42: Eating Disorders with Kate Machado

Eating Disorders are something all dietitians should have baseline knowledge of because you never know when you'll meet someone who needs your help. 

In this episode, I have a conversation with Kate Machado, MS, RDN, CSSD, CEDS, from SD Nutrition Group (www.sdnutritiongroup.com), who's an expert in Eating Disorders. She knew from day one that working with eating disorders was her passion and she's been working with that population ever since she became a Registered Dietitian. 

She shares a lot of wisdom. Two things she said really stood out:

"Everybody who has an eating disorder dieted at some point, but not everyone who has dieted has an eating disorder." 

AND

"Eating disorders exist because of the rules." 

This is what you'll learn in this episode: 

• An overview of the different types of Eating Disorders (ED): Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, ARFID (Avoidant Restrictive Food Intake Disorder), Night Eating Disorder, and OSFED (Other Specified Feeding or Eating Disorder)
• Treatment plans for the different eating disorders 
• The progression of eating disorders
• How to screen and identify athletes with eating disorders

Here's a glance at this episode: 

[08:00] The criteria for diagnosing Anorexia Nervosa and the different types such as restricting type and bingeing/purging within Anorexia Nervosa

[10:40] The criteria for diagnosing Bulimia Nervosa and the compensatory behavior 

[12:30] An overview of Binge Eating Disorder

[14:40] A discussion of ARFID

[17:40] An overview of eating disorders that don't meet other criteria, which are referred to as OSFED

[20:00] Our role as dietitians when assessing someone who is showing signs of an eating disorder and why dietitians shouldn't be afraid of working with people with eating disorders

[26:00] A review of outpatient screening and what treatment typically looks like

[32:10] The different treatment plans for people with eating disorders and what a meal plan might look like for someone with Anorexia Nervosa versus Bulimia Nervosa versus ARFID

[43:50] What a treatment plan for someone with night eating disorder would look like

[49:10] What to do when helping someone who doesn't want to be in treatment in the outpatient setting

[52:04] An overview of Family Based Treatment (FBT)

[55:27] The screening process for athletes suspected of having eating disorders and the importance of having a treatment protocol in place

I also give a shout out to 3 incredible new RD's. 

Summary of terms:

PHP = Partial Hospitalization Program

IOP = Intensive Outpatient Program