Beverly Price, RD, MA, E-RYT 200, C-IAYT, CEDRD-S Mindfulness-Based - PDF document

3/27/2018 Beverly Price, RD, MA, E-RYT 200, C-IAYT, CEDRD-S Mindfulness-Based Yoga for Your Beverly Price is a certified eating disorder specialist, International Association of Eating Disorder Nutrition Client with Professionals Foundation (IAEDP) Approved Supervisor and International Association of Yoga Binge Eating Disorder Therapists (IAYT) Certified Yoga Therapist recognized for her mindfulness Yoga-based eating disorder recovery programs, along with Yoga training programs in eating disorders for professionals. Beverly has created, cultivated and sold various healthcare businesses. In her career, she has also consulted with Beverly Price, RD, MA, E-RYT 200, C-IAYT, CEDRD-S healthcare entities who wish to maximize their bottom Certified Eating Disorder Specialist line. iaedp Approved Supervisor IAYT Certified Yoga Therapist Objectives: What is Yoga?  Describe the elements of Mindfulness-Based Yoga and how it can be integrated into the treatment protocols for binge eating disorder.  Discuss the benefits of Mindfulness-Based Yoga for an individual who struggles with binge eating disorder.  Describe how Mindfulness-Based Yoga can be integrated with traditional treatment for binge eating disorder. 1

3/27/2018 Yoga Premise of Yoga Conversation is a barrier to intimacy…You can talk your way out of feeling… Binge Eating Disorder Presentation On the Mat  Higher functioning Binge Eating Disorder and  Often failed AN and/or BN Presentation on the Yoga mat  Caution when integrating with BN and AN 2

3/27/2018 Yoga Therapy What is Yoga Therapy? Yoga Therapy Requirement  Foundational understanding of yoga theory and practice Yoga therapy is the application of teachings and practices in a therapeutic context in order to support a consistent yoga practice that will increase self-  Biomedical and psychological foundations awareness and engage the client’s energy in the direction of desired goals  Teaching and therapeutic skills  Yoga therapy tools and their application  Professional practice that includes – Legal – Regulatory – Ethical issues pertaining specifically to Yoga therapy 3

3/27/2018 Who Can Provide Goals of Yoga Therapy Yoga Therapy?  Eliminate, reduce, or manage symptoms  Yoga therapists are now certified through a  Improve function governing and accrediting body  Prevent the occurrence or reoccurrence of  The International Association of Yoga Therapists (IAYT), is recognized as the as the governing body underlying causes of illness for yoga therapists based on – Evidenced-based practice and peer reviewed  Improved health and wellbeing literature – Standards of practice that differentiate between a  Help clients change their relationship to and Yoga therapist and Yoga teacher are now identification with their condition emerging Yoga Therapy Assessment  Application of knowledge on how to synthesize intake, evaluation, observations, and working Yoga Therapy assessment Assessment  Development of an appropriate practice or session strategy for individual clients with eating disorders and substance use disorder  Formulation of group classes, taking into consideration the individual make up and needs of the client 4

3/27/2018 Yoga Therapy Assessment Yoga Therapy Assessment  Assessment is similar to that of any other treatment team member’s preliminary assessment Current healthcare information relevant to the work of a Yoga  therapist treating the eating disorder and substance use disorder population  Collection of information to develop a client- centered, integrated treatment plan. Pathologies, co-occurring disorders, drugs, surgical  procedures Evaluation of the physical, energetic, mental, emotional, and  spiritual dimensions of well-being Breath patterns  Posture and movement patterns  Yoga Therapy Treatment Plan Yoga Therapist Practice Setting  Client-centered recovery plan based on the  Private practice assessment  Part of a treatment team in a comprehensive setting.  Implementation of the Yoga therapy treatment plan  In the former setting, the Yoga therapist is  Importance for the client to know and understand encouraged to have a relationship and open why they are engaging in the recommended communication with a multidisciplinary outpatient postures treatment team. 5

3/27/2018 Yoga Therapist in Private Practice Yoga Therapist in Private Practice  Behavioral assessment is crucial before starting the  Physical Assessment day’s Yoga therapy session – Yoga therapist as licensed medical or nursing – Is the client following their meal plan? professional trained to perform physical assessments – Are they restricting? – Bingeing? Purging? – Yoga therapist not trained medically with – Are they hungover? concerns - having the client sit on their Yoga mat – Did they come into the Yoga therapy session and breathe may be the extent of that day’s Yoga drunk or high? session, as meditation is in fact Yoga Registered Dietitian Comprehensive Practice Setting as Yoga Therapist  Medical professional available to perform a medical  Private practice exam, with lab work, prior to the client embarking on  Yoga studio Yoga therapy  Gyms  Groups  Medical and/or nursing professional to perform  Workshops concurrent vitals, along with a physical and behavioral assessment prior to each subsequent All disciplines grounded in their recovery! Yoga therapy session, in order to determine medical stability  Processing of emotions by psychotherapist post Yoga therapy session/MNT by registered dietitian 6

3/27/2018 Yoga Physiology  Decreased activity of sympathetic nervous system – Decreased heart rate Yoga Physiology – Decreased blood pressure and Benefits  Decreased cortisol – Increased bone formation and calcium absorption – Increased production of insulin/homeostasis of insulin/glucagon  Parasympathetic -homeostasis of digestive tract Yoga Physiology Yoga Physiology  Mindful Yoga and meditation can affect the cerebral  In recent studies, Yoga has been shown to increase cortex, improving focus and awareness. the levels of GABA in the brain by more than 20 percent.  The cerebral cortex is the center of the brain that is responsible for impulses, irrational thoughts and  This is important because people dealing with behaviors. substance abuse usually exhibit low levels of GABA.  Activating the cerebral cortex can diminish the  If an activity such as Yoga can increase these impulsivity along with irrational thoughts and levels, even for short periods of time, then people behaviors involved in eating disorders, substance struggling with substance abuse can more abuse and related addictions . conscientiously focus on their recovery. 7

3/27/2018 Yoga Benefits Yoga Benefits  Yoga can help delay impulses  In our society, there is a natural tendency to want to escape anything that causes psychological or physical discomfort Through Yoga, clients may find themselves in  postures that are difficult or awkward  Clients tend to escape by bingeing, working too much, getting caught up in unhealthy relationships  Learning to stay within the poses and work through or by drug/alcohol use these postures can help the client, who feels an urge binge or practice unhealthy food behaviors, delay acting on this urge  In Yoga, individuals are encouraged to observe rather than react to their discomfort (anxiety, depression) by breathing and listening carefully for what his/her body/mind is conveying Yoga Benefits Yoga Benefits  Often, clients with eating disorders and other  Clients begin to enjoy their body for the first time addictions tend to want to “run away” from uncomfortable situations and/or ambivalent about  They start to define their body in terms of “what it treatment can do” versus “what it is”  Practicing Yoga can help maintain discipline, help They learn that they are not mere extensions of  clients to feel and accept uncomfortable emotions their body, but possess beautiful internal qualities. and avoid eating and other impulsive behaviors  In this way, Yoga can improve body image concerns and self-esteem. 8