By: Riley Burns, RDN, LDN

Chrysalis’ Nutrition Director Terri Mozingo recently completed the rigorous Intuitive Eating Counselor coursework and sat down with us to share what she learned alongside some words of wisdom. 

How long did this certification take you?

One and a half years.  It is an intense certification process that included modules with an accompanying workbook, an exam, an intensive literature review, and group supervision with one of the founders, Evelyn Tribole.

Why was this the next step in your career? What made it feel enticing to you?

A lot of clients come to Chrysalis wanting to learn Intuitive Eating (IE).  Most of the time, clients aren’t ready for Intuitive Eating right from the get-go.  Most of the time, by no fault of their own, clients come in with an extensive background in diet culture, and I wanted to pursue this certification to gain more tools to help me help clients move from diet culture into a more neutral place where they’re ready to learn IE.

What was the most valuable thing you learned in the process?

The tools that we learned.  The certification came with an abundance of information, worksheets, research, and skills that are translatable into tools for clients that really help them to learn the language of intuitive eating.  Oftentimes one of the hardest things for clients to do is to unlearn diet culture and reframe subjective thinking around food. The language of intuitive eating is based in rejecting the diet mentality and embracing food neutrality, which is a big challenge for clients.  The tools I learned during the certification are immensely helpful in helping me help my clients. 

Another valuable component of the certification was reading the wealth of evidence-based research that backs up IE.  I’m a very science-minded person, and I thought it was fascinating to see that there is quantitative and qualitative research showing that intuitive eating promotes favorable health outcomes.  That is really important for dietitians to see because we make our treatment decisions based on evidence-based recommendations. 

Supervision was a significant part of the journey to get this certification.  What do you think the supervision added to the experience? Any takeaways?

Supervision was helpful because of all of the different perspectives that were being highlighted.  There were other dietitians, therapists, yoga instructors, and people who just wanted to learn more about intuitive eating! Everyone had different, but equally valuable insights, and it was really interesting to present cases and hear everyone’s feedback.  There was also such a  wide geographic spread, with some people living as far away as Australia.  It was awesome to see how far IE has reached. 

How does someone know they are ready to learn intuitive eating?

It’s really different for everyone.  It’s important to have the motivation to make changes, but it’s just as important to be ready to let go of diet culture and the desire to lose weight.  Intuitive eating is not a weight loss tool.  Once someone is ready to release expectations, reject black-and-white thinking around food, and learn how to live in the gray area, then intuitive eating can be a topic of conversation.  IE is a lifelong journey – it takes a long time.  Learning IE is one thing, living it is another.  

So IE has 10 principles.  What is your favorite principle? Which principle do you find most people get stuck on?

My favorite principle AND the one most people get stuck on is principle 1: Reject the Diet Mentality.  The IE principles don’t have to go in order, but Principle 1 is first for a reason.  I find myself coming back to this one the most frequently with clients too.  It is so important to reinforce, especially because we are all raised in diet culture.  Principle 1 also has incredibly compelling research to back it up.

When clients get stuck, this is usually where it happens.  This principle is also my favorite because I have so many clients that hit roadblocks because they don’t have a safe space to unlearn the diet mentality.  I also spend a lot of time reinforcing that even if you work diligently at unlearning the diet mentality, it may never feel like you’ve done it perfectly.  That’s because IE isn’t a diet plan – it’s a way of life, and life isn’t perfect.  

Interested in starting an intuitive eating journey of your own? Call us today to make an appointment! (910)790-9500

Find more Intuitive Eating resources HERE. 

Happy Pride Month from all of us at Chrysalis Center.  Make sure you stay up to date on our instagram (@chrysaliscenternc) to see educational content about LGBTQIA+ considerations in the mental health space all month long! Keep reading to learn more about ways that Chrysalis is striving to better meet the needs of the LGBTQIA+ population through our Health Equity Initiative.

Chrysalis Center is proud to be accredited with the Joint Commission (JCo) and we are putting our own spin on JCo’s new health disparity initiative with our Health Equity Team. 

Megan Vaughn (she/her, admin, check-in) and Riley Burns (she/her, Registered Dietitian) are the Chrysalis team members who are spearheading this first iteration of the Health Equity Project.  Though the project will be ongoing, we are focusing our efforts on improving our inclusivity and affirmation of the LGBTQIA+ community in our office.  

Recently you may have seen signs up around our office with a QR code on it asking you to scan and take a survey about perceptions of inclusivity at Chrysalis and what we can do to better meet the specific needs of our LGBTQIA+ clients, family, and loved ones.  If you took the survey, thank you! Your input is invaluable.  If you are a client or the loved one of a client at Chrysalis, you can still take the survey by clicking HERE, or by finding the link on the front page of our website.  

What changes will you see?

You will notice some small but impactful changes as a first-line intervention to make Chrysalis more inclusive.  First, Chrysalis staff have added their pronouns to the website and their email signature.  This change indicates that we are informed on the importance of stating our pronouns and that Chrysalis is a safe space to disclose your personal pronouns.  

Second, we have added safe space stickers to doors and around public areas at Chrysalis featuring the progress pride flag.  Click HERE to read more about the progress pride flag and its importance in the community.  

Next, we have added a robust section of resources on our website that have been vetted by our Health Equity Team.  To find it, either click HERE or go to [resources] → [LGBTQIA+ resources].  For those reading this who don’t identify as LGBTQIA+, this resource is for you too! We hope to empower you to learn more about how you can support and uplift the LGBTQIA+ community in your day-to-day life.  

Lastly (for now) we are making an effort to add a section for pronouns on all of our intake paperwork, as well as asking about preferred names and legal names.  This information will be available to clinicians, and clinicians are encouraged to introduce themselves with their own preferred name and pronouns.  This adjustment is done in an effort to continue normalizing use of pronouns and to help Chrysalis to become an overall more affirming space.  

What changes will you *not* see? (AKA – the changes happening in the background)

Changes happening in the background are the ones that are happening on the staff level.  As a staff, we have committed to pursuing more education on issues facing the LGBTQIA+ community, having Q+A presentations in our staffing sessions, and making it a point to more openly discuss recent legislature at the state and federal level that impacts LGBTQIA+ rights.  As an organization, we are committing to understand that protecting our LGBTQIA+ clients, staff, and loved ones means protecting LGBTQIA+ rights. 

All of us here at Chrysalis greatly appreciate your grace and input as we make these changes.  There is space in our survey to add additional feedback, and we would be so very grateful if you are able to take the time to participate.  Chrysalis is proud to support the LGBTQIA+ community and to continue our journey of learning and affirming. 

HAPPY PRIDE MONTH!

We can’t let May end without acknowledging Maternal Mental Health Month. Did you know that as many as 1 in 5 women experience perinatal mood and anxiety disorders? Maternal mental health concerns are actually the leading complications in pregnancy and postpartum. We believe that women’s mental health IS health and the more we can do to support moms, the better. To that end, we are proud to announce that our psychiatric provider, Aiereal Lloyd, PMHNP has now received her Perinatal Mental Health Certification in Psychopharmacology via Postpartum Support International.

I recently had the pleasure of talking to Aiereal a little more about this important topic.

Kelly– Tell us what made you interested in perinatal mental health and pursuing this designation.

Aiereal- After my daughter, I experienced Postpartum Mood Disorder. I was afraid to tell my doctor in fears that my baby would be taken away. I felt I had no support. I eventually told them and was started on medication without education (which was terrifying). I want to be that support for women who are afraid, who are clueless on the next steps.

Kelly– I know you just studied for your test and while all the info is still fresh, anything that stands out to you to share with us?

Aiereal– Most medications are pretty safe during pregnancy. Fathers are important too, when there is a supportive partner, it can be very helpful. It’s also crucial to know the importance of screening dads as well for PMAD.

Kelly– What do you think are the biggest misconceptions about pregnant and breastfeeding women being on psychiatric medications?

Aiereal– That medications need to be stopped while pregnant or while breastfeeding or that Zoloft is the only safe medication to take.

Kelly– What advice would you give to a therapist, medical provider, or doula re: talking to a client about considering medication/being referred to a prescriber, especially if the mom is wary of going that route?

Aiereal– Reassuring the mom/dad that medications are okay. Of course, therapy is #1 in my opinion. Medications do not have to be lifelong, and if they are it’s okay. Being a parent is hard no matter if you are a first timer, adopter, or an experienced parent. Each pregnancy is different and there are resources to help you decide what is best for you and your family.

Resources:

Learn More

Maternal Mental Health Hotline; a confidential, toll-free hotline for mothers experiencing mental health challenges:

1-833-TLC-MAMA (1-833-852-6262)

Screening Tools

https://screening.mhanational.org/screening-tools/

Choosing Recovery

I truly thought I would spend my entire life obsessing over food, health, and weight. I clearly remember the intense pressure I felt to eat “perfectly” and follow all of the rules I set out for myself. My eating disorder took the better part of a decade away from me, and looking back I have immeasurable anger at my eating disorder and immeasurable gratitude for my choice to recover.

My eating disorder thrived on my intense need to be perfect. I lived with persistent fear of not being “good enough” in any area of my life. No matter what I did, how many foods I cut out, how hard I worked out, how “perfectly” I ate, or how many rules I followed, I could never be good enough for my eating disorder. She was my worst critic, and she was loud. Born from childhood bullies, my sensitive nature, and my fear of never being good enough, my eating disorder was my worst nightmare and my best friend. Every vivid memory from 12-18 years old involves my eating disorder, but it was my best kept secret. My parents never knew, my teachers all remarked on how polite and quiet I was, and I was known for my discipline and “will-power”.

Choosing recovery was terrifying. My eating disorder had me completely convinced that, by pursuing recovery, I would give up everything about myself that I valued. My beliefs, my community, my passions, everything. The part of me that held that fear was wrong, of course. Once I made the decision to recover, I threw my entire self into it. I knew that I couldn’t live with my eating disorder anymore, but I didn’t remember life without it. I came of age with a mental illness that warped my view of reality completely, and my recovery was spent re-learning what a healthy relationship with food is like. I can’t accurately quantify the hours spent crying into a bowl of food that I now eat every day, or the amount of times I had to remind myself that eating is a morally neutral activity. It was the hardest thing I’ve ever done.

Now, when I think about my eating disorder, I think about it in the past tense. My life now is full of color and joy in a way I never thought was possible. I’ve given up the parts of me that I held so dearly during my eating disorder – the ones I was so terrified to lose. Now, I’m a little less quiet, and my life is a lot more vibrant. My resilience brought out the best in me in ways I could’ve never anticipated. My recovery also let me access a simple kind of joy I never thought was possible – the joy of being content with my life exactly how it is. The joy of putting on clothing I love without thinking about how I could change myself to make an outfit look better. The joy of moving my body because I love it, not because I hate it. The joy of eating in the company of those who love me. And lastly, the joy of knowing that all I have to be is myself, and that will always be more than enough.

Live From Recovery

We were in the cracker aisle in the grocery store and I mentioned that a certain cracker looked good to me. My partner’s response: “eww gross” And I knew no matter how good they looked I would never be able to eat those crackers. This was not new. It was a familiar thought process. It was like a broken record that is so loud and offensive it creates a physical response. For me the physical response would not permit that (or whatever the food item of the moment was) past my lips. And let me be clear: This response had nothing to do with pleasing my partner. I’ve never been a people pleaser and he was definitely not the most important thing at that time. It was completely and utterly an eating disorder response. And for the first time, I let myself notice that I didn’t like it. I told my partner he could never make comments about my food choices again and I believe it was at that point that my recovery began.

Eating disorder recovery is slow and I did not buy those crackers, however, something inside of me stirred on that day that never settled back down. Recovery didn’t begin for me because someone else told me I had to follow a meal plan or fact checked so much that I began to believe the facts. It began because I woke up to what was happening. I started to realize that the world was not nearly as irritating as I previously thought. It was me. I was irritable. I was always hungry and I was being controlled by a mental illness.

Recovering was a long and sometimes terrifying experience but now the terror has shifted. It no longer comes from meeting my body’s needs or facing uncomfortable emotions. It is now a retrospective terror when I consider the ways I used to torture my body. When I am reminded of that terror now, I regard my body with awe and thank it for being strong enough to withstand that eating disorder I allowed to ravage it.

So what is recovery like? It is like the exact things your eating disorder tells you were never possible. More than anything it is comfort. Total comfort. I get up every day and dress in clothes that always feel comfortable. I am not ashamed of my body nor do I try to hide it. I exercise and it feels really good because my body is fueled for the exercise and responds with a sensation of strength. Gone are the dizzying and headache filled hours after a workout. And what’s more, I am rarely irritable! That’s one I never saw coming. I am proud of the long fuse I have and the stressors I confront with calm. Recovery is a million times better than your most compliant eating disorder day, I promise.

Meet Madelyn Huey, RD, LDN our newest addition to the dietetic team!

I understand you were initially planning on becoming an engineer. Tell me what made you change course and fueled your interest in dietetics.
I started out college as a chemical engineer major, not knowing what I wanted to do other than the fact that I liked math and chemistry. Within my first semester, I liked my classes, all the calculations and problem solving, but I had no passion with it. When I decided to change career paths, I thought about my best friend in high school that I’d always talk about food and go grocery shopping with. She was in school for dietetics and told me more about what it means. I thought about how much I loved learning more about food and since then I haven’t looked back.

What populations do you work with and what are your clinical interests within the realm of nutrition? 
I work with adults from early adulthood to geriatrics for general nutrition counseling, eating disorders, and bariatrics pre and post-op. I practice gentle and holistic nutrition to help others create, mend, or build a strong healthy relationship with food. My nutritional interests outside of eating disorders are any and everything involving the gut microbiota, pregnancy/lactation nutrition, and sport (specifically weightlifting) performance.

You’ve done a lot of nutrition groups in our Intensive Outpatient Program over the past few months. Can you share a bit of the content of one of the groups that would be helpful, even for outpatient clients? 
“Fueling Your Brain” is one of my favorite nutrition groups from IOP as it helps show the range of importance that nutrition has on our health. This group takes the often-repeated phrase “food is fuel” and shows where and why that fuel is needed. For example, protein, one of the 3 macronutrients, is responsible for the structure of the body and over 65% of body protein is found in the constantly adapting skeletal muscle, organs, skin, and blood. Protein is typically only thought for building muscle but has many other vital roles, such as building neurotransmitters, which are chemical messengers in the brain that communicate to other cells. We couldn’t have cell-to-cell communication without protein and the process of making neurotransmitters couldn’t be done without carbohydrates, the main source of energy for the body. I feel this group could be helpful to outpatient clients as it helps remind us that we aren’t just feeding to our stomachs when we eat, but to our organs and personality.

It’s the new year and all month long we’ve been inundated with diet and fitness culture. What clinical advice do you have to help us tune those messages out? 
We are constantly surrounded by expectations for what we do, how we speak, who to know, what to wear, or how to look by people who don’t know us. Holding on to all the pressure for fitting in and staying up to date on trends each year, only to do it again with the next “new start.” My advice is to take the time this year to study yourself, practice self-care and focus on you because not only do you know you best, but diet and fitness culture wouldn’t have all the “quick fixes” for our health, routines, and relationships if they actually worked. There’s no one solution or answer for how to better any element in your life and likely what you need isn’t the same as what society thinks you need. So stop listening to the culture that doesn’t know you and start listening to yourself.

You’re newer to the Wilmington are. Any favorite spots? 
So far loving Wilmington and, of course, the beach is at the top of my list of favorites! I enjoyed surfing, kayaking, and paddle-boarding in both Wrightsville and Carolina Beach this summer. I still haven’t seen a lot outside of the beach scene yet, but I love Front Street Brewery downtown and Islands has become a go-to.

As you well know, we’re pet lovers at Chrysalis. Tell us about yours! 
I have 2 puppers, a 5-year-old golden retriever, Millie, and a 4-year-old Dutch shepherd, Brynn! They are both very goofy and derpy with much love for the water and long walks on the beach.

What is Expressive Arts Therapy?
By Jayme Sampler, LCMHC-A

When we listen to what our soul needs, sometimes it whispers, “Let me create something. I want you to listen to what I have to say.”

According to my alma mater, Appalachian State University, “Expressive Arts Therapy is the practice of using storytelling, dance, music, drama, poetry, dreamwork, visual arts, and other artistic modalities in an integrated way to foster human growth, development, and healing. It is about reclaiming our innate capacity as human beings for the creative expression of our individual and collective human experience in artistic form. It is also about experiencing the natural capacity of creative expression and creative community for healing. Expressive Arts Therapy is different from other creative therapies such as Art Therapy or Music Therapy as it emphasized the interdisciplinary use of multiple art modalities.”

In simpler words, Expressive Arts Therapies give the creator (client) space to find what works best for them as an individual, and it focuses on the process of creation, rather than the product.

Expressive Arts Therapy allows our unconscious minds to open and observe what comes to the surface- without judgment. Because Expressive Arts Therapy uses a lot of different modalities, we are not boxed, and not being boxed into a specific thing we need to do in therapy gives us a lot of freedom to grow.

When given the space, we may open a door to the past, see things from a new perspective, or un-stick something we have been struggling to move past. Other times, it can allow us to do something as simple as coping with what is happening in the therapeutic process. I work with a lot of kiddos and it can be so helpful to say “Hey, there’s some markers and paper right here. Why don’t you draw a picture of [insert a situation that was hard], and then we can talk about it?” This gives them the space to let out some of that overflow of emotion and bring them back down to a level where they can effectively talk about it.

What it all boils down to is this: when we let ourselves explore our creative side and use it to our advantage, we give ourselves room to not be perfect.

If you like the statistical side of things, rather than just take my word for it, here’s some research! Expressive Arts Therapies have been linked to lessened behavioral issues in school-aged children¹, an increase in positive coping skills², lower stress levels³, personal growth, increased self-awareness, better communication skills⁴, and so much more.

¹Dunphy, K., Mullane, S., & Jacobsson, M. (2014). The effectiveness of expressive arts therapies: A review of the literature. Psychotherapy and Counselling Journal of Australia.
²Henderson, D. A., & Gladding, S. T. (1998). The Creative Arts in Counseling: A Multicultural Perspective. The Arts in Psychotherapy
³Squillante, AnnaRose, “Teachers’ Stress and the Benefits of Expressive Arts Therapy: A Critical Review of the Literature” (2019).
⁴Vaartio-Rajalin, H., Santamäki-Fischer, R., Jokisalo, P., & Fagerström, L. (2021). Art making and expressive art therapy in Adult Health and Nursing Care: A Scoping Review. International Journal of Nursing Sciences

I was recently granted the opportunity to speak with and learn more about one of our newest rockstar clinicians, Lyndsey Young, LCMHC. Lyndsey is a Licensed Clinical Mental Health Counselor who is open, dynamic, and non-judgmental. She recently relocated to Wilmington, NC from Arizona with a wealth of knowledge and experience, and is excited to experience everything our beach town has to offer.

Please tell us about your work experiences prior to joining the Chrysalis team. 
I’ve worked ALL the places over the past 13 years.
I sincerely think I’ve been employed at every level of care.
I’ve been in private practice, hospital based, residential, PHP, IOP and community based.
Most recently I was the family workshop therapist at a residential eating disorder facility ant that’s where my passion for working with loved one’s of patients went next level and what I hope to bring to Chrysalis.

What made you decide in mental health? 
My interest in “helping others” started long before my education and employment in mental health. I would say the decision can be traced back to college while listening to friend share about her internship in a group home. The following year I did the same internship, and my life was changed. I sat in process groups witnessing adolescents emotionally navigate the foster care system and cope with circumstances beyond my understanding, I transported clients to appointments and listened and held space as best as I could when kids would return from family visits. It was incredibly impactful and activated the passion I still maintain for the field.

What should clients know about you as a therapist and how can they best prepare for a session with you? 
I am direct.
I mean direct.
I believe the financial and time investment in counseling is significant and by the time people get a seat on my couch they are ready to be there and “do the work,” so I don’t like to waste time.
Don’t get me wrong, I’m warm and use an appropriate amount of well-placed humor and personal disclosure, definitely.
I believe connection is healing, so a client can prepare by being honest, and open to connection.

I recently learned about Javelina. Is there any wildlife from Arizona that you are missing now that you live in NC? Any NC wildlife you are particularly enjoying? 
Ha. Javelinas are not as cute as they may seem. Can’t say I miss them.
I miss the desert landscape and sunsets in Arizona, they are unmatched.
What I’m loving most about NC is the beach and the weather. It’s amazing.

With a passion for working with clients ages 5-25, Jayme is a counselor who is certified in Expressive Arts Therapy. This means she incorporates different creative modalities into her therapy such as music, dance, poetry, and art to encourage emotional expression in her clients. I had the recent pleasure of sitting down to learn more about my fellow Appalachian State alum.

What populations do you like to work most with?
Kids, adolescents, and young adults. I have special interests in treating trauma, eating disorders, and sexual assault survivors.

What made you go into this field? 
I was originally pre-med, but I knew I always wanted to work with kids. I took an undergrad psychology course in Human Growth and Development which inspired my desire to become a counselor. I saw it as a way to help kids outside of medicine.

What is your therapeutic style?
Very laid back and interactive. I have a lot of fidget toys and free stickers!

What advice do you have for parents who’ve never brought their kid to counseling? 
Just because your child needs counseling is not a reflection on your parenting. Kids need a confidential, non-judgmental space to process their thoughts and feelings.

What do you like to do in your free time? 
Cook and bake, spend time with my dog and cat, and go to the beach. I also play computer games that my young clients got me into, which was a good outlet especially during COVID.

Do you have any hidden talents?
I make homemade pickles and know every word to every Taylor Swift song ever.

What’s on your travel bucket list? 
Greece!

Jayme is now accepting new clients and takes BCBS and Medcost. To make an appointment to see her, please call us at 910-790-9500 or email administration@chrysailscenter-nc.com.