Gabrielle | Volunteer to Career

As someone who recovered from anorexia nervosa, I never imagined that I would one day be supporting others who are wearing the shoes I once wore. I applied to and went to university to study psychology because I was interested in supporting others with anxiety and trauma. Specializing in eating disorder care never crossed my mind until later in my educational career. 

Why am I here?

“Professionals who work with eating disorders are very hard to find.” A former professor of mine stated this in front of the class at the end of our lecture on eating disorders.

I felt sorrow hearing that a group of people with a mental illness I once struggled with are not only challenged with their eating disorder, but also with seeking psychological help to overcome their illness. 

I deeply reflected upon whether I had healed from my eating disorder and could provide unbiased and adequate care to others before concluding this was a specialty I wanted to and could pursue. In the end, I knew I could handle it.

When I graduated university with my Honors Bachelor’s degree in Psychology, I knew I wanted to provide psychological care for patients with eating disorders. By this time, I had already engaged in 2 years’ worth of peer support experience with many different non-profit organizations, but I truly wanted to apply what I’ve learned in a clinical manner. After weeks of job searching, I found the first and only opening for a Mental Health Technician/Recovery Coach providing eating disorder support and treatment in Vermont. The Kahm Center is the first treatment center in Vermont to offer Intensive Outpatient and Partial Hospitalization Programs for eating disorders. They focus on nutritional healing rather than weight restoration alone to support a patient’s recovery. As a strong believer in this approach, I knew I had to try my best to get the position.

I was fortunate and feel very grateful to have been hired at the Kahm Center. During my onboarding process, I was told that my role was to support psychotherapists in day-to-day tasks and run groups that utilize peer eating disorder support, art, writing, mindfulness, and music to support their recovery. However, before I began to run these groups, one of the first things I did for the patients was reassure them that I am here for them and asked them if there were any topics or groups they would like to see more of in their recovery. In my eyes, building rapport is one of the most important things a worker in this field can do. You never know what patients have gone through at other treatment centers or with other treatment providers, thus it is crucial that you facilitate a safe environment for them.

I felt sorrow hearing that a group of people with a mental illness I once struggled with are not only challenged with their eating disorder, but also with seeking psychological help to overcome their illness. 

How do I navigate my feelings around triggers and observing behaviors I used to engage in?

I promised myself that I would be honest with my team if I felt that providing psychological support to individuals with active eating disorders was too much for me. Fortunately, I have never had to question whether this was a specialty that I was ready for. That doesn’t mean seeing certain behaviors isn’t tough for me. When this happens, I identify the emotion or feeling I might be experiencing and briefly reflect on why. With many years of practicing this exercise, it has become more and more automated. If internal reflection alone doesn’t resolve my stress, I try to listen to my mind, body, and soul to determine what kind of self-care is needed.

How did I get here?

Quite honestly, the best answer to this question (besides getting experience in the field) is time. Before considering whether this was a job I wanted, I had to consider whether this was a job in which my eating disorder would not fog my cognition. And before ever knowing of this career path, I had to learn how to recover from my eating disorder and manage my anxiety. This all came to place with almost 8 years of effort towards recovery. 

As for experience, being a volunteer and running peer support groups with ANAD and other non-profit organizations gave me a solid, foundational understanding of what working in the field of clinical psychology was like. These experiences also provided me with opportunities to further build my active listening skills and develop an in-depth appreciation for the field. I also encourage folks who are interested in this specialty to explore what it looks like to provide support for a variety of different mental health challenges! Not only will this help reassure whether working with patients with eating disorders is the specialty for you, but it will also help prepare you for working with patients who have more mental health challenges than just their eating disorder alone.

Lessons Learned

You will not know the answer to every question a patient asks. You will not know how to respond to everything patients say, which can feel overwhelming and difficult to accept without feeling like a failure. During these moments, I like to remind myself to practice radical acceptance, ask for support from my coworkers/supervisor, and treat myself with kindness.

The message that helped you heal may not help someone else in the same capacity.

Everyone has a different story and benefits from different approaches to counseling and peer support. One of the best things you can do for patients is to keep an open mind. By doing so, you’re able to take in a patient’s experience holistically and filter out your own biases about eating disorder treatment. When I wear my mental health technician cap, I try hard to respond to what the patient needs, not what I needed to hear when I was in their shoes.

In my experience, it’s best to ask someone for their advice rather than make a choice on my own that may lead to more conflict or difficulty down the road. Not to say that making mistakes is a bad thing; these can be great learning opportunities! However, you’re not the only employee at a treatment center for a reason. Teamwork makes the dream work!

Having confidence and feeling self-assured can go a long way. This can be easier said than done. Thus, it’s so important to foster a mental environment for yourself to allow these elements to grow when you are home and at work. Your team brought you aboard for a reason, and trusting their decision can help you grow in your workplace. Once again, if you feel uncertain about something, help is out there!

Gabrielle A.

(she/her)

Gabrielle Albert is a recent university undergrad graduate from the University of Ottawa. In addition to working at the Kahm Center’s IOP/PHP program for eating disorders, she enjoys playing video games with her friends, watching anime, exploring nature, and exercising (with mindful intent and for fun!).

Yoga

  • Reconnect with one’s body
    • Promotes mind-body connection, awareness of self, and acceptance.
  • Stress and anxiety reduction
    • Yoga activates the parasympathetic nervous system, counteracting our body’s stress responses.
    • Deep, slow breathing can reduce cortisol  levels (stress hormone) and help calm our minds.
  • Intentional movement
    • Yoga provides a space to mindfully enjoy movement and explore a healthy form of exercise.
  • Long term healing
    • Provides a practice to safely and sustainably lean into.
  • A space for community and support
    • Oftentimes, yoga is done in a group setting, which can increase feelings of connection and lower feelings of loneliness.

After the completion of 7–12 yoga classes, a statistically significant decrease in anxiety, depression, and body image disturbance was seen (Hall et al., 2016).

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Some classes are targeted for rigorous exercise, such as “heated flow” or “power flow.” Please be mindful with what you practice, and look for “slow flow,” “yin,” “vinyasa,” and “restorative” yoga in non-heated rooms.

Music

  • Music can have a powerful effect on people’s mood

    • listening to uplifting or calming songs can help reduce stress and anxious feelings.
  • Music stimulates the limbic system, the part of our brain responsible for processing emotions
    • music triggers the release of serotonin and dopamine, which are associated with reducing feelings of anxiety, depression, and stress (which are often associated with eating disorders)
  • Slow tempo music has been shown to decrease cortisol, our stress hormone, as well as lower blood pressure and reduce heart rate.
  • Music increases the brains neuroplasticity, enhancing brain functions like mood regulation, decision making, and memory.

A study done by Mindlab International revealed that the song “Weightless” by Marconi Union resulted in a 65% reduction in participants’ overall anxiety (Dr. David Lewis-Hodgson).

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  • Ludovico Einaudi
  • Claude Debussy
  • Johann Sebastian Bach
  • José González
  • Laraaji
  • Bill Evans
  • Vance Joy
  • The Paper Kites
  • Moby
  • Tycho

Aromatherapy

  • Aromatherapy can be a helpful, low- cost (or free) tool for people managing eating disorders.
  • Aromatherapy involves using essential oils to help manage emotions and restore balance.
  • Scents can help ground people, encouraging mindfulness about physical and emotional sensations.
  • Can promote a tranquil environment and give a sense (& scent) of peace.
    • creates an atmosphere for individuals to feel safe in processing emotions

Lavender has been shown to reduce anxiety levels. It is seen as a “anxiolytic” solution to providing a coping method for those with anxiety disorders (Yoo & Park, 2023).

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  • Lavender: calm, sleep, relax
  • Chamomile: calm
  • Rose: anxiety reduction
  • Lemon: energy, nausea reduction, concentration
  • Orange: brighten, uplift
  • Jasmine: anxiety reduce, sleep
  • Peppermint: alertness
  • Ylang ylang: calming, stress and anxiety reduction
  • Rosemary: focus

Art

  • Art can help provide a safe space for communication.
  • It can promote a sense of relaxation, and become a calming, meditative like experience (especially in “flow state”).
  • Gives an outlet and coping mechanism for managing difficult emotions.
  • Helps develop healthy habits and routines for self-management.
  • Increases an individuals sense of awareness and understanding of their emotions and thoughts.

Art can boost cognitive function, emotional resilience and self-confidence. It has also been shown to reduce stress and aid in conflict resolution (Hudson University, 2024).

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  • Coloring books
  • Digital coloring or drawing
  • Collaging
  • Sketchbook/journaling/ diary
  • Painting
  • Water coloring
  • Air dry clay (model magic) or traditional clay (ceramics)
  • Photography (use your phone!)
  • So much more!

Creative Journaling & Writing

  • Journaling allows space for self reflection, and emotional release.
  • Free writing can help you connect to your inner voice without judgment.
    • This can look like a steam on consciousness, a short story, or even poetry.
  • Both of these can give you space to problem solve, and look at a situation from a new angle.
  • Try out a prompt, or guided writing exercise if free writing isn’t your thing.
    • Examples & resources below!

Positive writing has been shown to promote positive emotions, as well as positive cognitive mechanisms in the general population (Lai et al., 2023).

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  • What are three things I’m grateful for today?
  • Write a letter to your future self. What do you want to tell them?
  • Write about a positive affirmation you want to start telling yourself.
  • How do you like to relax? Write about your favorite way to unwind.
  • What does “peace” look like to you? How can you bring more of it into your life?
  • What is something that always makes you laugh or brings you joy?

Self-Care / Self-Talk

Positive Self Talk

  • Positive affirmations are short, encouraging statements that can help build our self-esteem and challenge negative thoughts.
  • Repeating these statements daily can help foster a more loving relationship with yourself over time.
    • “Mirror-work” is when you look into the mirror and say kind, positive affirmations to yourself. It might feel awkward at first.
    • Try statements such as “I am enough,” “I am deserving of all the good things life has to offer,” or “I am strong, capable, and confident in everything I do.”
  • This can help build mental resilience, making it easier to cope with challenges and setbacks.
  • They can elevate your mood and promote a more optimistic view of life.
  • They help build confidence and self-worth by focusing on your strengths and capabilities.

Self Care

  • Self-care directly impacts emotional, psychological, and physical well-being.
  • Engaging in regular self care practices helps maintain balance and resilience, ensuring we can cope with life’s challenges.
  • Regular self-care allows the body and mind to recover, recharge, and maintain a sense of calm.
  • Taking care of yourself helps prevent burnout by ensuring you have the energy and mental capacity to meet the demands of life.
    • Without regular self care, you may become overwhelmed, leading to fatigue, frustration, and decreased productivity.
  • Giving yourself mental space helps clear your mind, improving focus, decision-making, and problem-solving.
  • Allows you to engage in activities that bring you joy, pleasure, and fulfillment. These experiences elevate mood and provide moments of peace and happiness.

Positive Self Talk

Affirming personal values has been linked to boosting ones happiness and meaning in life (Nelson et al., 2014). MRI’s show that self- affirmations affect brain activity! (Cascio et al., 2015).

Self Care

“Engaging in a self- care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration, minimize frustration and anger, increase happiness, improve energy and more. From a physical health perspective, it has also been clinically proven to reduce heart disease, stroke and cancer” (Glowiak, 2024).

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POSITIVE SELF TALK

 

SELF CARE

  • Up to personal preference, ideas listed in the guide
  • Sleep: Make sure you get enough hours in
  • Making time for hobbies: painting, gardening, etc.
  • Doing chores: cleaning dishes, doing laundry, cleaning space, decluttering
  • Spending time outdoors: taking nature walks, sitting in a park
  • Being with people you love: friends, family, partners
  • Reading or learning: something of interest, and limiting technology/screen time
  • Personal care: shower, bath, deep breathing, meditation, massaging
  • Treating yourself: occasionally indulging yourself with something you love (ex: buying a new book, or a coffee from your favorite shop)
  • Mental care: attending peer support groups (for free with ANAD!), going to therapy (we can help connect you with someone)