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Exposure Response Prevention: Meal support sessions + Post meal processing

The meal sessions is the most accurate way of getting a true picture of the disordered behavior, its power, and the anxiety it commands. Each eating event is individualized, multidimensional and constantly revised to meet the challenge of the moment. They can increase awareness and accountability, while also providing a challenge and opportunity for change. Events are aimed at making actual changes in food quantity, quality, variety and manner of eating through a variety of exposure techniques. They also provide opportunities to explore the impact of social context on the individual’s difficulties with eating.

These exposure response prevention meal sessions are aligned with your goals and intentions and act as a way to challenge or change a behavior and the degree in which an ED behavior can actually take up space in a person’s head and occupy his/her ability to function once confronted with food and/or experience food in certain circumstances 

Within the context of the meal sessions we explore what is like entering the lion’s den together, getting into it, with and about and all over the food. During these meal support sessions, I act as a witness observing objectively the way the Unhealthy / ED self unveils itself and takes over, or attempts to do so, when confronted with its utmost fear. They are a constructive instrument when it comes in your relationship with eating/body.

We can work with your nutritionist’s meal plan and can plan the food challenges, based on the goals set by your team as well as go for challenges that you come up on your own or decide together.

The purpose of an Eating Disorder Recovery Coach is to actually be with and support or supervise somebody’s transition to move through any resistance or old behavior and thinking pattern, to an ability to try something new, work through the anxiety, the fear and the stuckness that goes along with that and come to the other side of this experience and handle the response. They aim is to create space for new experiences by exploring the idea of New, Different, Opposite, Hard, Scary (not scary dangerous but scary as something i have never done that before) and Uncomfortable. We work together to keep a tenuous balance between your urge to flee and your desire to succeed. Processing the event is also important to the success of the challenge, helping – amongst other things – with debriefing whatever feelings or thoughts may arise.

Advanced Meal Sessions + Post meal processing

The advanced meal sessions, are targeting clients who need to step up the nature of their meal sessions in order to deal with real world situations. They are built on the base of all you explored, worked, learnt and accomplished through the meal support sessions; it’s the next level sort of speak. 

The main differences are that while during the meal sessions my role is to be a guide, a support person, your external healthy self, role modeling normal decision making and eating, in the advanced meal sessions, I switch roles providing you with the opportunity of a higher level of exposure. In the Advanced Meal sessions you will have the chance to be confronted with triggering scenarios and practice holding onto your recovery and do what you have to do despite, feeling your feelings, challenging your thoughts, surfing your urges and choosing the type of action to respond with rather than react towards the “triggering” situation. These meal sessions of higher level of exposure are an invitation to master and apply all you have learnt by being the only healthy self during the meal, as I will be mostly the one presenting you with the triggers and challenges.

Annie Markitanis © 2024. All Rights Reserved.

An Eating Disorder Recovery Coach is not a replacement for a therapist, dietician, or medical or mental health professional, and thus, I cannot provide medical, nutritional, psychological, or other services designated for practice by a medical or mental health professional. My role functions as an adjunct to your treatment team, and my services complement and support those of your primary care providers as I am dealing with unique issues and circumstances that other team members cannot perform due to time constraints, legal parameters, or lack of specific training. As a Recovered Eating Disorder Coach, I help individuals reach their treatment goals in real-life situations, providing support, and appropriate challenges, and serving as both a role model and a guide. I am trained on how to work with the eating disorder population, in both an individual and group setting, to help facilitate growth and behavior change related to recovery.

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