In continuing with the fabulous interviews for the forthcoming book Good Enough Mama: Taking Care of Yourself and Your Recovery During Pregnancy and Postpartum, today I want to introduce you to Lindsay Stenovec, Dietician, Mom, Recovery advocate, and host of The Nurtured Mama podcast
What made you want to become a dietician that specializes in eating disorder recovery?
My own journey definitely led me to this area of specialty. Having suffered from disordered eating and body image distress informed it. In college, as a nutrition major, thought I was doing the “right thing,” eating “healthily” when really it was diet mentality. I thought I was being a good nutrition major. I was following the rules that were given to me. I genuinely thought there was something inherently wrong with myself in my body for not being able to adhere to these recommendations that just weren’t realistic or appropriate for my body. And that would send me into these cycles of struggling with disordered eating. So, long story short, I hit this point in late in my senior year of college where I said:
“Enough is enough. I just I have to let myself eat enough food!”
I started to experiment with this, and realized I could relax around food! And I found it was actually not so scary. And shortly after that I was introduced to intuitive eating as well as the world of eating disorder treatment.
(Intuitive eating can be defined as a nutrition philosophy based on the premise that becoming more attuned to the body’s natural hunger signals is a more effective way to attain a healthy weight, rather than keeping track of the amounts of energy and fats in foods. For ten principles of intuitive eating from authors Evelyn Tribole & Elyse Resch, go to: Ten Principles )
Intuitive eating – and using this approach to eating disorder recovery – fit in very nicely with my own personal experience. I realized there was this whole world of people practicing intuitive eating and “Health At Every Size” (HAES) who were saying not only “It’s OK to eat,” but also “It’s ok to eat enough and enjoy it! You have permission to do this!” I realized, Oh these are my people and this is my jam! There was no going back.
What is diet-mentality and how did you break out of it?
Diet mentality says that a variety of body shapes and sizes are not OK and that you can’t trust yourself around portions. In my nutrition program at school, they were teaching us that you’re going to have to really work hard to help people not eat too much. It was fear-based: one wrong moved you are going to be out of control.
I remember having a discussion in my nutrition program about portion sizes and all of a sudden I realized “Oh my gosh, the ‘serving size’ on the box is just the unit of measure! Under no circumstances is this like the right amount for everyone to eat, every time they sit down to eat that food.” All of a sudden I had so much validation for myself in struggling with trying to stick with a cereal box recommendation, feeling so hungry, and thinking there was something wrong with me. I could eat more than one bowl of cereal because, even though it said one bowl was a “serving size,” one bowl didn’t fill me up!
I remember raising my hand in class and saying:
“I just realized that this is the unit of measure not the perfect amount everyone is supposed to eat! This is just a unit of measure that manufacturers picked and put on the boxes. It helps their product look good within diet culture, but it really has nothing to do with what you need in that moment.”
Everyone including the teacher just looked at me strangely, and went back to the lecture. But it was a revelation for me. Back in the day, they used to always say a bowl of cereal was part of a complete breakfast. Not your whole breakfast. And if you want to choose to have a cup of cereal, fine. But make sure to give yourself unconditional permission when you get hungry an hour later.
Stay tuned next for part two of this interview, when Lindsay discusses some of the ways she helps moms with the massive food and body changes during pregnancy and postpartum!
I recently gave a talk for parents on Eating Disorders and what parents wanted to know most was: How do I prevent my child from developing an eating disorder?
Here are five things you can do (and some you can be conscious of NOT doing) to assist with preventing your child from developing an eating disorder:
- 1. DON’T Diet.
Diets don’t work. This has been proven again and again. Here are a few scary statistics:
*95% of all dieters will regain their lost weight in 1-5 years (Grodstein, Levine, Spencer, Colditz, & Stampfer, 1996; Neumark-Sztainer, Haines, Wall, & Eisenberg, 2007).
*80% of 10-year-old girls in America have dieted to lose weight. (Bates, 2016)
Women who were put on diets as young girls are more likely to struggle with obesity, alcohol abuse and disordered eating as adults. (Keel, 2014).
*35% of “normal dieters” progress to pathological dieting. (Shisslak, Crago, & Estes, 1995).
- 2. DO eat intuitively.
Intuitive eating can be summarized by: relying on internal cues for hunger and satiety, eating for physiological rather than emotional reasons, having no dietary restrictions/unconditional permission to eat, and body size acceptance (Tribole, and Resche, Intuitive Eating A Revolutionary program that Works, 1995, 2012). Listen to your own hunger and don’t restrict. Give yourself permission to enjoy eating!
- 3. Take care of your own body image.
Be mindful that you are your child’s mirror. You may be tempted, as I saw in a humourous newspaper wear a “Mom’s Bathing Suit as One Giant, Body-Ecclipsing Ruffle.” You many gaze disgustedly in the mirror at your postpartum muffin top. Postpartum body image and ageing can be brutal. However, don’t allow yourself to buy into the culture’s message around self-worth being tied to “getting your postbaby body back in shape.”
A) Your postpartum body will never be the same shape. You grew a baby in there.
B) Your worth is bigger now. You have been changed by life. Try and embrace and radically accept that. Be proud of your tummy like your child is proud of theirs. You are beautiful because of the life you have lived and your body reflects that: all the scars, stretches, and wrinkles. A wizened tree does not Botox itself to look like a skinny leaf-sprout. Be the tree that you are proudly (or, on a bad day, good-enough).
- 4. Follow the “Division of Responsibility” when feeding your child.
Briefly, the division of responsibility is: The parent is responsible for What, When, and Where you eat. The child is responsible for How much and Whether they eat. This is based on Ellen Sattyr’s work. To see a handout on this, click here
I know it can be hard to trust that your child WILL choose to eat vegetables. But it CAN and DOES happen. See this amazing transformation in my own little one, who used to only eat anything soft and white. Notice how one carrot and two bits of pepper have grown into a plate almost entirely filled with vegetables!
(By the way, DO respect sensory sensitivities. If your child prefers soft texture, make soft texture food and gradually without a fight and making it fun introduce other textures.) And, remember: there are no bad foods. Kids need carbs and fat, and so do you. They help you have enough energy, they feed your brain.
- 5. Allow all feelings in your family (especially uncomfortable ones like anger, fear, and shame).
Low tolerance for negative affect has been shown to be one of the factors contributing to eating disorders. What does this mean? It means, in order to create an environment where your child will not feel they have to hide or stuff parts of themselves in order to be loved, you have to allow discomfort. Anger is a tough one. Most people error in one direction (rage at others) or the other (blame self and stuff into depression). Work on expressing anger at the level of irritation before it gets too overwhelmingly big. Have weekly family meetings. If you get in a fight with your partner, make up and show your child you have made up so they can see people re-unite after being mad at each other. When your child is mad, don’t withdraw your affection. Notice: “I see you are mad. I’m going to help you. I love you even when you are mad. You can hit the pillow, but not me. I’m going to stay with you until we work this out.” Allow fear. Allow insecurity, embrace imperfection. When someone makes a mistake in our house, we say “Yay! I made a mistake!” This is not my natural inclination. The natural inclination with shame is to hide it. Sweep it under the rug quickly! Pretend-like-you-know-what-you-are-doing-before-you-get-in-trouble-or-someone-sees-that-you-are-a-fraud! Don’t do this. Turn toward your own and your child’s imperfections and growth edges. Growing requires failing, and failing, and failing before succeeding. Support your child in practicing new skills. When your little one is learning to walk and falls down, you say “Hooray! Try again!” Continue to do this with yourself and your little one. Again and again.
It is possible to prevent eating disorders. And it is also possible to build a strong protective factors so that if your child develops one, they can recover with more ease. Do what you can. Eating Disorders are complex and develop from a unique and individual interplay of many factors. Eating disorders are no-one’s fault, but everyone’s responsibility. Prevention and recovery are possible.
I stole the Opposite Land game from the most time-honored parenting resource of all: another mom. Here’s how it works: When you are going somewhere or doing something that requires a certain kind of behavior, visit opposite land first. So for example, before we go to the regular grocery store, we go to the opposite land one. In opposite land grocery stores, all the kids ride on the carts flinging their legs and feet into the aisles, toppling cans and boxes off the shelves. They race around banging into people, don’t say excuse me, and throw eggs out of the carton. They fill the cart up with cookies, chocolate, rainbow sprinkle doughnuts and NO GREEN VEGETABLES. Never. Not Ever.
This technique works if you really get into it and are silly, authentic, and loving. Then your kid knows your intention is to connect and stay connected with them. Kids are right brained and have not yet left the land of implicit knowledge, of being deeply connected with their bodies and felt-sense of another person. So if you’re not authentic and silly with opposite land, they will see right through you and know you are just trying to get them to behave in the grocery store (which, of course, you are, but in a child friendly and respecting-ly, playful way).
A Random Confession related to Opposite Land and Never Eating Tomatoes:
My child is a picky eater. Even though I am a HUGE advocate for the intuitive eating, there-are-no-bad-foods, philosophy, I still relapse into encouraging, bordering on nagging, my child to eat vegetables. As you can imagine, sometimes I “win” a particular battle, but I never (Never, Not Ever 🙂 ) win the war. My little one is all over implicit knowing on that. I know you are trying to get me to do what you want, but I am not going to leave what I know to be true in my body and my preferences. So I keep returning to presenting the food, being playful with it, model-ing eating vegetables, but not forcing them.
I recently was given a book in another great chain of motherhood wisdom (also known as passing-along-stuff-please-help-me-clear-a-little-space-in-my-house). It is fabulous. In it, Lola, the younger sister of Charlie, states that she won’t eat carrots (they are for rabbits), peas (too small and green), and:
“I absolutely will never Not Ever eat a tomato.”
Her older brother, well versed in opposite land and creative, playful parenting, assures Lola that they are not eating carrots, potatoes, peas, or fish sticks. They are eating “orange twiglets from Jupiter, cloud fluff, green drops from Greenland, ocean nibbles from the supermarket under the sea…” You get the idea.
As you can imagine, by the end of the book, Lola is experimenting with trying all kinds of new foods, including the dreaded Never Not Ever (re-named moon-squirters) tomatoes.
How does this apply to You?
(Parents, Non-parents, and people recovering from Eating Disorders, Depression, Anxiety or General Self-Hatred)
Opposite Land looks different for adults. It includes such blasphemous ideas as:
“You ARE good enough.”
“All foods are possible to eat without guilt, including chocolate cake.”
“Recovery from an Eating Disorder (Depression, Anxiety, General Self-Hatred) is possible.”
“Mistakes are allowed.”
“You can be loved the way you are.”
“There is nothing wrong with you.”
“What happened in your family of origin was not your fault.”
“It is okay to feel angry, sad, ashamed, or insecure.”
“You are not bad.”
I get it- these may seem to live in a fantasy world if you are accustomed to believing the opposite. They may seem even more preposterous than eating cloud fluff or orange twig-lets from Jupiter. But considering the possibility can be the beginning of believing it. Having a trusted loved one (spouse, therapist, supportive peer) help you in this process can be the most healing. You may even, like Lola, decide that you can sometimes, Not Always but Not Never, have the experience of being Good Enough. And that can be even more phenomenal than eating a moon-squirter.
Special thanks to Lauren Child and Candlewick Press for permission to reprint the beautiful images from:
I WILL NEVER NOT EVER EAT A TOMATO. Copyright © 2000 by Lauren Child. Reproduced by permission of the publisher, Candlewick Press, Somerville, MA.
Summer vacation is ending. People are coming back from traveling; kids are starting school. What makes summer vacation special? My childhood memories include: painting on the back porch, watermelon and roasted corn on the cob, laying on the beach (back in the day when SPF meant Super Powerful Fantastic tan). Coming back from vacation is like the “Monday” of the Dieting world: I’ll start again on Monday. I’ll get back on track on Monday. I have to go back to work on Monday, Mondays suck.
We just got back from vacation. It is interesting being a parent navigating food treat-land with a kid on vacation (and in life). In my private practice, I see many adult clients struggling with disordered eating and body image distress. But their childhood food experiences differ. Some only got food-treats on vacation, some were never allowed food-treats, some only ever ate sugar cereal, whether at home or on vacation. However, in eating disorder recovery, as in life, It’s not about the food. Let me re-phrase: it’s partially about the food. It’s more about the context of the food than the content. In other words, if you were always forced to clean your plate, were never allowed to eat treats, were never served a vegetable, or were forced to eat all your vegetables even if you had to choke to get them down, that is obviously going to influence your experience regarding food and eating as an adult! However, even more important than the content (whether it be Vegetables or Cap’n Crunch), is the message about food and listening to your body. What were you told about the context of food, eating and your body? Were you allowed to listen to and trust your body and your hunger cues? Were you able to have some choice about what, when and how much you ate? Were you listened to? Were you therefore able to learn to listen to yourself?
Intuitive vs. Controlled Eating
As someone who struggled to re-learn intuitive eating in my adulthood and is a bit anxious as a parent that my child get the right nutrition, it is a serious spiritual practice to keep my “eat your vegetables” and “do NOT give him any more sugar, Papa” tendencies in check. However, I know in my very Being, in the-Part-of-Me-That-Knows, that intuitive eating works. And I know that the more I can foster as well as not inhibit that innate knowing in my child, the more of a protective factor I create around future disordered eating (depression, anxiety, body and self loathing…)
Birch et al. (2001) outlined particular “controlling feeding practices” that parents tend to do with children:
*Pressure to eat, as a means to increase the amount of foods a child consumes.
*Restricting access to certain foods, as a means to decrease the amount of “unhealthy” foods a child consumes.
*Monitoring food intake, as a means to track the amount of “unhealthy” foods a child consumes.
Controlling feeding practices, though often done with the best of intentions by parents, often lead to interrupting a child’s food selection by either increasing or decreasing the desire for the “controlled” food item and disrupting the internal compass for hunger and satiety. (Batsell, Brown, Ansfield, & Paschall, 2002; Birch & Fisher 1998; Fisher & Birch 1999: Galloway, Farrow, & Martz, 2009: Joyce & Zimmer-Gembeck, 2009 )
So. Back to Summer vacation. We were at a lodge with a coffeeshop this past week that had every possible kind of croissant you could imagine: spinach and cheese, sausage and bacon, apple, marmalade, chocolate, nutella. My little one heard chocolate (even though I offered it as last choice hoping another would stand out and sound appealing…spinach? There’s always hope) and pounced: Chocolate! So the second day we were there, still Chocolate! On the third day, he chose something else. Direct quote:
“I’m done with that Mama.”
He chose a banana, ate it, and moved on. He listened to his body, his cues and preferences, and he had enough of the chocolate. My husband ate the croissant. I don’t know why, but I continue to be astounded at how just not interfering with the process of trusting one’s body is so profound. Bless Evelyn Tribole, Elyses Resch (Intuitive Eating: A Revolutionary Program That Works,1995), and Rosanna Franklin (You are what your mother eats: maternal intuitive eating and perceptions of child’s eating, Dissertation Defense, Alliant University, 2016) for articulating what the body, psyche, and emotions know as well as providing the research to prove it.
Here are some guidelines for intuitive eating:
- Relying on internal cues for hunger and satiety
- Eat for physiological rather than emotional reasons
- Have no dietary restrictions/unconditional permission to eat
- Practice body size acceptance