ANZAED Autumn Workshop Series
*Preliminary Schedule

(All times listed below are in local VIC time zone – AEDT)

Scroll down to see further details on each of the below listed workshops.

8.15am – 8.50am Registration & Arrival Tea
Venue: Foyer Area

8.50am – 9.05am AWS Opening & Welcome to Country
Venue: Peninsula Room

9.05am – 10.05am Keynote Address
Yoga: A Practice for Enhancing Body Appreciation and a Positive Sense of Embodiment by Dianne Neumark-Sztainer
Venue: Peninsula Room

10.05am – 10.30am Morning Tea
Venue: Foyer Area

MORNING CONCURRENT WORKSHOP I
Half Day Workshop: 10.30am – 1.30pm
Applying the Single Session Intervention by Anthea Fursland & Sue Byrne
Venue: Bellarine Room

MORNING CONCURRENT WORKSHOP II
Half Day Workshop: 10.30am – 1.30pm
An Introduction to Adolescent Focused Therapy (AFT) by Kellie Lavender
Venue:
Ceres Room

MORNING CONCURRENT WORKSHOP III
Half Day Workshop: 10.30am – 1.30pm
Trauma & Eating Disorders by Mandy Goldstein
Venue: Peninsula Room

1.30pm – 2.30pm Lunch
Venue: Foyer Area

AFTERNOON CONCURRENT WORKSHOP I
Half Day Workshop: 2.30pm – 6.00pm Medical Monitoring in Children and Adolescents with Eating Disorders: What Dietitians and Mental Health Clinicians Need to Know by Jo Centra & Emily Hamilton
Venue:
Bellarine Room

AFTERNOON CONCURRENT WORKSHOP II
Half Day Workshop: 2.30pm – 6.00pm
A Brief Introduction to RO-DBT: Understanding Openness and Social Signalling as Key Mechanisms of Change by Tanya Gilmartin
Venue:
Ceres Room

AFTERNOON CONCURRENT WORKSHOP III
Half Day Workshop: 2.30pm – 6.00pm
Embodiment Approaches: Meaningful and Purposeful Action in Eating Disorder Recovery by Jasmin Watson
Venue:
Peninsula Room

4.00pm – 4.30pm Afternoon Tea Break
Venue: Foyer Area

6.00pm Friday Workshops Conclude

6.30pm onwards – Cocktail Reception at Pavillion, Geelong

8.00am – 8.30am Registration & Arrival Tea
Venue: Foyer Area

MORNING CONCURRENT WORKSHOP I
Full Day Workshop:
8.30am – 12.00pm Psychological Treatment of Eating Disorders: Advanced Skills and Clinical Decision-making by Chris Basten & Chris Thornton
Venue:
Peninsula Room

MORNING CONCURRENT WORKSHOP II
Half Day Workshop: 8.30am – 12.00pm
Dietitian Masterclass 1 – Understanding the Dietetic Management of PCOS from a Weight Inclusive Perspective.  Exploring Both Prevention of Disordered Eating, Body Distress and Eating Disorders when Managing PCOS; and Treatment of Co-occurring PCOS and Disordered Eating/Eating Disorders by Terrill Bruere, Christie Bennett & Josephine Money
Venue:
Ceres Room

MORNING CONCURRENT WORKSHOP III
Full Day Workshop: 8.30am – 12.00pm
Systemic Family Therapy – What is This? How Can it Enhance your Family Work with Young People Experiencing an Eating Disorder by Martin Pradel & Kate Cordukes
Venue: Bellarine Room

10.00am – 10.30am Morning Tea Break
Venue: Foyer Area

12.00pm – 1.00pm Lunch
Venue: Foyer Area

AFTERNOON CONCURRENT WORKSHOP I
Full Day Workshop: 1.00pm – 4.30pm
Psychological Treatment of Eating Disorders: Advanced Skills and Clinical Decision-making by Chris Basten & Chris Thornton
(Morning workshop contd..)
Venue:
Peninsula Room

AFTERNOON CONCURRENT WORKSHOP II
Half Day Workshop: 1.00pm – 4.30pm
Dietitian Masterclass 2 – Eating Disorders: A Practical Exploration of the Ethical and Safety Issues for Dietitians Working in this Space by Kate Noble, Leonie McNamara, Jessie Bradey & Terrill Bruere
Venue:
Ceres Room

AFTERNOON CONCURRENT WORKSHOP III
Full Day Workshop: 1.00pm – 4.30pm
Systemic Family Therapy – What is This? How Can it Enhance your Family Work with Young People Experiencing an Eating Disorder by Martin Pradel & Kate Cordukes
(Morning workshop contd..)
Venue:
Bellarine Room

3.00pm – 3.30pm Afternoon Tea Break
Venue: Foyer Area

4.30pm Saturday Workshops Conclude

Friday 31 March

8.15am – 8.50am Registration & Arrival Tea

8.50am – 9.05am AWS Opening and Welcome to Country

9.05am – 10.05am Keynote Address
Yoga: A Practice for Enhancing Body Appreciation and a Positive Sense of Embodiment by Dianne Neumark-Sztainer

Overview: This presentation will address the question: What can the practice of yoga offer in terms improving body image and potentially reducing eating disorders? In this presentation, Dr. Dianne Neumark-Sztainer will discuss the importance of eating, activity and weight related health and will describe shared risk and protective factors for both excessive weight gain and the disordered eating behaviors. She will describe the different components of yoga and share her own personal and professional yoga journey. Dr. Neumark-Sztainer will discuss the potential role of yoga in addressing the broad spectrum of eating, activity, and weight-related health. She will share research findings suggesting the potential for yoga to enhance body image and a positive sense of embodiment. You’ll learn how to integrate strategies for improving body image into your own yoga practice and/or your work with students/clients. Come away with a renewed understanding of how this practice can help people feel more at home in their bodies.

Presenter:
Dianne Neumark-Sztainer, PHD, MPH, RD, RYT-500 is a McKnight Presidential and Mayo Professor and serves as the Head of the Division of Epidemiology and Community Health, School of Public Health, University of Minnesota. She runs a large research program, including being the Principal Investigator on the Project EAT (Eating and Activity over Time) body of longitudinal research. She has published approximately nearly 600 scientific papers and has given many presentations on the broad spectrum of eating, activity, and weight-related health, including eating disorders, dietary intake, physical activity, body image, and weight status. Dr. Neumark-Sztainer has a great interest in exploring the potential for yoga to help in improving body image and reducing eating disorders. She has taught yoga within an eating disorders treatment center and conducts research on the connection between yoga and various aspects of eating, activity, and weight-related health.

10.05am – 10.30am Morning Tea Break

MORNING CONCURRENT WORKSHOP I
10.30am – 1.30pm
Applying the Single Session Intervention by Anthea Fursland & Sue Byrne

Workshop Overview: Waiting lists for mental health treatment are unconscionably long and this is particularly the case for individuals with eating disorders who find it difficult to access treatment at the best of times. Eating disorders are associated with severe adverse physical and mental health problems which often require immediate attention and, as such, it is not good practice to assign individuals with eating disorders to a long waiting list.  In response to this problem, the Single Session Intervention (SSI) was developed at the Centre for Clinical Interventions (CCI) in Perth, WA.  An SSI, conducted by an experienced clinical psychologist, is offered to newly referred individuals or families (ideally within 2 weeks of receipt of the referral) during which patients and their families are provided with crucial information regarding eating disorders; the focus being on their particular presentation. The aim of an SSI is to provide psychoeducation, develop a preliminary formulation, offer strategies, empower patients and their families to start making changes as soon as possible and motivate them towards recovery whist they are waiting to commence treatment. 

Published results from CCI have indicated that, after completing an SSI, underweight patients gained an average of 2 kg and, overall, there was a statistically significant reduction in EDE-Q scores, binge eating and self-induced vomiting episodes by the time patients attended their first treatment session (up to 7 months later). Since the publication of these data, additional data have been collected from other eating disorder practices around Australia which have adopted the SSI and are evaluating the outcomes

This workshop will provide an overview of the rationale behind, and the development of, the SSI. It will describe the content of the SSI and the specific SSI protocol with video demonstrations (role plays), discussion and opportunity for practice in pairs or groups.

Presenters:
Anthea Fusland
Anthea Fursland With 42 years in the field, in the UK, USA & Australia, Anthea was Director of CCI and WAEDOCS, created a web-based self-help resource, and co-authored many peer-reviewed papers. She currently works in private practice, offering psychological assessment, and training and consultation to clinicians throughout Australia. Anthea serves on the Steering Committee of the National Eating Disorders Collaboration and is a member of the Australian Government Department of Health Eating Disorders Technical Advisory Group. She is Past President of ANZAED, was elected a Fellow of AED and received the 2016 ANZAED Lifetime Achievement Award, and the 2019 AED Outstanding Clinician Award.

Sue Byrne has been involved with research and clinical practice in eating disorders for over 30 years. She has an MPsych (Clinical) and a PhD from UWA as well as a DPhil from Oxford University. Sue has led many high profile research projects and has published widely in peer reviewed journals. She has trained and supervised students and clinicians throughout Australia for many years.  Currently Sue is Clinical Director of The Swan Centre in Perth (a specialist eating disorders clinic). She serves on the Steering Committee of the National Eating Disorders Collaboration, on the Australian Government Department of Health Technical Advisory Group and on the Butterfly Foundation Safety and Quality Committee.

MORNING CONCURRENT WORKSHOP II
10.30am – 1.30pm An Introduction to Adolescent Focused Therapy (AFT) by Kellie Lavender

Workshop Overview: Adolescent Focused Therapy (AFT) is a manualised, empirically evaluated individual treatment for adolescent anorexia nervosa.  It evolved out of Ego-Orientated Individual Therapy (EOIT; Robin et al., 1994, 1999), which was adapted and manualised into AFT at Stanford University by Fitzpatrick, Hoste, et al. and was used as the control therapy in the well-known RCT comparing this model with Family Based Treatment (FBT), (Lock, Le Grange et al., 2010). AFT theory originates from a self-psychological model and views anorexia as a maladaptive coping tool used by the adolescent to manage the complex demands and transitions associated with adolescence.  Although AFT is an individual approach it makes liberal use of separate collateral sessions with parents with the aim of engaging and educating them about anorexia.

This presentation introduces AFT and describes the 3 phases of treatment in more detail. The empirical literature of AFT will be reviewed and compared with literature and evidence supporting FBT. The presenter will discuss indications when AFT might be considered as an alternative treatment option along with its pros and cons.

Presenter:
Kellie Lavender is a Registered Psychotherapist and Co-Director of the New Zealand Eating Disorders Clinic in Auckland. Kellie has been working in the field of eating disorders over 20 years, becoming a certified FBT therapist in 2013 and an Institute Faculty member in 2018.  She has presented widely on FBT and has published a paper on rebooting FBT following perceived failed attempts. Kellie provides supervision across public/private settings as well as specialist FBT training and consultation to treatment teams across NZ and globally.   Kellie is one of the very few clinicians internationally, qualified to train and supervise Adolescent Focused Therapy (AFT), the only manualised, empirically evaluated individual treatment for adolescent AN.

MORNING CONCURRENT WORKSHOP III
10.30am – 1.30pm Trauma & Eating Disorders by Mandy Goldstein

Workshop Overview: Research has and continues to establish a clear link between trauma and eating disorders (EDs). For example, sexual assault has emerged as a risk factor for psychiatric illness, and a significant, but non-specific risk factor for Eating disorders  (Brewerton, 2007; Tagay et al., 2014). With a history of trauma, research has shown increased symptom severity of EDs (Guillaume et al., 2016; Hall et al., 2018), increased likelihood of developing AN-b/p, BN or BED (Brewerton, 2007; Casalini et al., 2016; Mitchel et al., 2016), and increased comorbidity, often mediated by post traumatic stress disorder (PTSD; Brewerton, 2007). Prevalence rates vary, but eating disorders are common for those who have experienced past or recent trauma.

A special edition of the Eating Disorders, The Journal & Treatment and Prevention summarised the current status and called the cross-over in these fields a priority (Trim, 2021), urging clinicians and researchers to “design, implement and publish data on integrated treatments for this subpopulation so best practices can be identified” (p. 207). Given the prevalence of shared comorbidity and the lack of clarity in the field regarding treatment directions, spaces for trauma and eating disorder clinicians to come together to discuss the complexity and treatment approaches of these frequently co-occurring conditions is vital.

This workshop aims to provide an introduction to this substantial area of comorbidity by providing an overview of the research to date, and an understanding of both PTSD and complex trauma presentations. The workshop will provide an overview of current treatment approaches for trauma, including the differences in approach depending on whether a client presents with PTSD or a more complex trauma picture, alongside their eating disorder. The workshop will assume an understanding of eating disorders and their treatment, and will focus on the provision of ideas from the evidence-based treatment of trauma, introducing clinicians to the field more broadly, and hopes to encourage clinicians towards further learning of specific trauma treatments. Discussion will be illustrated with case examples and some practical strategies for working with dysregulated clients.

The workshop will include an opportunity to engage in practical skills activities.

Learning Objectives:

  • Improved understanding of trauma, and the evidence base for its treatment, including the difference between PTSD and complex trauma.
  • Understanding of the impact on the ED of a trauma history and vice versa when these presentations cooccur.
  • Provide an overview of some treatment approaches for trauma including from cognitive behavioural and somatic perspectives.
  • Provide a space to consider how to manage treatment when eating disorders and trauma occur together.

Presenter:
Dr. Mandy Goldstein is a clinical psychologist with some 14 years’ experience in the treatment of eating disorders (EDs) and trauma. She is the Director and Principal Clinical Psychologist at everyBody Psychology & Wellbeing, an expanding private practice in Sydney, focusing on the treatment of EDs and life’s challenges that might trigger or maintain them, including trauma. Mandy has been involved in inpatient, outpatient and day program treatment settings for patients with EDs. She has undergone specialist training in the treatment of adults and adolescents with EDs, including FBT and CBTe; she works across the age and diagnostic ranges and teaches from an evidence-informed, core principles approach to treatment. Mandy’s training in the treatment of trauma began with group treatment for Vietnam War Veterans in a hospital outpatient treatment setting, and has continued for more than a decade with patients experiencing both simple trauma often leading to PTSD, and more complex trauma histories stemming from early childhood neglect and abuse. Mandy has trained in EMDR, Cognitive Processing Therapy and Internal Family Systems Therapy and has a particular interest in the co-occurrence of trauma and EDs and the clinical challenge this frequently presents. She offers consultation and supervision to trainee psychologists in FBT, as well as the treatment of EDs and trauma more generally.

Mandy completed her Doctorate in Clinical Psychology at Macquarie University, where her research and training was focused on enhancing the treatment of EDs. Her research has been published in international peer-reviewed journals and presented at conferences. She is a Conjoint Senior Lecturer at University of Western Sydney and is Secretary of the Australia and New Zealand Academy for Eating Disorders.

1.30pm – 2.30pm Lunch

AFTERNOON CONCURRENT WORKSHOP I
2.30pm – 6.00pm
Medical Monitoring in Children and Adolescents with Eating Disorders: What Dietitians and Mental Health Clinicians Need to Know by Jo Centra & Emily Hamilton

(4.00pm – 4.30pm Afternoon Tea Break)

Workshop Overview: Eating disorders are serious mental illnesses with significant, life-threatening medical and psychiatric complications. Eating disorders have one of the highest impacts on health-related quality of life of all psychiatric disorders and anorexia nervosa has the highest mortality of all mental illnesses. Recognising and addressing the medical complications of an eating disorder is critical to supporting a patient’s recovery. All eating disorders can be associated with significant multi-organ, medical complications, and despite this, a person with an eating disorder will almost universally believe they aren’t sick enough for treatment. This workshop will review the medical assessment of a patient with an eating disorder, highlighting medical complications that can affect patients with an eating disorder across their recovery journey. This workshop endeavours to empower dietitians and mental health clinicians to guide their patient to higher levels of medical support when required. Additionally, in a busy health care system, a patient’s symptoms may be under recognised, this workshop will empower attendees to advocate for higher levels of medical care when necessary. This workshop will include didactic teaching on the medical assessment of paediatric patients with an eating disorder, as well as teaching on the medical complications that may affect patients with eating disorders across their treatment and recovery, and hypothetical case discussion.

Presenters:
Dr Jo Centra MBBS, FRACP (Hons), is a general paediatrician working at Barwon Health and privately in the Geelong region. She has a special interest in Adolescent Medicine, especially in the fields of Eating Disorders and gender supportive care. She leads the innovative Barwon Health Paediatric Eating Disorder Hospital in the Home program. The Barwon Health Eating Disorder Service and the HITH program are integrated into service delivery. She is passionate about providing safe and effective care for children, young people and their families. She strives for advocacy and education within the health system of the medical implications and management of these challenging disorders.

Emily Hamilton is an accredited practicing dietitian in the Geelong region of Victoria. She currently works at Barwon Health supporting young people needing inpatient care for eating disorders. She is a member of the innovative Barwon Health Paediatric Eating Disorder Hospital in the Home program. Emily wishes to empower and support young people, their families and clinicians to provide best practice and innovative care and support to those living with the challenges of an eating disorder.

AFTERNOON CONCURRENT WORKSHOP II
2.30pm – 6.00pm
A Brief Introduction to RO-DBT: Understanding Openness and Social Signalling as Key Mechanisms of Change by Tanya Gilmartin

(4.00pm – 4.30pm Afternoon Tea Break)

Workshop Overview: Radically Open Dialectical Behaviour Therapy (RO-DBT) has gained recent attention for a unique approach to treating eating disorders. From an RO-DBT perspective, an eating disorder is considered a behavioural expression of distress caused by rigid personality expression. The treatment is therefore designed to treat underlying personality pathology and has generated a series of emerging research projects that demonstrate some efficacy as a treatment of anorexia. There are theorised to be two primary mechanisms of change in RO-DBT. Firstly, Openness strategies are taught to clients to increase flexible responding and a willingness to learn from difficult emotional experiences and feedback from their environment. Secondly, therapists assist clients to consider the interaction between their genetic biotemperament and learned responses, and how they can change their maladaptive social signals to be more in line with their valued goals. This workshop is designed to provide participants with the opportunity to understand the relationship between personality and eating disorders, and how targeting Openness and Social Signalling can assist clients in moving towards their recovery goals.

Session Outline:

  1. Didactic teaching: RO-DBT basics and research evidence (30mins)
  2. Didactic teaching: What are personality types, how do they relate to eating disorders, and how to identify personality types in clinical practice (15mins)
  3. Practice activity: Assessing personality types (15mins)
  4. Didactic Teaching: Open vs Closed: Strengths, weaknesses and how to explore this in treatment (15mins)
  5. Break (15mins)
  6. Experiential activities: Case discussion, skills practice (30mins)
  7. Didactic teaching: An introduction to Social Signalling (15mins)
  8. Experiential activities: Role play, case discussion, skills demonstration (45mins)

Presenter:
Tanya Gilmartin is a Senior Clinical Psychologist with over 10 years experience working with eating disorders, personality disorders and other complex presentations. She has a particular interest in understanding how personality influences the development and maintenance of eating disorders. Tanya currently works with the Victorian Centre of Excellence in Eating Disorders (CEED) supporting the public mental health service to assist individuals with eating disorders and their families. She has previously worked for 10 years as part of a DBT program with adults and adolescents and within this developed an interest in understanding co-occurring personality disorders and eating disorders and has delivered DBT and RO-DBT programs to treat such presentations. Tanya is also involved in research projects aimed at understanding dimensional personality pathology and disordered eating and regularly provides consultation and supervision to clinicians working with complex clients. She is an experienced therapist, supervisor, trainer and researcher and uses her experiences to guide her training.

AFTERNOON CONCURRENT WORKSHOP III
2.30pm – 6.00pm
Embodiment Approaches: Meaningful and Purposeful Action in Eating Disorder Recovery by Jasmin Watson

(4.00pm – 4.30pm Afternoon Tea Break)

Workshop Overview: The body has inner wisdom that is self-directing and self-connecting, allowing one to experience life in its entirety. It is common for people experiencing an eating disorder to feel disconnected from their body. The concept of embodiment, that in which one ‘lives in and from’ their body is a relatively new field in eating disorder treatment. Embodiment occurs in a relational, cultural and socio-political context. Understanding the connection between the mind and body is at the heart of embodiment approaches. This workshop will explore how to incorporate embodiment approaches into practice. Themes covered include:

  1. Theories of embodiment and relationship to eating disorder pathology
  2. The nervous system and window of tolerance
  3. Exploring meaning and purpose as a pathway to embodiment
  4. Understand the role of sensory processing in embodiment
  5. Exploring the role of diet culture, weight bias and stigma have in embodiment
  6. How to incorporate the body (Both the therapist and client) into the therapeutic space
  7. Working with movement patterns in the therapy space

The workshop will involve both didactic and experimental activities, inviting the participant into a space of learning through doing.

Presenter:
Jasmin Watson is an Occupational Therapist specialising in the treatment of eating disorders and body image concerns. Her work is grounded in client focused, relationally orientated and trauma informed care principles. Jasmin incorporates aspects of traditional talk therapy and holistic somatic approaches, inviting people to experience wellness through the coming together of the mind, body, and soul. Through body awareness, co-regulation, building affect and sensation tolerance, Jasmin works with individuals to strengthen their internal wisdom and support them to engage in a more meaningful, purposeful life.

6.00pm Friday Workshops Conclude

6.30pm onwards – Cocktail Reception at Pavillion, Geelong – 95 Eastern Beach Rd, Geelong VIC 3220
The cocktail function will be held immediately following the day’s program. The venue is only a short walk from the Novotel Geelong.

Tickets for the cocktail function can be purchased during the registration process. Delegates can also purchase tickets for their partners/guests.
Ticket cost includes canapes and 2 drink tickets. Delegates are able to purchase more drinks from a cash bar.

AWS Delegate Ticket Cost: A$25; Partner/Guest Ticket Cost: A$65
Dress Code: Smart Casual

Saturday 1 April

8.00am – 8.30am Registration & Arrival Tea

MORNING CONCURRENT WORKSHOP I
8.30am – 12.00pm
Psychological Treatment of Eating Disorders: Advanced Skills and Clinical Decision-making by Chris Basten & Chris Thornton

(10.00am – 10.30am Morning Tea Break)

Workshop Overview: This workshop is intended for mental health professionals who are already familiar with CBT-E for eating disorders. The focus is on learning interventions for problems that arise in the therapy process and managing complexity. Complexity can arise from comorbidity, severity and the client feeling unwilling or unable to change. One of the recurring themes throughout the workshop is how the clinician makes decisions about varying the treatment in order to respond to problems and treat complexity. Through case discussions and practice sessions, the workshop addresses the following challenges:

  • Using individually tailored case formulations to broaden or sharpen the therapy tasks;
  • Weaving motivational interviewing into any step in CBT-E when the client is too wedded to their disorder or too anxious to change any behaviour.
  • Micro decision-making in sessions to help move through dilemmas, such as whether to roll with resistance or pursue a topic, or whether to push for early behaviour change or respect the stage of readiness for change;
  • Macro decision-making about when to step away from the manual and how to come back on track; this includes decisions about when and how to end therapy.
  • Learning will be through a combination of didactic teaching, video demonstration and group practice.

Presenters:
Chris Basten is a Clinical Psychologist with particular interests in eating disorders and health psychology. He received his Master’s in Clinical Psychology and then a PhD at the University of Sydney. He worked for many years at Westmead Hospital in the eating disorders unit. Subsequently, he has focused on his own practice and training psychologists. He has honorary appointments with Macquarie University and the University of Technology Sydney. His book, The Art of CBT, features a chapter devoted to individual case formulations to optimise treatment. Chris has also presented some of his research at conferences and has co-authored a book chapter (on models in eating disorders) and several peer-reviewed articles.

Chris Thornton is the Founder and Clinical Director of The Redleaf Practice, a large multidisciplinary private practice in Sydney. Chris has worked with individuals and families with eating disorders for nearly 30 years. Chris has consulted to inpatient, day patient and outpatient treatment services at major centres of eating disorders in both Australia and New Zealand. He continues to supervise programs and clinicians throughout Australia. Chris is a past president of the Australian and New Zealand Academy of Eating Disorders, sits on the Steering Committee of the National Eating Disorders Collaboration and is a member of the Eating Disorder Credential Governing Council. He was awarded a Lifetime Achievement Award in the field of eating disorders by the Australian and New Zealand Academy of Eating Disorders in 2020. Chris has presented numerous workshops on the treatment of eating disorders, both nationally and internationally. He has presented workshops on Motivational Enhancement Therapy; Acceptance and Commitment Therapy, Day Program Treatment, Non-Negotiables in Eating Disorders Treatment, Mirror Exposure for Body Image Treatment, Treatment of Shame in Complex Eating Disorders, as well as on the strengths and limitations of evidence-based treatments.

MORNING CONCURRENT WORKSHOP II
8.30am – 12.00pm
Dietitian Masterclass 1 – Understanding the Dietetic Management of PCOS from a Weight Inclusive Perspective.  Exploring Both Prevention of Disordered Eating, Body Distress and Eating Disorders when Managing PCOS; and Treatment of Co-occurring PCOS and Disordered Eating/Eating Disorders by Josephine Money, Christie Bennett & Terrill Bruere

(10.00am – 10.30am Morning Tea Break)

Workshop Overview: Polycystic Ovarian Syndrome (PCOS) impacts up to 18% of women of reproductive age. It is associated with multiple physical, endocrine and psychological implications. Further, recent research indicates that people with PCOS are more likely to experience disordered eating behaviour and eating disorders (https://link.springer.com/article/10.1007/s40519-018-0533-y). Current guidelines recommend weight loss as a first line treatment (Teede PCOS guidelines) and fail to address associated appetite and physical changes that contribute to increased eating disorder risk. Lived experience informs us that this approach contributes to diet and body trauma for individuals. Restrictive eating with the intention of weight loss is predictive of the development of eating disorders. Evidence and experiences show us that weight loss interventions are ineffective in the long term and potentially harmful. Therefore, there is a gap in treatment between the guidelines and the lived experience of our patients. So how do we support our clients diagnosed with PCOS to manage symptoms, improve health outcomes, support fertility and improve quality of life; without causing further harm or exacerbating pre-existing disordered eating and body distress? A weight inclusive framework provides an opportunity to support patients to make positive lifestyle change, without reaffirming disordered behaviours. Weight inclusive frameworks such as HAES and the non diet framework are shown to improve clinical health indicators without the harmful focus on weight management. We aim to step through the theory and focus on practical frameworks of how to support clients in PCOS management in a trauma informed, client centered and weight inclusive lens. PCOS and disordered eating/eating disorders commonly co occur there are implications for treatment that need to be taken into account and the dietitian is best placed to raise awareness and advocate for this. We explore dietetic interventions for clients with PCOS and disordered eating/ eating disorders; supporting improvement in both conditions.

This workshop will include group interaction and case vignettes for discussion.

Presenters:
Josephine Money is an Accredited Practicing Dietitian and Owner and clinical director of Eat Love Live.  Jo is fiercely client centred and weight inclusive in her practice; working to break down oppressive systems that have caused harm to us all and her clients in her work and advocacy.  Jo is aware of the multiple privileges she has as a cis, straight, white, able bodied person that makes it easier to move through this world than others.  Jo appreciates the courage and generosity of her many clients who have shared their lived experience with her that have contributed to her own learning and skills in supporting others.  Jo’s experience across the spectrum of eating disorder care, her own reflection and learning and the generosity of her clients sharing their healing is directed into 1:1 work with clients and carers, providing clinical supervision and education for health practitioners.

Terrill Bruere is an experienced dietitian, known for her work in eating disorders and in women’s health, particularly with polycystic ovary syndrome (PCOS).  She has been an advocate for a weight inclusive or HAES informed approach to dietetic practice and for people with PCOS for many years in settings such as Jean Hailes for Women’s Health and The Royal Women’s Hospital Melbourne.  Terrill has provided workshops and training in many forums on topics related to eating behaviour, body image and counselling skills.  She is a supporter of broader and more sustainable client centred approaches to work that fit well with the evidence based practice of a dietitian.  Currently she is working in private practice and provides professional supervision to dietitians.

Christie Bennett is a dietitian that works both clinically and in academia.  Christie takes a feminist, non-diet and Health at Every Size (HAES) approach to her clinical work.  Christie has particular expertise working in women’s health, particularly working with people with conditions such as PCOS and disordered eating/eating disorders.  Christie holds a PhD and a Bachelor of Nutrition and Dietetics with Honours from Monash University.  Her current research involves investigating how to support healthy lifestyles in pregnancy, fertility, and PCOS.  More specifically, she is working on investigating the impacts of food security, sleep, stress and disordered eating on women’s health.

MORNING CONCURRENT WORKSHOP III
8.30am – 12.00pm Systemic Family Therapy – What is This? How Can it Enhance your Family Work with Young People Experiencing an Eating Disorder by Martin Pradel & Kate Cordukes

(10.00am – 10.30am Morning Tea Break)

Workshop Overview: This workshop will include:

  • A brief outline of family therapy skills and assumptions that exist within family based therapy (FBT). What are its strengths and challenges?
  • An introductory exploration on how systemic family therapy (SFT) models, principles and skills can strengthen family based therapy.
  • The integration and application of systemic family therapy skills and intervention into everyday practice with young people.
  • The systemic family therapy knowledge and expertise of the Bouverie Family Therapy Centre

The workshop will be two module parts:

MORNING: Module 1 – Family Based Therapy (FBT) & Systemic Family Therapy (SFT)  Similarities and Points of Difference

  • A seminar presentation reviewing core skills in FBT and outlining relevant SFT therapy approaches, principles and skills. This will also include reference and integration of recent research and papers of leading experts in the eating disorders field and the long-standing development of systemic family therapy practice at the Bouverie Family Therapy Centre
  • An exploration on how SFT approaches, interventions and skills can assist an FBT therapist to move from implicit to an explicit focus on systemic family context and relational/attachment connection.
  • Practice Dyad role plays will be included. 

AFTERNOON: Module 2 – Fishbowl Role Play Circle (small or large group)

  • Real life family work scenarios and questions will be collated during the online registration. Drawing on participants’ everyday clinical practice experience, two to four clinical real life family work scenarios will be role played in a ‘live supervision/coaching and reflecting team style’. Participants will engage in role plays to practice systemic family therapy skillsets. Some ‘live video recordings’ may be generated for further meta reflection and learning.
  • Workshop will end with an individual and group ‘take away’ reflection of key practice learnings and translation into every day practice. Presenters will add translation recommendations for clinical practice and reflective/supervision practice processes.

Please note this workshop outline will be refined and outline further over the coming months.

Presenter:
Martin Pradel is a clinical social worker and family therapist, current Coordinator Lead (since 2014) at the Royal Children’s Hospital – Eating Disorders Service and formerly an Eating Disorders Clinician (2009-2014) at the Victorian Centre of Excellence for Eating Disorders.  He is also a current clinical family therapy ‘live group’ supervisor (since 2021) for master students at the Bouverie Family Therapy Centre – Academic Program. His other relevant clinical and work experience is in generalist child and adolescent mental health, adolescent and adult sexual assault and refugee family health and trauma.
Martin has recently resigned from the Royal Children’s Hospital to take up a new clinical lead position at The Bouverie Centre in early February 2023.

Kate Cordukes is a Family Therapist and an Arts Therapist. She holds a postgraduate in Arts Education [La Trobe university], a Masters in both Arts Therapy [ RMIT] and Clinical Family Therapy [La Trobe University]. She is a current member of AAFT. She is also a yoga teacher and holds an interest in the connection between the body and the mind and integrating ways of working in Therapy that value and work with both. Kate has worked as a therapist for the past 25 years with diverse populations and settings such as Juvenile Justice, Drug and alcohol and mental health. Through this work, she has incorporated trauma informed practice and ideas to her work. She has also presented and lectured at RMIT, MIECAT and at various conferences and workshops. She was on the Ethics committee at MIECAT overseeing the Masters and PhD programs for 15 years. She was the team leader of the Family therapy team at Berry Street from 2009-2015, both working with families and supervising staff. In this role she developed a particular interest in working with adolescents and children within a family context.
At Bouverie [2015-current] she works both on the clinical team seeing families with one or more family members having a serious mental health issue and on the Academic team teaching in the masters and graduate certificate Programs. She also delivers external training for other organisations in the health and welfare sectors. She is currently working with a colleague on a research project which explores working with adult families where there have been historical attachment disruptions. She has a small private practice seeing families and delivering clinical supervision for clinicians.

12.00pm – 1.00pm Lunch

AFTERNOON CONCURRENT WORKSHOP I
1.00pm – 4.30pm
Psychological Treatment of Eating Disorders: Advanced Skills and Clinical Decision-making by Chris Basten & Chris Thornton
(Morning workshop contd..)

(3.00pm – 3.30pm Afternoon Tea Break)

AFTERNOON CONCURRENT WORKSHOP II
1.00pm – 4.30pm
Dietitian Masterclass 2 – Eating Disorders: A Practical Exploration of the Ethical and Safety Issues for Dietitians Working in this Space by Kate Noble, Leonie McNamara, Jessie Bradey & Terrill Bruere

(3.00pm – 3.30pm Afternoon Tea Break)

Workshop Overview: As dietitians working with eating disorders we are often challenged by situations that are ethically complex, that make us concerned for our patients’ safety or risk negatively impacting on our own wellbeing.  Some of these challenges can be proactively managed through prioritising reflective practice, supervision and good communication skills, including the ability to have difficult conversations when needed.  

This will be a practical workshop, using a mixture of theory with case studies and shared wisdom. Best suited to dietitians who have completed further training in the area of eating disorders and who work in community settings including community health, private practice, community mental health or other eating disorder settings.

The workshop will explore working with strong boundaries, reflecting on our scope of practice, working with people with increased physical or mental health risk and incorporating weight inclusive principles.

We will also acknowledge and reflect that we are all on our own journeys of understanding the relationship between eating, body, health and weight. Sharing experiences amongst a diverse group of dietitians at different stages of career and working in different settings allows us to explore practical measures that we can take to prevent burnout and ensure the safety of clients is prioritised.

Presenters:
Kate Noble has more than 15 years experience working in eating disorder treatment and utilizes evidence informed dietetic support. Kate has experience across a wide range of sectors allowing for comprehensive understanding of various needs in recovery, these have included a multi-disciplinary public mental health service, private and inpatient settings. Kate’s practice is grounded in the HAES principles and she is passionate about using a weight-inclusive approach for all aspects of care and stages of recovery. Kate has experience in a wide range of treatment models, with particular interest in Family Based Treatment. Kate is passionate about supporting other Dietitians new to this area of work and as such offers supervision.

Leonie McNamara is an experienced Accredited Practising Dietitian and a member of Dietitians Australia. She has worked in various clinical settings, private practice, school programs and has been a mentor for graduate dietitians. Leonie is trained in various eating disorder specific treatment modalities and has worked for the Barwon Health Eating Disorder Service for the past 14 years. She highly values a multidisciplinary approach to treatment and is passionate about advocating for clients with eating disorders. Leonie also works in private practice where her work is HAES informed and eating disorder clients are a priority.

Jessie Bradey is a dietitian working at the Barwon Health Eating Disorder Service in Geelong. She is passionate about utilising the strengths and resilience of families supporting young people with eating disorders whether through Family Based Treatment, Multi Family Therapy or other modalities of treatment. She has worked across a range of mental health, community and inpatient settings and advocates for nutritional recovery at each point of care. Her work is HAES aligned and centered in weight inclusive practice.

Terrill Bruere is an experienced dietitian, known for her work in eating disorders and in women’s health, particularly with polycystic ovary syndrome (PCOS). She has been an advocate for a weight inclusive or HAES informed approach to dietetic practice and for people with PCOS for many years in settings such as Jean Hailes for Women’s Health and The Royal Women’s Hospital Melbourne. Terrill has provided workshops and training in many forums on topics related to eating behaviour, body image and counselling skills. She is a supporter of broader and more sustainable client centered approaches to work that fits well with the evidence based practice of a dietitian. Currently she is working in private practice and provides professional supervision to dietitians.

AFTERNOON CONCURRENT WORKSHOP III
1.00pm – 4.30pm
Systemic Family Therapy – What is This? How Can it Enhance your Family Work with Young People Experiencing an Eating Disorder by Martin Pradel & Kate Cordukes
(Morning workshop contd..)

(3.00pm – 3.30pm Afternoon Tea Break)

4.30pm Saturday Workshops Conclude