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chrysalis
01/Oct/2019

We’re back to introduce you to another clinician on the team! This week – our newest dietitian, Lizzie Briasco. Lizzie will see clients out of our office and facilitate IOP groups and meals. We’re excited to have her on our team. Find out a little more about Lizzie through this interview and call our office today (910) 790-5000 to schedule your first appointment with her.

Why did you decide to become a dietitian?

I wanted to become a dietitian to teach people how to be empowered by food, not scared of it. As a former competitive athlete, I saw first-hand how proper nutrition positively impacts performance – and how easy it could be for food and exercise to become an unhealthy obsession. I want to help people of all backgrounds and activity levels define and then develop healthy and sustainable relationships with food, movement, and their bodies.

I’ve never seen a dietitian before. What should I expect during my appointments with you?

Contrary to popular belief, dietitians are not the food police! I am interested in your eating patterns, how they are currently impacting you and other areas of your life, and potential changes that will help you reach your goals. I’m here to provide nutrition education, tools, and resources, and then we will work together to implement them into a plan that works for you. While I am an expert in nutrition, I am not necessarily an expert of your body or your lived experiences. I can, however, help you develop those skills!

I know how to eat healthy and there is a lot of information to find online. What will be different with seeing a registered dietitian?

There is indeed a lot of information online, but it is not necessarily accurate. Registered dietitians, especially those with additional training and certifications, have the practical experience and research skills required to decipher actual science from “bro science” propagated by the media or your local juice bar guru. We understand the science of nutrition and how to translate it into daily habits. Seeing a dietitian provides a non-judgmental space to ask questions and explore concerns about all things food-related, and we can provide encouragement and accountability that may be lacking elsewhere.

What book are you reading or podcast are you listening to?

Currently, I’m reading “The Adonis Complex” to learn more about body image issues in boys and men (it’s not really talked about but it’s definitely a thing!). I’m not a huge fan of listening to podcasts because it’s hard for me to pay attention when I can’t see who’s talking, but I do like playing the “Food Heaven” or “Food Psych” podcasts when I’m doing things around the house. Learning never stops!

Fun fact about you…

I almost didn’t become a dietitian! After I completed my undergraduate degree in nutrition, I took a non-traditional path and worked in the Northwoods of Minnesota for a year as a server/bartender at a family resort lodge. I didn’t take an internship or clinician-esque job right away because I disagreed with the many weight-centered approaches and weight-stigmatizing attitudes taught in traditional nutrition education…then I found the dietetic internship through the University of Minnesota -The Emily Program, discovered a whole new approach to nutrition that emphasized compassion and mindfulness instead of shame and deprivation, and the rest is history!


chrysalis
07/Sep/2019

This blog is written by Kelly Broadwater, LPA, LPC, CEDS-S, a psychologist and Clemson alumnae…

Dabo Swinney, head coach of the National Champion Clemson Tiger football team may not know it, but he is an expert in Positive Psychology. I would venture to say that his motivational tactics are responsible for much of the success of the Clemson football program, a program that has played for three–and won two– National Championships in the past four years. He is the inspiration behind the team that achieved a perfect 15-0 season last year, culminating in the underrated Tigers (predicted to lose by 6 points) trouncing the Alabama Crimson Tide 44-16 in the title game.

So what exactly is positive psychology? Defined, it is “the scientific study of human flourishing, and an applied approach to optimal functioning. It has also been defined as the study of the strengths and virtues that enable individuals, communities and organizations to thrive”.

The field of positive psychology is founded on the belief that people want to lead meaningful and fulfilling lives, to cultivate what is best within themselves, and to enhance their experiences of love, work, and play. Sounds exactly like the philosophy that fuels the Tiger football team, who although adored by their fervent fans historically have lacked respect from commentators and the college football community at large. Despite that, thrive they have! Ever the underdogs, they prove time and time again that they have the biggest heart of any team in the nation. After the awe-inspiring win over Alabama for the 2018 National Championship, Coach Swinney had this to say, “When you get a young group of people that believe, are passionate, they love each other, they sacrifice, they’re committed to a single purpose, you better look out. Great things can happen and that’s what you saw tonight.”

Credit: Robert G. Jerus www.eiq-2.com

Positive psychology researches concepts such as grit and resilience. More and more, researchers are proving that inborn talent doesn’t necessarily determine success. Instead, grit, a relatively new concept in psychology, is becoming the key factor in achievement. Positive psychology defines grit as “passion and perseverance in working toward significant long-term goals”. In 2000, Swinney was let go from his coaching position at Alabama when the entire staff was fired, and briefly went into real estate. He was hired at Clemson the following year and by 2009, was an unlikely choice for the head coach position (he’d never even been a coordinator). Unranked nationally by the end of his second season, Swinney’s Tigers started to climb each year to earn the #2 spot in the country by 2015 and to play for Clemson’s first national championship since 1981 the following year. His long-term goals, established when he took over as coach in ’09, were realized thanks to his passion and perseverance.

 

What researchers are discovering, and what Dabo Swinney already knew, is that what we accomplish often depends more on our passion, resilience, and commitment to our goals, rather than our innate talents. Take Hunter Renfrow as an example. Once mistaken for a water boy, this 5’10 walk on ended up earning a scholarship and making the heroic last second game winning reception during the 2016 National Championship; he is now an NFL player.

So how does one develop grit even if you’re not a Clemson football player? Positive psychology experts recommend the following:

  • Develop a passion. A big component of grit is perseverance. Few people are willing to work tirelessly on something in which they’re completely uninterested. Research has shown that people have much greater work satisfaction and job performance when they do
    something that fits with their personal interests. However, it’s unlikely that people try something and immediately know that it’s what they want to do for the rest of their life. An Interest has to be developed and deepened before it becomes a passion.
  • Practice Deliberately. Practice doesn’t always lead to mastery. What is it that sets apart those who achieve extraordinary levels of mastery in their fields? They don’t just practice; they practice deliberately. Here’s how to do it:
  1. Set a stretch goal (a goal that exceeds your current level of skill)
  2. Practice with full concentration and effort
  3. Look for immediate and informative feedback
  4. Repeat with reflection and refinement
  • Focus on Purpose. At the heart of purpose is the idea that what you do matters, not just to yourself but to others. Purpose has a pro-social focus. In any activity, there are bound to be setbacks and moments of boredom, doubt, anxiety, and disappointment. We’re more likely to push through the hard times if our efforts give us meaning and contribute to something larger than ourselves.

Researchers have found a correlation between grit and purpose. Grittier individuals were more motivated to seek meaning in their lives, and the contribution of their efforts to the lives of others revealed a powerful source of motivation. One way of focusing on your purpose is to seek out the pro-social benefits of whatever it is that you do. Doing so is linked to greater satisfaction at work and in life.

 

Swinney is known for giving impassioned speeches during post-game interviews, and coming up with catch phrases on the fly that turn into mantras- “Bring your Own Guts” and “All In” being a few that come to mind.

During the 2018 National Championship parade and celebration in Clemson after the Tigers returned home from California, Swinney said the following: “Why not little ole Clemson? Somebody’s going to be 15-0 one days, so why not Clemson?…I challenged these guys with this quote, ‘So what you can vividly imagine and ardently believe and enthusiastically act upon, will inevitably come to be. The 2018 team is the best ever… It’s not that we won- it’s how we won.’”

 

Challenge yourself to take a page from Swinney’s playbook, focus on what you can “vividly imagine, ardently believe, and enthusiastically act upon”. You may surprise yourself and others, the same way “little ole Clemson” has.

 

Kelly Broadwater, executive director of Chrysalis, is a second generation Clemson Alumni and die hard Tiger fan. She has been known to use sports analogies in her work with clients and believes Positive Psychology concepts create “wins” in and out of the therapy office.


chrysalis
19/Jun/2019

Today’s blog is written by Lauren Francis, Master’s Level Psychology Intern at Chrysalis Center. Lauren completed her course work for her Master’s Degree at Appalachian State University in April and is fulfilling her field placement requirements at our office as a Recovery Advocate for IOP and as an individual therapist offering pro-bono counseling.



Remember this scene from the movie Mean Girls? So many women can relate to this scene because, unfortunately, it is what many women do. We often put ourselves down for the way our bodies look or the food we eat. It has become such a natural part of conversation that most people don’t even realize they are doing it. I mean, what do we expect? The media tells us we must meet standards that are not achievable and that we should not stop pushing ourselves until we look like the airbrushed, PhotoShopped models in our favorite magazines. But those goals are unrealistic and dangerous. I am here to tell you to remember that no one looks like those pictures in the magazines, not even the models themselves.

It makes sense that women would come up with this sort of defense mechanism to combat the guilt and shame that society says you should feel for not having the “perfect body.” In fact, there is even a name for this phenomenon – fat talk. Mimi Nichter coined the term fat talk (3) and defines it as conversations one has with family or peers involving statements that shame her own body shape or weight. Research shows that fat talk endorses the thin ideal and is a prevalent form of communication within female friend groups (1,2,4,5). Some of the most commonly reported topics involved in fat talk consist of conversations regarding dieting and working out (1). Other common statements that can be considered fat talk are declarations such as “I’m so fat” or “my thighs look huge in these shorts” (3).

Significant positive correlations have found between higher levels of fat talk and disordered eating in friend groups. Additionally, those who reported more exposure to fat talk also reported more participation in fat talk later on (2). This suggests that once individuals are exposed to fat talk, they are more likely to participate in fat talk themselves, and therefore develop a higher risk for engagement in disordered eating behaviors. The occurrence of fat talk — in most forms — seems to promote rumination surrounding negative feelings one may have about his or her body. This ruminative thought process has the potential to turn into co-rumination, or the tendency to extensively discuss problems, concerns, or negative feelings with peers, which has been found to be significantly associated with increases in disordered eating behaviors (5). Conversely, it has been shown that individuals who have diagnosed eating disorders participate in fat talk significantly more frequently than those who are not diagnosed with an eating disorder (4) speaking to the bidirectional nature of this issue.

While research related to fat talk is still in the beginning stages, based on what we know so far, it seems that this seemingly harmless form of communication is much more dangerous than we once thought. So, what can we do to stop it? Well, the first step is being informed. Having a term for what you are hearing and then, understanding its impact, are essential in making a difference. Secondly, try acting as an advocate to end fat talk. When you hear a friend or family member saying negative things about their bodies, have them read this blog or explain what you know about fat talk to them. Finally, send positive messages to those around you. Make statements about peoples’ intelligence or strengths rather than their physical appearance. It is time to start empowering each other to realize that what truly matters is much more than what we see in the mirror.

Image result for fat talk

1)Bardone-Cone, A. M., Balk, M., Lin, S. L., Fitzsimmons-Craft, E. E., & Goodman, E. L. (2016). Female friendships and relations with disordered eating. Journal of Social and Clinical Psychology, 35, 781-805. doi:10.1521/jscp.2016.35.9.781

2)Cruwys, T., Leverington, C. T., & Sheldon, A. M. (2016). An experimental investigation of the consequences and social functions of fat talk in friendship groups. International Journal of Eating Disorders, 49, 84-91. doi:10.1002/eat.22446

3)Nichter, M. (2000). Fat talk: What girls and their parents say about dieting. Cambridge, MA: Harvard University Press. 

4)Ousley, L., Cordero, E. D., & White, S. (2008). Fat talk among college students: How undergraduates communicate regarding food and body weight, shape & appearance. Eating Disorders, 16, 73-84. doi:10.1080/10640260701773546

5)Rudiger, J. A. & Winstead, B. A. (2013). Body talk and body-related co-rumination: Associations with body image, eating attitudes, and psychological adjustment. Body Image, 10, 462-471. doi:10.1016/j.bodyim.2013.07.010


chrysalis
25/Aug/2017

Pregnancy can be a lovely and exciting time for many women. It is a momentous, life changing event, where the woman’s body will now become a vessel for another life to grow and flourish. This can feel empowering for many women and they take on the changes necessary for nourishing this new life without much effort or thought. For others, it is not that easy. Pregnancy (and motherhood) require a great deal of strength, both physically as well as psychologically and emotionally, even when moving into this space as an overall healthy woman. What if you are struggling with an eating disorder when you become pregnant? Or are in recovery from an eating disorder when you become pregnant? This is the case for many women- in American and worldwide. Consider the following statistics to better understand why this is an issue that needs to be attended to, rather than ignored.

  • Eating disorders affect approximately seven million American women each year and tend to peak during childbearing years
  • Pregnant women with active eating disorders are at a much higher risk for delivering preterm and low birth weight babies
  • Pregnant women with an active eating disorder appear to be at greater risk for having a Cesarean section and developing postpartum depression
  • Pregnant women with active eating disorders are at increased risk of hyperemesis, delivering infants with significantly lower birth weights and smaller head circumferences

For many women, a healthy weight gain during pregnancy is approximately 25-35lbs. The necessary gain can be higher for women who have been struggling with an eating disorder, as their pre-pregnancy weight may be dangerously low. This can be extremely triggering for some women, and close supervision and guidance from a trained eating disorder specialist is usually necessary. Other maternal issues that can occur are psychological upset, perinatal depression, anemia, increased risk of hyperemesis gravidarum, and more problems with episiotomy repair. While studies regarding the risk to the baby vary greatly it is possible for women with a history of an eating disorder had a higher rate of miscarriage, small for gestational age babies, low birth weight babies, babies with microcephaly, intrauterine growth restriction, and premature labor (especially if the mother’s body mass index was <20). History of an eating disorder or struggling while in pregnancy with an eating disorder can also adversely affect the breastfeeding relationship between mother and baby.

Women who struggle with an eating disorder previous to or during a pregnancy are at a higher risk for perinatal distress and are more likely to indicate postpartum mood issues, anxiety, panic attacks, self-esteem and body image issues, and other mental health concerns. These issues have negatively affect not only the new mother, but the infant, and the significant other/partner of the woman suffering.

Woman suffering from an eating disorder while pregnant will show many different symptoms and signs that are as varying and different as woman themselves. Some common factors for health care providers and loved ones to be aware of are:

  • Little to no weight gain throughout pregnancy
  • Fear of weight gain during pregnancy
  • Excessive exercise to avoid normal pregnancy weight gain
  • Induced vomiting (sometimes hidden as morning sickness)
  • Fainting, dizziness, dehydration, chronic fatigue
  • Social isolation
  • Avoiding meal times with others
  • Increased depression or anxiety symptoms

Effective treatment throughout the pregnancy and postpartum period are important in order to promote a healthy outcome for both mother and baby. There are several supports that should be in place, with the two most important being an OB that is somewhat knowledgeable about eating disorders and an eating disorder specialist for therapy. Meeting with a nutritionist that is trained in treating eating disorders will also be very important for a healthy outcome. Medication may be necessary during pregnancy or in the postpartum period, especially if co-morbid psychological issues are present. Group therapy, support groups and peer and peer support along with birth and parenting classes are also great ways to supplement the support that is necessary during this time.

At the Chrysalis Center, many of these services are offered by trained eating disorder specialists, which can help achieve a healthy pregnancy and postpartum period, both physically and emotionally.

Megan Schlude, MA, LPA facilitates the Motherhood Matters program, which offers specialty services to women in pregnancy and the postpartum period, including women suffering from an eating disorder during the perinatal period.

 

 


About Us

At Chrysalis, we believe that a supportive, healing environment is essential in order for change and growth to occur. We seek to offer such an environment to clients and help them create that in their lives and relationships. Read More

Hours

Mon: 8AM – 6PM
Tue: 8AM – 6PM
Wed: 8AM – 6PM
Thu: 8AM – 6PM
Fri: 8AM – 4PM
Sat: CLOSED
Sun: CLOSED

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