Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 03/15/2021

As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at Montecatini Eating Disorder Treatment Center to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, there are certain restrictions in place regarding on-site visitation at Montecatini Eating Disorder Treatment Center.

  • These restrictions have been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff receives ongoing infection prevention and control training.
  • Thorough disinfection and hygiene guidance is provided.
  • Patient care supplies such as masks and hand sanitizer are monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit https://www.cdc.gov/coronavirus/2019-ncov/index.html

Blog

The Dietitian’s Role in Treating Trauma in Eating Disorders

Trauma has been linked to numerous negative health behaviors, including disordered eating and eating disorders. Trauma can include interpersonal violence such as bullying, domestic violence, social violence (wars and terrorism), natural disasters (earthquakes, fires), and chronic social stressors (poverty, racism, sexism, homophobia) [1].

In this way, marginalized identities, such as racial and ethnic minorities, women, LGBT clients, and so forth, are vulnerable to a layered experience with trauma. It is important to note that trauma work inherently requires multicultural competency because it is necessary to understand the role that systemic and institutional systems have on a client’s lived experience.

Trauma and Eating Disorders

The eating disorder community understands that eating disorders can also serve as a coping mechanism, typically as a means for emotion regulation such as reducing anxiety or “numbing out” emotions. Trauma survivors often rely on coping skills that help them regain control or autonomy, and disordered eating and eating disorders are an example of an unhealthy coping mechanism.

Eating disorder clients that have experienced trauma may connect to food as a way to regulate their emotions or gain a sense of control. Marginalized identities such as women or people of color/women of color have historically been asked to “shrink themselves,” and eating disorders embody both a physical and symbolic image of that social stressor [2].

Trauma Food

Eating disorder clients that have experienced trauma often struggle with “trauma foods” or food aversions that, when exposed to the food, may trigger a trauma response in the client. This can be a texture-based/sensory-related trigger, or these foods may serve as a tangible reminder of a traumatic event(s). Registered dietitians work with the client to develop a safer relationship with these food items and facilitate a path to desensitize food-related trauma.

Dietitians often utilize prolonged exposure therapy to work on reintroducing these trauma foods. “The term prolonged exposure (PE) reflects the fact that the treatment program emerged from the long tradition of exposure therapy for anxiety disorders in which patients are helped to confront safe but anxiety-evoking situations to overcome their unrealistic, excessive fear and anxiety” [3].

It can be emotionally overwhelming to start to reintroduce these trauma foods into the diet. It is important that the dietitian works closely with the therapist so that the client can create a thoughtful and methodical plan and be provided the space to safely process these exposure responses.

Food exposures may start with the dietitian and the client sitting in the same room as the food or having the food on the plate without eating it. As time goes on, the dietitian will support the client in eating the trauma food and promoting a new experience with it.

Trauma foods and food aversions are just one of many opportunities for dietitians and therapists to really utilize a treatment team model and apply these two scopes of practice (dietary and clinical) to best serve our clients.

Addressing Trauma

Cognitive behavioral therapy, also known as CBT, is also an evidenced-based practice in addressing trauma in eating disorder clients. CBT is a form of psychotherapy that focuses on modifying dysfunctional emotions, behaviors, and thoughts by interrogating and uprooting negative or irrational beliefs [4].

Initially, dietitians utilize CBT to establish short term goals to address and decrease eating disorder behaviors. Clients must be able to use CBT skills to decrease maladaptive behaviors related to the eating disorder before starting food-based trauma work.

Working through trauma is a necessary part of eating disorder recovery, and dietitians serve a vital role in collaborating with the client to heal the relationship with food and restoring connection to the body. It is imperative that dietitians understand the impact that trauma has on the client and use trauma-informed practices.

There is a need for more training and education about trauma-informed care for dietitians as well as a need for research targeted at benefits of trauma-informed care with a trauma-informed registered dietitian as a part of the multidisciplinary team.

References:

1. Herron, K. (2016, December 27). How Trauma Can Affect Nutrition. MSU Extension. https://www.canr.msu.edu/news/how_trauma_can_affect_nutrition

2. Small, C. (2016). African-American Women on Predominantly White College Campuses: In the Shadows of Eating Disorders. iaedp Foundation Membership Spotlight, 1

3. Rothbaum, B. O., & Schwartz, A. C. (2002). Exposure therapy for posttraumatic stress disorder. American journal of psychotherapy, 56(1), 59-75.

4. Taibi, R. (2019, March 5). Quick Guide to Cognitive Behavioral Therapy (CBT). Psychology Today. https://www.psychologytoday.com/us/blog/fixing-families/201903/quick-guide-cognitive-behavioral-therapy-cbt

About Kourtney Vandenburgh, RD, Registered Dietitian

Kourtney completed her undergraduate degree in nutrition and dietetics at California State University, Long Beach. She then completed her dietetic internship at Western Carolina University in North Carolina. Kourtney is a member of the Academy of Nutrition and Dietetics and the National Eating Disorder Association. One of Kourtney’s great passions is to help people embrace the wonderful benefits of mental and physical wellbeing. She achieves this by working with clients to restore healthy thoughts and perceptions about food. Kourtney prides herself on providing tailored nutrition education to individuals and groups.

View all posts by Kourtney Vandenburgh, RD