Need Binge Eating Help? Three Eating Disorder Dietitians Share Their Approaches

Need Binge Eating Help? Three Eating Disorder Dietitians Share Their Approaches

Feel out of control with your eating? Find yourself restricting your food during the daytime and overdoing it at night? Having a hard time resisting the urge to eat “forbidden” foods, especially when you feel tired and stressed? Do you experience a wave of shame after you eat a large amount of these foods—or a large amount of any foods? It sounds like you could be suffering from binge eating patterns, or even binge eating disorder (BED). I think that one of the best outpatient treatment strategies for binge eating and/or BED is to work with a therapist AND a dietitian who specialize in BED. I’ve shared my therapy approaches treating to BED, so I now wanted to convey the opinions of expert San Diego eating disorder dietitians: Theresa Carmichael, RD of Center For Discovery (and private practice), Dr. Megan Holt Hellner, RD of Potentia Therapy, and Dr. Saori Obayashi, RD of UCSD CHEAR. They have some wonderful tips on how to manage binge eating from a nutritional perspective.

***Trigger warning***  This blog post interview does include the term weight loss, as well as discussion of how some people seeking treatment for binge eating also want to lose weight.  I cannot stress enough that these San Diego eating disorder dietitians do NOT advocate extreme behaviors that could trigger eating disorder symptoms. In fact, their approaches encompass reducing binge eating symptoms instead of focusing on weight loss.

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Exploring Binge Eating Disorder Treatment Options? Meet UCSD CHEAR Clinical Director Dr. Rebecca Bernard

Exploring Binge Eating Disorder Treatment Options? Meet UCSD CHEAR Clinical Director Dr. Rebecca Bernard

Looking for binge eating disorder (BED) treatment options in San Diego? I’ve interviewed licensed clinical psychologist Dr. Rebecca Bernard. She is the Clinical Director for the Center for Healthy Eating and Activity Research (CHEAR) at University of California San Diego (UCSD). I attended a training at UCSD by Dr. Bernard, and I really appreciated how well she understood binge eating treatment and how clearly she was able to explain the research on it.

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How to Get Help for Binge Eating Disorder

How to Get Help for Binge Eating Disorder

Struggling with binge eating? Feeling out of control of your eating and don’t know where to turn? I have an excellent starting point for you. I discussed what binge eating disorder is and how to get help on a recent podcast on the Embodied & Well Mom Show that I did on with the fabulous Lindsay Stenovec, MS, RDN, CEDRD of San Diego’s Nutrition Instincts. I have provided a transcription of the main part of the podcast in this blog post. Enjoy!!

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Sick of Body Shame and Diet Culture? Meet San Diego Eating Disorder Dietitian Amy Ornelas, RDN, CEDRD

Sick of Body Shame and Diet Culture? Meet San Diego Eating Disorder Dietitian Amy Ornelas, RDN, CEDRD

Struggling with accepting your body size? You want to be healthy, but you’ve tried so many diets over and over and nothing works. You’re sick of the assumptions people make about you because you don’t fit the “norm” of what bodies should look like. Plus, you are just OVER what friends, family, co-workers, and even medical professionals say about your body and what you should and shouldn’t eat. It’s so challenging to navigate the messages we receive about our bodies and the food we eat. Especially in San Diego, where there’s such a focus on health, wellness, and appearance that it sometimes feels impossible to take a different perspective. Well, I have a WONDERFUL resource in San Diego Eating Disorder Dietitian Amy Ornelas, RDN, Certified Eating Disorder Registered Dietitian (CEDRD). She wholeheartedly embraces the Health at Every Size (HAES) and intuitive eating approaches, and she loves working with people struggling with body shame and fighting diet culture that’s so pervasive in San Diego and elsewhere. Enjoy getting to know her!

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Five Tips for Managing Overwhelming Emotions in Eating Disorder Recovery

Five Tips for Managing Overwhelming Emotions in Eating Disorder Recovery

Have you ever felt so filled with emotion that it was almost unbearable? Do your mind and body feel flooded with feelings such as fear, anger, disgust, frustration, irritability, anxiety, or sadness—to the point at which you feel almost paralyzed? Having an eating disorder in San Diego and elsewhere is so hard. Sometimes the overwhelming emotions can be triggered by things such as discomfort with food and with your body, negative interactions with others, and work and family stress. At such times, it seems like the emotions take over both your brain and your body, and you would do anything thing in the world to make them stop. It is so so hard. Thankfully, there are a few coping strategies that can help you navigate such situations. These coping skills come from dialectical behavior therapy (DBT), which is an approach I integrate in my work with people struggling with eating disorders in San Diego.

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Let's Talk About Sex and Body Image! Meet Sex Therapist Dr. Nicole Van Ness, LMFT

Let's Talk About Sex and Body Image! Meet Sex Therapist Dr. Nicole Van Ness, LMFT

Have you been struggling with your body image so much that it has been affecting your sex life? Is your partner complaining that you don’t want to have sex that frequently, and you feel hesitant to share that it’s because you feel uncomfortable in your own skin? Whether you live in San Diego or elsewhere, you likely know that having a regular and fulfilling sex life is important for intimate relationships. The reality is that A LOT of people struggle with sexual intimacy, and when you have an eating disorder and feel negatively about your body, it becomes a drain on your life and relationships.

Needing answers? I have brought top expert, as well as friend and former top doctoral student of mine, Dr. Nicole Van Ness. Nicole went to school and learned her trade as a sex therapist in San Diego, and in recent years she has moved to Texas, where she has a private practice and is adjunct faculty at Southern Methodist University. Nicole has maintained her California license as a marriage and family therapist, and she provides videoconference services for individuals and couples in San Diego and other parts of California.

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Interview with UCSD Eating Disorder Psychologist Dr. Jennie Wang-Hall

Interview with UCSD Eating Disorder Psychologist Dr. Jennie Wang-Hall

Hi everyone! In the past few months, I’ve gotten to know Dr. Jennie Wang-Hall. Jennie is a gifted eating disorder therapist who works in the adult eating disorder treatment program the University of California San Diego (UCSD) Eating Disorders Center. She also has a private practice in Oceanside. When I first met Jennie, I totally connected with her because she lived in Colorado (my home state!), loves dogs (ditto!), and is really smart (like me! ;) ). She is an overall authentic, genuine person who really cares about people recovering from eating disorders. Plus, Jennie is fun to hang out with, and so I’m so glad she is both my colleague AND my friend. I’m looking forward to you getting to know her. I also think that my interview with her will give you more information on adult eating disorder treatment at a partial hospitalization program (PHP) and intensive outpatient program (IOP).

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Interview with Addiction Specialist and Haven Hills* Director Dr. Reya Kost, LMFT

Interview with Addiction Specialist and Haven Hills* Director Dr. Reya Kost, LMFT

It’s so hard to be in San Diego and appreciate the beauty while you can’t stop thinking about food and your body. It’s even harder to be grappling with eating disorder behaviors AND drinking or drug use. It can feel at times like your life is spinning out of control. Not sure where to turn for help? I have a great San Diego resource who provides treatment for both eating disorders and substance abuse, which is often called co-occurring disorders. The co-occurring guru in San Diego is Dr. Reya Kost, and she is the director of Haven Hills Recovery Center for women. She is a licensed marriage and family therapist (LMFT) who has a doctorate in psychology. PLUS, she’s a former doctoral student of mine who is definitely a star! Reya is incredibly intelligent and has over 10 years of experience in treating addictions. I especially appreciate her acknowledgement that addressing trauma history is such an important part of recovery. She also has a great sense of humor! :)

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Introducing Center for Discovery Eating Disorder Therapist Christine Capuano, APCC

Introducing Center for Discovery Eating Disorder Therapist Christine Capuano, APCC

Happy Friday, everyone! I want to introduce you to Christine Capuano, APCC (associate professional clinical counselor). She is a San Diego eating disorder therapist who works for Center for Discovery’s (CFD) partial hospitalization program (PHP) and intensive outpatient program (IOP) in Del Mar. Christine is a very talented therapist who does great individual, family, and group work. She also works part-time in a private practice in La Mesa, California.

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Let's Talk About Binge Eating! Meet UCSD CHEAR Director Dr. Kerri Boutelle

Let's Talk About Binge Eating! Meet UCSD CHEAR Director Dr. Kerri Boutelle

Hi everyone! I’m so excited to discuss innovative approaches to binge eating treatment that’s happening right here in San Diego! I’ve interviewed Dr. Kerri Boutelle, licensed clinical psychologist and Professor of Pediatrics, Family Medicine and Public Health, and Psychiatry at University of California San Diego (UCSD). She is the founder and director of the Center for Healthy Eating and Activity Research (CHEAR), and is affiliated with Rady Children’s Hospital. Dr. Boutelle is also the senior supervising psychologist at the UCSD Eating Disorder and Treatment Program. I went to a training at CHEAR by Dr. Boutelle, and I was impressed with how dedicated she is to eating disorder research and treatment. I also really appreciated CHEAR’s focus on binge eating recovery.

***Trigger warning***  This blog post interview does include the terms weight lossoverweight, and obesity in the context of explaining CHEAR’s integrative binge eating and weight loss treatment program.  I do believe that Dr. Boutelle does articulate how their approach is very different than “dieting” and absolutely does NOT advocate extreme behaviors that could trigger eating disorder symptoms. 

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