- We haven't been doing it lately, which that's on our
to do list, to get the captions, cause you can pay
somebody, like, who knows where they are, to do it,
to type it.
- Oh, really?
- They type it in. Its like ...
- I was wondering if you like, had a script,
and then you know you just type.
You know, you read from a script and then you put
that in as the caption.
- Well, that would be easier, no.
- Then you'd be like reading the captions and its
like what.
- Okay, back that up.
Its like all fancy, like on E news. And have like a ...
- Cue card for ...
(laughing)
- It took me a long time to realize that people did that.
- Well, you can't always see their eyes,
cause they're really good at it.
- Like right there.
(piano music)
- Hi there, thank you so much for checking back.
This week I have a very special treat.
I know that a long time ago I told you guys that
I was gonna be sitting down with my friend Kate,
the dietician, to ask her some questions
and to get your questions answered about what a
dietician is and what her role is.
And I know sometimes some of us are scared to see them,
and you know, we just kind of wanted to know things
that I, as a therapists, can't answer cause I didn't
go to school to be a dietician.
I don't know how nutrients interact in our bodies,
or what appropriate or not appropriate, right?
So we need to go to the particular person who has the
education and background that can answer our questions.
So today I bring you Kate Machado, and she is a registered
dietician, and I've worked with her at various
treatment centers all different levels to be honest.
We worked in the residential together, and then
IOPPH program.
And I've even had clients we've shared on an outpatient
basis.
So, the main, the first question, I guess,
that I will ask Kate is what is the role that
a dietician actually plays within the treatment team?
Because I know some people, we can't see them, or we
don't know if we need to see them, yeah.
- Yeah, no I think that's a really good question.
Cause a lot of people, I mean I think most people
out there, are a little bit confused about the role of
a dietician in life, in general.
But specifically, in the field of eating disorders,
as a registered dietician, not only do we have a
background training in nutrient interactions,
and eating, you know, we can work in a hospital level,
or outpatient.
But we also know a lot more about the nuances of the
eating disorder, and the physiology of how the eating
disorder changes health, and how the interactions
with food can effect that.
So, having that knowledge and then applying it to the
different levels of care.
Like you were mentioning so, where an inpatient is gonna
be a little bit more of a critical, medical condition,
than an outpatient level.
And so we've worked in all those in between.
So, for me the role I've played in the different
treatment centers I feel has been very integral because
the, like Kati's mentioned as a therapists,
or as, even the doctors there, they don't specifically
address the role of food and eating, and addressing a lot
of the eating behaviors in terms of recovery.
And so, you know, they'll always be an initial
session where the client and I will get to know each
other, and I'll learn a lot about her background,
in terms of what her eating disorder has looked like,
and her behaviors.
And a lot of the things she's struggling with, or he,
at the moment.
And then, week by week, day by day, we start to break
those down, and depending on how intensive the
treatment is, we can do it at a more intensive level
where they'll be daily food challenges sometimes.
Which may just mean eating daily, couple three, four,
five, six times a day.
All the way down to if somebody's working on their own,
with just a therapists and a dietician,
it may go a little bit slower, in a little bit
slower progress.
But, in general, with an eating disorder, I think its
not impossible, but really difficult to get full
recovery and be confident around food without working
with a dietician, who can help to learn those skills.
- Yeah, I mean I agree.
Just so you guys know, and I know I've probably said
this before that I personally, don't see anyone,
if they're not seeing a dietician because
its one of my frustrations and I've vented this before
but people who's over stepped their bounds of what they're
actually licensed, or trained to do.
And there are things that, I mean, I could tell you
what I eat everyday but, I'm a very different person.
I have a very different lifestyle and physiology and
my body may deal with things differently than yours.
And so, for me to tell a client well I think you
should eat this, and blah blah blah blah,
would be, you know.
- Well that's exactly the same way.
We have our divisions of responsibilities,
where as if, something comes up we're talking about food,
or the day, or the way to incorporate food there may
be some other issues that come up, and I'm like you know
that would be a great topic to talk to your
therapists about.
And it is something that I do, personally, talk to
all of the different therapists, or the psychiatrists
that the clients are working with so that we're not just
working in our own bubbles on our own issues,
but its really an integral treatment team.
And I think, I mean by the name of it, team, it is
such a big group work that none of it can really be
separated and cause there's always gonna be cross overs
because food, its an eating disorder is going to be,
in a lot of the recovery process.
So its gonna be an emotional thing, so that'll be
something with the therapists, and with the doctor
there's gonna be maybe some medical complications
when it comes to getting the nutrients in balance
at a level where I'm not able to, by supplementing food
make that difference.
- Yeah, exactly.
And that's why, just so you all know, when you do work
with a Kate and a Kati, you have ...
And you have us helping you out, we will ask you to
sign a release so that I can call Kate and I can
say hey, you know, I was talking to her and she told me
this and she'll say oh, yeah that makes sense because
this happened with her food and ...
So we work together so I know if you're having a
really stressful time, and your anxiety's though
the roof, and I'm thinking what changed.
She can tell me oh she had a really intense food challenge,
we did this week, and so you know, things will be
flaring up, and so that helps us balance each other.
SO then I know when you're being challenged,
so I can give you a little bit more support and we can
have more things in place, and, you know,
and vice versa so that I can her, you know,
you're parents have kicked you out, or somethings
happening she can know that week might not be a good
week to challenge you.
- Yeah, and the same way a lot of times at maybe a
higher level of care, where I'm, or a dietician will be
on, you know, in the building.
Most of the time there'll be a lot more meetings,
a lot more things being addressed with the food.
A lot less lenience towards accepting of behaviors,
we're pretty straight forward where we don't allow any of
the food behaviors, is kind of a little bit of a
band aid approach to it.
As opposed to, at a lower level, you know, you may go
home at the end of the day and have to really work on
practicing on your own, or with the support of those
around you, maintaining what we're working on.
And so, it's a little bit more intense, I think,
when you go home to have to be the one responsible
for it, but that's real world, and that's taking
home and recovering long term,
is being able to be on your own, and doing the
healthy behaviors, instead of the eating disorder
behaviors with food.
- Yeah, exactly.
And so this is just an intro of what we'll be talking
about, and we'll go through some other questions.
I know that many of you have posted on my site,
and I'm taking those into consideration.
So, welcome Kate, thank you for sitting down with us
- I'm glad to be here, thank you.