5 Steps to Help Your Clients Reach their Eating Disorder Recovery Summit!

Eating disorder recovery is like climbing a mountain – I was reflecting about this as I reached the summit of Bergen Peak in Evergreen, Colorado (see video below)! It was a long and sometimes difficult journey, but my traverse was eased by those who had created a trail to reach the summit. In addition, I was prepared, carrying the essentials that I needed with me in my backpack, and wearing the right gear. But it all began with my commitment to embark on this journey, and trusting my Inner Guide for Inspiration to complete this climb.

During my own eating disorder recovery, I learned five essential principles, and practicing these principles on a daily basis gradually allowed me to let go of eating disorder behaviors and embrace a new life of freedom! Now, as a Licensed Addiction Counselor and Certified Eating Disorder Specialist, I share these five principles with my clients. These principles comprise the method I created, Eating Disorder Intuitive Therapy (EDIT)™ – and I provide training and certification for Eating Disorder Recovery Coaches and Treatment Clinicians  to be able to help their clients. EDIT™ Certified professionals are like mountaineering guides, using these five EDIT™ Principles as steps to the summit of eating disorder recovery success.

1. Love Your Self – Commit to the Recovery Journey!
Even if clients have some ambivalence, emphasize their worthiness to recover and live the life they truly want to live! Give your clients essential tools to begin their recovery journey – these are specific EDIT™ Worksheets you’ll provide in an initial session. Using the hiking analogy, you’ll give your clients a backpack (which will be filled in the next steps), and a map (so they don’t feel likely they’re blindly wandering into the unknown). Some clients might wonder, “What about my bathroom scale? And a mirror?” You might explain that a bathroom scale would be a heavy item to carry, and use EDIT™ Worksheets to help them find freedom from weighing (or measuring their bodies in any way). As for the mirror, you can suggest that this journey of recovery will involve discovery of their True Self, which can’t be seen as an image of the body reflected in a mirror. Hold the vision of your clients as their True Self until they can envision this themselves.

2. Be True To Your Self – Enjoy Nourishment for the Whole Self!
This includes the body, mind, heart and soul – or, the physical, mental, emotional and spiritual aspects of recovery. Introduce the concept of listening to one’s Inner Wisdom, or Intuitive Therapist (IT) within themselves. Start with the EDIT™ Worksheets which help clients access their Intuition, and then guide them with the EDIT™ Worksheets for Intuitive Eating and Intuitive Exercise (or Mindful Movement).  Using eating disorder recovery as a mountain climbing metaphor, emphasize the importance of water, meals and snacks, and assist your clients to add these to their backpack for their recovery journey. To further support the body, your clients need adequate hiking shoes or boots, and trekking poles can make it easier on the knee and hip joints. Remind your clients that this recovery journey is not a sprint, and encourage them to take lots of breaks along the way.

3. Express Your Self – Attend to Thoughts, Feelings, and Authentic Needs!
This is a critical step on the eating disorder mountain climbing journey. Guide your clients to gently notice their thoughts and feelings, and assist them to be curious about their authentic needs (shifting from ED to IT). There are essential EDIT™ Worksheets which facilitate this process. Sometimes the path may be very clear and clients can proceed with ease… celebrate your clients’ successes! And then the path might disappear. have your clients wandered into the weeds (filled with thoughts from the ED mind) instead of the Way of Recovery (filled with hope and encouragement from the mind of IT)? Prepare your clients when the Way gets challenging, such as climbing through scree (broken rock fragments and loose stones that are often at higher elevations, especially nearing a mountain summit). This is when clients are concurrently climbing high and yet “slipping back” to address core issues. Affirm that the Way has challenges, and moving through these leads to workable solutions and more freedom from ED! Offer EDIT™ Worksheets to guide clients to develop healthy coping skills and explore those deeper issues. Clients may appreciate having a journal in their backpack, so they can take note of their challenges and successes on their recovery journey. Sometimes, life can get messy, so be sure that your clients have toilet paper and a trowel (to dig a hole and bury the s*** left behind)!

4. Give To Your Self – Become Full-filled from Within!
Many clients struggle with the concept of “enough.” They might strive to be “good enough,” always striving yet never arriving, it’s “never good enough.” This can be mimicked through ED behaviors, such as restrictive eating to reflect an inner emptiness, or binge eating in an attempt to fill a hole inside. Meanwhile, basic needs are barely being met. It’s like your clients are going in circles near the mountain top, unaware of who and where they really are, looking outside themselves for approval instead of pausing to realize their own Self-validation. Clients will never feel “good enough” listening to the voices of the world, also hearing the chatter from the mind of ED and the inner critic, which keeps them spinning. What would happen if you guided your client over to a couple of trees, where they can hang a hammock (which you thoughtfully put in their backpack)? Encourage your client to truly pause – and just be in the moment. This can be a challenge for clients, so assist them through visualizations and other EDIT™ skills. It’s like there is a spring-fed well that can suddenly appear anywhere your clients are, as long as they can be still and know their Intuitive Therapist is with them. This Inner Wisdom can spring forth, providing full-fillment from within, and clients can finally experience and appreciate their enough-ness. Guide your clients to affirm, “I AM good enough, always have been, and always will be!”

5. Believe In Your Self – Reach the Summit of Recovery Success!
By practicing the first four EDIT™ Principles, clients can begin to see the summit… only to realize that when they reach it, there is another summit that becomes visible. In the eating disorder recovery mountain climbing analogy, this is known as a “false summit.” It’s like working sooooooo hard, only to realize that you haven’t arrived to the top, and there’s still seemingly sooooooo much more to go on the journey. Somehow mustering more strength, the journey continues. But where is this strength coming from? Is it the small-s false self, who can experience moments of freedom from ED by controlling the ED behaviors, reaching a false summit? Or is it the Capital-S True Self, who has found a renewable Energy Source with Infinite Power and lasting Freedom from ED, which is always available by staying aware of one’s Mind? This is the Mind of one’s Intuitive Therapist and True Self, rather than the limited mind of the false self, still caught up in striving-yet-never-arriving, vulnerable to relapses with ED. Remind your clients that they have a compass (another recovery tool you tucked into an easily accessible side pocket of their backpack). The false self’s eyes are limited, but the Eyes of the Soul can see the Way (even in the dark). Clients might feel hopeless, like they’ll never reach the “real” summit, but with their Inner Compass, they Way is clear. At last, the mountain top is reached! Clients are so Grateful, often feeling Joy that they haven’t experience in years or decades. On top of this mountain, they have a 365º view of the world around them. They see other summits they can rise up to, and valleys they can venture into very deeply.  They realize that the journey of recovery can continue, by proceeding with the Confidence of their Intuitive Therapist as their ongoing Guide in Freedom.

“Love Your Self, Be True To Your Self, Express Your Self, Give To Your Self, Believe In Your Self,” you remind your clients, as they conclude their work with you. They smile and nod their head, knowing that this EDIT™ Message is always within their True Self.

*****

Article may be reprinted with the author bio below.

©2020 by Dr. Dorie McCubbrey. Dr. Dorie is a Certified Eating Disorder Specialist and Licensed Addiction Counselor who is passionate about training professionals to effectively guide clients in recovery from eating disorders. She is the President of the EDIT™ Training Institute LLC, which provides training and certification in her method of Eating Disorder Intuitive Therapy (EDIT)™.  She also provides sessions for clients who struggle with these issues, either in person or by phone/video. Learn more at: https://www.drdorie.com

*****

Want more that this “taste” of EDIT™? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized programs for people in recovery from eating disorders and who struggle with weight issues, and  EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – GET CERTIFIED – ATTEND ONLINE RETREAT

The post Eating Disorder Recovery and Mountain Climbing appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

While in graduate school to become a counselor, I wrote a paper about “Ecopsychology,” which was an emerging field, involving the relationship between the environment and the human psyche, or the natural world and our inner world. A newer field has emerged, called “Wilderness Therapy,” which involves an integration of nature into the therapeutic process, to facilitate healing in a deeper and more meaningful way.

Now, as a Licensed Addiction Counselor and Certified Eating Disorder Specialist, I’m always looking for ways to bring nature into my work with clients. This may be through the use of wilderness metaphors in my dialogues with clients, by taking mindfulness walks with clients outdoors, or by leading workshops and retreats in wilderness settings. My new office is located right by Evergreen Lake, with access to walking and hiking trails right outside the door!

I’m excited to be offering a 3-hour Wilderness Therapy Workshop on Saturday, June 23, 2018. In this small group of up to 8 members, we’ll take an easy walk into a nearby nature area. I’ll be guiding participants in a variety of nature-based therapeutic techniques, which are designed to enhance intuitive abilities – what I call the Intuitive Therapist within us all. Whether you are in recovery from an eating disorder or addiction, or if you’re simply on a path of personal growth, I invite you to join me for this special event! See flyer for details, and register by midnight on June 16 to get the Early Bird rate!

CLICK FLYER TO VIEW & PRINT

CLICK HERE TO REGISTER

Article may be reprinted with the author bio below.

©2018 by Dr. Dorie McCubbrey. Dr. Dorie is a Certified Eating Disorder Specialist and Licensed Addiction Counselor who is passionate about training professionals to effectively guide clients in recovery from eating disorders, through her Eating Disorder Intuitive Therapy (EDIT)™ Certified program. She also meets with clients at her treatment center, Positive Pathways PLLC, located in Evergreen Colorado. Learn more at: https://www.drdorie.com

*****

Want more that this “taste” of EDIT™? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE – GET CERTIFIED

The post Wilderness Therapy Workshop appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

The second EDIT™ Principle involves everything about INTUITION – how to use one’s intuitive wisdom for guidance about eating, exercise, and everyday life. This intuitive wisdom is what we can also call the insight of the Intuitive Therapist within us all. People with eating disorders typically only hear the chatter of their eating disorder (ED) mind. But as EDIT™ Practitioners, we model the voice of the Intuitive Therapist (IT) until clients can her IT within themselves. The EDIT™ process involves having ED-IT dialogues with clients. Here’s what this might sound like:

ED (false self) – “I follow the rules and do what I should do.”

The “rules” involve eating, exercising, and other eating disorder behaviors, as well as countless expectations of others. The false self adopts these rules as ones own, unaware that they are being imposed from outside influences. Many rules contradict each other, which is a setup for the rules to be broken, followed by attempts to resume the rules with even more rigidity. The false self is adamant that it is moving in the right direction, without realizing it is blindly going in circles.

IT (True Self): “I trust my intuition, in all areas of my life.”

Intuition is an inner knowing, a gut feeling, an awareness which comes without any logical analysis – it is the “voice” of the True Self. Intuition is accessed to guide all decisions, including career direction, family and relationship choices, as well as eating and exercise selections. The True Self may listen to the others opinions, then discern whether they are in alignment with ones own values. The True Self has an inner compass, which always points in the right direction.

Try this “taste” of EDIT™ – Reasons WHY We Eat

Click on the image below for a downloadable worksheet which you can use to explore how the concepts of intuition can be applied to eating disorder behaviors. Discuss the three reasons WHY we eat, and guide your client to trust their INTUITION for the type and amount of food their body needs.

Scroll below the image for guidelines about using the worksheet.
CLICK ON IMAGE TO DOWNLOAD AND PRINT

I’m feeling low on energy, and need a snack…
I just finished dinner, and want something sweet…
I’ve just had a stressful day, and want my favorite comfort food…

Can you relate to eating for these three different reasons? The first is the body’s PHYSICAL NEED for food – or, HUNGER. The second is a PHYSICAL DESIRE for specific foods although not necessarily hungry, for example, dessert – also called APPETITE. The third is an EMOTIONAL DESIRE for specific foods, as a means of self-soothing – referred to as COMFORT. It’s normal to eat for all three of these reasons – and eating disorders reflect being out of balance with why we eat. Eating disorder recovery is about restoring this balance, through Intuitive Eating.

As a little more background information for you as an EDIT™ practitioner – I developed the terminology for these three reasons why people eat as an outcome of my own research. I observed the eating patterns of people who reported never having had an eating disorder, and noted that the reasons people ate fell into three main categories. My original terms were “Physical Need,” “Physical Desire,” and “Emotional Desire” – which I have since simplified as “Hunger,” “Appetite,” and “Comfort.”

On a typical day, people without eating disorders reported eating for the three different reasons with these percentages: Hunger (75-100%), Appetite (0-25%), Comfort (0-10%). What this means is that some days, a person might eat in this distribution: Hunger (75%), Appetite (15%), Comfort (10%). Another day, perhaps their proportions may be: Hunger (90%), Appetite (10%), Comfort (0%). Occasionally, people without eating disorders reported: Hunger (100%), Appetite (0%), Comfort (0%). However, most often, people without eating disorders ate with some percentage for all three reasons.

When I ask people with eating disorders the reasons why they eat, I often find different ranges for different types of eating disorders. For example, people with Anorexia typically report something like: Hunger (100%), Appetite (0%), Comfort (0%). However, many anorexics resist eating even if they do feel hungry, and only eat if they feel extreme hunger. In contrast, people with Bulimia or Binge Eating Disorder typically report something like: Hunger (0%), Appetite (25%), Comfort (75%). These individuals may actually eat some of the time because they are hungry – but to them it might seem like they are eating because they “want to” but don’t really “need to.” These individuals especially identify with eating for comfort, noting that they use food as a means of coping with intense emotions. People who identify themselves as having a Food Addiction report a slightly different percentage, usually something like: Hunger (0%), Appetite (75%), Comfort (25%). These individuals tend to relate to the concept that they are drawn to the taste of food and “love to eat,” but are less aware of using food as a means of emotional coping.

When you use this worksheet with your clients, begin by explaining the three reasons why people eat. Next, ask your client why they tend to eat on a typical day, so you can get a sense of their percentages for each of the three reasons. Ask your client why they think they “should” eat – any they will probably say something like, “I should only eat when I’m hungry” – which is what many weight loss programs advocate. Emphasize that it’s OK to eat for all three reasons, and then encourage your client to being their journey of Intuitive Eating by simply noticing their current eating patterns. Encourage them to gently ask, “Why am I about to eat right now?” Non-judgmental awareness is the first step in eating disorder recovery!

©2018 by Dr. Dorie McCubbrey. Dr. Dorie is a Certified Eating Disorder Specialist and Licensed Addiction Counselor who is passionate about training professionals to effectively guide clients in recovery from eating disorders, through her Eating Disorder Intuitive Therapy (EDIT)™ Certified program. She also meets with clients at her treatment center, Positive Pathways PLLC, located in Evergreen Colorado. Learn more at: https://www.drdorie.com

Article may be reprinted with this author bio.

*****

Want more that this “taste” of EDIT™? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE – GET CERTIFIED

The post Be True To Your Self appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

I’d like to introduce you to Emily Johnson, who is a Registered Psychotherapist and an EDIT™ Certified III – Eating Disorder Treatment Clinician. Emily completed her internship and continued to work under my supervision for several years, at my previous office location in Denver, Colorado. She is a knowledgeable and compassionate clinician, who is passionate about helping athletes in recovery from eating disorders. She is an amateur athlete who has overcome her own eating disorder, and finds “intuitive exercise” to be a healthy part of her recovery.
– Dr. Dorie

Do you exercise regularly?  Do you play a team sport?  Do you consider yourself an athlete?  My name is Emily Johnson, and my view of sports is that they give so much more than the physical benefits of exercise.  I see how sports give people endurance, empowerment, and a sense of purpose.  It doesn’t matter whether you are walking 5Ks or running marathons, bouldering in a gym or scaling El Capitan – if you find that your activity of choice is part of who you are and what you value, then by my definition you are an athlete.

Healthy athletes have a sense of wonder at their body’s ability to jump as high as they can, navigate curves at high speed on a bicycle, or move in spectacular ways for their particular sport.  If an athlete loses this awe and instead focuses on “awesomeness” and winning at any cost, this opens the door for eating disorders to enter.  Competitive athletes are often under extreme pressure from coaches, parents, and teammates.  Sometimes weight and size become a part of that pressure.  Runners are told if they lose weight, they’ll run faster.  Gymnasts and ballerinas are “supposed to” be petite and slender, in order to get the highest scores or earn the best parts.  This focus on weight and size can lead to dietary restrictions and excessive exercise patterns – and the development of Anorexia, Bulimia or Binge Eating Disorder.  Personality traits that make the best athletes – such as coachability, perfectionism, and selflessness – are the same traits that are common in individuals with eating disorders.

So how does one ditch eating disorders and excel as an athlete?  The focus turns back to what you, the individual, get from your activity of choice.  Quieting that Eating Disorder voice that tells you that your value is based in your weight, your performance, or how perfectly you can stick to a training program.  Reclaiming that sense of wonder about your body as it moves, and enjoying the feeling of healthy competition.

PS – Yes, that’s me in the photo! This was taken after my first triathlon, the Las Vegas Century Ride, September 22, 2012.

Looking for guidance with INTUITIVE EXERCISE? EMILY JOHNSON, MA (the author of this blog article) is an EDIT™ Certified III – Eating Disorder Treatment Clinician, and is currently employed by an eating disorder treatment center. Although she does not work with clients unless they are patients at the center, Dr. Dorie is available to meet 1-on-1 with athletes with eating disorders.

Interested in a FREE consultation with Dr. Dorie? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE

The post Intuitive Exercise for Athletes with Eating Disorders appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

I’d like to introduce you to Emily Johnson, who is a Registered Psychotherapist and an EDIT™ Certified III – Eating Disorder Treatment Clinician. Emily completed her internship and continued to work under my supervision for several years, at my previous office location in Denver, Colorado. She is a knowledgeable and compassionate clinician, who is passionate about helping athletes in recovery from eating disorders. She is an amateur athlete who has overcome her own eating disorder, and finds “intuitive exercise” to be a healthy part of her recovery.
– Dr. Dorie

There are many things about the world of fitness modeling that makes an eating disorders therapist cringe. Most notably, there’s the very strict dieting, and also the large amount of time spent on intensive workouts at the gym. Less obvious – but extremely concerning – are the body image issues that arise from quests for physical perfection, as well as comparisons with other fitness models, along with judgments during competitions and photo shoots. And then there are those who are not fitness models, but who compare themselves to the images of fitness models in magazines. Stacking yourself up against another person, who may or may not be healthy in their pursuit of perfection, is never helpful.

As an eating disorder therapist, I’ve worked with many current, former, and prospective fitness models, and while I do believe that some people can navigate that world unscathed, for many it is a slippery slope into dangerous waters, and many don’t know how far down they’ve gone.

So what makes the difference between a healthy approach to fitness modeling, and an eating-disordered approach to becoming a fitness model? The most important thing to consider is the motivation for fitness modeling. Is it the external validation? A desire to look like someone you saw on the internet or in a magazine? To make an ex-partner jealous? A desire for the “perfect” body? Or, for the enjoyment of challenging yourself?

Another area to consider is eating. If you are a fitness model, ask yourself how you feel if or when you eat something not on your meal plan. Would you even dare let yourself? Do you shrug it off, or do you try harder the next day to cut calories, reduce carbs, or spend an extra half hour working out to compensate? And if you do go off your meal plan, does that mean the rest of the day is blown and you might as well eat as much as you can before tomorrow when you vow to be extra strict?

Answering “yes” to questions like these is a red flag that you are heading into an unhealthy relationship with food, disordered eating, or a full-blown eating disorder – carefully justified  within the structure of training and meal plans.

Perhaps you’re not a fitness model, but you can relate to the quest for body perfection. You may be waiting until you get in shape to feel better about yourself, to be more confident, to start dating, to try something new, and so on. Maybe you tell yourself, “I’ll wear that when…”, or “I’ll hang out at the beach when…”, or “I’ll start dating when…” These are signs of an unhealthy body image. These are the motivations that will lead you on an elusive quest for happiness, when the key is to learn how to love the body that you have.

If you read this article and wonder if you might have a problem, or know you have a problem, there is hope. It is possible to have a healthy relationship with food, feeling freedom from rigid meal plans. It is possible to go to the gym because you want to, not because you have to – and to find enjoyment in the challenge, not in how others judge you. It is possible to love your body regardless of what weight, size, or body fat percentage is.

*****

Looking for guidance with INTUITIVE EXERCISE? EMILY JOHNSON, MA (the author of this blog article) is an EDIT™ Certified III – Eating Disorder Treatment Clinician, and is currently employed by an eating disorder treatment center. Although she does not work with clients unless they are patients at the center, Dr. Dorie is available to meet 1-on-1 with athletes with eating disorders.

Interested in a FREE consultation with Dr. Dorie? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE

The post Fitness Modeling and Eating Disorders appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.