The Art of Nutrition: the similarities and differences between our three programs philosophies and approaches

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Oliver-Pyatt Centers, Monte Nido and Clementine are three eating disorder treatment programs that operate with the same intention: To support individuals healing from eating disorders and to help them realize their potential of full recovery. That being said, we understand treatment is not a one-size-fits-all formula. Our three directors of nutrition come from the same underlying dietary philosophy that combines medically based research in the treatment of eating disorders with practices that help individuals learn to confidently nourish themselves independently. By understanding the slight differentiators that are practiced in all three facilities, it becomes easy to see that though the day-to-day may differ for clients from facility to facility, the fundamental reasoning for these different practices come from the same place.

Oliver-Pyatt Centers in Miami offers comprehensive, day treatment, transitional living and intensive out-patient programs for women seeking eating disorder recovery. Our program uses thoughtfully planned, supported food exposures to challenge food rituals, beliefs and judgments while building skills and laying the foundational understanding of the role hunger, fullness and satiety play in self-nourishment.  We work with a variety of mindful eating techniques, paying particular attention to hunger and fullness cues, while implementing a medically indicated and individually structured meal plans. Our hope is that this combination lays the groundwork for a future of intuitive eating as our clients move toward full recovery after discharge.

Monte Nido treatment centers offers residential, day and intensive outpatient programming and transitional living for clients seeking eating disorder recovery. At Monte Nido treatment centers, we work with our clients to support their nutritional, physical, and emotional health and wellbeing.  With treatment of the whole person as our guide, our initial goal is to build rapport with our clients, to gain an understanding of an individual’s challenges and to formulate an individualized treatment plan that promotes movement away from eating disorder ideals and towards whole health. Using thoughtfully planned, supported exposures to a variety of food and eating environments, active challenging of eating disorder behaviors, and individualized, structured meal plans, we work with our clients to support the development of the skills required for a life of conscious eating.

Lastly, Clementine is strategically structured for the treatment of adolescents with philosophies that pull from both of its parent programs. Our dietary practices are no exception; nutritional practices are based on research that is aligned with adolescent growth and development. We practice mindful eating techniques before and during meals and reflect after mealtime. There is an emphasis placed on healing the whole family through education, family food exposures and individual work with the family.

While on paper all three programs appear somewhat different, our objectives remain the same. In the next few weeks we’ll dive into the specifics of each program to reveal some more key similarities and differences between the three programs. Our first in-depth look at nutrition will be focused on Monte Nido programs and can be found here.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Treating Eating Disorders in Adolescents: Complexity, Connection and the Course to Full Recovery

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Monte Nido & Affiliates Chief Clinical Officer Doug Bunnell, PhD, FAED, CEDS, Monte Nido & Affiliates Senior Director of East Coast Clinical Programming Melissa Coffin, PhD, CEDS and Clementine adolescent programs Director of Nutrition Services Amanda Mellowspring, MS, RD/N, CEDRD-S will present “Treating Eating Disorders in Adolescents: Complexity, Connection and the Course to Full Recovery” on March 29th and March 30th.

To be effective, treatment of eating disorders has to reflect the complexity of these illnesses. Treating eating disorders in adolescents adds another layer of complexity that requires a deep appreciation for the influences of cognitive, emotional and physiological development. It also requires a thoughtful and systematic approach to helping families support their adolescent’s recovery. This comprehensive model provides a roadmap for helping teens and families establish a quick remission of the acute impact of eating disorder symptoms and behaviors so they can work their way to a full and lasting recovery.

Through this presentation, participants will be able to accurately explain the role of temperament, traits and neurobiology in the etiology maintenance of eating disorder symptoms in adolescents, as well as the psychiatric, psychological, nutritional and medical issues that are unique to this age group. Participants will learn to identify at least three developmental aspects of addressing motivation and readiness for change in the treatment of adolescents and be able to list and explain four skills families can implement to help adolescents develop strategies for managing anxiety and fear. Lastly, participants will learn to define and describe emotional response and attunement, communication and meal support—skills families need to develop when managing the challenge of their teen’s recovery.

Join us on Wednesday, March 29th in New York City at 3 West Club or on Thursday, March 30th in Westchester Country at the Doubletree by Hilton Hotel. Registration, networking and breakfast will begin at 8:30 and the presentation will take place from 9:30-11:30am. 2 CEUS will be provided! RSVP to Regional Outreach Manager Jenn Vargas at jvargas@montenidoaffiliates.com.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Article Spotlight

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Join us in reading inspirational and informative articles we have cultivated from across the web. If you have found an article you feel is inspirational, explores current research, or is a knowledgeable piece of literature and would like to share with us please send an e-mail here.

 

Surviving Spring Break while in Recovery Angie Viets 

Movement Therapy the Supports Weight at Every Size Eating Disorder Hope

On the Importance of Community in the Path Toward Self-Acceptance and Recovery NEDA

Signs of Disordered Eating in Children and Teens Project Heal

5 Strategies to Relieve Anxiety Psychology Today

What I Want Parents to Know about Eating Disorders More Love

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.

 


How Are You Teaching Others to Treat You?

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Clementine South Miami Primary Therapist Josephine Wiseheart, MS contributed to an article published on PsychCentral, “What It Means To Teach People How To Treat You.” The full, original article can be accessed here. The article explores the importance of and your own role in teaching others how to treat you. Please enjoy an excerpt of the article below…

Start with yourself.

“[T]o teach people how to treat you, you do not begin with them, you begin with yourself,” said Wiseheart. Morgan agreed: “The way you believe about and treat yourself sets the standard for others on how you demand to be treated. People learn how to treat you based on what you accept from them.”

Wiseheart regularly tells her clients to “Be the pebble.” In other words, “to create even a seemingly small amount of change will ripple out and create more change.”

Teaching others how to treat us starts with self-awareness, Wiseheart said. She suggested asking yourself these questions: “How do I treat myself? What do I value? What do I want? What do I think I deserve?”

Remember that you can’t change anyone else. But we can “create a different reaction in others if we change ourselves,” she said.

Talk about your “rules of engagement.”
One of the biggest misconceptions Wiseheart’s clients have about relationships is that others should know how they want to be treated. However, “in order for people in a relationship to be on the same page, they need to have access to the same instruction manual,” she said.

She calls this manual the “Rules of Engagement.” She suggests having “business meetings” to discuss the “rules” of your relationship. Have these meetings when people are at their best: They aren’t in an emotionally heightened or vulnerable situation, she said.

Rules might include no name calling or yelling during a conversation, and taking a break when tempers flare.

Communicate your needs clearly and compassionately.
For instance, many couples criticize, yell, or give each other the silent treatment to communicate their needs, said Morgan, who practices at Wasatch Family Therapy. This not only is ineffective, but it also hurts your relationship.

“Rather than scream ‘you never listen to me,’ it is more helpful to express ‘I feel alone right now and I would be very grateful if I could have your undivided attention for 10 minutes,’” he said. Another example is: “I am feeling overwhelmed right now and would love it if I could get a few ideas from you.”

In other words, we teach people how to treat us when we can identify a need and then express it in a clear and comprehensible way, Morgan said.

“If we use pouting, desperation, or even abuse, people do not learn how we want to be treated. All they hear is pouting, desperation and screaming. The message does not get across.”

Model how you’d like to be treated.
Wiseheart also often tells clients to “Be the person you want other people to be.” That is, treat others the way you want them to treat you, which is reminiscent of the Golden Rule, she said.

“If you want your children to be kind to you, be kind to them; if you want your sweetheart to be romantic and affectionate with you, be that way with them.” If you want others to listen to you, listen to them. Focus your full attention on the person, maintain eye contact, ask questions, validate their feelings and be empathetic, Wiseheart said.

Reinforce behaviors you like.
Reinforcement simply means expressing appreciation when the other person makes the effort to change their behavior, Wiseheart said. For instance, you might say: “I appreciate that you listened to me so intently yesterday.”

“Reinforce [behaviors you like] at the time, 5 minutes later, 10 minutes later, an hour later, a day later, 10 days later. You cannot reinforce a positive behavior enough.”

Pick a role model to emulate.
“Find a role model of someone who demands respect and appears to have a strong sense of worth,” Morgan said. This person might be a parent, peer, friend, teacher, coach, therapist, mentor or even a well-known celebrity, he said. “The important component of a role model is that they are emulating the desired beliefs and behaviors that you would like to adopt or integrate.”

Have realistic expectations.
According to Wiseheart, “You don’t teach people how to treat you in a day, or a week, or a month; it probably takes many months at a minimum to really get someone to treat you the way that you want to be treated.” This process takes lots of practice and patience. And sometimes, people are too caught up in being rigid and defending their own reality to try to act differently, she said.

When you start clarifying what you will and won’t tolerate there’s also a risk that some people won’t stick around, Wiseheart said. “At that point, you need to ask yourself what’s in your best interest — a relationship at the cost of you, or making room for the future relationships that you deserve?”

For the full article, written by Margarita Tartavosky, MS who writes her own blog, Weightless, please visit here. Marriage and Family Therapist Michael Morgan, of Wasatch Family Therapy, also contributed to the article.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Diagnostic Dilemmas: The Nutritional and Medical Interface in Treating Eating Disorders and Co-morbid Illness

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Clementine Director of Nutrition Services Amanda Mellowspring, MS, RD/N, CEDRD and Chief Medical Officer Joel Jahraus, MD, FAED, CEDS will be sharing some of their expertise in an upcoming professional seminar. “Diagnostic Dilemmas: The Nutritional and Medical Interface in Treating Eating Disorders and Co-morbid Illness” will be held in Princeton, NJ at the Westin Princeton on Friday, March 10th from 9:00am-11:30am. Breakfast and 2 CE hours will provided.

Contemporary medical illnesses including celiac disease, food allergies and irritable bowel syndrome often confound the treatment of eating disorder patients and need careful consideration as to a true medical etiology. Often in the course of treatment the nutritional aspect of care becomes front and center as individuals fear the worst with food exposures that they have long avoided. This presentation will discuss these issues and put forth our model of care in appropriately assessing the comorbidities as well as the collaboration of medical and nutrition in treating not only the co-morbid illness, but the eating disorder as well.

In this presentation, participants will learn to describe three basic medical and nutritional issues inherent to co-morbid medical issues in eating disorder treatment and accurately explain the current medical approach to the treatment of comorbid illnesses. Participants will also learn to describe the interaction of medical and nutritional team members in the assessment and treatment process. Lastly, participants will learn at least two appropriate nutritional approaches that correct nutritional deficiencies while addressing food fears and eating disorder behaviors.

To join the professional seminar, please RSVP to Regional Outreach Manager Tamie Gangloff (tgangloff@montenidoaffiliates.com). Seating is limited.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.

 

 


Seven Key Developmental Needs: Creative Expression and Structure

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In this fourth and final post on the seven developmental keys series, Senior Director of East Coast Clinical Programming Melissa Coffin, PhD, CEDS discusses the final two keyscreative expression and structure. Read on to learn how Clementine adolescent treatment programs incorporates both keys in treatment…

The Center for Early Adolescence has defined fundamental developmental needs during adolescence as the following: Self-Definition, Meaningful Participation, Competence, Creative Expression, Physical Activity, Social Interactions and Structure. Today I want to write about the combination of Creative Expression and Structure and how they are integrated in the treatment of adolescents with eating disorders.

In adolescence, the prefrontal cortex is still continuing to develop. As a result, adolescents are able to think more creatively during this time. This flexibility of thought allows them to see things in a different way than we do as adultsthey are great “outside of the box” thinkers. We enjoy this quality of adolescence and encourage our adolescents to use creativity and flexibility to challenge their eating disorders or other areas of life where they are stuck.

At Clementine, we integrate time for both creativity and expressive therapies to appeal to their cognitive flexibility. Being able to teach and talk about important concepts in treatment through a creative modality helps to enrich our programming. It is also a non-threatening way to therapeutically approach more sensitive or challenging topics. For example, having a client create a collage of their goals rather than writing them down in a list helps them visualize goals in a different way. This activity can perhaps bring to light some goals that were not at the forefront of their mind when they started the assignment.

Coupled with honoring their creativity and flexibility, Clementine programming and staff naturally provide structure for our teens. With our multidisciplinary Level System, and structured programming, we provide a safe container in which our teens can flourish during this special time in their lives. We have found this balance of structure and creativity to be the perfect blend for our adolescents. 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.

 


Article Spotlight

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Join us in reading inspirational and informative articles we have cultivated from across the web. If you have found an article you feel is inspirational, explores current research, or is a knowledgeable piece of literature and would like to share with us please send an e-mail here.

 

5 Ways to Self-Care During Difficult Times NEDA

Friends of Teens with Eating Disorders Unsure Where to Turn Psychology Today

6 Key Steps to Getting Back on Track after a Relapse in Recovery Angie Viets

Cultivating a Positive Relationship with Food MEDA

Disordered Eating Patterns to be Aware of Among Adolescents ED Hope

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Our Clementine Family: Ingrid Senalle

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Ingrid SenalleClementine South Miami Recovery Coach Ingrid Senalle, LPN shares her personal journey to joining the Clementine Family, as well as an inside look into the treatment center. Learn more about Ingrid and Clementine adolescent treatment program by reading this weeks “Our Clementine Family”…

What is your name and what are your credentials?

My name is Ingrid Senalle, I am a Licensed Practical Nurse/Recovery Coach. My role as “RC” at Clementine South Miami (SoMi), began on March 2016.

Please give us a brief description of your background.

Miami has been my home since birth, I attended nursing school at MedVance Medical Institute and attained my diploma in Practical Nursing in August of 2012, I have been licensed with the state of Florida since 2013. My nursing career has always been focused on work with adolescent clients, prior to Clementine, I was a school nurse working with special needs high school students. My passion for working with eating disorder patients began when my older brother developed a severe case of Anorexia Nervosa, our entire family was devastated, at the time I was only 14 years old and watched him go through hospitalization after hospitalization. The eating disorder in him got worse before it got better, he was in a wheelchair with barely any strength at all, at my young age I researched as much as I could on eating disorders to help get him out of his poor state. Luckily, with an amazing family and medical team he was able to recover over the course of a year and a half. It was then that I developed a passion for a future career in knowing further about eating disorders and helping children and adolescents with severe eating disorders and/or special needs.

What does a typical day look like for you at Clementine?

A typical day for me consists of making sure our clients are safe, as safety if the number one priority,  and making sure all of our girls are in tune with what goals need to be achieved to meet their needs. Our clients rely on us for everything, whether it be emotional support to what is portioned for them to eat, my job is a vital role in the process of recovery.

In your own words, please describe the philosophy of Clementine.

Clementine is a program that prioritizes the needs of our clients, helping clients get in tune with their hunger/fullness cues and to normalize the act of eating without judgement.

How does your team work together? How do your roles overlap and differ?

Teamwork is such a vital part of the Clementine program, our team works together in every aspect, communication is a big part of our work together. Communicating information on a day to day basis on each client, helps us stay on the same page with each individual client and their specific needs. Clementine is one big family, we all have different tasks to complete daily, but never hesitate to help even with things out of our normal routine. We all watch out for one another and have found that it helps maintain our warm, friendly and reliable atmosphere.

What is your favorite thing about Clementine?

My favorite thing about Clementine, would have to be the ability to help our clients in so many different way, we are given so much to work with, it is very satisfactory to see the positive progress that our clients make from start to finish. Clementine is a great place to work, the staff is also one of my favorite things, everyone is great to work with. The opportunity for growth within the company, this is a job that I get excited for in the morning!

What are three facts about you that people do not know?

1.      I’m terrified of dark water and what may lie beneath!

2.      I never learned to ride a bicycle.

3.      I have never seen snow in person.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


If She Were Your Daughter, What Would You Do?

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LaurenOzboltClementineBlogClementine Medical Director Lauren Ozbolt, MD is board certified in adolescent, adult and child psychiatry. She oversees the psychiatric care and attending psychiatrists at all Clementine locations. In her post, Dr. Ozbolt shares some the work being done at Clementine and the commitment the staff has to each adolescent’s recovery.

I can recall first wanting to become a physician when my mother would take me to the pediatrician’s office when I was feeling sick as a child. Often times my doctor would sit next to me and calmly explain what he felt was going on and all the options for treatment that were available. My mother would always reply in the same way whether I had the flu or needed hospitalization. She would say, “If she were your daughter…what would you do?” To this day, that is how I think about the adolescents we treat, and that is the approach that permeates the air at Clementine. With each adolescent we think, “If this was my daughter, what would I do…”

Here’s what we would do…

At Clementine, your daughter’s psychiatrist takes the time to get to know the girl underneath the eating disorder. We empower and equip her with the tools – whether they be therapy, medication or both – to help her overcome her eating disorder. We feel the best kind of care is collaborative care and we invest a great deal of time in making parents “experts” on the most innovative treatments, neurobiological causes and the latest research in the field of eating disorders. We feel in order to treat a disease it is important for you and your daughter to fully understand the illness and our rationale for treatment. At the heart of Clementine program is a commitment to your daughter.

 While education about treatment of eating disorders is invaluable, it is only a part in what makes out treatment unique. We truly delight in knowing her and your family and take pride in aligning ourselves with you. At Clementine, your daughter’s future goals, become our goals and hence starts a beautiful restorative process of getting her back on track to become the amazing young woman she is destined to become.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Talking to Kids about Body Image with Dr. Zanita Zody

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Clementine Portlandzanita Clinical Director Zanita Zody, PhD, LMFT guides her team with warmth and compassion as they provide comprehensive care to the adolescents who entrust their treatment in them. Recently, Dr. Zody sat down with Portland Today to share some of her expertise in supporting adolescents with body image issues. Watch Dr. Zody’s appearance on Portland Today here: 

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.