A Guide to Eating Disorder Care and Recovery by Change Creates Change

The Refeeding Process in Eating Disorder Recovery | Nutrition Rehabilitation

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Have you heard of the refeeding process before? Maybe you have a child in eating disorder recovery and they are in the process of starting or may be already practicing renourishing their body with food.

In today’s episode, Jillian discusses the process of refeeding the body through nutrition and the role nutrition plays in eating disorder recovery.

In the next episode, we will be talking about refeeding syndrome. So right now be sure to press pause and wait for this video before starting the refeeding process. We want to avoid triggering any medical complications that could come with refeeding your body.

► To learn more about what to expect during the refeeding process, head over to our blog at https://changecreateschange.com/what-to-expect-during-the-refeeding-process/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Connection Between Mental Health and Eating Disorders

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Today we're going to talk about how eating disorders may present alongside other mental health conditions. This is known as 'co-occurring diagnoses'.

Possible co-occurring diagnoses include:

- Anxiety

- Depression

- Substance Abuse

- Obsessive-Compulsive Disorder (OCD)

- Self-Harm

► To learn more about mental health and eating disorders, head over to our blog at https://changecreateschange.com/eating-disorders-and-mental-health/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Four Tips to Avoid Refeeding Syndrome│Learn More About Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Refeeding syndrome is a serious medical complication that can develop when folks are going through the refeeding process. In this episode, we discuss four ways you can avoid refeeding syndrome.

► To learn about how to avoid refeeding syndrome head over to our blog: https://changecreateschange.com/top-5-tips-for-refeeding-process/

► To learn more about the refeeding process and refeeding syndrome, check out these blogs and videos:

Refeeding Syndrome

https://changecreateschange.com/what-is-refeeding-syndrome/

https://www.youtube.com/watch?v=FBNkTnZdAm4&t=45s

What to Expect During the Refeeding Process

https://changecreateschange.com/what-to-expect-during-the-refeeding-process/

https://www.youtube.com/watch?v=T1l4sZ4OmgM&t=2s

Refeeding FAQs

https://changecreateschange.com/refeeding-faqs/

https://www.youtube.com/watch?v=0_W84JeKhQ0

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Top 3 Signs of Starvation Syndrome | Learn More About Eating Disorders

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

We often say eating disorders start as a mental health concern and quickly become a physical health concern. Starvation syndrome is one of the physical complications that can occur from an eating disorder.

► To learn more about starvation syndrome, head over to our blog at https://changecreateschange.com/top-3-signs-of-starvation-syndrome/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Rise in Eating Disorders During COVID-19 | Eating Disorder Recovery Tools

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Let's chat about the increase in eating disorders since the start of the COVID-19 pandemic.

► Check out our video on social media and eating disorders here: https://www.youtube.com/watch?v=uja9Qj74TxM

► To learn more about COVID-19 and eating disorders, head over to our blog at https://changecreateschange.com/covid-19-and-eating-disorders/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Square Breathing | Coping Skills for Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Welcome to our Coping Skills for Eating Disorder Recovery playlist! In this video, we are talking about Square Breathing. Jillian will walk you through how to use square breathing, and you can breathe with her. Follow along or save this podcast for your recovery toolbox.

We've created this playlist for folks affected by eating disorders. Whether you are a parent or a loved one with a child with an eating disorder, or you yourself are looking for new coping skills, this playlist is for you. Follow along as we talk about Square Breathing, Dive Reflex, The 54321 Technique, and Butterfly Hugs.

► To learn more about coping skills in eating disorder recovery, head over to our blog at https://changecreateschange.com/coping-skills-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Butterfly Hug (EMDR) | Coping Skills for Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Welcome to our Coping Skills for Eating Disorder Recovery playlist! In this video, we are talking about the Butterfly Hug (EMDR). Jillian will walk you through how to butterfly hug. Follow along or save this episode for your recovery toolbox.

Want to learn more about EMDR? Click here https://www.emdr.com/what-is-emdr/

► To learn more about coping skills in eating disorder recovery, head over to our blog at https://changecreateschange.com/coping-skills-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

54321 Grounding Technique | Coping Skills for Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Welcome to our Coping Skills for Eating Disorder Recovery playlist! In this video, we are talking about the 54321 Grounding Technique. Jillian will walk you through how to use the 54321 technique to calm the body down. Follow along or save this video for your recovery toolbox.

► To learn more about coping skills in eating disorder recovery, head over to our blog at https://changecreateschange.com/coping-skills-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Ice Pack Method | Coping Skills for Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Welcome to our Coping Skills for Eating Disorder Recovery playlist! In this video, we are talking about the Ice Pack Method or the Dive Reflex. Jillian will walk you through how to use the ice pack method to calm the body down. Grab some ice or cold water and follow along. Save this video for your recovery toolbox.

We've created this playlist for folks affected by eating disorders. Whether you are a parent or a loved one with a child with an eating disorder, or you yourself are looking for new coping skills, this playlist is for you. Follow along as we talk about Square Breathing, Ice Pack Method (Dive Reflex), The 54321 Technique, and Butterfly Hugs. What are YOUR favourite coping skills? Let us know in the comments below.

► To learn more about coping skills in eating disorder recovery, head over to our blog at https://changecreateschange.com/coping-skills-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Coping Skills for Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Welcome to our Coping Skills for Eating Disorder Recovery playlist! We've created this playlist for folks affected by eating disorders. Whether you are a parent or a loved one with a child with an eating disorder, or you yourself are looking for new coping skills, this playlist is for you. Follow along as we talk about Square Breathing, Dive Reflex, The 54321 Technique, and Butterfly Hugs.

► To learn more about coping skills in eating disorder recovery, head over to our blog at https://changecreateschange.com/coping-skills-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Should you ditch nutrition labels in eating disorder recovery? | Eating Disorder Support Teen/Child

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today's episode of Creating Change, we talk about nutrition labels and the recommendations we give to parents and children/teens living with an eating disorder who are either working through recovery or are supporting along the way. It is important to remember that nutrition labels can be up to 30% off and isn't always as accurate as you think!

► To learn more about nutrition labels in eating disorder recovery, head over to our blog at https://changecreateschange.com/nutrition-labels-in-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Signs of Over-Exercising in Eating Disorder Recovery and Next Steps to Take to Support Child or Teen

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

We often get asked when working with parents if they have to stop their child's activity or exercise. In today’s episode, Jillian talks about exercise and what we typically classify as over-exercise along with red flags of over-exercise and some next steps to take in seeking help.

► To learn more about overexercising, head over to our blog at https://changecreateschange.com/how-to-stop-overexercising/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Managing Anxiety in a Global Pandemic | Routes of Safety

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Check out Jake Ernst's Website www.mswjake.com

And follow him on Instagram! @mswjake

In today’s episode, Jillian discusses routes of safety that can be used during the pandemic. It has been a challenging year and we find ourselves spending more time alone in private or spending more time at home with family. Changing up the routes of safety to self-centred routes of safety can help support and better manage anxiety during the pandemic. A big shout out to Jake Ernst, MSW RSW who developed this concept that we talk about in this video.

► To learn more about the routes of safety and eating disorders in children, head over to our blog at https://changecreateschange.com/routes-of-safety-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Fear of Weight Gain in Adolescence | Eating Disorder Recovery in Children and Teens

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

What I often hear in my practice from children and teens is how terrified they are of gaining weight. In this week's episode, Jillian talks about weight gain in adolescence and why it is so important for children and teens to gain weight during the growth process.

► To learn more about weight gain in children and teens, head over to our blog at https://changecreateschange.com/fear-of-weight-gain-in-children-teens/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

3 Steps to Reduce Body Checking Behaviours | What is Body Checking?

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In this week's episode, Jillian introduces the topic of body checking and 3 steps to reduce these behaviours. You will learn what body checking is and how we recommend starting to practice reducing these behaviours throughout eating disorder recovery.

Did you know, in a study, 99% of participants focused on a disliked body part when body checking instead of looking at their whole body (Shafran et al., 2003).

► To learn more about body checking, head over to our blog at https://changecreateschange.com/body-checking/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Impact of Eating Disorders on Bone Health in Adolescents/Teens and Later life

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today’s episode, Jillian talks about the impact of eating disorders on bone health in adolescents/teens.

During adolescence and childhood, bone tissues increase and start to develop to help build our bones strong and healthy for the rest of our lives. The tricky situation is that as bone density increases, weight increases, which can flare up eating disorder thoughts, feelings and behaviours. This means that the adolescent phase is crucial in making sure the child has a strong skeleton for them to rely on and use for the duration of their life.

Did you know folx living with anorexia nervosa are at a 7x higher risk for a bone fracture later in life compared to peers of the same age that have comparable structures outside of having an eating disorder?

► To learn more about the bone health and eating disorders in children and teens, head over to our blog at https://changecreateschange.com/bone-health-and-eating-disorders/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

5 Stages of Change - Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Change in eating disorder recovery is hard work and it requires a great deal of behaviour change. We're not trying to convince you that eating disorder change is possible - we KNOW it's possible! We work with hundreds of families who have shown us that eating disorder recovery can happen. But did you know that there are five stages of change in eating disorder recovery?

In today's episode, Jillian will take us through the stages of change in eating disorder recovery, what stage you may be in, and how ready you are for change in eating disorder recovery. Now if you're a parent of a child with an eating disorder, keep in mind that for recovery to happen it does not matter if your child believes change can happen right now, it just matters that you as the parent or guardian want change.

► To learn more about the stages of change in eating disorder recovery, head over to our blog at https://changecreateschange.com/5-stages-of-change-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Social Media Usage and Eating Disorders During COVID-19 | Eating disorder recovery in child/teen

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today’s episode, Jillian discusses social media in eating disorder recovery. We keep hearing in sessions about the use of social media by children and adolescents, mostly youth. Because of the pandemic, everyone has been turning to screens as a way to cope and fill all the free time we currently have. In this video, you will learn what you can do to support your child with social media exposure during their eating disorder recovery.

► To learn more about the role of social media and eating disorders, head over to our blog at https://changecreateschange.com/social-media-and-eating-disorders/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

3 Ways to Expand Your Window of Tolerance | Supporting your child/teen in Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today's episode of Creating Change, Jillian explains the Window of Tolerance, which is a term coined by Dr. Daniel Siegel. There are 3 ways that help to widen our window of tolerance so we can feel more at ease when stressors come up. Those three ways are through mediation, mindfulness and grounding activities. These all can be extremely helpful in eating disorder recovery and can be used to support your child/teen and widen their window of tolerance.

► To learn more about the window of tolerance in eating disorder recovery, head over to our blog at https://changecreateschange.com/window-of-tolerance/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Body's Built in Safety Nets | Eating Disorder Recovery in Children and Teens

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today's episode of Creating Change, Jillian discusses what can happen when the body is in starvation syndrome and the body's safety nets that are built-in for protection.

If either yourself or your child is struggling with an eating disorder we want to help you recognize the responses and changes that happen to your body as they often are masked and hard to fully recognize.

► To learn more about our bodies' built-in safety nets, head over to our blog at https://changecreateschange.com/the-bodys-built-in-safety-nets/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Is it normal to feel anxious in the beginning of refeeding? | FAQ eating disorder recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

We often receive many questions about the refeeding process in eating disorder recovery. The refeeding process can be challenging and we want to be here to support and guide you through it to make it as easy for you as possible.

In this video, I answer the most frequently asked questions we hear when introducing and starting the refeeding process in eating disorder recovery. We answer the following questions:

Q: Is it normal to feel anxious and overwhelmed in the beginning stages of mechanical eating or the refeeding process overall?

Q: How will I know when I'm hungry, and what if my body doesn't tell me?

Q: How will I know if I am eating too much or too little?

Q: Why can't I follow Canada's Food Guide for eating normally?

► To learn more about refeeding FAQs, head over to our blog at https://changecreateschange.com/refeeding-faqs/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

What is Refeeding Syndrome? | Avoiding Refeeding Syndrome in Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today’s episode, Jillian goes into more detail about what can happen when we start the refeeding process and more specifically avoiding refeeding syndrome in eating disorder recovery.

In last week's episode, we introduced the refeeding process, if you have not listened to the previous podcast episodes on starvation syndrome and the refeeding process we recommend listening to those before listening to this one.

If you have a child in eating disorder recovery and they are in the process of starting or maybe already practicing renourishing their body with food this video will be helpful to you. The key is to start low and go slow!

► To learn more about refeeding syndrome, head over to our blog at https://changecreateschange.com/what-is-refeeding-syndrome/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

What is the difference between an eating disorder and disordered eating?

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today's episode, Jillian discusses the difference between eating disorders and disordered eating. Eating disorders, such as anorexia nervosa, are formal diagnoses with specific criteria in the DSM-IV. If someone does not have a formal diagnosis, that does not mean their eating disorder is any less valid or real. So what is disordered eating? It may be distorted body image or poor self-esteem, or presence of food rules or skipping meals. If this is sounding a lot like dieting - you are absolutely right. Dieting can be a form of disordered eating.

► To learn more about the differences between eating disorders and disordered eating, head over to our blog at https://changecreateschange.com/disordered-eating-vs-eating-disorders-whats-the-difference/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Eating Disorder Brain vs. The Well Brain | Effects of the Starving Brain and Eating Disorders

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Do you know what happens to the brain of your child struggling with an eating disorder? In today’s episode, Jillian breaks down what happens to the brain in a starved state, and compares the eating disorder brain versus the well brain in eating disorder recovery.

► To learn more about the eating disorder brain, head over to our blog at https://changecreateschange.com/the-eating-disorder-brain-vs-the-well-brain/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Mechanical Eating: 3 Tips to help your child in eating disorder recovery eat!

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In eating disorder recovery we start with using mechanical eating if hunger and fullness cues are absent. In this video, we introduce mechanical eating and go over 3 tips that you can do to help support your child with mechanical eating! In last week's episode, we discussed the topic of hunger and fullness cues. If you haven't yet checked out that episode we recommend watching it first and coming back to this episode after.

► To learn more about mechanical eating, head over to our blog at https://changecreateschange.com/mechanical-eating/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

How to get help for your child with an eating disorder | Supporting child/teen in ED Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today's episode, Jillian discusses how to get help for your child if your doctor or primary care practitioner doesn't agree that your child has an eating disorder.

► To learn more about what to do if the doctor doesn't agree, head over to our blog at https://changecreateschange.com/what-if-your-doctor-doesnt-agree/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Hunger and Fullness Cues

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

One of the main complaints I hear from clients and families is that the child affected by the eating disorder does not feel hungry, and therefore doesn't need to eat. This is one of the biggest mistakes when it comes to early eating disorder recovery. In this episode, we discuss what hunger and fullness cues are and what happens to these cues for someone struggling with an eating disorder over time. We introduce a new term known as mechanical eating that can support regaining those hunger cues once again.

► To learn more about hunger and fullness cues, head over to our blog at https://changecreateschange.com/hunger-and-fullness-cues

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

RED-S Recovery | Relative Energy Deficiency in Sport

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Relative Energy Deficiency in Sport (RED-S), formerly known as the Female Athlete Triad, is when an athlete is taking in less energy than they require. Not taking in enough energy can cause an irregular menstrual cycle and decreased bone density. RED-S is not an eating disorder, but there is often a strong relationship between eating disorders/disordered eating and RED-S.

FAST FACT:

- Folks living with RED-S are at a 6-7 times higher risk of bone fractures due to a decreased bone density.

→ www.changecreateschange.com

► To learn more about RED-S, head over to our blog at https://changecreateschange.com/red-s-relative-energy-deficiency-in-sport/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Red Flags of Diabulimia | Diabetes & Bulimia

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

→ www.changecreateschange.com

What is Diabulimia? It is not a formal eating disorder diagnosis, but it is a term that we use to describe the intersectionality of Diabetes & Bulimia. Folks living with diabulimia intentionally restrict insulin as a means to control weight or shape.

FAST FACTS:

-20% of females living with Diabetes either have or have had an eating disorder in their lifetime.

-Teens living with Diabetes are 2x more likely to develop an eating disorder than their peers.

► To learn more about Diabulimia, head over to our blog at https://changecreateschange.com/diabulimia-in-children-teens/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Binge Eating Behaviours in Children and Teens | Eating Disorder Support

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

In today’s episode, Jillian discusses binge eating behaviours in children and teens and the top 5 things you can do if you spot eating disorder tendencies in your child.

► To learn more about binge eating in children and teens living with an eating disorder, head over to our blog at https://changecreateschange.com/binge-eating-behaviours/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Atypical Anorexia | What's the difference between Atypical Anorexia and Anorexia?

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Atypical Anorexia Nervosa (AN) is recognized as an eating disorder under the category of Other Specified Feeding or Eating Disorder in the DSM-5. Similar to folks living with AN, folks living with atypical AN may severely restrict their caloric intake in an effort to lose weight. Like all eating disorders, atypical AN does not discriminate. It can affect folks of all ages, shapes, and sizes. One-third of folks in inpatient eating disorder programs are diagnosed with atypical anorexia.

► To learn more about Atypical Anorexia Nervosa, head over to our blog at https://changecreateschange.com/what-is-atypical-anorexia/

► To learn more about the DSM-5, visit https://www.psychiatry.org/psychiatrists/practice/dsm

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

The Top 5 Signs of Eating Disorders in Teens

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Not sure if your child or teen has an eating disorder or are you worried that your child may be exhibiting signs of an eating disorder? In today's episode of Creating Change I go through the top 5 signs that I often see in my practice when it comes to eating disorders and teens.

► To learn more about the signs of an eating disorder in children and teens, head over to our blog at https://changecreateschange.com/five-signs-of-eating-disorder/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Early Change in Eating Disorder Recovery

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Kids and teens affected by eating disorders always ask me, "When do I need to start recovering from my eating disorder?". And parents ask me, "When should I help my child recover from their eating disorder?".

My answer? "Let's get started now!"

Early change helps predict the success of eating disorder recovery. But, we cannot see change until we start making changes. Some folx come to me to help stop their negative self-talk or interrupt eating disorder behaviours like purging, binging, restriction or overexercising. No matter what folx are hoping to change, early change is KEY!

► To learn more about early change in eating disorder recovery, head over to our blog at https://changecreateschange.com/early-change-in-eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.

Does your child with an eating disorder show signs of Starvation Syndrome?| Eating Disorder in Teens

Jillian Walsh, RD, RP — Wed, 08 Mar 2023 19:25:26 GMT

Have you been seeing changes in your child’s physical or emotional health? Are they struggling with an eating disorder?

In today’s episode, Jillian discusses what happens when the body is in a malnourished state and the signs that we start to see (known as starvation syndrome). These signs can be helpful to look out for when supporting your child through eating disorder recovery.

► To learn more about starvation syndrome, head over to our blog at https://changecreateschange.com/category/for-parents-and-loved-ones/eating-disorder-recovery/

I'm Jillian Walsh, a Canadian Registered Dietitian and Registered Psychotherapist. I help parents support their kids through eating disorder recovery.

◌MY PRIVATE PRACTICE Change Creates Change Eating Disorder Care https://changecreateschange.com/

◌ARE YOU IN CANADA? BOOK A FREE CALL! https://changecreateschange.janeapp.com/#/discipline/3/treatment/1

◌THE ONLINE PARENT PROGRAM Parents EmpowerED https://changecreateschange.com/parent-program/

◌THE ONLINE CLINICIAN PROGRAM Eating Disorder Care for Primary Care Providers https://changecreateschange.com/services-for-health-professionals/eating-disorder-care-course/

🚩 IMPORTANT! This content is for educational purposes and is not a replacement for therapy. If you or someone you know is in crisis, please go to your nearest emergency room.