Eating Disorders

Food Addiction vs. Dietary Restraint Journal Article

New Publication from the High Impact Nutrients Journal Describing the Discernment Process Between Food Addiction and Dietary Restraint

ABSTRACT:

Converging evidence from both animal and human studies have implicated hedonic eating as a driver of both binge eating and obesity. The construct of food addiction has been used to capture pathological eating across clinical and non-clinical populations.

There is an ongoing debate regarding the value of a food addiction “diagnosis” among those with eating disorders such as anorexia nervosa binge/purge-type, bulimia nervosa, and binge eating disorder. Much of the food addiction research in eating disorder populations has failed to account for dietary restraint, which can increase addiction-like eating behaviors and may even lead to false positives.

Some have argued that the concept of food addiction does more harm than good by encouraging restrictive approaches to eating. Others have shown that a better understanding of the food addiction model can reduce stigma associated with obesity. What is lacking in the literature is a description of a more comprehensive approach to the assessment of food addiction. This should include consideration of dietary restraint, and the presence of symptoms of other psychiatric disorders (substance use, posttraumatic stress, depressive, anxiety, attention deficit hyperactivity) to guide treatments including nutrition interventions.

The purpose of this review is to help clinicians identify the symptoms of food addiction (true positives, or “the signal”) from the more classic eating pathology (true negatives, or “restraint”) that can potentially elevate food addiction scores (false positives, or “the noise”). Three clinical vignettes are presented, designed to aid with the assessment process, case conceptualization, and treatment strategies. The review summarizes logical steps that clinicians can take to contextualize elevated food addiction scores, even when the use of validated research instruments is not practical.

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NUTRITION IN RECOVERY CURRICULUM

Nutrition in Recovery Group Curriculum is now Available! 

Nutrition in Recovery Curriculum

In 2012, I ran my first weekly nutrition group at a residential drug and alcohol treatment center in Los Angeles where I taught people about the link between nutrition and behavioral health.  We did not have a TV, so I put together various handouts as reading material for group discussions, based on information that I learned through my own treatment in 2005 & 2006. I’ll never forget the excitement of my first year running Nutrition in Recovery groups and building out the curriculum, and becoming a specialist working with this unique population. The experience was magical – I’ve enjoyed being contacted over the years and people sharing memories of that first nutrition group; someone recently told me that my trip with them to the grocery store while they were in treatment changed their life, and they are now sober working as a chef. This is in part due to the Nutrition in Recovery curriculum.

Nutrition in Recovery took off quickly and by 2013, I was running groups at several different treatment centers, conducting individual counseling and occasionally leading hands-on nutrition workshops. I took on dietetic interns and built out a legendary team of dietitians. We have run groups both locally in Southern California as well as internationally and have hosted various forms of staff training. To date we have contracted with over 30 treatment centers, including facilities that treat eating disorders as well as general mental health. During these years, I have refined the Nutrition in Recovery curriculum based on feedback from attendees as well as the facilitators, and of course the rapidly changing nutrition landscape. 

I have always tried to be available to help, but have never shared any curriculum, until now. The legendary Nutrition in Recovery curriculum is available to you. The content is designed to be delivered by a registered dietitian but can be done by someone who has a proficient background in nutrition and is attuned to recovery culture. Many of the slides have notes under them to help guide you through it all. If you or anyone you know is interested in conducting research using the curriculum, let’s talk.

The Nutrition in Recovery curriculum consists of 26 weeks (that’s 6 months!) of educational presentations, handouts, videos, games, activities, and discussion topics, all of which build upon the previous weeks, but can also be used in any order. Some groups include homework, recipes to keep, and are all designed to stimulate excellent discussion. There is no nutritional agenda embedded into the curriculum, it is flexible to a wide range of approaches. It is also eating disorder informed and friendly, and the best part about it is that you will get the actual PowerPoint and Word docs whenever available, so you can customize the curriculum as you see fit! This will make working at a treatment center manageable, and fun!

  • Week 1: The Basics
  • Week 2: The Nutrition in Recovery Method 
  • Week 3: Fiber the Missing Nutrient
  • Week 4: Incorporating More Fiber
  • Week 5: Budgeting Food During Recovery
  • Week 6: Smoothie Workshop 
  • Week 7: Sugar, Salt, Fat
  • Week 8: Let’s Talk Breakfast
  • Week 9: Substance Substitution 
  • Week 10: Oats Workshop 
  • Week 11: Conversations About Sugar
  • Week 12: Emotional Eating 
  • Week 13: Exercise in Recovery 
  • Week 14: Whole Grains and the Mediterranean Diet 
  • Week 15: Artificial Sweeteners 
  • Week 16: Salad Dressing Workshop 
  • Week 17: Fads and Myths 
  • Week 18: Guess that Plant 
  • Week 19: Binge Eating Solutions 
  • Week 20: Body Image and Disordered Eating 
  • Week 21: Chocolate Bites Workshop 
  • Week 22: So Many Different Approaches 
  • Week 23: Mindful Eating 
  • Week 24: Food Safety 
  • Week 25: Stress and Inflammation
  • Week 26: Cooking in Recovery

The cost of the curriculum is $695 and as a limited-time bonus includes a 30-minute consulting session with David Wiss MS RDN within 3 months of purchase. David will also send you his range of academic publications related to nutrition, substance use disorders, and eating disorders. You can use the 30-minute session either to seek clarification on the curriculum, to dive deeper into the research and learn more about the link between nutrition and mental health, or to pick David’s brain about anything. Lastly, those who purchase the curriculum will be added to a special mailing list where we will eventually form a group of nutritionists who work in addiction treatment centers sharing ideas, challenges, and victories. The goal is to one day have a recognized certification, and those who get in now will likely end up as the original leaders. Let’s join forces! 

Questions? Email davidawiss@nutritioninrecovery.com

Ready to make a payment? Use credit card HERE. 

Please make sure to include the proper email address for correspondence. You will be asked to sign a non-disclosure before receiving the Nutrition in Recovery curriculum. 

 

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Wiss Podcasts Summer 2020

Wiss Podcasts Summer 2020

Who doesn’t love a good podcast? David Wiss has been very fortunate to be invited as a guest on many podcasts over the years! Many people have told him that they have listened to various shows and then reached out to begin a discussion. Podcasts are a great way to meet new colleagues and make new friends! Therefore, these three podcasts are all very rewarding.

The first podcast is probably the most potent. This was a very intelligent and well-organized conversation with Elizabeth Irias LMFT from Clearly Clinical. This site provides continuing education units to mental health professionals.

61:05

This second one is with Erin Kenney MS RDN from Nutrition Rewired who is a rising star in the dietitian field! In this episode they discuss the link between early life adversity and disordered eating over the lifespan, as well as some other hot topics such as sugar addiction and gut health!

57:52

This next podcast is with Smitty who is a personal trainer and health coach specializing in working with people in recovery. Smitty is the founder of Navigate Health & Fitness. In this episode they cover various topics related to the role of nutrition and exercise in mental health and substance use disorder recovery. The best part is when they talk about body image, particularly as it relates to men.

47:04

This final podcast is a real delight! Tanya Stricek is a health coach who specializes in nutrition and eating behavior. In this episode Tanya shared her personal journey and David interjects with some science and diagnostic considerations to accompany her case study. This conversation is seamless and Tanya summarizes key points on the podcast link below.

37:40
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Binge Eating Recording

David Wiss MS RDN founder of Nutrition in Recovery discusses three different theories to explain why people binge eat: 1) emotional eating 2) dietary restraint and 3) food addiction. He discusses their areas of convergence and divergence and shares his experience as a clinician and researcher.

Struggle with binge eating? Reach out. We can help.

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Virtual Conference Friday July 31, 2020

Conference Presentation: “The Biological Embedding of Adversity”

How Does Trauma Impact Food and Body?

The biological embedding of adversity is a fascinating area of research! This presentation is from the Los Angeles District of California Academy of Nutrition and Dietetics annual conference.

David Wiss MS RDN discusses how early life adversity impacts human biology. This presentation describes how social factors can get “under the skin” and alter neurobiology. Mr. Wiss discusses potential consequences such as sexual abuse and known links to eating behavior.

Do you have questions about biological embedding? Are you curious to learn more about the link between sexual abuse and eating disorders? Don’t hesitate to reach out!

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The Basics of Dopamine

David Wiss MS RDN walks you through the most important concepts related to the dopamine system including wanting vs. liking and reward expectancy. He also shares some personal stuff! Understanding neuroscience is the key to understanding human behavior.

27:26

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Virtual Conference Friday July 31, 2020

More than Meets the Eye: How Unseen Factors Impact Nutrition & Health

Four years ago we had a BIG idea. What if we could throw a nutrition conference in Los Angeles and talk about the important issues that are not being addressed at the state and national conferences?

What if we could lead the discussion that would pave the way for future nutrition professionals? What if there was WAY more to it than most people think? And thus the conversation was BORN. Each year we have been sold out, and this year will be the most epic yet!

On behalf of LAD – Los Angeles District of California Academy of Nutrition and Dietetics I am THRILLED to announce our line-up this year for our VIRTUAL EVENT “More than Meets the Eye: How Unseen Factors Impact Nutrition and Health” on Friday July 31, 2020.

If you have an interest in nutrition, join us for a full day of cutting edge information plus networking with like-minded individuals. We are offering 4 CPEs for Registered Dietitian Nutritionists. If you’re a student, intern, aspiring nutritionist, or just have a general interest in learning more about where the future of our field is headed, this event is for you!

REGISTER HERE

LAD 4th Annual Conference
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David Wiss Podcast Interviews 2020

Who doesn’t love a rich podcast interview about behavioral health nutrition? Below is a list of David Wiss podcast interviews from this year. They are all different but most touch on David’s passion for using nutrition in the treatment of substance use disorders. Some of the interviews are more focused on eating disorders and others are more focused on mental health in general. Check them all out!

Getting Better with Adam w/ Adam Silberstein, PsyD 

Treatment Harmony- A Closer Look at How to Help with Disordered Eating and Addiction (52:06)

In this podcast we discuss:

  • Co-occurring eating and substance use disorder 
  • Food and body issues among men 
  • Discernment regarding different treatment approaches for eating disorder 

Think Yourself Healthy w/ Heather Deranja, MA, RDN, LDN, CPT 

Nutrition in Recovery: How Food and Sugar Addiction Impacts Gut Health and Mental Wellness (48:11)

In this podcast we discuss:

  • Nutrition for substance use disorder: history and where it is headed
  • Food addiction: controversies and implications for public health
  • Sugar addiction: how it affects gut health and mental wellness 

Cope Like a Pro w/ Ilona Varo, LMFT 

A Closer Look at Nutrition and Mental Health (40:22)

In this podcast we discuss:

  • The life course impact of adverse childhood experiences
  • Behavioral health disorders related to nutrition
  • Pathways related to the gut-brain axis 

Dietitian Rehab w/ Doug Cook, MHSc, RDN

Nutrition in Recovery (55:23)

In this podcast we discuss:

  • Broad concept of nutrition for mental health
  • Nutrition education for substance use disorder 
  • The current climate of eating disorder treatment

More David Wiss podcast interviews coming soon!

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Men and Eating Disorders Video

What are some of the gender-specific risk factors for men in developing eating disorders? What does the data say about differences between women and men with eating disorders? Do treatment needs vary? What about non-binary individuals? How does body image differ across the gender spectrum? What is muscle dysmorphia? Should men with eating disorders seek gender-specific treatment? Should we expect more men to seek eating disorder treatment in upcoming years? What are your thoughts on men and eating disorders?

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More than Meets the Eye: Linking Nutrition & Behavioral Health

Today is Saturday March 28, 2020. The world is in quarantine due to COVID-19 and many are in a behavioral health crisis. I am not depressed about it although certainly concerned for the welfare of my fellows, particularly those in recovery. I have been conducting Zoom and FaceTime sessions with people all over the world and doing what I can to be helpful. I do have more time to work on manuscripts and other academic projects. Tonight I will be coding up some variables for a data analysis.

Last night I had the idea to share my latest presentation with my newsletter followers. So I spent an hour recording my latest presentation “More than Meets the Eye: Linking Nutrition & Behavioral Health.” I hope you enjoy!

The presentation discusses: Traumaadversitynutritioneating disorders, substance use disorders, opioid crisis, food addiction, neurosciencegut-brain axismicrobiome, recovery, treatment and so much more! Nutrition for behavioral health is the future!

1:01:55
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