Dietetic Internship: Week Three!
This week we had a graduation!
One of the clients was beginning to transition out when I arrived, and last Thursday we celebrated her recovery with many of the staff, the other clients, and her parents. It was very emotional and even though I've only been there for a short time, I even got a little choked up! You could tangibly feel all of the love in the room.
Something I found particularly interesting was that the idea of recovery does not mean ED-free. It's learning to live with that part of yourself, accepting it, but not letting it control you. The client graduating had actually purged a few days prior, most likely due to anxiety surrounding all the upcoming change, and that is okay. It isn't validating that behaviour as good, just that nobody is perfect. There will never be a perfect patient, a perfect therapist, or a perfect recovery. The client who graduated has come so far and with her strength, support system, and awareness and she will continue to grow, I wish her the best.
The graduation is a "transition ceremony" because clients aren't just leaving program and peacing out. Rather they will keep coming to the center each week for appointments, but they will no longer be in program (8-3 for PHP, 9-1 for IOP). This gives them their freedom to slowly move back into their lives and regain a sense of normalcy. And as one client put it, "She can go to the bathroom by herself now!!" (we have to check before they flush as a precautionary measure, and bathroom use is slightly restricted after snack time and meal time).
I still feel right at home at the IDC. I think this was a great first rotation to dive in and find out some of my strengths right away. I enjoy connecting with people, I have patience, and I love food. No rotation will feed me like this one - two meals and two snacks a day! The gas is evening it out though. There's always a variety of food - no bad/good or healthy/unhealthy - just food. That's one of the tenants of the program. I definitely agree, but the dietitian in me still recognizes the difference between brownies and carrots - one is good for the body and one is good for the soul ;)
We had a yoga instructor/yoga therapist from LA shadowing the program this week. She was so sweet and knowledgable. I appreciated discussing the new "yoga therapist" debate with her and the shift in language required to be sensitive to clients who might be struggling. We also talked about how this language isn't even specific to this population -- she said that she heard in a class recently while in boat pose to, "draw in that lower belly to get rid of that little pooch we all have and want gone!" AHHH NO. Your body shaming is not welcome here.
Tomorrow is Memorial Day so I have the day off - I am hoping to relax and have fun! It's supposed to be sunny and 80! I am going to a BBQ so I feel even more like an adult since that's what people do on this holiday, as well as honoring those who've served, rest in peace grandpa.
I can't believe I only have four days left of my first rotation! Although people said it would fly by, I didn't quite believe them until now. I already finished my social media posts for IDC, still to go is a blog post and my overall case study. The amount of recording IDC is awesome, there's so much detail from every person on the team for a client's care, but that means it is a lot to sort through when building a case study. I haven't had to do anything outside of IDC yet, but due to my creative flair I like to add to things, I might end up working on my case study a bit this week in the evenings.
A big challenge I've seen at the clinic recently is one client who is restricting and who has basically checked out of treatment. She's been there for a little while and is seeing some of the other clients begin to transition--understandably frustrating. Apparently most of the clients are pretty great from what I've heard; they've had some who've been incredibly difficult. All in all though, people are there because they are truly seeking recovery. Most insurances have minimal coverage for treatment, if any, so it's a big decision to pursue treatment (and IDC has family therapy sessions, so support systems need to commit their time as well). This client has made a lot of progress since her admit, but she seems to be losing interest now though and wants to just have her life back. While temporarily this may seem like the right solution, it increases her chance of relapse later on.
My counseling skills have certainly improved. I feel that I am using good language with clients both in program and in personal appointments. I have started jumping in more with questions, and I have even spoken up a few times in the all staff meeting with my input! I have always been hesitant and unsure, thinking I might say the wrong thing or do something wrong. I really do need to have more confidence in myself and what I've been taught. During nutrition group, the subject was protein, and I was rattling off answers to questions like it was nobody's business! Tea affects iron absorption? Yes it does! Complete versus incomplete protein? Got it covered. Animal protein is more easily absorbed, but why? Because it's heme iron! Micronutrients class by Dr. Cole to the rescue!
In other news, I get to teach yoga at my DI orientation! Woo! How I'll pick just one theme I'm not really sure, but for now I'm just excited. I'm looking forward to my final week at IDC, and then I have the whole month of June just teaching yoga! My boyfriend leaves for AZ in just two weeks... I'm definitely not ready. Only 7 months until I move too! (Also not ready for that.)