 00:13:33,120 Speaker 1: come from? Like who is going to get them? Who's 241 00:13:33,160 --> 00:13:35,400 Speaker 1: more likely to get them? And why would somebody get them? 242 00:13:35,400 --> 00:13:39,559 Speaker 1: And eating disorders are biopsychosocial disorders, which means there are 243 00:13:39,600 --> 00:13:43,480 Speaker 1: biological factors, psychological factors, and social factors that play into 244 00:13:43,480 --> 00:13:47,839 Speaker 1: the development. So there might be family history, there might 245 00:13:47,880 --> 00:13:51,120 Speaker 1: be history of dieting in your own life or in 246 00:13:51,160 --> 00:13:54,560 Speaker 1: your family's life. There might be a genetic predisposition for 247 00:13:54,600 --> 00:13:56,840 Speaker 1: you to develop this disorder. That doesn't mean you're going 248 00:13:56,880 --> 00:13:59,680 Speaker 1: to develop it. It means those are just contributing factors 249 00:13:59,679 --> 00:14:02,920 Speaker 1: to it being developed. You might be somebody who is 250 00:14:02,920 --> 00:14:06,160 Speaker 1: more geared toward perfectionism. You might have a history of 251 00:14:06,240 --> 00:14:10,040 Speaker 1: other mental health disorders. This is going to also play 252 00:14:10,040 --> 00:14:12,959 Speaker 1: a role in the different attachment styles and how we 253 00:14:13,040 --> 00:14:16,200 Speaker 1: develop those attachment styles, how we get our needs met, 254 00:14:16,559 --> 00:14:19,320 Speaker 1: the way that we experience the world, and then the 255 00:14:19,400 --> 00:14:23,280 Speaker 1: social cultural factors like WETE stigma in our world, if 256 00:14:23,320 --> 00:14:27,320 Speaker 1: you've experienced bullying or teasing, what's normal in your culture, 257 00:14:27,480 --> 00:14:30,240 Speaker 1: what kind of behaviors are normal, type of bodies are normal, 258 00:14:30,920 --> 00:14:33,960 Speaker 1: what type of behaviors are normal? And then trauma is 259 00:14:34,000 --> 00:14:36,640 Speaker 1: a big part. I'm not saying this is the end 260 00:14:36,640 --> 00:14:39,240 Speaker 1: all be all, but I have not ever seen a 261 00:14:39,280 --> 00:14:42,760 Speaker 1: client who has struggled with an eating disorder who had 262 00:14:42,840 --> 00:14:46,920 Speaker 1: no cultural social factors in the development of it. It's 263 00:14:46,920 --> 00:14:50,600 Speaker 1: a big part. And especially in the culture that I 264 00:14:50,720 --> 00:14:53,720 Speaker 1: live in in the United States and also in the 265 00:14:53,760 --> 00:14:56,640 Speaker 1: southern part of the United States, there is a lot 266 00:14:56,680 --> 00:15:00,400 Speaker 1: of stigma and a lot of pressure and a lot 267 00:15:00,480 --> 00:15:04,120 Speaker 1: of confusing information that plays a big role in how 268 00:15:04,160 --> 00:15:08,480 Speaker 1: these things develop. And what I really want to stress 269 00:15:09,000 --> 00:15:13,800 Speaker 1: in helping people understand these types of disorders is that 270 00:15:14,360 --> 00:15:19,120 Speaker 1: to understand a needing disorder, we have to understand why 271 00:15:19,160 --> 00:15:22,040 Speaker 1: someone is drawn to the behaviors they're engaging in, why 272 00:15:22,160 --> 00:15:26,840 Speaker 1: somebody needed to reach for that log. Right, We can't 273 00:15:26,880 --> 00:15:29,520 Speaker 1: just look at the behaviors. And I don't think it's 274 00:15:29,640 --> 00:15:32,800 Speaker 1: bad or wrong for there to be a focus on 275 00:15:33,160 --> 00:15:37,240 Speaker 1: behavior change in the treatment of these disorders. We need that, 276 00:15:38,040 --> 00:15:40,480 Speaker 1: but we need a bunch of things. We need a 277 00:15:40,480 --> 00:15:44,560 Speaker 1: combination of things to really heal because of the nuance 278 00:15:44,760 --> 00:15:48,120 Speaker 1: in what these disorders are doing for people. Right, So 279 00:15:48,160 --> 00:15:51,040 Speaker 1: it's not just about the behavior, because if we could 280 00:15:51,080 --> 00:15:55,440 Speaker 1: just stop the behavior, then great, But these things didn't 281 00:15:55,760 --> 00:15:58,520 Speaker 1: start just because somebody wanted to start a behavior. They 282 00:15:58,560 --> 00:16:00,840 Speaker 1: started because there is a need there. We need to 283 00:16:00,880 --> 00:16:03,160 Speaker 1: know more than just what they are doing. We need 284 00:16:03,200 --> 00:16:05,880 Speaker 1: to know why they are doing it. It's one of 285 00:16:05,880 --> 00:16:08,960 Speaker 1: the reasons this treatment can feel so complex because there's 286 00:16:08,960 --> 00:16:11,760 Speaker 1: no handbook to treat all eating disorders. We have to 287 00:16:11,800 --> 00:16:15,720 Speaker 1: have individualized treatment for each person. What makes it appealing 288 00:16:15,800 --> 00:16:19,440 Speaker 1: to them? And if we're not asking those questions, then 289 00:16:19,480 --> 00:16:22,760 Speaker 1: we're doing a disservice to the people that are asking 290 00:16:22,840 --> 00:16:26,480 Speaker 1: us for help. My favorite, favorite favorite scene from ted 291 00:16:26,560 --> 00:16:29,640 Speaker 1: Lasso is the dart scene, and if you guys are 292 00:16:29,680 --> 00:16:32,560 Speaker 1: familiar with ted Lasso, it's the scene where he's playing 293 00:16:32,640 --> 00:16:37,040 Speaker 1: darts and he tells the story about the quote Walt 294 00:16:37,080 --> 00:16:42,040 Speaker 1: women be curious versus judgmental, and about how people need 295 00:16:42,080 --> 00:16:45,400 Speaker 1: to ask questions and if people ask more questions, they 296 00:16:45,440 --> 00:16:49,480 Speaker 1: would have better understanding of people versus making an assumption 297 00:16:49,560 --> 00:16:52,000 Speaker 1: of who they are based on the outside. And he 298 00:16:52,160 --> 00:16:54,080 Speaker 1: was playing the game of darts, and if the person 299 00:16:54,080 --> 00:16:56,520 Speaker 1: would have said, hey, Ted, have you ever played darts before? 300 00:16:56,800 --> 00:16:59,360 Speaker 1: He would say yes every Sunday from when I was 301 00:16:59,600 --> 00:17:03,480 Speaker 1: only exactly the age, like eight to sixteen with my dad, 302 00:17:03,600 --> 00:17:06,640 Speaker 1: and that maybe you wouldn't have challenged him to this 303 00:17:06,800 --> 00:17:09,240 Speaker 1: game of darts because you know he was gonna win. 304 00:17:09,680 --> 00:17:11,760 Speaker 1: But I love that story and I love that quote, 305 00:17:11,800 --> 00:17:15,160 Speaker 1: and I think that's where a lot of misunderstanding comes from, 306 00:17:15,520 --> 00:17:18,560 Speaker 1: is we don't ask questions. We assume things based on 307 00:17:18,720 --> 00:17:23,480 Speaker 1: other people or ourselves or books we've read or whatever, 308 00:17:23,600 --> 00:17:27,400 Speaker 1: versus really getting to know these individual clients. And I 309 00:17:27,400 --> 00:17:31,480 Speaker 1: had a client years ago who I was working with, 310 00:17:31,600 --> 00:17:34,480 Speaker 1: and I mean it changed the game when it came 311 00:17:34,520 --> 00:17:37,600 Speaker 1: to the type of therapist I was. She would come 312 00:17:37,640 --> 00:17:41,600 Speaker 1: in every week and she was tough, and I would 313 00:17:41,640 --> 00:17:45,719 Speaker 1: get pretty frustrated because it felt like every single week 314 00:17:46,359 --> 00:17:49,399 Speaker 1: it was the same thing. Everything was horrible, everything was bad. 315 00:17:50,240 --> 00:17:53,000 Speaker 1: Everybody was bad in her life. Everything was bad, like 316 00:17:53,119 --> 00:17:57,840 Speaker 1: everything was bad. And I finally said one day, like, 317 00:17:58,040 --> 00:18:01,080 Speaker 1: you know, I feel like every week could come in 318 00:18:01,119 --> 00:18:04,200 Speaker 1: here and it's the same thing. Everything sucks in your life. 319 00:18:05,000 --> 00:18:08,760 Speaker 1: Is there anything good? Is there anything that you like 320 00:18:08,800 --> 00:18:10,720 Speaker 1: about your life that you want to talk about, even 321 00:18:10,760 --> 00:18:14,040 Speaker 1: if it's for five minutes? And she said yeah. And 322 00:18:14,119 --> 00:18:16,920 Speaker 1: she did a lot of art, so she expressed herself 323 00:18:16,920 --> 00:18:18,879 Speaker 1: throughout he a lot. And so she got some butcher 324 00:18:18,920 --> 00:18:22,760 Speaker 1: paper out and some paint and she said she wanted 325 00:18:22,760 --> 00:18:25,320 Speaker 1: to paint me a picture, and she did that and 326 00:18:25,359 --> 00:18:28,040 Speaker 1: then when she was done, she had me turn around. 327 00:18:28,160 --> 00:18:31,720 Speaker 1: And this was like twenty seventeen. I still have this 328 00:18:31,920 --> 00:18:34,280 Speaker 1: piece of art she made, and it was a painting 329 00:18:34,359 --> 00:18:36,960 Speaker 1: she made of herself with all the things that she 330 00:18:37,000 --> 00:18:40,000 Speaker 1: loves about herself. And I looked at her and I said, 331 00:18:40,080 --> 00:18:43,199 Speaker 1: wait a second, why don't I know about this? Like 332 00:18:43,240 --> 00:18:46,679 Speaker 1: why have you never told me about these things that 333 00:18:46,720 --> 00:18:49,639 Speaker 1: you like about yourself? And she just looked at me 334 00:18:49,680 --> 00:18:52,760 Speaker 1: scoring the face and said, well, you've never asked. And 335 00:18:53,040 --> 00:18:55,439 Speaker 1: that was so powerful to me because she's right, like 336 00:18:55,480 --> 00:18:57,359 Speaker 1: I didn't ask about That was the first time I 337 00:18:57,400 --> 00:19:00,639 Speaker 1: asked about the things she liked. I was asking the 338 00:19:00,680 --> 00:19:02,920 Speaker 1: same type of questions. I was doing the same thing, 339 00:19:03,520 --> 00:19:06,439 Speaker 1: and I was, you know, the whole idea of insanity, right, 340 00:19:06,440 --> 00:19:08,399 Speaker 1: I was doing the same thing expecting a different result. 341 00:19:09,280 --> 00:19:12,280 Speaker 1: Instead of actually getting curious about other parts of her life, 342 00:19:12,320 --> 00:19:14,359 Speaker 1: I was focusing on something that maybe didn't need to 343 00:19:14,400 --> 00:19:16,520 Speaker 1: be focused on. And from that I really took to 344 00:19:16,560 --> 00:19:19,679 Speaker 1: heart how important it is to ask our clients and 345 00:19:19,720 --> 00:19:21,440 Speaker 1: ask the people that were with a lot of questions 346 00:19:21,440 --> 00:19:24,800 Speaker 1: instead of just assuming, right, I just assumed because these 347 00:19:24,840 --> 00:19:27,280 Speaker 1: things sucked, she hated everything out her life, and that 348 00:19:27,400 --> 00:19:31,400 Speaker 1: was not true. The other thing with eating disorders too 349 00:19:31,600 --> 00:19:35,960 Speaker 1: is oftentimes there's a huge sensory issue going on, a 350 00:19:36,000 --> 00:19:40,280 Speaker 1: sensory processing issue that they are experiencing that we're not experiencing, 351 00:19:41,119 --> 00:19:43,720 Speaker 1: and that's not something we can see. And sometimes it's 352 00:19:43,720 --> 00:19:46,600 Speaker 1: not something they can totally explain because they might not 353 00:19:46,720 --> 00:19:50,240 Speaker 1: know that that's that it's different, or that we wouldn't 354 00:19:50,280 --> 00:19:52,520 Speaker 1: know about that because it's we all assume that our 355 00:19:52,560 --> 00:19:56,119 Speaker 1: experiences experienced that other people are having. And so with 356 00:19:56,200 --> 00:19:58,840 Speaker 1: eating disorders, there's a lot of noise involved, like a 357 00:19:58,880 --> 00:20:01,280 Speaker 1: lot of sensory noise that's involved. And so if we 358 00:20:01,480 --> 00:20:05,239 Speaker 1: are asking somebody to do something, whether that's sit in 359 00:20:05,280 --> 00:20:09,000 Speaker 1: this discomfort or eat this food, or do this thing 360 00:20:09,359 --> 00:20:12,360 Speaker 1: or whatever it is, we have to also take into 361 00:20:12,440 --> 00:20:16,520 Speaker 1: account that doing that might be really, really, really overwhelming 362 00:20:16,560 --> 00:20:19,640 Speaker 1: in ways that we can't understand unless we really get 363 00:20:19,680 --> 00:20:23,199 Speaker 1: curious about their experience. And that's why a lot of 364 00:20:23,240 --> 00:20:28,160 Speaker 1: clients can't stand their bodies, because their bodies are so overwhelming. 365 00:20:28,640 --> 00:20:31,320 Speaker 1: And it's not just about body image, right, It's about 366 00:20:31,359 --> 00:20:34,880 Speaker 1: the experience of being in their body, and it might 367 00:20:34,920 --> 00:20:38,320 Speaker 1: not be an experience that we know ourselves, and so 368 00:20:38,440 --> 00:20:42,360 Speaker 1: it's our duty to really get into knowing our clients 369 00:20:42,520 --> 00:20:45,080 Speaker 1: and knowing the people that we're working with and talking with. 370 00:20:45,680 --> 00:20:48,639 Speaker 1: So we have to ask questions again, going back to 371 00:20:48,720 --> 00:20:51,000 Speaker 1: like what is this behavior doing, what is the function 372 00:20:51,119 --> 00:20:53,320 Speaker 1: of your own eating disorder, and allowing there to be 373 00:20:53,359 --> 00:20:56,280 Speaker 1: space for there to be different answers. A lot of 374 00:20:56,320 --> 00:20:59,600 Speaker 1: times when you ask people, it's true for addiction in general, 375 00:21:00,040 --> 00:21:02,320 Speaker 1: what is your disorder doing for you? What are these 376 00:21:02,359 --> 00:21:05,600 Speaker 1: behaviors doing for you? People will say things like feeling 377 00:21:05,640 --> 00:21:08,600 Speaker 1: of control, And there are a million different ways that 378 00:21:08,720 --> 00:21:12,080 Speaker 1: control comes into play here. Self protection a way to 379 00:21:12,119 --> 00:21:15,960 Speaker 1: feel safe, attempting to find value or worth, belonging, sense 380 00:21:16,000 --> 00:21:20,560 Speaker 1: of relief, a way to escape, sense of punishment, companionship, dissociation. 381 00:21:20,640 --> 00:21:22,960 Speaker 1: There's all these different things that people will say, and 382 00:21:23,040 --> 00:21:25,640 Speaker 1: a lot of these things, when it comes down to it, 383 00:21:26,240 --> 00:21:29,879 Speaker 1: they are normal human things like that we all want. 384 00:21:30,280 --> 00:21:32,879 Speaker 1: We can't get mad at people, and we can't blame 385 00:21:32,960 --> 00:21:35,480 Speaker 1: people for wanting these things because there are the things 386 00:21:35,480 --> 00:21:38,119 Speaker 1: that I want too. I want value and worth. I 387 00:21:38,119 --> 00:21:41,000 Speaker 1: want to belong in a world. I want to feel protected. 388 00:21:41,600 --> 00:21:43,760 Speaker 1: I want to control what I can control in my life. 389 00:21:44,320 --> 00:21:45,920 Speaker 1: I want to be able to have a sense of relief. 390 00:21:45,960 --> 00:21:48,720 Speaker 1: I need to escape in places. I want a companion. 391 00:21:49,280 --> 00:21:51,639 Speaker 1: Sometimes I need to associate when the world is too much. 392 00:21:52,520 --> 00:21:55,280 Speaker 1: And so when we ask people what these things are 393 00:21:55,280 --> 00:21:57,560 Speaker 1: doing for them, it also gives us a more compassionate 394 00:21:57,600 --> 00:22:01,160 Speaker 1: way of looking at to the people that are struggling 395 00:22:01,160 --> 00:22:03,560 Speaker 1: with these diseases that on the outside are so confusing. 396 00:22:03,800 --> 00:22:08,320 Speaker 1: Right the clients and the individuals who have eating disorders 397 00:22:08,560 --> 00:22:12,360 Speaker 1: lack tools, resources and skills to find things that they're 398 00:22:12,359 --> 00:22:14,000 Speaker 1: truly looking for. And a lot of times when we 399 00:22:14,040 --> 00:22:17,920 Speaker 1: boil these things down, it comes to love, connection and belonging, 400 00:22:18,280 --> 00:22:20,920 Speaker 1: like a combination of those things. What we're really looking 401 00:22:20,960 --> 00:22:24,720 Speaker 1: for is a way to feel connected and belong and 402 00:22:24,760 --> 00:22:28,880 Speaker 1: to feel loved in the world. And these behaviors give 403 00:22:28,960 --> 00:22:33,520 Speaker 1: us an illusion that we can somehow do that. And again, 404 00:22:33,600 --> 00:22:37,360 Speaker 1: these things make clients feel better until they don't. They 405 00:22:37,359 --> 00:22:39,680 Speaker 1: are things that they can always count on to be there. 406 00:22:39,720 --> 00:22:43,720 Speaker 1: That's where that companionship comes in. The control. If that's 407 00:22:43,760 --> 00:22:47,560 Speaker 1: your companion, you have control of whether somebody leaves you 408 00:22:47,680 --> 00:22:50,520 Speaker 1: or not. Right. Also, if we have the thought that 409 00:22:50,560 --> 00:22:52,680 Speaker 1: we can manipulate our body in different ways, and that's 410 00:22:52,720 --> 00:22:55,119 Speaker 1: what allows people to come into and out of our lives, 411 00:22:55,359 --> 00:22:57,680 Speaker 1: that gives us us control and the sphere of rejection 412 00:22:57,800 --> 00:23:00,760 Speaker 1: and abandonment that comes into play when we talk about attachment, 413 00:23:01,720 --> 00:23:06,240 Speaker 1: and also the preoccupation with the behaviors and the disorders. 414 00:23:06,240 --> 00:23:09,439 Speaker 1: And even when like we're preoccupied with our body image 415 00:23:09,480 --> 00:23:13,199 Speaker 1: or we're preoccupied with food and we're preoccupied with all 416 00:23:13,240 --> 00:23:16,080 Speaker 1: the things that have to do with a disorder, actually 417 00:23:16,240 --> 00:23:18,800 Speaker 1: that is not because we really want to be preoccupied 418 00:23:18,840 --> 00:23:21,640 Speaker 1: with those things. It's a way to shift our focus 419 00:23:22,040 --> 00:23:24,320 Speaker 1: when there's other things we don't want to pay attention to. 420 00:23:24,480 --> 00:23:27,160 Speaker 1: When the world is too much. When there's parts, when 421 00:23:27,200 --> 00:23:30,359 Speaker 1: there's certain sensations or experiences in our bodies that feel 422 00:23:30,400 --> 00:23:33,720 Speaker 1: too much, when our pain in some area is too much, 423 00:23:34,440 --> 00:23:37,360 Speaker 1: we have a way of distracting ourselves and I can 424 00:23:37,400 --> 00:23:41,160 Speaker 1: shift my focus on what happens in my eating disorder 425 00:23:41,960 --> 00:23:45,479 Speaker 1: and going back to these are human things that we 426 00:23:45,560 --> 00:23:48,639 Speaker 1: all want. Like that to me is like a strong 427 00:23:48,880 --> 00:23:51,800 Speaker 1: type of resilience. Right. I can find a way to 428 00:23:51,880 --> 00:23:54,400 Speaker 1: feel safer and better in this world. Of course I'm 429 00:23:54,400 --> 00:23:57,800 Speaker 1: going to do it. The problem is the progressiveness of 430 00:23:57,840 --> 00:24:00,159 Speaker 1: these disorders is it's only going to help or a 431 00:24:00,200 --> 00:24:02,679 Speaker 1: certain amount of time, and it's going to continue to 432 00:24:02,760 --> 00:24:05,000 Speaker 1: like we have to like up the ante and these 433 00:24:05,040 --> 00:24:07,520 Speaker 1: things that might not have been really unsafe now are 434 00:24:07,520 --> 00:24:11,680 Speaker 1: we'recoming actually unsafe when it comes to our health, which 435 00:24:11,720 --> 00:24:15,879 Speaker 1: is really confusing to somebody who those behaviors those have helped. 436 00:24:23,280 --> 00:24:28,119 Speaker 1: Now working with these disorders is very complicated and a 437 00:24:28,160 --> 00:24:30,720 Speaker 1: lot of times it feels like we're swimming upstream. A 438 00:24:30,760 --> 00:24:32,400 Speaker 1: lot of that has to do with the fact that, 439 00:24:32,480 --> 00:24:35,720 Speaker 1: like I said before, every single one looks different. There's 440 00:24:35,800 --> 00:24:39,240 Speaker 1: no single cause. The function of the disorder differs from 441 00:24:39,240 --> 00:24:41,800 Speaker 1: client to client. Therefore, the treatment and the recovery is 442 00:24:41,840 --> 00:24:43,920 Speaker 1: going to look different. It's not a one size fits all, 443 00:24:44,520 --> 00:24:47,200 Speaker 1: and a lot of times we want that because then 444 00:24:47,240 --> 00:24:49,440 Speaker 1: we can know, Okay, that's recovery for that person, that's 445 00:24:49,480 --> 00:24:53,359 Speaker 1: disease for that person. That's not always the case. You Also, 446 00:24:53,600 --> 00:24:56,040 Speaker 1: when we're working with these you need a team, right. 447 00:24:56,200 --> 00:24:59,080 Speaker 1: We need therapists, we need dieticians, we need psychiatrists, we 448 00:24:59,080 --> 00:25:04,439 Speaker 1: need physicians PCPs part of the conversation, because they all 449 00:25:04,440 --> 00:25:07,760 Speaker 1: have information about the body and the brain and the 450 00:25:07,880 --> 00:25:12,119 Speaker 1: individual that fits into a puzzle, and a lot of 451 00:25:12,119 --> 00:25:15,280 Speaker 1: times communicating with that team is really hard when you're 452 00:25:15,280 --> 00:25:18,280 Speaker 1: working on an outpatient level like me in a private practice, 453 00:25:18,359 --> 00:25:20,919 Speaker 1: because we're all in our own spaces and for us 454 00:25:20,960 --> 00:25:23,600 Speaker 1: to all come together at once, it's really tough when 455 00:25:23,640 --> 00:25:25,560 Speaker 1: we're talking about the amount of time we have in 456 00:25:25,600 --> 00:25:28,520 Speaker 1: each day. And that's why a lot of times clients 457 00:25:28,520 --> 00:25:30,720 Speaker 1: who are struggling with these disorders end up in treatment 458 00:25:30,760 --> 00:25:32,760 Speaker 1: because you need to be in a place where the 459 00:25:32,760 --> 00:25:38,160 Speaker 1: team can really work cohesively together, and triangulation happens a lot. 460 00:25:38,400 --> 00:25:40,159 Speaker 1: And for those of you who are not familiar with 461 00:25:40,160 --> 00:25:42,800 Speaker 1: that is a really easy way to describe that is 462 00:25:42,840 --> 00:25:46,280 Speaker 1: when a client is working with a therapist and a dietitian, 463 00:25:46,960 --> 00:25:49,680 Speaker 1: and the client creates like a good cop and bad 464 00:25:49,720 --> 00:25:53,040 Speaker 1: cop scenario in that so the dietitian might say one 465 00:25:53,080 --> 00:25:56,200 Speaker 1: thing and the client tells the therapists that the dietitian 466 00:25:56,240 --> 00:25:59,760 Speaker 1: said something else. It's like, well, my dietitian said xyz, 467 00:26:00,080 --> 00:26:02,920 Speaker 1: and I'm thinking what they said what. I can't believe 468 00:26:02,920 --> 00:26:06,200 Speaker 1: they said that, And so it's like, Okay, we got 469 00:26:06,200 --> 00:26:07,520 Speaker 1: to get you a new dietician. I can't believe they 470 00:26:07,520 --> 00:26:09,399 Speaker 1: would say that to you. And so the client is 471 00:26:09,480 --> 00:26:11,960 Speaker 1: kind of buying time in order to like actually do 472 00:26:12,000 --> 00:26:14,359 Speaker 1: the work that they need to do, kind of pinning 473 00:26:14,359 --> 00:26:16,960 Speaker 1: the professionals against each other. And so it's really important 474 00:26:16,960 --> 00:26:20,040 Speaker 1: for the professionals to be talking because the person who 475 00:26:20,320 --> 00:26:23,320 Speaker 1: is getting the help, the individual with a disorder, Yeah, 476 00:26:23,400 --> 00:26:26,159 Speaker 1: they are there to get the help, and on the 477 00:26:26,200 --> 00:26:28,800 Speaker 1: surface sometimes we're like, okay, well they're here, obviously they 478 00:26:28,800 --> 00:26:32,680 Speaker 1: want help. At the same time, their eating disorder is panicking, right, 479 00:26:32,840 --> 00:26:35,119 Speaker 1: that's something that has helped them keep them safe, and 480 00:26:35,200 --> 00:26:37,919 Speaker 1: so if they really get help that they need, that 481 00:26:38,320 --> 00:26:41,480 Speaker 1: eating disorder loses its own life. And so it's working 482 00:26:41,560 --> 00:26:44,040 Speaker 1: overtime to try to stay alive. So it's going to 483 00:26:44,040 --> 00:26:47,399 Speaker 1: be doing these deceptive things trying to like confuse the 484 00:26:47,480 --> 00:26:51,320 Speaker 1: professionals to slow that actual progress down, so that can 485 00:26:51,359 --> 00:26:54,920 Speaker 1: be really tough and make the work really complicated. Also, 486 00:26:55,200 --> 00:26:58,720 Speaker 1: our culture glamorizes and rewards eating disorder behaviors and symptoms, 487 00:26:58,760 --> 00:27:02,280 Speaker 1: and that is just a that they are misunderstood by 488 00:27:02,320 --> 00:27:06,000 Speaker 1: a lot of health professionals, and the behaviors involved in 489 00:27:06,040 --> 00:27:09,440 Speaker 1: them are often prescribed, and these things are also misunderstood 490 00:27:09,440 --> 00:27:11,240 Speaker 1: by friends and family. It's why a lot of people 491 00:27:11,280 --> 00:27:14,359 Speaker 1: will get complicated on some of the side effects of 492 00:27:14,400 --> 00:27:18,760 Speaker 1: their disorder, whether that is their body changing or things 493 00:27:18,800 --> 00:27:21,600 Speaker 1: like that that actually are like, oh, that's actually a 494 00:27:21,640 --> 00:27:24,399 Speaker 1: byproduct of this disorder that I have that I'm actually 495 00:27:24,400 --> 00:27:27,679 Speaker 1: trying to work on. And so it's really hard to 496 00:27:27,720 --> 00:27:31,080 Speaker 1: hear that, especially when you're trying to get rid of 497 00:27:31,080 --> 00:27:34,359 Speaker 1: that or become more healthy. It's like, oh, well, is 498 00:27:34,400 --> 00:27:36,760 Speaker 1: that going to threaten going back to the needs? Is 499 00:27:36,800 --> 00:27:40,240 Speaker 1: that going to threaten my connection in my community? Because 500 00:27:40,520 --> 00:27:43,160 Speaker 1: these people like this part of me, So wait, why 501 00:27:43,160 --> 00:27:45,159 Speaker 1: am I trying to get rid of it? And like 502 00:27:45,200 --> 00:27:47,760 Speaker 1: I said, this can feel like we're swimming upstream in 503 00:27:47,800 --> 00:27:49,480 Speaker 1: the work that we're doing, and for the clients it 504 00:27:49,480 --> 00:27:53,000 Speaker 1: can feel like they're swimming upstream. The medical world, categorizing 505 00:27:53,040 --> 00:27:57,920 Speaker 1: obciated as a disease is really confusing and really difficult 506 00:27:58,119 --> 00:28:00,320 Speaker 1: in some of the work that we do, So it 507 00:28:00,359 --> 00:28:05,560 Speaker 1: creates immense phobia, stigmas, and a lot of internalized biases 508 00:28:05,680 --> 00:28:09,399 Speaker 1: that we as professionals even have to work on. Not 509 00:28:09,560 --> 00:28:13,359 Speaker 1: only does this compromise the individual's healthcare, but it also 510 00:28:13,440 --> 00:28:18,919 Speaker 1: compromises how the professionals working with them are viewing them. Right, So, 511 00:28:18,960 --> 00:28:21,000 Speaker 1: if you are somebody who's working in the space, what's 512 00:28:21,200 --> 00:28:24,960 Speaker 1: really important to do is check our own beliefs about weight, 513 00:28:25,080 --> 00:28:29,600 Speaker 1: about bodies, and about eating behaviors. At eating disorder therapists 514 00:28:29,600 --> 00:28:32,120 Speaker 1: who's on a juice cleanse is a very confusing eating 515 00:28:32,200 --> 00:28:36,120 Speaker 1: disorder therapist That gives us some information of what they 516 00:28:36,200 --> 00:28:39,880 Speaker 1: think about health and wellness, and modeling is a big 517 00:28:39,920 --> 00:28:43,239 Speaker 1: part of this. So if I have a lot of 518 00:28:43,240 --> 00:28:46,120 Speaker 1: internalized fat phobia, or if I have a lot of 519 00:28:46,320 --> 00:28:50,120 Speaker 1: internalized biases about myself and the world that are not 520 00:28:50,480 --> 00:28:55,000 Speaker 1: processed as a professional, I am going to be probably 521 00:28:55,120 --> 00:28:58,360 Speaker 1: accidentally but putting those on my clients. And that's a 522 00:28:58,360 --> 00:29:01,160 Speaker 1: lot of times I'll get clients who have worked with 523 00:29:01,320 --> 00:29:05,240 Speaker 1: therapists not just on their eating disorder, maybe on other things, 524 00:29:05,320 --> 00:29:08,880 Speaker 1: and even those therapists will prescribe eating disorder behaviors to 525 00:29:08,960 --> 00:29:12,920 Speaker 1: those clients, right because they don't know what they are doing. 526 00:29:12,960 --> 00:29:16,880 Speaker 1: Sometimes like clients coming in and talking about their body 527 00:29:16,920 --> 00:29:20,000 Speaker 1: and confidence and like, well, why don't you go on 528 00:29:20,080 --> 00:29:22,160 Speaker 1: Whole thirty, or have you tried this it worked for me? 529 00:29:22,400 --> 00:29:25,240 Speaker 1: Or yeah, they'll put their own experience of yeah, when 530 00:29:25,360 --> 00:29:29,680 Speaker 1: I gained weight during XYZ, that was really hard for me, 531 00:29:29,760 --> 00:29:31,840 Speaker 1: and I tried this diet, or I went to this 532 00:29:31,920 --> 00:29:36,720 Speaker 1: gym and it was really helpful. And that although comes 533 00:29:36,720 --> 00:29:39,760 Speaker 1: from probably a good place, it's also really confusing for 534 00:29:39,840 --> 00:29:43,560 Speaker 1: somebody who is prone to develop an eating disorder, or 535 00:29:43,560 --> 00:29:46,479 Speaker 1: maybe somebody who has had one and maybe doesn't or 536 00:29:46,520 --> 00:29:49,560 Speaker 1: didn't want you to know about it. Because we, as 537 00:29:49,600 --> 00:29:53,600 Speaker 1: people who are in eating disorders, are looking for reasons 538 00:29:53,640 --> 00:29:57,720 Speaker 1: to stay in it. So if I hear somebody say 539 00:29:57,760 --> 00:30:01,680 Speaker 1: that I'm looking for confirm evidence, right, well, my therapist 540 00:30:01,760 --> 00:30:04,320 Speaker 1: said that, that's okay, or my therapist said this, or 541 00:30:04,320 --> 00:30:06,840 Speaker 1: my doctor said that, and that kind of stuff is 542 00:30:06,920 --> 00:30:10,400 Speaker 1: really hard to untangle diet culture talk about this all 543 00:30:10,440 --> 00:30:13,920 Speaker 1: the time is just getting smarter. They are rebranding and 544 00:30:14,040 --> 00:30:18,360 Speaker 1: hijacking anything and everything they can. And I don't believe 545 00:30:18,360 --> 00:30:21,600 Speaker 1: that they are responsible for all eating disorders. But what 546 00:30:21,640 --> 00:30:23,960 Speaker 1: I do believe is that they reinforce and have the 547 00:30:24,080 --> 00:30:27,800 Speaker 1: power to reinforce every single one of them. And in 548 00:30:27,960 --> 00:30:30,840 Speaker 1: diet culture, the message that is often heard from clients 549 00:30:30,920 --> 00:30:34,239 Speaker 1: is what or how you are is wrong, and you 550 00:30:34,280 --> 00:30:36,240 Speaker 1: need to change yourself in order to fit in the 551 00:30:36,280 --> 00:30:39,760 Speaker 1: world or to experience the world in a better way. 552 00:30:40,360 --> 00:30:43,000 Speaker 1: And that's really tough. And if we hear that message 553 00:30:43,720 --> 00:30:45,560 Speaker 1: all of the time and over and over and over 554 00:30:45,600 --> 00:30:48,560 Speaker 1: in different ways, it's gonna wear on us. And we're 555 00:30:48,600 --> 00:30:51,160 Speaker 1: gonna want to lean into that. So I'm going to 556 00:30:51,200 --> 00:30:53,640 Speaker 1: share another quote from that book, The Age of Magical 557 00:30:53,680 --> 00:30:56,800 Speaker 1: Overthinking by Amanda Mantel, because I really like the way 558 00:30:56,800 --> 00:31:00,720 Speaker 1: that she explained this in a way that just anybody 559 00:31:00,720 --> 00:31:03,840 Speaker 1: can understand. I think language is really important, and the 560 00:31:03,880 --> 00:31:06,840 Speaker 1: way that she describes how the brain works in this way, 561 00:31:06,880 --> 00:31:09,400 Speaker 1: I think, no matter who you you are, it's going 562 00:31:09,440 --> 00:31:12,080 Speaker 1: to make a little bit more sense. And she was 563 00:31:12,080 --> 00:31:15,760 Speaker 1: talking about recncy illusion and how when things are new 564 00:31:15,800 --> 00:31:18,800 Speaker 1: to us, they feel more important. So, even if it's 565 00:31:18,800 --> 00:31:21,840 Speaker 1: old information, our brains have been trained in the way 566 00:31:22,080 --> 00:31:24,080 Speaker 1: to pay attention to the stuff that is right in 567 00:31:24,120 --> 00:31:26,520 Speaker 1: front of us, even if it isn't important or isn't 568 00:31:26,560 --> 00:31:29,479 Speaker 1: a danger. We are going to assume that it is 569 00:31:29,600 --> 00:31:34,000 Speaker 1: because of the way that our brains developed back in 570 00:31:34,040 --> 00:31:37,840 Speaker 1: the very very very old old days, when we had 571 00:31:37,840 --> 00:31:39,760 Speaker 1: to pay attention to if there was something we heard 572 00:31:39,800 --> 00:31:43,240 Speaker 1: in the bushes, it could have been a snake or 573 00:31:43,320 --> 00:31:46,080 Speaker 1: a lion, or a tiger or whatever, something that we 574 00:31:46,120 --> 00:31:49,040 Speaker 1: have to pay attention to in order to keep ourselves safe. 575 00:31:49,320 --> 00:31:51,520 Speaker 1: The stakes were too high to ignore stuff that was 576 00:31:51,600 --> 00:31:54,080 Speaker 1: right in front of us, so she says in this 577 00:31:54,120 --> 00:31:57,760 Speaker 1: book a noble pursuit of keeping us alive. Our emotional 578 00:31:57,800 --> 00:32:02,080 Speaker 1: brain has first DIBs on interpreting incoming information. While the 579 00:32:02,080 --> 00:32:05,280 Speaker 1: prefrontal cortex is well equipped to sort through complex data 580 00:32:05,280 --> 00:32:09,160 Speaker 1: sets before arriving at a conclusion, it only has second 581 00:32:09,160 --> 00:32:13,680 Speaker 1: dips and amigdala prefers to get there via cognitive pole vault. 582 00:32:14,160 --> 00:32:17,760 Speaker 1: Struggling to tell the difference between steep cliffs and click bait, 583 00:32:18,400 --> 00:32:21,400 Speaker 1: our stress hormones respond to both with the same fight 584 00:32:21,600 --> 00:32:24,960 Speaker 1: flight or freezes reactions, which in the digital age have 585 00:32:25,040 --> 00:32:28,400 Speaker 1: become both valuable and targeted. And so this is where 586 00:32:28,920 --> 00:32:31,200 Speaker 1: diet culture and social media and a lot of that 587 00:32:31,240 --> 00:32:34,200 Speaker 1: stuff really works against a lot of the work that 588 00:32:34,240 --> 00:32:38,120 Speaker 1: we're doing because where it says they've become valuable and targeted, 589 00:32:38,760 --> 00:32:40,960 Speaker 1: we know this about the brain, and so we put 590 00:32:41,000 --> 00:32:43,520 Speaker 1: out all this information that a lot of times isn't new, 591 00:32:43,640 --> 00:32:47,200 Speaker 1: it's old and isn't very important, but we've put it 592 00:32:47,200 --> 00:32:48,880 Speaker 1: out there over and over in a way that makes 593 00:32:48,920 --> 00:32:52,560 Speaker 1: it feel that way. And so people in the world 594 00:32:52,600 --> 00:32:55,440 Speaker 1: that are trying to sell products or fill an idea 595 00:32:55,600 --> 00:32:58,320 Speaker 1: or sell a brand or what have you, are putting 596 00:32:58,360 --> 00:33:02,280 Speaker 1: this into the world. People who are whether they're engaging 597 00:33:02,280 --> 00:33:04,600 Speaker 1: in the disorder they actually have one, they have disordered 598 00:33:04,600 --> 00:33:07,320 Speaker 1: to eating, they haven't quite got there yet, or they're 599 00:33:07,320 --> 00:33:10,600 Speaker 1: just predisposed and they haven't even walked into the disordered 600 00:33:10,600 --> 00:33:14,400 Speaker 1: eating world yet. They are being fed this information, right, 601 00:33:14,960 --> 00:33:19,320 Speaker 1: and so it makes sense right how we respond. It's 602 00:33:19,320 --> 00:33:23,680 Speaker 1: a type of fear mongering where people, whether it's marketing 603 00:33:23,680 --> 00:33:27,560 Speaker 1: teams or what have you, take advantage of how the 604 00:33:27,600 --> 00:33:31,440 Speaker 1: brain interprets information. Instead of telling us the truth, they 605 00:33:31,440 --> 00:33:35,800 Speaker 1: tell us what's going to make us lean into whateverever 606 00:33:35,840 --> 00:33:38,000 Speaker 1: it is they want us to lean into. A lot 607 00:33:38,040 --> 00:33:41,960 Speaker 1: of misinformation is out there. So a question that comes 608 00:33:42,040 --> 00:33:44,920 Speaker 1: up a lot is who do we trust? And also 609 00:33:45,320 --> 00:33:47,440 Speaker 1: looking at the work we do with eating disorders and 610 00:33:47,480 --> 00:33:49,600 Speaker 1: how trauma is so involved in it, that's a question 611 00:33:49,600 --> 00:33:51,520 Speaker 1: that comes up a lot, is not knowing who to 612 00:33:51,560 --> 00:33:55,440 Speaker 1: trust and also having a disconnection with being able to 613 00:33:55,480 --> 00:33:58,520 Speaker 1: trust ourselves. A lot of times in the work that 614 00:33:58,560 --> 00:34:01,200 Speaker 1: we're doing with clients, use our clients who have been 615 00:34:01,200 --> 00:34:07,320 Speaker 1: through things that they then struggle to believe themselves because 616 00:34:07,360 --> 00:34:09,760 Speaker 1: of the way people have responded or maybe they responded 617 00:34:09,800 --> 00:34:13,040 Speaker 1: in certain circumstances, and so this idea of trust is 618 00:34:13,120 --> 00:34:15,200 Speaker 1: really difficult, and so a lot of times we lean 619 00:34:15,239 --> 00:34:18,960 Speaker 1: into trusting people who sound like they're smarter or look 620 00:34:19,040 --> 00:34:21,879 Speaker 1: like they know what they're talking about. And I mean, 621 00:34:22,360 --> 00:34:25,319 Speaker 1: anybody can do that from behind a screen. So one 622 00:34:25,320 --> 00:34:27,840 Speaker 1: thing I will share with professionals is if you don't 623 00:34:27,840 --> 00:34:30,040 Speaker 1: know the answer, it's okay to not know the answer. 624 00:34:30,600 --> 00:34:33,080 Speaker 1: If anything. That allows us to build trust with people. 625 00:34:33,760 --> 00:34:36,480 Speaker 1: We don't have to be all knowing. In my experience, 626 00:34:36,520 --> 00:34:41,600 Speaker 1: when somebody acknowledges their limitations, they become more human, and 627 00:34:42,160 --> 00:34:44,680 Speaker 1: the more human somebody is, the more I am able 628 00:34:44,719 --> 00:34:47,640 Speaker 1: to lean into a relationship with that person. And so 629 00:34:47,719 --> 00:34:50,440 Speaker 1: if a client is bringing in information that they saw 630 00:34:50,480 --> 00:34:53,520 Speaker 1: on TikTok or social media in general, or TV or 631 00:34:53,560 --> 00:34:56,920 Speaker 1: a magazine or whatever, and you aren't sure if that 632 00:34:56,960 --> 00:35:01,560 Speaker 1: information is true, and it sounds faul but also it 633 00:35:01,560 --> 00:35:05,160 Speaker 1: could be real, like you can acknowledge it. Hey, I've 634 00:35:05,160 --> 00:35:08,080 Speaker 1: never heard this, and I'm not saying it's false, but 635 00:35:08,600 --> 00:35:10,400 Speaker 1: maybe we need to do some more digging on this 636 00:35:10,440 --> 00:35:14,840 Speaker 1: before we jump into this hoop. And it even a 637 00:35:14,920 --> 00:35:19,600 Speaker 1: models for them, an ability to pause before they lean 638 00:35:19,640 --> 00:35:22,720 Speaker 1: into information. Okay, I don't have to make a decision 639 00:35:22,760 --> 00:35:25,359 Speaker 1: right now right this recent sy illusion. There's no lion 640 00:35:25,400 --> 00:35:26,920 Speaker 1: in the bush right now, So I don't have to 641 00:35:26,920 --> 00:35:28,960 Speaker 1: buy this product or not buy this product right now. 642 00:35:29,600 --> 00:35:32,480 Speaker 1: I can pause and decide if I want to buy 643 00:35:32,520 --> 00:35:35,879 Speaker 1: this product. Something that happens a lot. And I think 644 00:35:35,920 --> 00:35:37,680 Speaker 1: I talked about this recently on here. I'm not sure. 645 00:35:37,760 --> 00:35:39,200 Speaker 1: Maybe I just talked about it in my own life, 646 00:35:39,200 --> 00:35:41,680 Speaker 1: but even I was on social media the other day 647 00:35:41,719 --> 00:35:44,719 Speaker 1: and a couple months ago. Actually I'm on there every day, 648 00:35:44,719 --> 00:35:47,359 Speaker 1: but this happened a couple months ago, and that I 649 00:35:47,400 --> 00:35:50,120 Speaker 1: saw a reel or something that was talking about these 650 00:35:50,160 --> 00:35:54,160 Speaker 1: symptoms like do you experience floating and mood shifts and 651 00:35:54,200 --> 00:35:58,000 Speaker 1: sadness and irritability or stuff like that, and I was like, 652 00:35:58,160 --> 00:36:03,160 Speaker 1: check check check and was diagnosing this idea and it 653 00:36:03,200 --> 00:36:05,520 Speaker 1: was selling a product, so she was check chuk check. 654 00:36:05,520 --> 00:36:07,279 Speaker 1: I had all those things, and I was like, well, 655 00:36:07,320 --> 00:36:09,759 Speaker 1: then I have the solution for you, and you don't 656 00:36:09,760 --> 00:36:12,719 Speaker 1: have to live this way and comment da da du 657 00:36:13,080 --> 00:36:16,640 Speaker 1: to get my free assessment of whatever it is. And 658 00:36:17,320 --> 00:36:19,239 Speaker 1: I sat there for a second and was like do 659 00:36:19,280 --> 00:36:23,640 Speaker 1: I need this? And I had to literally pull myself 660 00:36:23,680 --> 00:36:27,440 Speaker 1: out of that. I felt that like intense need to 661 00:36:27,520 --> 00:36:30,120 Speaker 1: respond right then, I don't have to live this way anymore. 662 00:36:30,920 --> 00:36:33,800 Speaker 1: And I had to pause and say, wait a second. 663 00:36:34,320 --> 00:36:37,279 Speaker 1: I have all those things, but those are normal experiences 664 00:36:37,320 --> 00:36:40,800 Speaker 1: that every person in the world has, especially a female, 665 00:36:41,000 --> 00:36:43,440 Speaker 1: at least once a month, and those are things that 666 00:36:43,440 --> 00:36:46,760 Speaker 1: should be happening, and they are diagnosing them this person 667 00:36:46,800 --> 00:36:48,640 Speaker 1: on the internet as things that are bad or things 668 00:36:48,640 --> 00:36:51,759 Speaker 1: that we should be afraid of. And I did not 669 00:36:51,920 --> 00:36:55,120 Speaker 1: have to respond to that initially, but there was this 670 00:36:55,239 --> 00:36:57,600 Speaker 1: intense pull and draw to because of the way the 671 00:36:57,640 --> 00:37:01,920 Speaker 1: information was given to me, and I had to remember, oh, 672 00:37:02,200 --> 00:37:05,920 Speaker 1: this person wants me. They don't know me, they want me. 673 00:37:06,040 --> 00:37:08,759 Speaker 1: They want the people that are seeing their information to 674 00:37:08,920 --> 00:37:12,239 Speaker 1: follow them, to buy their product, to attach themselves to 675 00:37:12,280 --> 00:37:15,640 Speaker 1: what they can offer. Regardless of who I am, they 676 00:37:15,640 --> 00:37:19,279 Speaker 1: are targeting by using these symptoms that every single person 677 00:37:19,320 --> 00:37:21,480 Speaker 1: in the world is going to say, yeah, I've had that. 678 00:37:21,960 --> 00:37:25,400 Speaker 1: They're not targeting somebody who actually has some issue that 679 00:37:25,440 --> 00:37:28,920 Speaker 1: they can help with. They're trying to target everybody. I 680 00:37:29,000 --> 00:37:33,280 Speaker 1: share that because this isn't something that just is affecting 681 00:37:33,320 --> 00:37:37,480 Speaker 1: people who are predisposed to an eating disorder or have 682 00:37:37,520 --> 00:37:40,440 Speaker 1: an eating disorder. This is all of us when it 683 00:37:40,480 --> 00:37:44,640 Speaker 1: comes to diet culture and the wellness culture and that industry, 684 00:37:45,160 --> 00:37:50,440 Speaker 1: the industry, the business they're going for anybody. It's a business, right, 685 00:37:50,480 --> 00:37:54,680 Speaker 1: and they are using information about how our brains are 686 00:37:54,719 --> 00:37:59,120 Speaker 1: wired to work and they are capitalizing on that. And yeah, 687 00:37:59,160 --> 00:38:02,920 Speaker 1: I might sound like I don't know, I'm jaded or 688 00:38:02,960 --> 00:38:05,960 Speaker 1: I'm a skeptic, And at the same time, parts of 689 00:38:06,040 --> 00:38:08,200 Speaker 1: us have to be in this area. Somebody has to 690 00:38:08,239 --> 00:38:10,920 Speaker 1: be in this area, or we're all going to be 691 00:38:11,040 --> 00:38:14,400 Speaker 1: leaning into this stuff that actually has nothing to do 692 00:38:14,480 --> 00:38:16,840 Speaker 1: with us, and we don't have to be afraid of 693 00:38:16,880 --> 00:38:19,400 Speaker 1: all these parts of our bodies. Right, it's teaching people 694 00:38:19,440 --> 00:38:23,680 Speaker 1: to be afraid of very natural experiences that they're having 695 00:38:23,680 --> 00:38:27,200 Speaker 1: in their bodies. Whether that's mood shifts, whether that's changes 696 00:38:27,239 --> 00:38:29,200 Speaker 1: in what their body looks like, whether that's changes in 697 00:38:29,239 --> 00:38:32,160 Speaker 1: how their body feels at different parts of their lives, 698 00:38:32,320 --> 00:38:35,880 Speaker 1: it's changing in how their body functions, right, like, our 699 00:38:35,920 --> 00:38:38,600 Speaker 1: body is going to continue to shift in changes we age, 700 00:38:38,760 --> 00:38:44,279 Speaker 1: and we're in this world where this anti aging illusion 701 00:38:44,400 --> 00:38:48,479 Speaker 1: is everywhere, and that's kind of messing with our brains. Right. 702 00:38:48,640 --> 00:38:52,360 Speaker 1: I was looking the other day at pictures of people 703 00:38:52,440 --> 00:38:55,800 Speaker 1: who twenty thirty years ago what somebody who like thirty 704 00:38:55,840 --> 00:39:00,600 Speaker 1: five would look like versus now, and it's alarming right 705 00:39:01,000 --> 00:39:03,839 Speaker 1: where it begs the question, is somebody with somebody twenty 706 00:39:03,840 --> 00:39:07,680 Speaker 1: thirty years ago doing something wrong? It's like, no, We've 707 00:39:07,760 --> 00:39:11,759 Speaker 1: just developed all these things in quotes that people in 708 00:39:11,840 --> 00:39:16,520 Speaker 1: quotes need in order to anti age. And I think, 709 00:39:16,680 --> 00:39:19,279 Speaker 1: going back to a conversation I had with Hannah LS 710 00:39:19,320 --> 00:39:22,560 Speaker 1: a couple months ago on here is it might be 711 00:39:22,600 --> 00:39:25,600 Speaker 1: actually this like bigger issue of one that's a business 712 00:39:25,600 --> 00:39:28,200 Speaker 1: and we're trying to sell products. But are we scared 713 00:39:28,239 --> 00:39:30,680 Speaker 1: of aging because we're afraid of death? And that's our 714 00:39:30,719 --> 00:39:34,560 Speaker 1: ability to control that, right, Like we want to control 715 00:39:35,160 --> 00:39:37,800 Speaker 1: how close we are getting to the end of our lives. 716 00:39:37,840 --> 00:39:40,880 Speaker 1: And by creating an illusion that we aren't aging and 717 00:39:40,920 --> 00:39:44,360 Speaker 1: our body isn't changing in natural ways, that is giving 718 00:39:44,400 --> 00:39:48,279 Speaker 1: us some ability to hold that and be in the 719 00:39:48,360 --> 00:39:51,439 Speaker 1: driving seat when the reality is we actually don't really 720 00:39:51,440 --> 00:39:53,600 Speaker 1: have a lot of control, and that might be hard. 721 00:39:53,960 --> 00:39:57,279 Speaker 1: But again going back to like knowing that there might 722 00:39:57,320 --> 00:39:59,400 Speaker 1: not be a resolution is the best way sometimes to 723 00:39:59,440 --> 00:40:03,600 Speaker 1: survive the crisis. So before I wrap this up, what 724 00:40:03,640 --> 00:40:05,040 Speaker 1: I want to do is just give you guys some 725 00:40:05,160 --> 00:40:08,520 Speaker 1: warning signs and just some things to think about for 726 00:40:08,840 --> 00:40:11,399 Speaker 1: anybody who is working with eating disorder, as anybody who 727 00:40:11,480 --> 00:40:14,720 Speaker 1: might be experiencing a disorder or a friend or family 728 00:40:14,760 --> 00:40:17,160 Speaker 1: you're seeing them. I just want to give a couple 729 00:40:17,320 --> 00:40:21,120 Speaker 1: little warning signs and pieces of information to kind of 730 00:40:21,120 --> 00:40:24,279 Speaker 1: help alert us to see when that might be popping up. 731 00:40:24,360 --> 00:40:27,759 Speaker 1: So on the more emotional behavioral side, if you see 732 00:40:27,800 --> 00:40:31,360 Speaker 1: somebody or if you are preoccupied with weight, your body shape, 733 00:40:31,360 --> 00:40:34,440 Speaker 1: what you look like, if there is a shift in 734 00:40:34,680 --> 00:40:37,960 Speaker 1: your actual weight. If there's a lot of dieting going on, 735 00:40:38,320 --> 00:40:42,120 Speaker 1: and control of what you're eating and how and when 736 00:40:42,200 --> 00:40:46,840 Speaker 1: you're eating, or of the utmost importance, if you're experiencing 737 00:40:46,880 --> 00:40:49,600 Speaker 1: a lot of food rituals, and that can be eating 738 00:40:49,719 --> 00:40:52,439 Speaker 1: certain types of things, eating at certain times of the day, 739 00:40:53,040 --> 00:40:56,760 Speaker 1: doing things like drinking a ton of water before meals 740 00:40:56,800 --> 00:40:59,960 Speaker 1: or during meals, or a lot of zero calorie drinks 741 00:41:00,080 --> 00:41:04,759 Speaker 1: during and before meals. If you are too counting, like 742 00:41:04,800 --> 00:41:06,760 Speaker 1: having to count your food a certain amount of times, 743 00:41:07,360 --> 00:41:11,239 Speaker 1: or cutting your food up in certain ways. If you 744 00:41:11,800 --> 00:41:13,200 Speaker 1: are doing a lot of stuff like that, I mean 745 00:41:13,200 --> 00:41:17,120 Speaker 1: food rituals. There's a list four miles long, but those 746 00:41:17,160 --> 00:41:19,560 Speaker 1: are some examples of that. If there's some social withdrawal 747 00:41:19,560 --> 00:41:22,560 Speaker 1: happening right A lot of times that's happening because people 748 00:41:23,280 --> 00:41:25,680 Speaker 1: don't want to go to certain places because they can't 749 00:41:25,680 --> 00:41:28,399 Speaker 1: control what is being served there, or they don't want 750 00:41:28,400 --> 00:41:30,000 Speaker 1: to have to come up with an excuse of why 751 00:41:30,000 --> 00:41:32,719 Speaker 1: they're not going to eat, or having to bring their 752 00:41:32,719 --> 00:41:35,879 Speaker 1: own food to certain places, or they just don't want 753 00:41:35,920 --> 00:41:39,080 Speaker 1: to be seen because then there's going to be questions 754 00:41:39,120 --> 00:41:40,480 Speaker 1: and they don't want to have to They want to 755 00:41:40,560 --> 00:41:43,239 Speaker 1: keep this disorder as close to them as they can. 756 00:41:43,320 --> 00:41:46,560 Speaker 1: It becomes their best friend, and losing it is of 757 00:41:46,640 --> 00:41:50,000 Speaker 1: the utmost importance not losing it. So I'm going to 758 00:41:50,000 --> 00:41:52,560 Speaker 1: pull away from the people that are going to be 759 00:41:52,560 --> 00:41:53,719 Speaker 1: the people that are going to be able to see 760 00:41:53,719 --> 00:41:56,400 Speaker 1: if something's wrong. I'm going to disconnect from them in 761 00:41:56,480 --> 00:42:01,000 Speaker 1: order to protect my disorder. There's a lot of body checking, 762 00:42:01,280 --> 00:42:04,200 Speaker 1: you know, looking in mirrors or touching certain parts of 763 00:42:04,200 --> 00:42:07,080 Speaker 1: your body, trying on clothes over and over, stuff like that, 764 00:42:07,600 --> 00:42:11,680 Speaker 1: or some mood swings based on not a normal experience, 765 00:42:11,760 --> 00:42:14,440 Speaker 1: but actually it's a matter of not having the nutrients 766 00:42:14,520 --> 00:42:16,359 Speaker 1: or your body being stressed out in a certain way 767 00:42:16,400 --> 00:42:18,759 Speaker 1: because it doesn't have the energy to function at the 768 00:42:19,480 --> 00:42:22,480 Speaker 1: way that it was designed to function. So a lot 769 00:42:22,520 --> 00:42:27,160 Speaker 1: of struggle with gastrointestinal issues. Right if somebody's experiencing dizziness, 770 00:42:27,160 --> 00:42:29,759 Speaker 1: whether it's sitting up or standing up or something like that, 771 00:42:30,440 --> 00:42:32,760 Speaker 1: not being able to concentrate, not being able to sleep, 772 00:42:32,920 --> 00:42:36,799 Speaker 1: memory being all of a sudden foggy, issues with their 773 00:42:36,840 --> 00:42:41,000 Speaker 1: hair falling out or skin is dry, or just there 774 00:42:41,040 --> 00:42:44,040 Speaker 1: can be a lot of dental issues and brittle nail 775 00:42:44,080 --> 00:42:46,640 Speaker 1: issues as well. When we're not getting the nutrients that 776 00:42:46,680 --> 00:42:49,919 Speaker 1: our body needs. So those are just some warning signs 777 00:42:50,000 --> 00:42:52,239 Speaker 1: to look out for. It was going to go through 778 00:42:52,280 --> 00:42:55,760 Speaker 1: all of the different eating disorders today, but I think 779 00:42:55,840 --> 00:42:58,839 Speaker 1: that we would be here all day. So as I 780 00:42:59,000 --> 00:43:01,680 Speaker 1: leave you guys, what I really want to leave you 781 00:43:01,719 --> 00:43:06,319 Speaker 1: with is a reminder that these disorders are affecting the 782 00:43:06,360 --> 00:43:09,000 Speaker 1: nourishment we are getting to our bodies. Because I think 783 00:43:09,000 --> 00:43:11,000 Speaker 1: a lot of people think that somebody with an eave 784 00:43:11,080 --> 00:43:13,480 Speaker 1: sort of looks a certain way. You have no idea. 785 00:43:14,120 --> 00:43:17,480 Speaker 1: Being malnourished can look a billion different ways in a body, 786 00:43:17,560 --> 00:43:19,759 Speaker 1: and a body that is malnourished can look a billion 787 00:43:19,800 --> 00:43:22,600 Speaker 1: different ways, and so it's hard to remember when we're 788 00:43:22,600 --> 00:43:26,879 Speaker 1: looking at somebody who looks like they can understand us 789 00:43:26,920 --> 00:43:30,200 Speaker 1: and looks like they're taking care of themselves. It's really 790 00:43:30,239 --> 00:43:32,759 Speaker 1: important for us to remember that a malnourished body is 791 00:43:32,800 --> 00:43:36,960 Speaker 1: a mountain nourished brain. And for an average adult in 792 00:43:37,000 --> 00:43:40,480 Speaker 1: a resting state, the brain uses twenty percent of the 793 00:43:40,480 --> 00:43:43,600 Speaker 1: body's energies. That's twenty percent of the calories that we're intaking, 794 00:43:43,640 --> 00:43:46,560 Speaker 1: and so if we are restricting that energy, then our 795 00:43:46,600 --> 00:43:49,440 Speaker 1: body is also going to be restricted in what it 796 00:43:49,440 --> 00:43:51,359 Speaker 1: can do. Our brain is going to be restricted in 797 00:43:51,400 --> 00:43:54,440 Speaker 1: what it can do and what our bodies are going 798 00:43:54,480 --> 00:43:56,239 Speaker 1: to do. It's going to function on what is the 799 00:43:56,280 --> 00:44:00,200 Speaker 1: most necessary to keep you alive. And while that they 800 00:44:00,360 --> 00:44:04,160 Speaker 1: look like somebody can be logical, getting into cyclical logical 801 00:44:04,200 --> 00:44:08,879 Speaker 1: conversations is a lot of times very unhelpful. We want 802 00:44:08,920 --> 00:44:11,160 Speaker 1: people to be able to understand things, but their brain 803 00:44:11,239 --> 00:44:13,440 Speaker 1: capacity doesn't have the ability to and a lot of 804 00:44:13,440 --> 00:44:16,440 Speaker 1: times they don't even realize that because they look fine 805 00:44:16,520 --> 00:44:18,200 Speaker 1: and they can go to work and they can get 806 00:44:18,280 --> 00:44:21,360 Speaker 1: dressed and they can do XYZ. They don't realize that 807 00:44:21,480 --> 00:44:25,360 Speaker 1: the difficulty level that they are experiencing isn't normal to 808 00:44:25,480 --> 00:44:28,160 Speaker 1: do things, or to finish things, to complete things, to 809 00:44:28,239 --> 00:44:31,319 Speaker 1: comprehend things. And a part of them doesn't want to 810 00:44:31,400 --> 00:44:34,040 Speaker 1: understand that and know that because that is in protection 811 00:44:34,120 --> 00:44:38,480 Speaker 1: of their disorder. So remembering that restriction in any form 812 00:44:38,680 --> 00:44:42,480 Speaker 1: really compromises our cognitive functioning, and we need to take 813 00:44:42,480 --> 00:44:45,640 Speaker 1: that into account, both as somebody who might be experiencing something, 814 00:44:45,719 --> 00:44:48,799 Speaker 1: but also somebody who is working with those clients. It's 815 00:44:48,800 --> 00:44:51,480 Speaker 1: why a lot of things like EMDR and just certain 816 00:44:51,480 --> 00:44:54,359 Speaker 1: therapies might not be working the way we want them 817 00:44:54,360 --> 00:44:57,239 Speaker 1: to work, because the first line of defense is to 818 00:44:57,280 --> 00:45:00,319 Speaker 1: nourish the body, right. The second line of defense would 819 00:45:00,320 --> 00:45:03,759 Speaker 1: be to rewire some of those trauma responses and those 820 00:45:03,800 --> 00:45:07,319 Speaker 1: experiences and those beliefs that are rooted deeper. But the 821 00:45:07,360 --> 00:45:09,560 Speaker 1: first thing we have to do sometimes is really just 822 00:45:09,640 --> 00:45:13,280 Speaker 1: working on really small ways to create safety in somebody's 823 00:45:13,280 --> 00:45:17,239 Speaker 1: body in order for them to engage in the behaviors 824 00:45:17,239 --> 00:45:20,920 Speaker 1: that allow them to nourish themselves well. And that leads 825 00:45:21,000 --> 00:45:23,600 Speaker 1: me from the beginning when I was talking about how 826 00:45:23,640 --> 00:45:26,440 Speaker 1: people view the treatment of eating disorders. Depending on who 827 00:45:26,480 --> 00:45:28,480 Speaker 1: you talk to, you'll hear a bunch of different stuff. 828 00:45:28,520 --> 00:45:32,759 Speaker 1: And there are people who are like DVT, CVT, RODBT, 829 00:45:33,080 --> 00:45:37,160 Speaker 1: all of these very more behavioral, more cognitive parts of 830 00:45:37,440 --> 00:45:39,120 Speaker 1: working with a client, like we have to do this, 831 00:45:39,200 --> 00:45:41,640 Speaker 1: And there's other people that are like, it's a trauma 832 00:45:41,680 --> 00:45:43,320 Speaker 1: disorder and we have to work on the trauma and 833 00:45:43,320 --> 00:45:45,160 Speaker 1: we have to get to the root of it. And 834 00:45:45,280 --> 00:45:47,719 Speaker 1: the reality is we have to do all of it right. 835 00:45:47,760 --> 00:45:49,279 Speaker 1: We have to do all of it. And that's why 836 00:45:49,320 --> 00:45:53,360 Speaker 1: a lot of times residential treatment is so important for 837 00:45:53,480 --> 00:45:58,840 Speaker 1: clients work that have these disorders or taking disordered eating 838 00:45:58,920 --> 00:46:02,000 Speaker 1: really seriously before for it develops into a full fledged 839 00:46:02,000 --> 00:46:05,359 Speaker 1: eating disorder is really important, And somebody is like, it's 840 00:46:05,400 --> 00:46:08,000 Speaker 1: not that big of ideal. It might not be now, 841 00:46:08,160 --> 00:46:09,960 Speaker 1: but we don't want to get you to a place 842 00:46:10,000 --> 00:46:14,080 Speaker 1: where you actually can't work on this stuff in a 843 00:46:14,239 --> 00:46:17,320 Speaker 1: outpatient environment because you don't have the ability to create 844 00:46:17,360 --> 00:46:22,600 Speaker 1: containment and safety with the discomfort that working on these 845 00:46:22,640 --> 00:46:26,640 Speaker 1: behavioral changes brings. So if you're somebody who is like 846 00:46:26,760 --> 00:46:30,520 Speaker 1: anti this or anti that when it comes to treatment, 847 00:46:30,600 --> 00:46:33,400 Speaker 1: what I really want to encourage people to look at is, Okay, 848 00:46:33,680 --> 00:46:36,560 Speaker 1: let's look at this as all of these things have 849 00:46:36,640 --> 00:46:38,480 Speaker 1: something to bring us. Yeah, we have to get in 850 00:46:38,480 --> 00:46:40,200 Speaker 1: and do the deeper work. But in order to do 851 00:46:40,239 --> 00:46:42,719 Speaker 1: the deeper work, somebody has to be present enough to 852 00:46:42,760 --> 00:46:44,840 Speaker 1: do that. And so if we want somebody to be 853 00:46:44,880 --> 00:46:46,959 Speaker 1: president enough to do that, we might have to first 854 00:46:47,040 --> 00:46:50,560 Speaker 1: work on some more of those sensory issues sitting with 855 00:46:50,600 --> 00:46:54,680 Speaker 1: that discomfort, being able to have distressed tolerance, emotional regulation, 856 00:46:55,200 --> 00:47:00,919 Speaker 1: creating safety and relationships before we dive into the more 857 00:47:01,040 --> 00:47:03,960 Speaker 1: deeper parts of their woundings. You might have to work 858 00:47:03,960 --> 00:47:07,720 Speaker 1: on the therapeutic relationship. I think one of the biggest 859 00:47:07,840 --> 00:47:11,680 Speaker 1: resources and needing disorder therapy is a therapeutic relationship. If 860 00:47:11,719 --> 00:47:14,720 Speaker 1: I can create a relationship with the client where they 861 00:47:15,040 --> 00:47:17,200 Speaker 1: know that I'm going to be there and they know 862 00:47:17,280 --> 00:47:19,879 Speaker 1: that I'll sit with them through their distress, i will 863 00:47:19,880 --> 00:47:22,959 Speaker 1: sit with them through their discomfort and they can mess 864 00:47:23,040 --> 00:47:25,640 Speaker 1: up and they can come back. That allows them to 865 00:47:25,640 --> 00:47:27,760 Speaker 1: develop that trust right that I was talking about earlier, 866 00:47:28,080 --> 00:47:30,839 Speaker 1: to start to confront some of these behaviors that have 867 00:47:31,080 --> 00:47:34,040 Speaker 1: been the things that they've trusted. And once we work 868 00:47:34,080 --> 00:47:37,160 Speaker 1: on that and we then kind of get those things shifting, 869 00:47:37,280 --> 00:47:40,080 Speaker 1: then we can combine the work together with the more 870 00:47:40,120 --> 00:47:45,520 Speaker 1: trauma based therapies and again it's all of them together. 871 00:47:46,200 --> 00:47:48,600 Speaker 1: And I cannot stress enough A huge part of this 872 00:47:48,680 --> 00:47:52,800 Speaker 1: work is against stabilization resourcing them Like there's these ideas 873 00:47:52,840 --> 00:47:54,880 Speaker 1: of what we want clients to do. I've messed up 874 00:47:54,880 --> 00:47:57,680 Speaker 1: with this a million times, especially as beginning therapists, but 875 00:47:57,840 --> 00:47:59,680 Speaker 1: like I'm like, they need this, so I'm gonna put 876 00:47:59,680 --> 00:48:01,080 Speaker 1: them in a your class, or we're going to do 877 00:48:01,120 --> 00:48:03,520 Speaker 1: brain spotting or da da da da da, And that 878 00:48:03,640 --> 00:48:06,319 Speaker 1: is just too much, too fast for them and it's 879 00:48:06,400 --> 00:48:08,560 Speaker 1: too threatening for them, and then you lose the buy 880 00:48:08,600 --> 00:48:11,879 Speaker 1: in and in outpatient settings, we have no control with 881 00:48:11,920 --> 00:48:15,200 Speaker 1: what our clients do outside of our sessions. So if 882 00:48:15,200 --> 00:48:18,279 Speaker 1: we really expose them to things that they do not 883 00:48:18,400 --> 00:48:20,880 Speaker 1: have the ability to contain on their own, if they 884 00:48:20,920 --> 00:48:23,120 Speaker 1: don't have the ability to tolerate on their own, yet 885 00:48:23,400 --> 00:48:25,480 Speaker 1: when they leave our office, they're going to go look 886 00:48:25,520 --> 00:48:29,040 Speaker 1: for that safety in their disordered behavior, and it's going 887 00:48:29,080 --> 00:48:32,719 Speaker 1: to actually push the progress back. In residential settings, that's 888 00:48:32,719 --> 00:48:35,560 Speaker 1: a little different because they don't have the ability to 889 00:48:35,600 --> 00:48:38,719 Speaker 1: access everything depending on the type of treatment they are in, 890 00:48:39,400 --> 00:48:42,080 Speaker 1: but we have to take that into account and outpatient setting, 891 00:48:42,120 --> 00:48:43,919 Speaker 1: and that was a struggle for me. I will say, 892 00:48:43,960 --> 00:48:46,920 Speaker 1: as I moved from residential to outpatient, I couldn't do 893 00:48:46,960 --> 00:48:48,279 Speaker 1: the type of stuff that I was used to be 894 00:48:48,520 --> 00:48:52,359 Speaker 1: doing because in residential there was a DBT therapist and 895 00:48:52,400 --> 00:48:56,000 Speaker 1: there were locked bathrooms, and they didn't have the ability 896 00:48:56,000 --> 00:49:01,759 Speaker 1: to like go whether it's purge, exercise and restricted, have 897 00:49:01,920 --> 00:49:04,880 Speaker 1: those abilities to do that stuff. And then they also 898 00:49:04,960 --> 00:49:08,000 Speaker 1: had people to sit with them twenty four hours through 899 00:49:08,000 --> 00:49:11,600 Speaker 1: those urges, where in outpatient settings they don't. We're asking 900 00:49:11,640 --> 00:49:14,640 Speaker 1: them to go back into the normal life that actually 901 00:49:14,960 --> 00:49:17,320 Speaker 1: brought them to the eating disorder in the first place, 902 00:49:17,880 --> 00:49:20,360 Speaker 1: so something really to think about as you're doing that work. 903 00:49:20,719 --> 00:49:23,040 Speaker 1: I'm going to close this out the kind of the 904 00:49:23,120 --> 00:49:25,680 Speaker 1: way I started it. It almost feels like, wait, this, 905 00:49:25,760 --> 00:49:28,719 Speaker 1: it's over. What did we even talk about? Because when 906 00:49:28,719 --> 00:49:30,680 Speaker 1: it comes to talking about eating disorders, I could go 907 00:49:30,680 --> 00:49:34,560 Speaker 1: in seventeen thousand different directions, and again, if it feels chaotic, 908 00:49:34,560 --> 00:49:38,200 Speaker 1: it's because these disorders are chaotic. There are people that 909 00:49:38,320 --> 00:49:41,759 Speaker 1: can take different parts of eating disorders and talk about those, 910 00:49:41,760 --> 00:49:44,080 Speaker 1: and I think that's so important to be able to 911 00:49:44,080 --> 00:49:48,319 Speaker 1: dive into those, you know, deeper little suburbs of the 912 00:49:48,360 --> 00:49:51,399 Speaker 1: greater city of an eating disorder. But at the same time, 913 00:49:51,400 --> 00:49:53,000 Speaker 1: and we want to talk about them as a whole. 914 00:49:53,280 --> 00:49:56,280 Speaker 1: It's going to feel chaotic, and it's going to feel huge, 915 00:49:56,320 --> 00:49:58,840 Speaker 1: and it's going to feel kind of like there's a 916 00:49:58,840 --> 00:50:01,960 Speaker 1: billion different iterations of the same kind of thing, because 917 00:50:02,000 --> 00:50:04,839 Speaker 1: there is, and there's no easy way to wrap this up, 918 00:50:04,880 --> 00:50:07,520 Speaker 1: and there's no easy step by step thing I can 919 00:50:07,680 --> 00:50:10,360 Speaker 1: share or talk about in order to I don't know, 920 00:50:10,480 --> 00:50:13,839 Speaker 1: solve the crisis that is they need disorders other than 921 00:50:14,440 --> 00:50:18,120 Speaker 1: I want people to come and approach these things with 922 00:50:18,800 --> 00:50:21,680 Speaker 1: curiosity versus judgment. I want to keep going back to 923 00:50:21,719 --> 00:50:26,279 Speaker 1: that looking at these disorders with compassion and wanting to 924 00:50:26,360 --> 00:50:29,720 Speaker 1: understand the individual versus just the disease as a whole. 925 00:50:29,800 --> 00:50:32,000 Speaker 1: I think we need to do both, but when we 926 00:50:32,040 --> 00:50:34,560 Speaker 1: are sitting with the individual, we really have to try 927 00:50:34,600 --> 00:50:38,239 Speaker 1: to understand them and not assume things about them and 928 00:50:38,280 --> 00:50:41,839 Speaker 1: not blame certain things on stuff that we don't have 929 00:50:41,880 --> 00:50:44,680 Speaker 1: that information to blame on. So that's kind of where 930 00:50:44,719 --> 00:50:46,760 Speaker 1: I want to end it. I hope this was helpful 931 00:50:46,760 --> 00:50:50,200 Speaker 1: in some way. I enjoy talking about this stuff because, 932 00:50:50,200 --> 00:50:51,920 Speaker 1: like I said, I have a lot of compassion for 933 00:50:51,960 --> 00:50:56,160 Speaker 1: the people who experience these type of disorders in the 934 00:50:56,520 --> 00:51:01,400 Speaker 1: intense work that it requires to move through them. So 935 00:51:02,040 --> 00:51:03,520 Speaker 1: that's where we're gonna end it today. If you guys 936 00:51:03,520 --> 00:51:06,520 Speaker 1: have any questions, feedback, thoughts, anything, you can send it 937 00:51:06,560 --> 00:51:09,400 Speaker 1: to Katherine at You Need Therapy podcast dot com. You 938 00:51:09,440 --> 00:51:12,560 Speaker 1: can follow the podcast at You Need Therapy Podcast, follow 939 00:51:12,600 --> 00:51:15,920 Speaker 1: me at cat dot Defota, you can follow my therapy 940 00:51:15,960 --> 00:51:21,279 Speaker 1: practice at three Chords Therapy, and until Wednesday when we'll 941 00:51:21,280 --> 00:51:22,920 Speaker 1: have a new episode of Couch Docs. I hope you 942 00:51:23,000 --> 00:51:24,920 Speaker 1: guys have the day you need to have