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Jill Sechi
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The RD Road Map: Journey to Eating Disorder Expertise
Episode #14 The 14ers: Understanding PHP and IOP with your tour guide Jill Sechi, RDN, CEDS-C
Today we welcome your tour-guide Jill Sechi, RDN, CEDS-C to discuss her experience with starting up one of the first PHP/IOP programs in Houston, TX called Houston Eating Disorders Center (HEDC). Houston was a desert when Jill started in the field and now its a thriving rainforest of many RTC and PHP/IOP programs. PHP programming generally is 5-7 days a week and usually upwards of 12 hours a day. Most PHP programs have IOP programs as "step downs" in which the patient often gets to work with the same treatment team for consistency and support. Le...
2025-09-15
18 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #13 The 14ers: Understanding Residential Level of Care with guest Amanda Mellowspring, RDN, CEDS-C
oday we welcome guest Amanda Mellowspring, MS, RDN, CEDS-C who is currently the COO (Chief Operating Officer) for a large outpatient business called Healthier Tomorrows. Learn more here: https://healthiertomorrows.com/dietitian/amanda-mellowspring-ms-rd-ceds-c/ Amanda previously was the VP of Monte Nido and has worked in a residential treatment for many years. She has hired and trained dietitians in residential as well. Residential treatment or RTC is a level of care that can provide some medical monitoring but generally provides 24/7 containment for patients that need much more support to restore weight or interfere with behaviors so that t...
2025-09-08
49 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #12 Understanding Inpatient Level of Care with Guest Meghan Foley, RDN, CEDS-C
Today we welcome guest Meghan Foley, MS, RDN, CEDS-C who is the clinical nutrition manager at Denver Health ACUTE. ACUTE is the "highest 14er" you can climb. It was founded by Dr. Philip Mehler and the main focus is helping medically stabilize individuals with severe malnutrition before they hopefully step down to residential care. Generally, those that admit here meet certain criteria such as a very low BMI (less than 15), very low or high electrolytes, at very high risk for refeeding syndrome which requires the patient to have 24/7 medical monitoring. Not only is ACUTE a me...
2025-09-01
39 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #12 Understanding Inpatient Level of Care with Guest Meghan Foley, RDN, CEDS-C
FREE FULL EXTENDED EPISODE Today we welcome guest Meghan Foley, MS, RDN, CEDS-C who is the clinical nutrition manager at Denver Health ACUTE. ACUTE is the “highest 14er” you can climb. It was founded by Dr. Philip Mehler and the main focus is helping medically stabilize individuals with severe malnutrition before they hopefully step down to residential care. Generally those that admit here meet certain criteria such as a very low BMI (
2025-06-16
39 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #11 The 14ers: Understanding Higher Level of Care and Beyond
If you are a hiker, you know what "The 14ers" are; they are mountains that many like to climb located around the world. Not all of the hikes are difficult. What makes them difficult are the elevation changes. They are over 14,000 feet to the top and usually require a hiker to start at 6 am and "get back down" before noon as thunderstorms can develop quickly. We titled this new series The 14ers because we feel that understanding a Higher Level of Care (HLOC) can be difficult without exposure and a basic understanding of how...
2025-06-09
17 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #10 Navigating the Rocky Path of Medical Complications Part 4
This is our last installment of medical complications to look for in eating disorder care. Today's episode covers refeeding and underfeeding syndrome in eating disorder care. Now we are looking beyond the basics of what to pack in your backpack and more so of navigating what trail to take, what additional things to pack and how much time you have in a given day with the trail you've chosen. Refeeding syndrome can evoke fear and underfeeding syndrome (the less common one most think about) can evoke confusion! As your "tour guides" here are some things to c...
2025-06-03
12 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode 9: Navigating the Rocky Path of Medical Complications Part 3
With any type of hiking excursion, especially trails that are infrequently traveled or are not highly populated, its so important to have essentials packed in a backpack regardless of how far you plan to travel that day. Eating disorder treatment and care is exactly this. Often you are one of the few providers that understand and knows eating disorders; the "population" of other providers you might encounter or work with often have no training in eating disorders, can be quite dismissive or miss the mark all together. The more essentials you can pull out and use in this field...
2025-03-24
17 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #8 Navigating the Rocky Pathway of Medical Complications Part 2
With hiking, climbing mountains or traveling, choosing the best pathway can be daunting. Often you might be hearing "word of mouth" for a particular trail or you've found a great "hiking trail" app on your phone. Individuals provide a few pictures, "what to look out for", and perhaps a few pros and cons. This is so similar to treating those with eating disorders. Especially when it comes to navigating GI issues, food intolerances or perceived allergies. You'll find they have eliminated every possible "route" (food) due to fear and misunderstanding. As the provider you are tasked with p...
2024-12-23
16 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode#7 Navigating the Rocky Path of Medical Complications
Have you ever climbed a mountain? Or hiked steep terrain? Well this is exactly what treating those with eating disorders and the myriad of associated medical complications can feel like as a clinician! Have no fear, your guides are here! Corny but it does rhyme! Yes there are some amazing resources out there that discuss medical complications and several resources will follow below. We also wanted to navigate in session things that can come up and what you might experience or hear your client say to clue you in. Medical complications in eating di...
2024-12-16
13 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #6 Climbing the Competency Mountain
Episode 6: Climbing the Competency Mountain Feeling confident in the eating disorder field ALWAYS starts by knowing what you DONT know. Focusing on mainly treating those with EDs (through a private practice position or hospital program position for example) and getting basics down can feel daunting. Yet so important in building competency. We're here to say its doable! In this episode Mateus and Jill talk about their "growth" in the field. Some similarities but many differences! Mateus received thorough education and mentorship through Wellness Coaching & Nutrition Therapy's Residency Program. This is discussed in Episode 5. I...
2024-12-12
15 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #5 The WWJD or What would Jill Do?
This episode is an introduction to the WWJD which is an extensive learning and training program offered exclusively at Wellness Coaching & Nutrition Therapy. Are you frustrated with the lack of hands-on learning you need to grasp and support those with eating disorders? Needing an organized educational program to grasp the fundamentals and helpful counseling skills to be more effective in your work? How about hands-on observing and clinician-observed sessions with real-time feedback? Introducing the WWJD which will officially in 2025! From basics to more intensive learning concepts such a cognitive behavioral therapy for Registered Dietitians, learn the fundamentals...
2024-12-02
03 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #4: Ready, Set, Go!
Are YOU ready? This episode is our last installment of getting a "sneak peak" behind our paid membership paywall. Again, we hope that you'll find this content helpful and will want to continue listening with our paid membership with Episode 5 and onward! In this episode we are sharing and discussing a very important article that nicely describes the pathway to becoming a expert in the field of eating disorders: Academy of Nutrition and Dietetics: Revised 2020 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Eating Disorders. You...
2024-11-25
39 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #3 Where is your Destination
Deciding the road and pathway in your understanding and essentially career in the eating disorders field can be daunting. We want you know have a sense of the direction you are going with loads of support, education, and guidance from a couple of well-traveled (at least one!) tour guides. We've been where you want to go and want to help you avoid the pot holes, and dangerous places, tolerate the heat and rain and enjoy the sunshine and beautiful views along the way. You get to see a sneak peak into the back end that only those...
2024-11-18
31 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #2 Where to Begin?
New to ED? This one is for you. Know what you DON'T know and if you have an active ED, think twice before supporting others in their recovery journey. Jill and Mateus discuss the lack of education for undergraduate RDs in eating disorders and why learning about them, developing skills, supervision/consultation while practicing and more is vital to be safe, effective and ethical. Know what you DON'T know is where you start. Understand the Dunning Kruger Effect. Here are some articles to learn more: What causes the Dunning-Kruger Effect? https://www.psychologytoday.com/us...
2024-11-11
18 min
The RD Road Map: Journey to Eating Disorder Expertise
Episode #1 The Journey
Welcome to The RD Roadmap: Journey To ED Expertise hosted by Jill Sechi, MS, RDN, CEDS-C, LD and Mateus Milhomens, MS, RDN, IBCLC, ACE-CHC. This podcast series has been developed to provide a roadmap and a couple of tour guides on your journey to understand and build confidence as a provider in the field of eating disorders. Check back in with us next Monday to begin our weekly series!
2024-11-04
15 min
Mind Dive
Episode 18: Eating Disorder Treatment is a Family Affair with Empowered U
When considering the success of any mental health treatment for youth or adolescent patients, clinicians have to factor in one dilemma: I will likely not be as influential in my patient’s life as their immediate family unit. When dealing with the life-threatening reality of an eating disorder, the roles of parents and siblings have a much bigger impact on a patient’s recovery. This episode of Mind Dive Podcast from The Menninger Clinic features practitioners of family based treatment in eating disorders at Empowered U Recovery, clinical psychologist Dr. Terry Fassihi, social worker Janice Poplack and regis...
2022-11-07
39 min
The SeasonED RD
Parents Are Not The Problem – (Even if they think they are)
Janice Poplack, LCSW-S, ACSW Brandi Powell, MS, RD, LD, CEDS-S Jill Sechi, MS, RDN, CEDS-S, LD & Theresa Fassihi, PHD, FAED, CEDS-S Today's episode we talk about: Virtual caregivers support for eating disorders - parent's often feel helpless. Find out not only what every professional and parent should know, but "What every human should know" Ways we can help caregivers with the ups and downs of refeeding This work is a supplement to f...
2022-10-15
45 min
The SeasonED RD
How To Emotionally Eat - And Other Nuggets from The ED RD Residency
Jill Sechi, MS, RDN, LD, CEDRD-S Best way to learn is supervision working with a team (RD, Therapy, medical, fitness professionals guided practice to make book learning come alive Advice includes: Create a therapeutic alliance because the client is the expert Understanding that the person you’ll learn the most from is your client What she’s up to: Jill offers a residency for dietitians serious about eating disorders work New Clinic - Restored - for those in Houston Tx area without insurance and low income. https://www.jsechinutritiontherapy.com/restored
2021-09-03
51 min