Health at Every Size

Patients seeking medical care are typically first evaluated on the basis of their weight, regardless of whether or not it is relevant to their presenting concern. This weight-centric approach can overshadow other health needs and lead to false positives for larger individuals (i.e. misdiagnosing a healthy patient as unhealthy due to weight and prescribing weight loss). An emphasis on weight loss most likely results in weight cycling and cumulative weight gain, which can lead to frustration and termination of healthy behaviors. An alternative to this traditional, weight-based tactic is the Health at Every Size (HAES) program. This philosophy promotes healthy behaviors for individuals of all sizes in an attempt to shift focus away from body weight and toward broader health. The basic conceptual framework includes beliefs in 1) the natural diversity of body sizes and shapes, 2) the dangers of ineffectiveness of weight-loss oriented dieting, 3) the importance of eating based on internal body cues, and 4) the critical contribution of physical, emotional, social, and spiritual factors to health and happiness. HAES discourages the use of externally structured eating regimens, such as counting carbohydrates or calories. Instead, individuals relearn how to eat in response to physiological hunger and satiety cues. HAES also promotes physical activity for improved quality of life and enjoyment, not for weight loss or calorie burning. Rather than concentrating on end-goals of weight-loss, patients notice what foods and behaviors make their bodies energetic and rested and incorporate those into their future behavior. By adopting this mindset, healthcare providers encourage patients to have a process focus for day-to-day quality of life. Traditional Weight-Loss Paradigm For good health...

Eating Disorder Groups

Our Eating Disorder treatment team is now offering a variety of groups, for both clinical and subclinical populations. These groups meet weekly with our Certified Eating Disorder Specialist, Cara Reinbrecht, MS, LMHC, NCC, CEDS, or our Registered Dietitian, Amanda Atkinson, MA, RD, CD. Binge Eating Disorder Group Binge Eating Disorder diagnosis required Health at Every Size perspective Find peace with food, body, and self Stopping the Diet Cycle Group Diagnosis of OSFED or Unspecified Feeding or Eating Disorder possible but not required Repetitive dieting struggles Intuitive and mindful eating concepts, body image, and underlying issues Movement component Healthy Bodies/Healthy Futures Group For ages childhood through adolescence Healthful eating patterns, positive body image, positive relationships with food, self-care, and self-esteem Movement component Mindful Nutrition Group Improving one’s relationship with food Intuitive eating Mindfulness activities Eating patterns that are healthful, satisfying, maintainable, and non-emotional Addressing food/diet rules Body Image Group Improve body acceptance Healthy body image, body image self-talk, and body/self-acceptance Eating Disorder Support Group Recovering from an Eating Disorder, diagnosis required Relapse prevention Identify and utilize coping skills Healthy body image work Eating Disorder Family Support Group Family members and caregivers of loved ones struggling with an Eating Disorder Education about Eating Disorders How to support loved ones Tools for...