Recovery
Situations
Situations
What does "in recovery" look like to you? There is no right or wrong answer for this.....
- no food or weight tracking
- More flexibility with foods, less guilty thoughts about food
-Not controlling food or exercise
- Engaging in life, not in disordered behaviors
Name 3 things that affect hydration status:
-food intake
-fluid intake
-laxative use or diuretic use
-vomiting or purging
-excessive exercise
In 1940, Ancel Keys conducted the Minnesota Starvation Study, Why have there not been any studies on starvation since?
- Because they found it to be inhumane to intentionally starve study participants. They currently use patients who have placed themselves in a starved state for scientific research, but the study itself cannot induce starvation.
Food makes serotonin. Fact or Fiction
Food
How do you know when you are at the right weight for your body?
a) the Metropolitan life weight charts from 1979
b) BMI falls into normal range
c) when you do not have to control your food or exercise to manage your weight.
C. BMI is bad science, and does not take into account what your body is made up of, lean mass vs. fat mass.
You are at dinner and Dad refers to the meal that mom made for dinner as healthy, you find this very triggering, What should you do?
- Kindly ask Dad to refrain from labeling food good, bad, healthy, unhealthy.
- Explain all food has nutritional properties
- Ask for help in expressing your concerns to dad regarding his comments.
- NO MATTER WHAT- Eat your meal plan!
List 3 signs of dehydration:
Dark colored urine
Constipation
Thirst
Infrequent urination
fatigue, dizziness, confusion
dry skin
elevated heart rate
List 2 psychological findings from the Minnesota Starvation project. ( What happens in the brain when it is starved?)
Emotional- Increase in depression, anxiety, and moodiness
Obsessional thinking, preoccupation with food
Strong desire to binge
Compulsive behaviors, including food rituals
Distorted thinking
Withdrawal from social activities
Fact or Fiction. Extra Serotonin in the brain causes gastroparesis?(slowing of the stomach empyting)
Fiction, lack of serotonin causes gastroparesis
What is Phase angle?
Phase angle is the measurement of the health and integrity of your body cells. 8-10 is normal, below that indicates that the body is malnourished. Ask your dietitian what your phase angle is!
You are planning to attend a bonfire with some friends on saturday night, but you are worried about what kind of snacks or food will be there, what should you do?
- Ask the host what kind of snacks will be there, and offer to bring something, especially if you are uncomfortable with the other offerings.
- Try something new or different, or challenging.
- Eat most of your meal at home, and eat a small part at your friends.
-Eat prior to going, so you don't have to eat at your friends( LAST OPTION)
What are 2 secondary complications of dehydration:
- kidney failure
-hypovolemic shock
-electrolyte imbalances( electrolyte control heart function)
- orthostatic hypotension
True or False? A starving brain decreased compulsive behaviors? Decrease in compulsivity can be expressed in food rituals, perfectionism, and increase in rigidity.
A starving brain increases compulsive behaviors. Increase in compulsivity can be expressed in food rituals, perfectionism, and increase in rigidity.
Fact or Fiction. SSRI medications( Selective Serotonin Re-uptake inhibitors) work to increase serotonin levels in the brain.
Fact
Potatoes are high in what mineral?
Potassium
In Gym class, they ask you to track your meal intake and figure out your BMI, you are very anxious, curious, and worried about this task, what should you do?
Talk to your dietitian, they will provide you with a note to have alternative activities as these activities and not conducive to recovery, and can be very triggering.
Name 2 electrolytes
-sodium
-potassium
-calcium
-chloride
What is Gastroparesis? How does it improve?
Slowing of the stomach emptying, The brick feeling in your stomach after you eat. Eating adequate amounts regularly and using digestive enzymes.
Fact or Fiction. SSRI( Selective Serotonin Re-uptake Inhibitors) require food to be most efficient.
Fact. These medications require protein and carbohydrates as substrate to be absorbed and used by the body. Try taking medication with a yogurt!
How much calcium should a teenage girl have in 1 day?
typically between 1200-1500 mg. Milk, yogurt, cheese, TUMS, and calcium supplements
You run into a friend that you haven't seen in a long time, she says, " You look healthy!" How to you respond?
- "Oh cool, what does healthy look like?"
- "Did you mean, You noticed that I have gained weight? "
- "I feel great! Isn't that what really matters?"
-Either way, recognize that the most people in our culture have some form of disordered thinking about food or body, and that we have the power to not subscribe to other people's thinking.
When a person stands up from a seated position, and feels lightheaded or dizzy, this is called what?
Orthostatic Hypotension
which brain chemical plays a role in gastroparesis?
Serotonin
Fact or Fiction. According to the Minnesota Starvation project, the lack of serotonin in the brain caused increased urges to binge, and increased obsessions about food and body?
Fact.
What is one challenge food that you allowed yourself to have this week?
Great Job!!