Trauma and Nutrition with Caroline Thompson Clinical Dietitian Part 1

Episode 7 June 09, 2022 00:16:55
Trauma and Nutrition with Caroline Thompson Clinical Dietitian Part 1
Rachel on Recovery
Trauma and Nutrition with Caroline Thompson Clinical Dietitian Part 1

Jun 09 2022 | 00:16:55

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Hosted By

Rachel Stone

Show Notes

Calorline Thomas is a Nutritionist who notyouraverage.dietitian talks about how trauma and nutrition are related. 

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Episode Transcript

WEBVTT 1 00:00:01.360 --> 00:00:04.599 Hi, this is Rachel recover. We've got a special guest with us, 2 00:00:04.919 --> 00:00:07.360 Caroline. She's going to tell us a little bit about herself and then we're 3 00:00:07.360 --> 00:00:13.199 going to talk about nutrition and trauma and how it affects the body. Caroline, 4 00:00:13.199 --> 00:00:18.640 tell us a little bit about yourself. Amazing. I'm super excited to 5 00:00:18.640 --> 00:00:23.359 be here and we kept connected online and we've had a lot of really great 6 00:00:23.359 --> 00:00:29.039 conversations about nutrition and trauma. So a little bit about me. I am 7 00:00:29.199 --> 00:00:35.079 a Dietitian nutritionist and I'm also diabetes educator by training, so those are kind 8 00:00:35.119 --> 00:00:40.280 of like my formal titles. And in my private practice I spend a lot 9 00:00:40.280 --> 00:00:45.719 of time working with people who either have been diagnosed with an eating disorder or 10 00:00:45.799 --> 00:00:51.439 have some form shape of disordered eating, and that, you know, can 11 00:00:51.520 --> 00:00:56.640 run the Gammut from just feeling preoccupied with food, having a lot of thoughts 12 00:00:56.679 --> 00:01:03.039 about food, you know, to more disordered thinking around food that is really 13 00:01:03.400 --> 00:01:07.120 taking control of their lives, and so people tend to come to me when 14 00:01:07.159 --> 00:01:11.760 they want help with those issues. And, you know, to your point 15 00:01:11.799 --> 00:01:18.480 about nutrition and trauma, those are not typically words that we tend to hear 16 00:01:18.519 --> 00:01:23.239 together right. So, like trauma and mental health. We tend to think 17 00:01:23.319 --> 00:01:26.599 of, as you know, its own topic, and nutrition and Dietitians tend 18 00:01:26.680 --> 00:01:32.640 to be their own lane as well. And well, that's true. They 19 00:01:32.640 --> 00:01:37.159 are separate, they are actually very connected, and so I'm really excited to 20 00:01:37.200 --> 00:01:42.079 just dive into that with you and talk about maybe how having a history of 21 00:01:42.120 --> 00:01:47.799 trauma, you know, whether that's big tea trauma or little tea traumas, 22 00:01:48.000 --> 00:01:53.719 how that can really make us change our relationship with food over time and maybe 23 00:01:53.799 --> 00:02:01.480 even use food as a control mechanism or as a way of soothing ourselves after, 24 00:02:01.599 --> 00:02:07.599 you know, going through something really challenging. M Okay, so what 25 00:02:07.719 --> 00:02:15.199 got you into nutrition? Yes, so I got into nutrition. I actually 26 00:02:15.199 --> 00:02:21.560 have a h history of disorder eating myself, and so, like many dieticians, 27 00:02:21.639 --> 00:02:24.479 to be honest, I wanted to go to school to learn a lot 28 00:02:24.599 --> 00:02:30.719 about nutrition and diets and what the best things to do are right, and 29 00:02:30.800 --> 00:02:34.240 that was kind of what got me into it in the first place. And, 30 00:02:34.280 --> 00:02:38.639 of course, the more that I learned and the more that I realized 31 00:02:38.639 --> 00:02:42.560 that I didn't have a good relationship with food, that, over time, 32 00:02:42.599 --> 00:02:49.719 became kind of my new passion. And, you know, I didn't specifically 33 00:02:49.759 --> 00:02:53.039 ever intend to work with people who had a history of trauma. That certainly 34 00:02:53.120 --> 00:02:58.719 wasn't ever on my radar when I first got started, but it was something 35 00:02:58.759 --> 00:03:01.000 that came up over and know, over and over and especially as I started 36 00:03:01.000 --> 00:03:07.479 seeing similar types of people in the disorder eating world who we're trying to change 37 00:03:07.520 --> 00:03:10.400 their relationship with food. You know, many of those folks we started putting 38 00:03:10.400 --> 00:03:19.120 those dots together, realizing that there maybe was an incident in their past that 39 00:03:19.240 --> 00:03:25.599 kind of started a lot of this and triggered it. I can say that 40 00:03:29.159 --> 00:03:34.319 you go into the nutrition or trauma victims, like I know you kind of 41 00:03:34.360 --> 00:03:39.120 answered this, but like, yeah, started seeing a pattern of it, 42 00:03:39.199 --> 00:03:45.800 but really pushed you, you know, hey, this is not just you 43 00:03:45.840 --> 00:03:52.280 know, patterns. Is something I'm passionate about. You know, that's such 44 00:03:52.280 --> 00:03:57.159 a great question. I think that for me, I started to see a 45 00:03:57.199 --> 00:04:00.520 lot, and this is the reputation that a lot of Dietutians have, is 46 00:04:00.840 --> 00:04:05.319 a lot of the advice out there when people want to change what they're eating 47 00:04:05.800 --> 00:04:12.560 is meal plans. Eat this, don't eat that, swap this for that. 48 00:04:12.680 --> 00:04:16.879 Right, it's very tangible. Do this, don't do this, and 49 00:04:16.920 --> 00:04:20.560 you know, on some level that is helpful for some people to give them 50 00:04:20.560 --> 00:04:25.399 a sense of structure and a plan, right, and so often when we 51 00:04:25.439 --> 00:04:28.480 start a new diet that's exactly what we want. We want some to let 52 00:04:28.560 --> 00:04:33.519 that plan out for us. However, you know, I think I started 53 00:04:33.600 --> 00:04:39.399 to realize that we can give people meal blands, we can tell them eat 54 00:04:39.439 --> 00:04:42.920 this, don't eat this, we can give them the list in the plans 55 00:04:43.000 --> 00:04:47.319 and everything, and I was still seeing people come back and not, you 56 00:04:47.360 --> 00:04:51.680 know, being able to implement that or make a sustainable change long term. 57 00:04:51.720 --> 00:04:59.120 And it really started to occur to me that there's something happening that's not just 58 00:04:59.360 --> 00:05:03.160 on the surface level, like what we're eating. It's so much deeper than 59 00:05:03.199 --> 00:05:09.720 that and they're there are pathways really carved into our brain, into our psychology 60 00:05:10.240 --> 00:05:15.560 that drive us to food when we are stressed and emotional, when we're sad, 61 00:05:15.560 --> 00:05:17.680 when we're happy, even, you know, positive and negative emotions. 62 00:05:17.720 --> 00:05:24.800 And so I think for me it was really borne out of like realizing that 63 00:05:24.839 --> 00:05:31.439 just the basic nutrition guidance is only getting people so far and even beyond that, 64 00:05:31.600 --> 00:05:39.040 you can diet and still end up back at square one twelve weeks from 65 00:05:39.040 --> 00:05:43.040 now. If the die didn't work for you if you know, you had 66 00:05:43.079 --> 00:05:46.160 a ton of stress, a ton of life stuff happened, and so I 67 00:05:46.160 --> 00:05:50.360 think I just started to fall out of love a little bit with that nutrition, 68 00:05:51.079 --> 00:05:56.279 you know, hardcore nutrition stuff, and I started to really fall in 69 00:05:56.279 --> 00:06:00.800 love with what makes people change and what makes new habits stick and, in 70 00:06:00.959 --> 00:06:05.079 more importantly, and probably why don't have it stick for some people or why 71 00:06:05.160 --> 00:06:11.199 can't some people seem to make changes that seem, quote unquote, easier for 72 00:06:11.279 --> 00:06:15.920 everyone else? And so that started to really be more of my focus and 73 00:06:15.920 --> 00:06:20.000 where I spent a lot more time and energy with clients and over time, 74 00:06:21.040 --> 00:06:28.920 you know, that certainly evolved into the approach that I have now. Okay, 75 00:06:29.519 --> 00:06:32.879 what are some patterns with Trauma Victims and Eating Disorders in your field? 76 00:06:35.279 --> 00:06:41.319 Yeah, so I have a lot of thoughts on the different types of patterns 77 00:06:41.519 --> 00:06:46.560 that people take on after trauma and around food. You know, typically goes 78 00:06:46.600 --> 00:06:53.439 in a handful of ways. We live in a world that really prioritizes, 79 00:06:53.680 --> 00:06:59.079 you know, looking healthy, being fit, going on diets. So a 80 00:06:59.079 --> 00:07:04.759 lot of times a typical pattern that I see is something traumatic can happen and 81 00:07:04.839 --> 00:07:12.240 we immediately look for a way to feel better or control this. How we're 82 00:07:12.240 --> 00:07:15.519 feeling all of these emotions that have come up in us in some ways that 83 00:07:15.560 --> 00:07:20.160 we control. That is actually just going on a diet. We look around 84 00:07:20.240 --> 00:07:24.720 to the outside world like we're, you know, covered in all of these 85 00:07:24.720 --> 00:07:31.199 diet culture messages, excuse me, and when we are faced with a really 86 00:07:31.240 --> 00:07:35.600 difficult moment where we don't know how to cope, we don't know how to 87 00:07:35.639 --> 00:07:40.800 act, we look, you know, to the outside world. That's what 88 00:07:40.800 --> 00:07:43.439 people tell us we should be doing, and so a lot of people pick 89 00:07:43.519 --> 00:07:46.879 up on that early on, even, you know, without any trauma history. 90 00:07:47.199 --> 00:07:51.480 We pick up on a way of being that's good, a way of 91 00:07:51.519 --> 00:07:59.319 eating that's good in a way of eating that's bad, and that tends to 92 00:07:59.319 --> 00:08:03.360 be something that people reach for when they need a sense of safety and control. 93 00:08:03.399 --> 00:08:09.519 You know, going back to the meal plan, a meal plan is 94 00:08:09.639 --> 00:08:15.399 very safe for a lot of people. It feels structured, it feels certain, 95 00:08:15.560 --> 00:08:18.759 it feels consistent. We know what to expect, and so, you 96 00:08:18.800 --> 00:08:22.879 know, even though this following this meal plan, it might literally be making 97 00:08:22.879 --> 00:08:28.160 somebody miserable, it also is certain. It also leaves them with a sense 98 00:08:28.360 --> 00:08:31.279 of safety. I know what's coming today, I know what I'm doing tomorrow. 99 00:08:31.320 --> 00:08:35.039 I know what I'm eating for dinner and that can feel really good. 100 00:08:35.080 --> 00:08:41.039 So it's like this positive feeling when it first starts, but over time it 101 00:08:41.039 --> 00:08:48.720 gets US hooked right and we don't really develop a healthy coping skill there. 102 00:08:48.720 --> 00:08:54.639 We're just kind of blindly following a plan and then if the plan doesn't work, 103 00:08:54.840 --> 00:08:58.879 we tend to take on that shame or that guilt or all of those 104 00:08:58.919 --> 00:09:03.879 negative emotions as a result, when it really was an us that was a 105 00:09:03.879 --> 00:09:07.039 problem. It was that the meal plan didn't work. So, you know, 106 00:09:07.200 --> 00:09:09.840 again so much that I could say on this topic, but I think 107 00:09:09.879 --> 00:09:15.360 that that's a you know, a really big pattern that I see is is 108 00:09:15.399 --> 00:09:20.799 just dieting to create a sense of control, created a sense of safety in 109 00:09:20.840 --> 00:09:26.720 the world, certainty, and then, you know, ultimately that ends up 110 00:09:26.759 --> 00:09:33.080 being kind of a negative reinforcement cycle because most diets and meal plans do fail 111 00:09:33.279 --> 00:09:37.600 at some point. We can't do them forever because they are very restrictive, 112 00:09:37.639 --> 00:09:41.600 and so then we take on this negative, you know identity that we're a 113 00:09:41.639 --> 00:09:46.440 failure, that we can't stick to these things. So that's where that guilt 114 00:09:46.480 --> 00:09:56.759 and shame can really crop up. Um, what are some diets that you 115 00:09:56.360 --> 00:10:01.600 have seen. Just take havoc on the bobby the body today that are popular 116 00:10:01.600 --> 00:10:07.840 today, that you just say let's just avoid those completely. Yes, so 117 00:10:09.559 --> 00:10:16.000 any diet that is asking you to cut out a major food group and, 118 00:10:16.200 --> 00:10:22.000 even worse, a major macro nutrient would be something that highly suspicious of. 119 00:10:22.919 --> 00:10:28.879 You know, in ultimately, in reality, most diets don't work. So, 120 00:10:28.000 --> 00:10:35.960 whether you're looking at KTO or Atkins or seventy five, hard right. 121 00:10:37.159 --> 00:10:41.360 What are some of the other popular ones? Trying to think? So any 122 00:10:41.360 --> 00:10:48.080 of those diets are are super restrictive. What would you say? I said 123 00:10:48.120 --> 00:10:54.879 the Paleo Diet. Yeah, Paleo, definitely, wait watchers. Num Even, 124 00:10:54.919 --> 00:10:58.919 which is super popular now, is, you know, an APP, 125 00:10:58.039 --> 00:11:03.759 but it really is just a diet plan with the coach tacked on in your 126 00:11:03.879 --> 00:11:07.960 chat messages. So you know all of these diets that come and go. 127 00:11:09.360 --> 00:11:11.320 Right, that's kind of the the definition of a fad, right. It's 128 00:11:11.320 --> 00:11:16.120 not something that sticks around, it's not something that has long term evidence. 129 00:11:16.559 --> 00:11:24.440 Those diets tend to be the most impactful in a negative way and typically what 130 00:11:24.519 --> 00:11:31.840 happens is the typical fall up or the typical pattern of restriction and dieting rather 131 00:11:33.159 --> 00:11:39.039 is we go on this diet, we stick to the plan. At some 132 00:11:39.159 --> 00:11:43.159 point we start to feel like it's not working anymore, we can't stick with 133 00:11:43.200 --> 00:11:50.840 it, it's too challenging and we usually write throw in the towel, and 134 00:11:50.919 --> 00:11:54.759 that doesn't ever feel very good, and then we end up back at square 135 00:11:54.840 --> 00:11:58.399 one and we never really learned. You know, maybe some of those habits 136 00:11:58.399 --> 00:12:03.039 stuck with us. If we were eating more regularly or focusing on a certain 137 00:12:03.080 --> 00:12:07.919 food, some of those habits can stick with us, but more often than 138 00:12:07.960 --> 00:12:13.480 not we really don't learn anything through that process other than, you know, 139 00:12:13.559 --> 00:12:18.799 seeking the physical result of weight loss and dieting. So, you know, 140 00:12:18.879 --> 00:12:22.200 something to really think about is how sustainable is the Diet that I'm going on? 141 00:12:22.360 --> 00:12:26.519 Is it something that I can do today up until, you know, 142 00:12:26.639 --> 00:12:31.720 indefinitely? Do I can I do this forever? Basically, when you start 143 00:12:31.720 --> 00:12:35.720 a new diet or a habit change, it's a great question to ask yourself 144 00:12:35.840 --> 00:12:41.360 is, can I do this forever? So a lot of these diets, 145 00:12:41.360 --> 00:12:45.279 you know, we just see that that's not the case. Most people can't 146 00:12:45.320 --> 00:12:48.000 do them forever and most people don't. You know, most diets have an 147 00:12:48.080 --> 00:12:52.879 endpoint and and that's a huge red flag to me if there's an end period 148 00:12:52.919 --> 00:12:56.399 to the Diet. It's like what are we going to do when the diets 149 00:12:56.440 --> 00:13:03.559 over? Yeah, I mean, you know, people and that's what the 150 00:13:03.600 --> 00:13:07.480 whole Yoyo dieting thing that I think it's really bad for our culture, you 151 00:13:07.519 --> 00:13:16.799 know. Yeah, you're so go and as all kinds of horrible it does. 152 00:13:16.120 --> 00:13:20.240 Yeah, I mean, Yo die before her. Yeah, where you 153 00:13:20.279 --> 00:13:26.080 are going on diet after diet, on and off a plan that can lower 154 00:13:26.120 --> 00:13:30.279 your metabolism. It can actually cause more weight gain, so to and we 155 00:13:30.360 --> 00:13:33.879 tend to regain the way that we may have lost on the Diet and then 156 00:13:33.000 --> 00:13:37.879 actually gain more, even more. So every time we're doing that, we're 157 00:13:37.159 --> 00:13:41.120 Yo yoing up and down. Our weight is cycling up and down. Our 158 00:13:41.159 --> 00:13:46.879 metabolism is damaged and lowered in that process. And so, yeah, you're 159 00:13:46.919 --> 00:13:54.480 absolutely right. In that process it's just incredibly harmful. What about intermit and 160 00:13:54.480 --> 00:13:58.559 fasting and fasting in general? Like, you know, there's like people, 161 00:13:58.840 --> 00:14:03.960 you know, do fasting for spiritual reasons and you know, and there, 162 00:14:05.000 --> 00:14:09.600 I mean, you know what what's tell us a little more about that. 163 00:14:11.159 --> 00:14:16.039 Yeah, yeah, I mean fasting is a practice that's been around for years, 164 00:14:16.360 --> 00:14:20.960 thousands of years, right. So you know, ancient religions used fasting 165 00:14:20.960 --> 00:14:30.960 in the religious context to maybe improve their spirituality or their relationship with God, 166 00:14:31.000 --> 00:14:33.639 and that's still use today. I mean Ramadon is a great example that, 167 00:14:33.639 --> 00:14:37.000 where people fast all day and they don't meet until sundown, right. And 168 00:14:37.080 --> 00:14:43.399 so you know, I think when we think about fasting in that way, 169 00:14:43.440 --> 00:14:50.519 it's really important to consider your intention behind fasting. So some people's intention is 170 00:14:52.440 --> 00:14:54.559 to be closer to God, to be more spiritual, right, and so 171 00:14:54.600 --> 00:15:01.159 that your you have this higher purpose beyond Nastick for fasting. Rather that's beyond 172 00:15:01.200 --> 00:15:07.000 just yourself and it's not as superficial as maybe how you look or how your 173 00:15:07.039 --> 00:15:13.080 body looks that day. Where I see people getting into trouble with fasting is 174 00:15:13.519 --> 00:15:20.039 they maybe over eight last night and so their intention is to fast today to 175 00:15:20.240 --> 00:15:26.960 overcompensate and make up for what happened last night or over the weekend. And 176 00:15:26.960 --> 00:15:30.480 and that is a very vicious cycle that we can fall onto if we're not 177 00:15:30.559 --> 00:15:35.639 careful, where we are under eating all day, over eating at night and 178 00:15:35.679 --> 00:15:39.399 then undreating again or fasting really the next day to make up for it. 179 00:15:39.519 --> 00:15:46.360 So you know, again goes back to intention behind the action. And certainly 180 00:15:46.360 --> 00:15:48.360 a lot of people. You know, I have friends and family members who 181 00:15:48.399 --> 00:15:54.159 just aren't breakfast people. So technically they're fasting all day, but their intention 182 00:15:54.320 --> 00:15:58.840 is more that they have more energy when they skip breakfast. They feel better. 183 00:16:00.159 --> 00:16:03.799 It doesn't, you know, have any negative correlation later in the day 184 00:16:03.799 --> 00:16:08.919 where they're like overeating or having all these negative kind of reactions to fasting. 185 00:16:08.960 --> 00:16:14.960 So I'm always looking at, you know, what people's reasons are for doing 186 00:16:15.000 --> 00:16:23.720 these things. Okay, I mean that's that's very helpful. Hey, guys, 187 00:16:23.720 --> 00:16:27.000 thanks for listening. Right. REACHEL and recover will be back next week 188 00:16:27.039 --> 00:16:32.159 with Carolyne with with part two. As always, follow us on your favorite 189 00:16:32.200 --> 00:16:37.840 social media platform and podcast platform and if you have any questions about Rachel and 190 00:16:37.879 --> 00:16:42.720 recovery, please be sure to contact reshout to us either on social media or 191 00:16:42.759 --> 00:16:48.759 on Rachel and RECOVERYCOM. And there are tons of new resources out on the 192 00:16:48.840 --> 00:16:51.440 website, so check that out. Guys,

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