3 Considerations for Maintaining Recovery in College

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Maintaing eating disorder recovery while in college can be particularly challenging. In this week’s blog post, Clementine Portland Student Intern Erin Holl discusses these challenges and some strategies in how to manage them. 

Eating disorders affect people of all ages and from all walks of life, but are particularly prominent among students in college. College can be an exciting time of newly-found independence and self-exploration, it may also be a time of significant stress and vulnerability. In the interest of recovery maintenance, hope for making the transition into college should be accompanied by identifying and safety planning around the challenges of this environment. The following are three challenges facing college students maintaining recovery from an eating disorder:

Relocation and Roommates

Beginning college often means a new place of living. Relocating housing is stressful at any point in life, but particularly so when that move includes changing regions, leaving family and familiarity, and taking on new roommates. Leaving the familiarity of home can also mean leaving an existing support structure. When relocating to a new region, it is important to proactively establish a new supportive community of friends and professionals. Though some are fortunate enough to find friendships amongst new roommates, these individuals are not always positive influences on recovery maintenance. Living in close proximity to individuals with disordered eating patterns can be a challenge, though one minimized by awareness and planning.

Competitive Environment

The acutely competitive nature of the college environment is no secret. In this culture students are encouraged to test their limits in order to academically achieve at the highest level. Further, the achievements of one student are frequently compared to the efforts of others rather than previous personal achievements. This cultural norm of comparing self to others and forgoing a balanced life in the pursuit of achievement in one area can be a particularly insidious challenge for students maintaining recovery from an eating disorder. Students in such an environment could benefit from intentionally planning for and cultivating balance between work and self-care as well as identifying personal goals and values around achievement. Additionally, students may find that practicing transparency with professors and advocating for alternative educational needs can create a more hospitable academic environment.

Inconsistent Structure and Schedules

Between course schedules shifting every few months, occasional extended breaks, and the increased workload around midterms and finals, college living provides little of the consistency in structure that is important for students maintaining recovery. This lack of structure often results in increased demands for accountability from the individual, particularly in regards to practicing self-care, engaging in appropriate levels of movement, and planning regular meals and snacks. Students may create increased structure by mindfully assessing their individual needs as well as generating and implementing realistic schedules that support sustained wellness. Furthermore, students who initiate participation in regular check-ins with primary support persons minimize the potential for isolation in their increased personal accountability.

The challenges facing students maintaining recovery from an eating disorder during the transition into college can be significant, but are largely able to be mitigated by proactive planning and accessing available supports. The three challenges noted here only begin to address what students can expect to encounter in this period of high stress. Engaging in party culture and risky behaviors, limited funds to provide for basic needs, and social media-driven socialization are just a few of the other obstacles that may present to students pursuing higher education. Fortunately, clinicians have the ability to aid clients in preparing for the college experience with the appropriate knowledge and skills that will support recovery maintenance.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

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.


Sea Glass Grant: Recovered Living

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At Monte Nido & Affiliates, we save lives while providing the opportunity for people to realize their healthy selves. One of the ways we want to help provide opportunities for individuals to realize their healthy selves is through our Sea Glass Grants opportunity. We are excited to share our newest Sea Glass Grant recipient, Recovered Living, an organization providing coaching to those who aren’t able to obtain support in underserved locations, providing both in-person support and online. Read more about this amazing organization below! 

How did Recovered Living come about?

My own recovery experience inspired me to create a service for people who did not have access to face-to-face support.

After flying home to to New Zealand after 7 months with Monte Nido I realized the ‘Treatment Bubble’ had well and truly burst. The nearest eating disorder therapist was 6 hours drive away so I knew if I wanted to stay in recovery, I needed to get creative in finding a team.

I found a therapist and a dietician that worked online and figured out that lunchtime in New Zealand was dinnertime in California. I would Skype with my recovery friends at mealtimes and in this way created my own virtual IOP. No matter where I was in New Zealand, my entire team was at my fingertips via my laptop.  This is how I recovered.

In my recovery journey I saw many people relapse and even die as a direct result of lack of available treatment options. I became determined to bridge the gap for people who did not have access to face-to-face support and create something different that addressed the gap.

How has Recovered Living helped you in your recovery journey?

Recovered Living was a dream of mine years before it was a reality. When recovery was tough for me or the temptation to go back to my eating disorder was strong, I would remind myself that I couldn’t be a role model for others if I went back to my eating disorder. Helping others and being a leader in the recovery field was a very strong motivator for my recovery.

Who is Recovered Living? 

Recovered Living is 100% Kristie at the minute! I often refer to Recovered Living as ‘we’…because it truly has a life-force of its own. I have my Kristie life and there is another being in my life called Recovered Living that I am in relationship with.

It is getting close to the time that I need another coach to help meet demand – Recovered Living will soon be ‘us’!

What feeling do you most associate with Recovered Living?

Only one?  Hope. The most important thing in the world. Inspiration. Authenticity & Effervescence!

Walk me through the Recovered Living process, how do people currently hear about the services you provide?

Recovered Living provides two distinct services.

Transition Assistance is a 24/7 service where a Recovery Coach will move into a clients home to help them transition. This can be moving from Residential to PHP, from School to Home…or anything in between. When the Recovery Coach leaves, they can continue supporting clients via online sessions.  With such a detailed insight into Client’s lives, we have noticed people’s recovery wobbles are more like a dance move than a dive.

The other service Recovered Living provides is online Meal and Snack Support, Recovery Coaching and At-Home Cooking Sessions. This means we have clients all across America, Australia, New Zealand, Canada and Europe.

We recently started a free online ‘Support Space’ group for family and friends of Recovered Living clients. An eating disorder does not just affect one person in the family, it affects every person in the family. We believe families deserve support too!

People have found Recovered Living from all over – we get lots of people from Google searches, word of mouth referrals or from our social media platforms. Something we always offer clients is the opportunity to talk with us first, before making any commitments. We will connect via video call with any new client to hear their story and to talk about how we can help them move forward in recovery. If we seem like a good fit and you want to move ahead – we will design a support schedule that works for your individual needs. We are available nights AND weekends – we get that recovery operates outside office hours – so do we!

What is your favorite part of the day-to-day start up process?

It is not one moment that is my favorite so much as the feeling of a driving and vibrant passion inside me. Sometimes I get so excited I don’t want to close my eyes at night!!

How can people get involved?

If you think Recovered Living is a service that could help someone you know, please spread the word!  We have a Facebook and Instagram account, as well as a monthly blog (you can sign up for our newsletter on the website).

Have spare time on your hands? We currently have volunteer opportunities available to help get an upcoming project off the ground. We always welcome support!!!

What advice would you give to someone in their recovery who has a dream?

Do it!  Something that helped me in recovery was the mantra, ‘bigger jeans, bigger life’…now I say ‘bigger dreams, bigger life’!   

What are your hopes and dreams for Recovered Living?

I hope Recovered Living reaches every corner of the world that has access to the internet.

I dream of a time where treatment for people will be affordable, help is available and support is practical.  No matter where you live.

I hope Recovered Living helps to promote the benefits of telemedicine, giving rise to the critical mass that is creating a change in treatment options.

I dream of the client that will one day become a Coach. The client that follows their calling and becomes the person they wish they had in their recovery – themselves.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

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.


When Emotion Mind Wreaks Havoc on our Behaviors

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Clementine Briarcliff Manor Primary Therapist Dana Sedlak, LCSW discusses the progression of “emotion mind” to “wise mind” in eating disorder treatment. In this week’s blog post, Dana explains how our emotions are directly tied to our behaviors and some strategies used to support clients in recognizing and moving past maladpative behaviors.

One of the most difficult parts of treatment involves identifying and understanding one’s thoughts and feelings. This can be more challenging for those with eating disorders whose function has served as a numbing agent for several unwanted emotions. It has become natural and sometimes habitual to dismiss feelings in order to feel in control. Through DBT (Dialectical Behavior Therapy), teenagers are introduced to the idea of Distress Tolerance: Unfortunately, pain is a part of life and therefore one must learn how to manage difficult emotions.

Many teenagers speak to having an increase of emotions once they begin completing their meal plan in treatment. We often wonder whether they are experiencing more emotions due to many of their eating disorder behaviors decreasing or because they are becoming more connected to themselves and others due to the therapeutic process. Despite the reasoning behind this, the increase in emotions is extremely uncomfortable for them. They often report feeling easily overwhelmed by these emotions with little confidence in coping with them. The danger in this scenario is that without intervention, emotion mind leads right back to use of destructive behaviors. They then become stuck in what often feels like an endless cycle.

The beginning of this cycle includes a precipitating event that is identified as the trigger. This could be anything from a death of a loved one to getting a poor grade on a test. One’s emotions then start to bubble up, including depression, desperation, anxiety, and worthlessness. Shortly after these emotions then turn into thoughts that become fueled by these emotions. “I can’t deal with this anymore” and “I’m so dumb, I might as well just stop trying” are prime examples of these emotion-driven thoughts based on the triggering event. As we know from CBT (Cognitive Behavioral Therapy), the thoughts also quickly turn into behaviors. This is where one’s eating disorder and co-morbid illnesses take hold. Restricting, binging, purging, over-exercising, self-harming, and other similar behaviors serve as protective measures that protect one’s ego/self-esteem in order to avoid these thoughts and emotions.

Once the behaviors have initially subsided, consequences are likely to appear. This could occur in either the short or long-term, but often results in loss of freedom, relationship problems, health problems, or a worsening of symptoms. Emotion mind revs up and creates more feelings of depression, anxiety, being overwhelmed, and an increase in shame because of these consequences. These emotions now feel intolerable again and one resorts back to what she thinks works: Covering up these emotions through more behaviors.  Before she is even aware, she becomes stuck in this cycle of suffering all over again.

The goal through DBT is to intervene at the beginning stages of this destructive pattern. It is vital in recovery for one to be able to appropriately identify and feel one’s emotions. It makes sense for someone to feel sadness after a death or anxiety after doing poorly on a test. We never want to invalidate this part of the experience. What we would like to change comes in-between the negative thoughts and the behavior use. At this point in the cycle, one must learn to challenge her thoughts and then seek self-soothing coping behaviors to gain the same sense of protection and security that the eating disorder often creates. This can come in the form of one’s five senses of sight, sound, smell, touch, and taste. Go outside in nature, listen to your favorite song, smell a candle of a scent that brings you peace, take a warm bath or shower, or sip on your favorite drink.

Through continued intervention and practice, emotion mind will mold into wise mind where one no longer needs to use the eating disorder to manage and push away the emotions. Instead, one has gained the courage to face the emotions as they are. By breaking this cycle, one becomes vulnerable enough to know and believe that she is completely capable of working through any emotion that arises. It is then that one can begin to slowly and surely let go of the old destructive behaviors that no longer serve the same purpose.

 

References: “Out-of Control: A Dialectical Behavior Therapy (DBT)-Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior”

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

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.

 


Don’t Look in My Lunchbox! An Open Letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere…

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Clementine Advisory Board Member Cherie Monarch shares an important letter from a mother’s perspective in this week’s blog post. Check out the first of two posts written by Cherie…

10 Things you need to know before you speak

An Open Letter to all teachers, coaches, school personnel, educators, parents, and frankly, everyone, everywhere…

Dear Teacher,

I can’t thank you enough for your dedication and inspiring my child to love learning. You truly are a hero to me and my child.  I want to thank you for your concern for my child’s nutritional wellbeing and wanting my child to be healthy. It is greatly appreciated. But with all due respect, it is important for you to know that I am my child’s mother and I know their nutritional needs better than anyone.

Here are a few things you likely don’t know:

  1. My child may have a sibling who has struggled with an eating disorder. As a result of the genetic link, my child is 10 times more susceptible to developing an eating disorder than the average population. It is important that my child eats ALL foods. I do not want my child being encouraged, instructed, or told that he should not eat certain foods. Your words could potentially be the catalyst for food restriction and negative energy balance which could trigger an eating disorder for those prone.
  2. Foods do not have moral value. I do not want my child being taught that some foods are good and some foods are bad. Yes, some foods may offer more nutritional value than others, but all foods have purpose. Some may offer more vitamins, but others may offer comfort, celebration and nurture their spirit. Nutrition is about balance. I want my child to eat all foods and learn all foods are good in moderation. Balance is key.
  3. You do not know a child’s medical history, needs and conditions. Therefore, I encourage you to not instruct any child on their food choice or monitor their lunch boxes for content. A student could have a hematologic condition where their blood clots faster than normal. Ingesting vegetables, which are loaded with vitamin K, could actually harm them by creating a blood clot. A child with this condition needs to have a limited amount of vitamin K. The child could also be suffering from an eating disorder or a brain condition, you can’t tell by looking at them. They may need additional fats in their diet.
  4. Are you aware that the average person needs 30% fat in their diet for normal brain function? You telling my child not to eat NO fat or low-fat may cause their brain to atrophy and may cause them to have memory problems. Having fat in my child’s diet can actually make them smarter. You see, their brain is comprised of 60% fat. So, their brain needs fat in order to function correctly.
  5. It is estimated that at least 10 to 15 percent of children and up to 80 percent of all special needschildren struggle with some form of feeding disorder or challenges. Some children have complex food challenges, allergies, or anxieties – they can be physical or mental. Many of these challenges are not obvious. My child may have severe anxiety in social situations or loud environments (like a lunchroom) and become overwhelmed and distracted. Therefore, they must consume calorically dense, safe foods – foods you may not consider nutritious – in an effort to meet their energy requirement for the remainder of the school day. My child may have ARFID – Avoidant/Restrictive Food Intake Disorder and may avoid foods based on certain qualities – such as texture, color, taste, or temperature. As such, my child may only have 3-4 foods total that he/she will eat. If you shame my child about what is in their lunchbox, they may eat nothing. Your words may have just eliminated one of my child’s “safe” foods – therefore harming them and erasing a source of energy.

 

We are exited to share the opening of Clementine Malibu Lake. Learn more about the program by visiting our website or calling an Admissions Specialist at 855.900.2221.

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.


Creating a Game Plan for the Holidays – Helping you and your loved one navigate

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Clementine Parent Advisory Board Members Becky Henry, CPCC and Cherie Monarch co-wrote this week’s blog post for all those with a loved one struggling with an eating disorder. Becky and Cherie outline clear tips to create a game plan to support you and your loved one in navigating the upcoming holidays. We are thankful to both Becky and Cherie for contributing this extremely helpful piece.

For someone with an eating disorder, the holidays can be an extremely difficult and stressful time. There are family celebrations, school parties, office parties, friend parties…the list goes on. But the common theme of these celebrations is FOOD.  Food is everywhere. Food is the topic of conversation. Everyone is speaking of “good” and “bad” foods. How they shouldn’t be “bad”. How they will “work it off” tomorrow. FOOD. FOOD. FOOD. WEIGHT.

For our loved ones trapped in the private hell of anorexia, bulimia, binge eating, and other eating disorders, the holidays are the ultimate nightmare.  These holidays magnify the personal struggles of our loved one and can be extremely difficult – for the family and the patient. The family is uncertain how to support the patient during these “food” feasts and the patient is terrified, feeling an increase in anxiety surrounding the holidays.

Follow these 10 tips to create a game plan that will help support you and your loved one throughout these food focused holidays.

Encourage your family to focus on the real meaning of the celebration. Make sure that the primary focus of the holiday is not on the food but rather on the family and the valued time you will share together. Take this opportunity to educate family and friends about eating disorders prior to the event. Discourage talk of calories, food, fullness, over eating, and encourage discussions of gratitude and love.

Recognize and validate how challenging the holidays are for your loved one. Understand for someone navigating an eating disorder the holidays are overwhelming. Validate their fears and their challenges. Be compassionate, kind, supportive and loving.

Plan other activities and distractions. Allow for other activities such as games, movies, caroling, decorating, that focus on the quality time with friends and family. This will give your loved one and you and opportunity to relax and breathe.

Plan meals ahead of the event. Establish a plan with your loved one on how they will navigate the day. Determine ahead of time how you can best support them and what their menu will be. For someone with an eating disorder, being faced with a bountiful buffet can be overwhelming. So many choices and decisions can be paralyzing. Help free them by supporting their decisions for meal choices ahead of time.

Grab a buddy. Prior to the event, help your loved one establish a buddy. This buddy will be their support system throughout the day. Anticipate what potential challenges will be and plan ahead on how to navigate. Have the buddy sit next to them during the meal. Establish a sign, like a squeeze of the hand, that will make the buddy aware they need additional support or are struggling. Step away privately to navigate.

Don’t make it about the food. Do not focus or comment on what your loved one is eating or NOT eating. Remember if they are unable to properly nourish at the event, they can supplement later. Don’t ruin your day or your loved one’s day by focusing on the food.

Set healthy boundaries together. You and your loved one work together to establish a plan on how friends and family will be addressed should the conversation take an unhealthy or triggering turn… such as diet talk, food, weight, etc. It can help to role-play this in advance. Saying something like “I declare this table a diet free and weight free zone” or “Can we please change the conversation to something more meaningful and just enjoy each other’s company?” or “I’m so thankful to be amongst family and friends on this special day. Why don’t we each share what we’re grateful for?”  Important that you learn how to ask for what you need.

Be mindful of the time. Often times when our loved ones are navigating recovery it helps to eat at structured times. Have this conversation ahead of time. How can your loved one meet their nutritional needs that day? Make sure the events are planned with a pre-determined time for meals and nourishing. Be aware that it can add tremendous stress to someone in recovery when meal times are ignored or unstructured. Change in routine is very challenging to navigate.

Remember there is always next year.  Holidays can appear at difficult times in the recovery process. If your loved one feels they are unable to face family and friends at this time, change it up. Maybe go for a picnic in the park, spend time in nature, and feed the ducks. Another option is to do something small and intimate right in your own home. Or maybe just prepare a bunch of appetizers (something fun and different) and watch a movie and take a nap. Maybe the entire family can do a hobby together, and keep the focus off the food and on the experience and together time.

Don’t forget to laugh!! It is amazing how much laughter can help lighten the mood and alleviate the stress!

While the holidays are a time for celebration, it is also key to remember that those with eating disorders may be having a particularly hard time. It is critical that a game plan be created in order to help you and your loved one navigate these stressful holiday gatherings.  Following these tips may be a helpful way to guide you and your loved one through this stressful time.

Try to remember that holidays are about celebrating family, gratitude, blessings, and remembering what is truly important in life. The holidays are not about the food. Food is just a part of the celebration. But it’s not the reason we celebrate.

Try not to focus on the eating disorder or let the eating disorder even be a part of the day. Remember that any missed nutrition can be replenished. If there are any concerns, certainly address them with the treatment team after the holidays.

If the celebration, or thought of it, is causing tremendous stress or anxiety on your loved one express concern in a constructive way and ask how you can support them. Remember that you can celebrate quietly and don’t have to attend large stressful gatherings if your loved one is not ready. The most important thing is that there are future opportunities for celebration and that your loved one is here to truly experience them in a healthy way.

Happy holidays to you, your loved one, and your family.

 

Clementine invites you to an open house celebration for our newest location, Clementine Malibu Lake, opening in December, on November 30th at 5pm! Learn more 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.

 


Sea Glass Grant Recipient: JOY’d

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At Monte Nido & Affiliates, we save lives while providing the opportunity for people to realize their healthy selves. One of the ways we want to help provide opportunities for individuals to realize their healthy selves is through our Sea Glass Grants opportunity. A Sea Glass Grant aims to support small projects that create, develop or communicate a project that supports eating disorder recovery and healthy self-image. The latest recipient of the Sea Glass Grant is JOY’d: Joy Over Your Destination, an organization that provides earrings and encouragement for women in eating disorder treatment. Read on to learn more from founder Amy Sullivan about this amazing organization in this week’s blog post…

How did Joy’d come about?

JOY’d started with a simple question, what is my purpose? When I entered treatment for my eating disorder I didn’t fully believe that recovery was possible.  I was blessed during this time to hear stories of women who were living proof that recovery was not only possible, but oh so worth it.  I vowed that if I made it through the storm I would give back and tell my story like these brave women had done for me.  A year into my recovery I created JOY’d: Joy Over Your Destination to encourage men and women in eating disorder treatment. JOY’d sends out earrings along with encouragement cards to warriors in treatment {earrings are substituted for silly putty if a center has male clients} to try and bring them JOY. On the back of each card is the simple phrase, “Wear these earrings as a reminder that recovery is possible” because that is what I want these brave men and women to believe: that recovery is possible. I fully believe that my purpose is to spread joy and encourage those seeking recovery.

How has Joy’d helped you in your recovery journey?

JOY’d has given me a purpose for the pain I went through.  I can now look back at the darkest times of my journey and know that they happened for a reason.  Every moment, tear, person and struggle brought me to where I am now and this is exactly where I am supposed to be. Even if I just help one person to believe that recovery is possible, everything that I went through would be worth it.

Who is JOY’d?   

JOY’d is me, Amy.  I’m a personal stylist, coffee drinker, dog mom and Auntie to the most adorable little girl. My perfect summer day involves sitting by the pool with a good book and I will use any excuse I can to travel! More importantly, I am in recovery from an eating disorder after struggling for six years.  JOY’d is my mom, Jill, who is not only my best friend, but also helps me to make and package the earrings.  JOY’d is for  all of the amazing people who helped me to get to this point in my recovery; friends, family and of course my rock star treatment team.

What feeling do you most associate with JOY’d?

As cliché as it sounds, JOY!  While the eating disorder stole so much from me, what I felt like it stole the most from me was joy. My favorite part of this process is when someone who received my earrings reaches out to me and tells me what they meant to them.  What started as trying to bring others joy, has actually brought more joy back to me than I could have ever dreamed.

Walk me through the JOY’d process, how do people hear about you and your project?

Since launching JOY’d I have been working on spreading the word and connecting with treatment centers! Once I get in contact with a treatment center, the only info I need from them is how many clients they have {how many male and how many female} and an address to send the package to! I always try to include a few extra pairs of earrings for some of the staff because they are truly saving lives every day.

How and where do you get your materials?

We find most of our materials at local craft stores and some on Etsy.  We have also been blessed with amazing leather donations from La-Z-Boy and Underwood Boot Company!

What is your favorite part of the day-to-day start up process?

My favorite part of the start up process has been working with my mom.  Our relationship was so strained when I was in the midst of my eating disorder, but it is better than ever now.  My mom is my biggest fan.  I love sitting around with her brainstorming new ideas for JOY’d and of course, making earrings!

How can people get involved?

People can get involved by following @JoyOverYourDestination on Instagram.  If you feel called to support JOY’d, I also sell earrings with encouragement cards on Etsy. For every pair sold a pair is donated to women in treatment and $5 is donated to Southern Smash, an incredible non-profit that raises awareness for eating disorders and promotes positive body image by hosting scale smashes across the country.

What advice would you give to someone in their recovery who has a dream?

Fight for your dreams!  People in recovery from an eating disorder are the strongest and most determined people I’ve come across.  Take that leap of faith. If your dreams don’t scare you they aren’t big enough!

What are your hopes and dreams for Joy’d?

Since July 2017, JOY’d has sent out over 300 pairs of earrings to treatment centers across the United States! My dream is to one day be able to travel to treatment centers to share my story, hand deliver earrings and let the clients craft their own encouragement cards! I hope that one day JOY’d will become a household name in the eating disorder recovery world.

 

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.


The Tipping Point in the Pursuit of Health: Clinical Assessment and Treatment of Orthorexia Nervosa and Exercise Addiction

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Join Oliver-Pyatt Centers, Clementine Adolescent Treatment Programs and T.H.E. Center for Disordered Eating of Western North Carolina for “The Tipping Point in the Pursuit of Health: Clinical Assessment and Treatment of Orthorexia Nervosa and Exercise Addiction” with Director of Clinical Programming Jamie Morris, MS, LMHC, CEDS-S.

Exercise and nutrition are foundational to good health, but extreme behaviors can be warning signs indicating unhealthy behaviors. Proper assessment and treatment are key in preventing these behaviors from becoming life-interfering and, in some cases, health harming. Through this workshop, participants will come away with an understanding of orthorexia, its definition and the controversy surrounding the term. Similarly, exercise addiction will be defined and assessment measures will be reviewed. The presenter will address the cognitive and behavioral similarities between orthorexia and exercise addiction and participants can expect to receive practical clinical interventions. The presentation will also address how cultural and social reinforcements impose challenges in the treatment of these disorders.

Participants will be able to:
1. Define the term orthorexia and understand the history of this disorder
2. Define the difference between compulsive and excessive exercise and name assessment measures that can be used
3. Name two validated measures that can be administered to assess eating and exercise behavior

The presentation will be held on November 17th from 10:00am – 12:00pm at The Center for Disordered Eating Office in Asheville, North Carolina. Two CE Credits Provided: PhD, PsyD, LMFT, LPCC, LMHC, LMSW, LCSW, RD

To RSVP, please reach out to Regional Outreach Manager Jamie Singleteary: jsingleteary@montenidoaffiliates.com


The Garment Project: Sea Glass Recipient

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One of the ways Monte Nido & Affiliates wants to help provide opportunities for individuals to realize their healthy selves is through our Sea Glass Grants opportunity. A Sea Glass Grant aims to support small projects that create, develop or communicate a project that supports eating disorder recovery and healthy self-image. Read on to learn about the first Sea Glass Grant Recipient, The Garment Project. 

Monte Nido & Affiliates is delighted to announce that The Garment Project  – founded by Monte Nido alumni Erin Drischler  has been awarded the first Sea Glass Grant of $500 to support their mission to provide size free clothing to women in treatment and/or early recovery from their eating disorder.

We are happy to share more about The Garment Project through our conversation with Erin:

Tell me about the process of creating Garment.

Garment was created from about two years of conversations between [my partner] Jordan and myself. I have worked in retail for the past decade and have always been interested in fashion. Jordan is a documentarian at an advertising agency. Our careers have given us knowledge and experience that helped us to create something innovative and truly necessary. Once we had our concept worked out, we started to talk to friends in the non-profit space about taking next steps and making this idea a reality. Jordan and I have been learning as we go, but we make a great team.

How has Garment helped you in your recovery journey?

Garment is a constant reminder of the progress I’ve made in my own recovery. The initial idea came to 5 years before we could make it a reality. I worked through my issues of always wanting to be the caretaker for other people like my mom or my friends but never taking care of myself. As I began to devote more time to my self-care, I was able to become more confident in myself and my abilities. Now I am able to truly help people in a bigger, healthier way.

Who is Garment?

Garment is me, someone who is living a recovered life, and Jordan, who has spent the past few years learning how to be a great support person for recovery. Both of us have a passion for helping others and are devoted to solving a problem that hasn’t been addressed for others in the past.

What feeling do you most associate with Garment?

Pride. I’m proud of the organization. I’m proud of the work I accomplished in my recovery to get here. I’m proud of the relationship Jordan and I share and the bond we’ve created by working together on something that we love. The small setbacks we’ve faced leading up to our launch would have sent me on a downward spiral just a few years ago. It is empowering to take pride in something that once gave me so much shame.

Walk me through the Garment Experience.

Garment has relationships with treatment centers across the US. When a woman is reaching a point in her recovery process where our service would be most helpful, her treatment team will start to communicate some helpful info to Garment. With that style, personality, and measurement detail, Garment creates a unique shopping site for each individual. From there, our new friend can pick out items that she likes, we’ll box them up and ship them right to her.

How and where do you get your clothing and accessories?

Garment has been building relationships with retailers across the US to ensure that we have an inventory with enough variety to fit anyone’s style. There are so many retailers that are acting philanthropically with their items after a certain season has passed, when items have gone on sale, etc. Garment has been fortunate enough to be in contact with incredibly generous people at both national retailers as well as smaller boutique shops. We take boxes of new, never worn clothing in all shapes, colors, styles, and most importantly, sizes. Eating disorders do not target certain body types. We want the women we serve to see more options from Garment than they’d otherwise be able to find in most stores.

What is your favorite part of the day-to-day start-up process?

My favorite part of the day-to-day startup process is working side-by-side with Jordan. It is incredible to see what we are capable of doing when we work together. He constantly impresses and surprises me with his talent and attention to detail.

How can people get involved?

The Garment Project has already seen such an encouraging response and we know that it’s all because of people talking. The best thing anyone can do for The Garment Project is to talk about it. Talk about eating disorders. Talk about mental health, about resources for help, and about supporting anyone around you who is struggling. We encourage everyone to continue our conversation on social media and via email. Donations to The Garment Project can be processed on our website.

What advice would you give to someone in their recovery who has a dream?

Recovery was uncomfortable work that took dedication, acceptance, and time. It was not easy, and yet it is so worth it. Recovery is possible for everyone. A few years ago, I could not say that sentence out loud, let alone believe it true for myself. I am now living a life free of the eating disordered thoughts and rules that once consumed me. Although each person has a different story and struggle, it is truly possible to live a fully recovered life, free from your eating disorder.

What are your hopes and dreams for Garment?

Our hope is that Garment can reach women and eventually men too on a global scale and spread confidence through fashion. We want to become a resource for the millions of women and men who are working hard to recover.

 

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.


The Problem with Tough Love in Eating Disorder Recovery

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Caralyn is the writer and speaker behind the blog, BeautyBeyondBones. She’s a twenty-something actress and writer in New York City. Having battled a severe case of anorexia herself, she now uses her story of total restoration to positively impact others, and offer hope and encouragement for those with eating disorders, and other forms of adversity. When she’s not writing and acting, she enjoys exploring the city with friends, singing, and living in the abundant freedom of a life, free from ED! Read on to hear some advice Caralyn discuss tough love in eating disorder recovery…

When I talk to people who lived through my anorexia with me, the overwhelming theme is that people didn’t know how they could help me.

They felt their hands were tied. They saw their friend/daughter/sister rapidly wasting away right before their eyes, and they felt helpless.

They didn’t know how to get through to me. They didn’t want to say the wrong thing and trigger a blow up or melt down. And yet they wanted to express their concern.

Meanwhile, I was pushing everyone away, withdrawing from the world, so that I could be alone with my eating disorder, not having to show my friends how sick my mind really was.

And people had their different approaches. Some worked. And some definitely didn’t.

But looking back, I’ve come to realize that above all else, there is one thing that is paramount when it comes to dealing with eating disorder sufferers. And that is tough love vs. tender love.

And I think my perspective will surprise you.

I think there is a grave misconception about eating disorders. That the girl (or boy) just needs some “sense” knocked into her. She’s choosing to starve herself for vanity reasons, or “for a guy” or whatever. She just needs to be set straight. Enter: tough love.

You take away privileges. Ground her. Threaten with consequences. Maybe you’ll even go as far as drawing up court papers to turn her over to become a ward of the state.

Not that I would know anything about that…

But here’s why none of those tactics ultimately work:

They are feeding into the self hatred that fuels her eating disorder. That lack of compassion – that toughness – is exactly what she thinks she deserves.

I wish I could express to you what the mindset is like for someone in the throes of anorexia. Because spoiler alert: it is a desolate place full of fear and obsession, and an underlying abhorrence of self.

There is nothing gentle, everything is harsh — inflicted willingly on the self.

I saw to it that my life was a living hell. After all, that’s where I believed I belonged.

So…tough love was exactly what I thought I deserved. Of course my loved ones were acting as though they were emotionally unavailable…because that’s exactly what I should be receiving.

If there is one thing your daughter or friend needs, it’s tenderness. Gentleness. Which, I know is hard to even fathom, as you look at your loved one, and not recognize the angry, hollow shell of who she once was. But now is when she needs that compassion more than ever.

And when it’s life or death, I know that words can get the best of you, and emotions run high, and sometimes we utter things in the heat of the moment that can be hurtful or too harsh. That’s to be expected.

But soft love is crucial. Tenderness, patience, gentleness is so foreign to her, and yet vital to her healing.

She needs to be reminded what that feels like.

I remember for probably about 2 years during my disease, I wouldn’t let anyone touch me. No hugs. No foot rubs. No gentle touch. I was too ashamed of my body.

There is a time and a place for tough love.

And yes, there are probably times when it seems like the only solution. An intervention, for one. But even that can be finessed with the gentleness she needs. Because it’s true, there are some decisions that she is incapable of making in her present state that you will need to make for her – like going to inpatient. But find the grace to be gentle and compassionate rather than slip into Stone Cold Steve Austin mode.

Her journey to recovery is going to involve learning how to love herself.

The greatest gift you can ever give her is showing an example of just how to do that.

 

 

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.


A Day in the Life: Recovery Coach

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Clementine Portland Lead Recovery Coach Alexa Fleming offers an inside look into how she spends her days. Alexa works closely with the Portland team to provide the highest quality care to the adolescents working toward full recovery. Read on to learn more about Alexa and Clementine Portland…

 

What is your your role at Clementine?

My name is Alexa Fleming. I am the lead recovery coach at Clementine Portland. I have a Bachelor’s degree from the University of Portland. Being a recovery coach for both Monte Nido and Clementine over the last 2 years have been the most rewarding job I have ever had, so here is a glimpse into a day in the life of recovery coaches.

How does your day start?

My shift starts at 7am, I am the first person on shift in the morning, so the house is usually quiet and just waking up for the day. While the nurse is waking up the adolescents I make some coffee, read the communication log, and start heating up breakfast. While the food is warming up I get ready for the adolescents that portion their meals to come in and get their plates ready. Two by two the adolescents who portion their meals come into the kitchen to prepare their plates, following the clear guidelines for their portion, posted on the kitchen whiteboard. During breakfast, we sit and talk about silly things that happened the night before, dreams that occurred overnight, or whatever else they want to talk about. Once everyone is finished eating, the adolescents that have kitchen privileges are responsible for collecting the dirty plates and putting them in the dishwashers. After breakfast the adolescents go to school for the next 2 hours, and I have time to get the clinical office prepped for the day ahead. Recovery coaches are either in the kitchen helping prepare meals and snacks, or in the milieu spending time with the clients.

What is the best part of your day?

The best part of my day is spending time with the adolescents during their free time. I really cherish this time because I get to see the adolescents outside of their eating disorders. They’re (for the most part) not engaging in eating disorder behaviors and are just hanging out, being teenagers. If they are choosing to engage in their eating disorder, I get to help them see the benefits of connection (or choosing their healthy selves) by playing games, watching silly YouTube videos, and just sitting and engaging in conversation. During times like these I really get to know the clients as people and it gives all of us a break from facing the eating disorder head on. During this time, it reminds me that full recovery is possible and gives me hope that someday these adolescents can live full, happy and recovered lives.

Tell us about any groups you run.

One of the best parts of my week is facilitating Movement Group. In this group we do everything from capture the flag, to water balloon fights in the summer, to low impact circuit trainings. The main purpose of this group is to get girls back into their bodies and begin rebuilding their relationship with movement and provide an example of healthy/balanced exercise. Many of our clients report over-exercise as a behavior in their eating disorder, so this group can be rather challenging at times. We always start off group by setting intentions for the activity and finish group by reflecting and doing an eating disorder vs. healthy-self dialogue as a group.

How do you work with your team to support your clients?

One of the best ways that we work as a team to support our clients is by having a weekly Recovery Coach meeting. In this meeting, I make sure to provide time for the RC’s to process any challenging situations that may have occurred throughout the week and offer feedback and support on how to handle these types of situations in the future. We also go over the adolescents’ contracts and talk about any challenges or privileges that they have for the week. By going over this information it allows all of us to get on the same page before the new contract week starts.

Can you remember a unique challenge that you helped a client overcome?

Throughout my time with Monte Nido and Clementine there have been many instances where I have helped adolescents overcome unique challenges. In fact, I would say that this is the reason why each program has recovery coaches. Our jobs are to handle these challenges, whatever they may be, in the moment, with the adolescent. Sometimes this can look like de-escalating a screaming adolescent in the parking lot during a meal outing, or sitting in the pouring rain with someone who thinks they want to throw in the towel and give up on their recovery. Being a recovery coach is being there, every day, whether it’s a good day or a bad day and facing whatever challenges come up, head on.

How do you wrap up your day?

My day wraps up by giving the report to the next RC that is on shift. We talk about what happened throughout the day and what needs to happen in the evening. Report is often given while portioning afternoon snack.

Do you have a passion or hobby of yours that you are able to draw from when working with your clients?

One of my biggest passions and hobbies is nature. Whenever I can I am outside camping, hiking, backpacking, and exploring the beautiful landscapes of Oregon. Being at the Clementine house surrounded by forest and little Christmas trees has really helped me bring my passion into my work at Clementine. A coping skill that I use in my life is stepping outside and breathing in the cool air after a good rain, feeling the sun on my face in the summer, or going on a walk and shifting my focus onto my senses; and being in this environment at Clementine allows me to teach and pass on this skill to all of our clients.

 

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.