Here are some tips you might find helpful when working with clients with Eating Disorders, or Disordered Eating:
1. Find a registered dietician who specializes in Eating Disorders. It is important that your belief systems and theirs align when working together to treat a client. For example, most people in the eating disorder recovery field believe that there are no "bad" foods and we work with clients to neutralize food. However, some people believe in "abstinence" from certain foods or food groups. When I am looking for a dietician, I make sure that they're not of the school of thought to tell my clients to restrict food groups as it would go against the work we are doing clinically.
2. Buy large desk calendar and different stickers and create a behavior chart for meals and snacks well done according to their meal plan. Celebrate successes elaborately!
3. If age appropriate, work with parents on making "no Foods bad". Everyone in the family can join in on recovery by coming together to share with all food groups.
4. If age appropriate, look into the Maudsley Method for re-feeding process.
5. Work with your client to create an art project around beautiful people, models, actresses, friends or family and others in Pinterest or print outs who are not super skinny. Process what they find beautiful about these people. Encourage clients to post up these images on their wall so that they get used to seeing ideal beauty images and other than emaciated models.
6. Make a list of all clients fear foods and safe foods and medium foods and use CBT to debunk myths of fear foods.
7. Eat 'normal meals' together in session - especially with fear foods - exposure therapy.
8. Find studies that show that whatever fear foods are - are not 'bad' i.e. - sugar is not as evil as everyone says.
9. Use ego state work to find out which 'parts' in clients psyche are telling them not to eat and have conversations with them using Gestalt Chair Work.
10. Use the books Life Without Ed by Jenni Schaefer as a guilde book, everyone involved should read and the book 8 Keys to Recover from an Eating Disorder by Carolyn Costin can be used for treatment and interventions as well.
11. The therapist can have client draw their body in the size and shape she believes it's in, then have therapist actually trace clients body and process the difference.
12. If there's one body part the client is upset about like their waist, have client draw what they believe is their waist size, then use a string to measure (not using numbers) the actual size and trace THAT onto the paper and process the difference.
Hope this helps!!
What else do you use as interventions for clients? Please comment below!! As always, if you have any questions or concerns, please contact me at 610.314.8402 or through www.TiffanySpilove.com