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  EATING DISORDER THERAPY OF BOCA RATON
  • Home
  • About
    • Jennifer Rollin, LCSW-C, Eating Disorder Therapist
    • Lauren Levine, LCSW-C, Eating Disorder Therapist
    • Javoni Cobb, Eating Disorder Recovery Coach
    • Sarah Baginksi, MSW Eating Disorder Recovery Coach
  • Services
    • Eating Disorder Therapy, Boca Raton
    • Eating Disorder Recovery Coaching
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Freedom From An Eating Disorder Is Possible; An Interview With Sarah Baginski

3/29/2023

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​By Megan Samuels, MSW, LMSW, Outreach Coordinator
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After numerous applications, we are thrilled to announce a new recovery coach to our team!  Enjoy this interview with Sarah to get to know her more.  She is currently taking new virtual recovery coaching clients.  Reach out to us to schedule a free 15-minute coaching consultation with Sarah!
Megan: Tell me a little bit about yourself and what fueled your interest in helping people to recover from eating disorders?

Sarah: My interest in helping people to recover from eating disorders stems from my personal struggle with an eating disorder. At the time, I couldn’t imagine a life without these disordered thoughts/behaviors consuming every waking minute of my day. I felt hopelessly trapped. Looking back, I am so grateful for my friends and family, who pushed me to get the help I needed, yet did not feel worthy of it for so long. Finding and working with my own therapist, who had recovered from an eating disorder herself was a pivotal moment in my own recovery. She showed me that full recovery was and is possible. I am so grateful I reached out for help and held on. It is my passion to hold space for people navigating recovery from eating disorders and body image issues because I know firsthand that true recovery is possible!

Megan: What would you say are some common misconceptions when it comes to eating disorders?

Sarah: 
There are so many misconceptions when it comes to eating disorders. To name a few: 
  • Myth: Eating disorders are just about food.
  • Truth: While eating disorders generally involve a preoccupation with food, weight, or body shape, they are rooted in biological, psychological, and sociocultural aspects.
 
  • Myth: You can tell if someone has an eating disorder by looking at them.
  • Truth: People who suffer from eating disorders come in all shapes, sizes, and walks of life.  The media and other public discussions about eating disorders often focus on specific diagnoses.
 
  • Myth: True recovery from eating disorders is rare.
  • Truth: Recovery is absolutely possible.

Megan: How would you describe your approach as an eating disorder recovery coach?

Sarah: 
My approach is client-centered and empowering. I meet my clients exactly where they are in recovery, and hold space for their feelings, while firmly challenging them to examine their beliefs and behaviors from a place of self-compassion. 

Megan: Do you subscribe to a health at every size approach?

Sarah: 
Yes, I work within the framework of health at every size. This approach accepts and respects the inherent diversity of body shapes and sizes, and rejects the idealizing or pathologizing of specific weights. My role is to help my clients understand that their purpose in life is not to lose weight or look a certain way in order to have value in this world. HAES means prioritizing your well-being above all else! 

Megan: How is your life as a recovered person different from your life in an eating disorder?

Sarah: 
There is so much freedom, joy, and room for spontaneity in my life as a recovered person! Recovery has allowed me to connect to my personal values and true self in an entirely new way. Since choosing recovery, I’ve uncovered new passions and hobbies, formed new and tended to old relationships and connections, and re-discovered a love for ALL FOODS (notably ice cream and pizza). 

Megan: What is one piece of advice that you would give someone who is struggling in their recovery?

Sarah: 
Be gentle with yourself as you go through the healing process; recovery is not linear. There will be victories and moments of discomfort. My piece of advice is to lean into the moments of discomfort, even if you don’t feel “ready”.  Give yourself grace when you are all down, and know that each and every time you get back up, you’re choosing recovery. You got this! 

Megan: What are your biggest pet peeves about diet culture?

Sarah: 
One of my biggest pet peeves about diet culture is the normalization and glorification of disordered tendencies in the pursuit of “health”. Diet culture is sneaky. It tells us there is a “right” and “wrong” way to eat. It normalizes eating disorder behaviors like restriction or excessive exercise. It tells us that a thin body is the epitome of health. This messaging is everywhere from social media to grocery store aisles or casual conversations with coworkers over the most recent fad diet. As a result of these messages and societal expectations, it can be difficult to differentiate between a health-conscious behavior and an eating disorder behavior. When the line between health and eating disorder gets blurry, take a step back and ask yourself: Does this satisfy ME or my eating disorder? What is my motivation behind this food choice or behavior?

Megan: What would be a few of your tips for someone who is struggling with negative body image in recovery?

Sarah: 
My first tip for someone who is struggling with negative body image in recovery is to stay off the scale! The number on the scale does not define your worth, and can be incredibly triggering! Instead, think about and celebrate all of the amazing things your body does for you—dancing, breathing, laughing, dreaming, etc. Your body is a vehicle to carry you through life- not a metric of self-worth!

My second tip is to set goals for your body image journey that have nothing to do with the physical size/shape of your body. Words that may resonate with you include trust, respect, compassion, gratitude, neutrality, and acceptance. Get clear on what it is that you want out of recovery, and remember that trust in your body is important to fully embrace recovery!

​My third tip is to be gentle with yourself! Do something nice for yourself — something that lets your body know you appreciate it. Take a bubble bath, make time for a nap, or find a peaceful place outside to relax. When you’re struggling, try to lean into self-compassion. Here are some of my favorite self-compassionate statements to consider:
  • I’m doing the best I can right now and that is enough
  • My body supports me in these ways…
  • I’m worthy even as I struggle
Want more?  Check out this blog that explains what recovery coaching is and how it can benefit your recovery journey!
Schedule a free 15 min consult for eating disorder therapy in FL, MD, VA, NY, or recovery coaching worldwide.

Click here.
Eating Disorder Therapy Boca Raton  is a premier outpatient eating disorder therapy center founded by Jennifer Rollin. We specialize in helping teens and adults struggling with anorexia, binge eating disorder, bulimia, OSFED, and body image issues. We provide virtual eating disorder therapy in Boca Raton, Ft. Lauderdale, Palm Beach, Pinecrest, Parkland, Naples, Miami Shores, Palmetto Bay. Virtual eating disorder therapy throughout Florida. ​
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The Importance of Dialectical Behavior Therapy (DBT) in Eating Disorder Treatment

3/2/2023

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By Megan Samuels, LMSW

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Dialectical Behavior Therapy, or DBT for short, is a treatment modality that has research to support its effectiveness for the treatment of suicidality, borderline personality disorders, eating disorders, and self harm behaviors.  It has four sections, also known as modules, which are mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation.  All of these components are helpful to the process of recovering from an eating disorder. 

Below, I have listed the four modules of DBT, including a brief description about its relevance to eating disorder treatment.  I have also listed some practice exercises if you are interested in engaging with any of these modules. 

Mindfulness
  • People with eating disorders are often stuck in the past (“How many calories was that snack that I ate?”) or stuck in the future, (“How many miles will I need to run to burn off what I ate for dinner?”).  Mindfulness helps people focus on the present moment (including the 5 senses) in a nonjudgemental way.  
 
Let’s Practice:
  • Find somewhere comfortable to sit.  Name 5 things that you can see, 4 things that you can feel, 3 things that you can hear, 2 things that you can smell, and 1 thing that you can taste (or would like to taste).  Remember to name these things non-judgementally.

Distress Tolerance
  • I like to think of distress tolerance as how someone can handle an intense or overwhelming emotion.  It’s important to note that what’s intense and overwhelming to one person, may not be intense and overwhelming to another.  DBT provides skills to use for when someone is struggling with an overwhelming emotion.  If we think about this in terms of eating disorder treatment, a common emotion that someone may feel after eating is guilt.  If the guilt becomes too overwhelming, one could engage in maladaptive behaviors and restrict or cut OR one could use a DBT distress tolerance skill to survive crisis situations without making anything worse.
 
Let’s Practice:
  • What is an emotion that feels really overwhelming to you?  When do you typically feel this emotion?  If it feels safe for you, where do you typically feel that emotion throughout your body?

Interpersonal Effectiveness
  • The skills in this module can help you develop, maintain, or strengthen relationships.  The skills focus on boundary setting, compromising, and maintaining your self respect.  In recovery from an eating disorder, one may have a hard time setting boundaries to friends or family members who discussing dieting or weight loss.  These skills can help the person in recovery find the tools and the words to effectively and skillfully set boundaries to protect their recovery and also maintain their relationship with the other person.
 
Let’s Practice:
  • Journal about a relationship that you are struggling with right now.  Think about how you could maintain or strengthen that relationship.  What skills would you need to achieve that?  What might their reaction be?

Emotion Regulation
  • This module focuses on understanding emotions, changing responses to certain emotions, and managing painful emotions.  One skill in this module, focuses on coping ahead for potentially triggering or overwhelming situations.  For someone struggling with an eating disorder, it may feel triggering to walk into the dining hall at college.  One can create a cope ahead plan to reduce the anticipated distress by enlisting a friend to go to the dining hall with them to distract them from feeling overwhelmed.
 
Let’s Practice:
  • When may you feel overwhelmed over the next week?  What emotion are you anticipating feeling?  What skills do you have to handle that emotion?  What can you do NOW to plan ahead for that situation so it is less overwhelming?  

Hopefully, these descriptions and exercises gave you a sneak peak at what DBT can help with.  If it was difficult to do any of these exercises, please be gentle with yourself.  These are skills that work best when they are reinforced and practiced regularly.  

Want more?  The majority of the therapists at Eating Disorder The
Dialectical Behavior Therapy, or DBT for short, is a treatment modality that has research to support its effectiveness for the treatment of suicidality, borderline personality disorders, eating disorders, and self harm behaviors.  It has four sections, also known as modules, which are mindfulness, interpersonal effectiveness, distress tolerance, and emotion regulation.  All of these components are helpful to the process of recovering from an eating disorder. 

Below, I have listed the four modules of DBT, including a brief description about its relevance to eating disorder treatment.  I have also listed some practice exercises if you are interested in engaging with any of these modules. 

Mindfulness
  • People with eating disorders are often stuck in the past (“How many calories was that snack that I ate?”) or stuck in the future, (“How many miles will I need to run to burn off what I ate for dinner?”).  Mindfulness helps people focus on the present moment (including the 5 senses) in a nonjudgemental way.  
 
Let’s Practice:

  • Find somewhere comfortable to sit.  Name 5 things that you can see, 4 things that you can feel, 3 things that you can hear, 2 things that you can smell, and 1 thing that you can taste (or would like to taste).  Remember to name these things non-judgementally.

Distress Tolerance
  • I like to think of distress tolerance as how someone can handle an intense or overwhelming emotion.  It’s important to note that what’s intense and overwhelming to one person, may not be intense and overwhelming to another.  DBT provides skills to use for when someone is struggling with an overwhelming emotion.  If we think about this in terms of eating disorder treatment, a common emotion that someone may feel after eating is guilt.  If the guilt becomes too overwhelming, one could engage in maladaptive behaviors and restrict or cut OR one could use a DBT distress tolerance skill to survive crisis situations without making anything worse.
 
Let’s Practice:
  • What is an emotion that feels really overwhelming to you?  When do you typically feel this emotion?  If it feels safe for you, where do you typically feel that emotion throughout your body?

Interpersonal Effectiveness
  • The skills in this module can help you develop, maintain, or strengthen relationships.  The skills focus on boundary setting, compromising, and maintaining your self respect.  In recovery from an eating disorder, one may have a hard time setting boundaries to friends or family members who discussing dieting or weight loss.  These skills can help the person in recovery find the tools and the words to effectively and skillfully set boundaries to protect their recovery and also maintain their relationship with the other person.
 
Let’s Practice:
  • Journal about a relationship that you are struggling with right now.  Think about how you could maintain or strengthen that relationship.  What skills would you need to achieve that?  What might their reaction be?

Emotion Regulation
  • This module focuses on understanding emotions, changing responses to certain emotions, and managing painful emotions.  One skill in this module, focuses on coping ahead for potentially triggering or overwhelming situations.  For someone struggling with an eating disorder, it may feel triggering to walk into the dining hall at college.  One can create a cope ahead plan to reduce the anticipated distress by enlisting a friend to go to the dining hall with them to distract them from feeling overwhelmed.
 
Let’s Practice:
  • When may you feel overwhelmed over the next week?  What emotion are you anticipating feeling?  What skills do you have to handle that emotion?  What can you do NOW to plan ahead for that situation so it is less overwhelming?  

Hopefully, these descriptions and exercises gave you a sneak peak at what DBT can help with.  If it was difficult to do any of these exercises, please be gentle with yourself.  These are skills that work best when they are reinforced and practiced regularly.  

Want more?  The majority of the therapists at Eating Disorder Therapy Boca Raton has extensive training and experience in using Dialectical Behavior Therapy (DBT) as an effective treatment modality for eating disorders.  Contact us for a free 15-minute consultation today!

References:

DBT Skills Training Handouts and Worksheets, Second Edition by Marsha M. Linehan. Copyright 2015 by Marsha M. Linehan.

*Disclaimer: The information is provided for educational and informational purposes only. It is not intended to be a substitute for your independent medical decision-making nor a recommendation or endorsement for any particular treatment plan, organization, provider, professional service, or product. You assume all responsibility and risk for any use of the information.

Eating Disorder The
rapy Boca Raton  is a premier outpatient eating disorder therapy center founded by Jennifer Rollin. We specialize in helping teens and adults struggling with anorexia, binge eating disorder, bulimia, OSFED, and body image issues. We provide virtual eating disorder therapy in Boca Raton, Ft. Lauderdale, Palm Beach, Pinecrest, Parkland, Naples, Miami Shores, Palmetto Bay. Virtual eating disorder therapy throughout Florida. 
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    We provide eating disorder therapy virtually throughout the state of Flo​rida.

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Virtual eating disorder therapy in FL. Serving Ft. Lauderdale, Boca Raton, Palm Beach, Pinecrest, Parkland, Naples, Miami Shores, Palmetto Bay. Specializing in the treatment of eating disorders, including anorexia, bulimia, binge eating disorder, as well as anxiety, depression, and trauma.

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  • Home
  • About
    • Jennifer Rollin, LCSW-C, Eating Disorder Therapist
    • Lauren Levine, LCSW-C, Eating Disorder Therapist
    • Javoni Cobb, Eating Disorder Recovery Coach
    • Sarah Baginksi, MSW Eating Disorder Recovery Coach
  • Services
    • Eating Disorder Therapy, Boca Raton
    • Eating Disorder Recovery Coaching
  • FAQS
  • Blog
  • Contact