May / 01

Providing Support and Care for an Adolescent with an Eating Disorder with Jen Teutscher and Anna Jones [IEP 026]

IEPcontent Podcast 0

Recognizing the existence of an eating disorder in an adolescent is important in providing necessary help and support. But what should parents and teachers be looking for to make the determination? And if a problem does exist, what’s the best way to start the dialogue with the adolescent about seeking help? These are certainly tough conversations.

In this episode, we’re joined by Jen Teutscher, program director at Shoreline Center for Eating Disorder Treatment in Laguna Hills, Ca and Anna Jones, the primary therapist at the Center. Jen and Anna share their advice on how to best help children with eating disorders.

Since 1995, the Shoreline Center for Eating Disorder Treatment has successfully been helping individuals achieve recovery from anorexia nervosa, bulimia nervosa and binge eating disorder for both men and women. We offer personalized, compassionate programs, delivered by highly-trained and experienced eating disorder experts, many of whom are recovered themselves.

Full show transcript at the bottom of this post.

What We Discuss in This Episode:

  • The pervasiveness of eating disorders
  • How eating disorders manifest physically, psychologically, and emotionally
  • What are some signs parents and teachers can look for to determine an eating disorder
  • How to best approach starting a conversation with the child who needs help
  • Why not saying something about a child’s eating disorder is only perpetuating the problem
  • Is there an average amount of time that an adolescent is enrolled in the guests’ treatment center?
  • Understanding how eating disorders are a disease
  • What are schools doing to help students who have recently left treatment centers and returned to school?

Contact Information:

www.shoreline-eatingdisorders.com

jennifert@shoreline-eatingdisorders.com

(562) 434- 6007

Thank you for listening!

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 Full Show Transcript

Vickie Brett:                      Welcome to the Inclusive Education Project. I’m Vickie Brett.

Amanda Selogie:              I’m Amanda Selogie. We’re two civil rights lawyers on a mission; to change the conversation about education, civil rights, and modern activism.

Vickie Brett:                      Each week we’re going to explore new topics, which are going to educate and empower others.

Amanda Selogie:              And give them a platform to enact change in education and level the playing field.

Vickie Brett:                      What’s up everyone? This is Vickie.

Amanda Selogie:              This is Amanda.

Vickie Brett:                      We have special guests today, but before we get into that, we received … SO, depending on when you’re hearing this, it’s Friday the 13th that we’re recording this. But on Thursday the 12th, we actually received an award from UCI School of Law for their pro bono project that we’ve been supervising attorneys on. We were like best community partner for this year. So, Amanda, I would like to give you a high five, because I didn’t get to do that.

Amanda Selogie:              Oh, yeah. Whoo!

Vickie Brett:                      We earned it. A lot of people say, “Oh you won that. That’s great” And I think it’s all about raising issues as women we sometimes downplay and we don’t give ourselves the credit so I will say that we earned that. It was hard we love the UCI kiddos. If any of them still listen, good job guys and thanks for the award. So that was a fun thing I thought we should just toot our own horn about and let you guys know. Yeah, very special episode today so it’s gonna kinda get heavy, but hopefully it’s gonna be informative, obviously under the purview of mental health issues and how they can manifest in a physical way. So, Jen, Anna do guys wanna formally introduce yourselves to everyone?

Jen Teutscher:                  Absolutely. So my name is Jen Teutscher. I am the program director for Shoreline Center for Eating Disorder Treatment in Laguna Hills. We are a treatment center that offers support and programming for adolescents and adults 13 and up, and males and females as well. We have a PHP, partial hospitalization program, and an IOP program, and then we have Anna here too. Go ahead.

Anna Jones:                       Hi, I’m Anna Jones and I am the primary therapist at Shoreline Center for Eating Disorder Treatment and I run groups there and I also do individual work with our clients and I love my job and we’re here to just talk about what goes on and how we can educate and inform you guys today.

Amanda Selogie:              Well, thanks for coming. What does IOP stand for, for listeners?

Jen Teutscher:                  Yes, Intensive Outpatient Program. So, PHP the Partial Hospitalization Program is typically at our facility at seven and a half hours, 12:00 to 7:30 and then IOP the Intensive Outpatient Program is three and a half hours, either from 12:00 to 3:30 or 4:00 to 7:30. They get group support. They get individual support with registered dietician, primary therapist, psychiatric nurse practitioners, as well as meal support. So like the full day program, the PHP will get lunch, snack, and dinner support. We cook meals in house, all fresh foods, but we really follow along with the intuitive eating philosophy, so we offer a variety of foods and make sure people are really challenging those individuals coming into our program, challenging those fears about food and distortions they have.

Vickie Brett:                      What kind of got you guys into what you’re doing? I mean it’s a super heavy area, right? I mean, you’re around, I’m sure, a lot of young people that are really struggling and sometimes people would categorize it as a cry for help, but you know I think it’s really rooted with mental health issues that we as a society deal with and that’s why we thought it’d be kind of important to talk about this issue because I just feel like it’s swept under the rug a lot. I’m sure they just want a one-size-fits all fix, and it’s like it doesn’t work that way. What kind of drew you to this area of consumer to try to help?

Anna Jones:                       Well, I know for me, I just genuinely want to help people, but I think that we live in a culture that eating disorders are so common and also so, they’re just typical, and people don’t realize who serious they are. Often times under eating disorders the root of it is self worth and self esteem and identity and serious body image issues and struggles. You know, often time our clients just don’t feel valuable, and they look at themselves, they objectify themselves instead of other people, but the focus, you know eating disorders manifest in the body and to see somebody who is struggling with an eating disorder often times and often times they go unseen. But typically the issues are, you know, deeper and they’re serious psychological, emotional, and behavioral issues going on. So, I just want to help. I want to uplift people, support them and get people in touch with their true identity and get in touch with their value and their self worth.

Jen Teutscher:                  I don’t know if I can do better than that. Thanks, Anna.

Vickie Brett:                      That was a pretty good answer.

Jen Teutscher:                  Well, I too love helping people. I got into this field because I love giving, supporting others and helping as much as I can. In terms of specifically the eating disorder population, it wasn’t necessarily a population I wanted to go into or it wasn’t necessarily a population that I intended to go into to. But once I started working with the population, within about three months, there was no other population I wanted to work with. They have, individuals who come in are normal people, just like us, right. And there’s so many deeply rooted issues that are going on that they just don’t feel they can, they can speak to.

They have to cope with their struggles, cope with their trauma, cope with their body image issues, their family, their dysfunctional family dynamics, their lack of self worth through, they tend to cope through the food; through binging, purging, restricting, over exercise, laxative abuse. It’s so complicated. Even though that sounds maybe, kind of unusual, I like the complicated. I think it’s so complicated. Everybody’s eating disorder is different. Every person is different and really figuring out the root for each person or each kid is so, so important. Especially with kids because I don’t think they can voice it as well as adults can voice, so really helping them find the language, gaining insight into what’s going on and using their voice to ask for support because what we tend to find is that if they haven’t used, they haven’t been educated or encouraged or to use their voice at a younger age they have a difficult time using it in adulthood. So we really also focus on encouraging them to ask for support, to ask for what they need, and to use their healthy voice in order to do that, so super important.

Amanda Selogie:              Yeah. So, I know you guys have like a wider range of ages that you deal with, but is there an age that you typically see more kids either getting undiagnosed or unnoticed, or tend to come to the purview at a different age? Is there anything like that that you guys have seen trend?

Jen Teutscher:                  You know, I think that unfortunately, what tends to happen in adolescents and adults, but I’ll speak to adolescents, that it gets, unless there is a severe physical, there’s a change in appearance, a pretty drastic change in their physical appearance, it goes unnoticed a lot. So those individuals who don’t have the true anorexia diagnosis tend to find it difficult to get support and as for help. I think that those, you know, those individuals who are severely malnourished get the help, but that’s not the indicator of an eating disorder. That’s the indicator for one diagnosis of an eating disorder, but there’s still bing eating disorder, bulimia, and eating disorder, or now it’s other specified feeding and eating disorders where it doesn’t, it’s this other category that people still have the diagnosis of an eating disorder but it doesn’t fit the traditional criteria of bulimia  nervosa, bing eating disorder, or anorexia. So, I think that they go unnoticed when they don’t have those physical signs and that’s so unfortunate.

I think it’s difficult when the parents don’t own up to it either, right.

Vickie Brett:                      Well, it’s like how we were talking when we had first met at a luncheon, we got real deep, real quick. But how you were saying, sometimes, often times we see that with parents when they want an IEP, well “Just fix it. Just fix it” and what they don’t understand is that this is now, I’m left handed. Like I’m always gonna be left handed. And sometimes the trauma that one experiences or the diagnoses that a person will receive, that’s there, you know. They’re gonna constantly struggle with that but you learn your behaviors that are appropriate and I think that, that was something that really resonated with me and why we wanted you on was that, you know, sometimes as parents as as people just living in this world, it’s about us. And I think when you have a child, and I don’t have a child, don’t get mad at me but I’ve heard so many people say that, you know, you gotta take the ego out of it. And I feel like a lot of the parents you might see don’t want to own up to it because they don’t want to blame themselves, and nobodies blaming them.

Amanda Selogie:              Well, it’s interesting that you say that because when you say ego, I think of pride, but on the opposite end of that I think of shame and it’s so true. You know, I think when children struggle with mental health issues and specifically eating disorders their behaviors is a reflection of the family dynamic in some capacity, in some sense. And so I think as a parent, obviously most parents do the best that they can and they love their kids; however when your child is struggling, what does that say about you? And I think oftentimes a lot of parents they are afraid and they’re ashamed. They’re like, “Did I play a part in this? And if I did like that’s freaking me out.”

And so I think you’re right, putting the ego to the side, forgiving yourself and having compassion for yourself but also having empathy and compassion for your child is super important. And to say, “Look, I’m not perfect as a parent. None of us are perfect. Your kid is not perfect.” And just, you know, take accountability and keep it real with yourself and take action. And I think that’s super important, cause family dynamics is huge and a kid is just being a kid. Their behaviors are a manifestation of their pain. And that’s bottom line. And they don’t know how to cope with that or conceptualize that and often times, like you said, if you restrict or if you binge, you see it. And so it’s somewhat of a cry out for help, and so take that cry seriously. I think that’s really important.

Amanda Selogie:              You touched on when kids or adolescents don’t have the physical appearance it can go unnoticed. Are there other signs that parents or educators may be able to keep an eye out for if there isn’t that physical appearance difference?

Jen Teutscher:                  Absolutely, I think that some of the more obvious ones are purging for example, throwing up. If you see signs of throw up in your kids bathroom or any of the bathrooms or you hear it, don’t just let it go unnoticed. Obviously if your kid is physically ill with the flu, that’s one thing, but if you see it happening more frequently and when they’re not ill that is a huge, huge red flag that can not go unnoticed. So the purging behaviors, absolutely.

Overexercise, I think with most adolescents, they play sports, they run on the track team or they’re playing soccer, and what we find is that they’re so obsessed with that sport, so they’re not only doing their mandatory work out routines with their coach and their teammates, but they’re also running 5 miles at home at 8:00 at night, or doing sit ups in their room, or just really that obsession with the sport or the exercise. Obsession, preoccupation is a big, big piece in this, with this diagnosis and people who struggle with an eating disorder are so intensely preoccupied so I think more subtle red flags are when your child is constantly talking about food or calories, or “This is going to make me fat”, or saying and making comments about food.

If your kid is throwing away lunches or not eating their lunch, for teachers, the same thing. If the kid is throwing away their lunch or throwing away their snack or giving it away to friends kind of thing and that’s a consistent thing, that might be a red flag. Not to say that every kid who gives away their lunch has an eating disorder. Of course not, but just something to look out for.

Amanda Selogie:              Any other additional ones you want …

Anna Jones:                       Yeah I think, you know, if they’re in the bathroom a lot, if they consistently go to the bathroom after meals, or they slip away into their room. I mean often times people think of somebody maybe throwing up in the bathroom, but they could throw up into a bag and hide it in their room. I think what you said, the negative body talk, the negative self talk, isolation, shutting down, pulling away from friends and family, yeah. I think those are some good ones too.

Jen Teutscher:                  Yeah and in terms of maybe specific food items or meal times, recognizing when your kid or adolescent is being super picky. Maybe like a year, two years ago they weren’t that picky, they ate pizza with the cheese and everything all the time and now they’re saying, “Get it without cheese” Or “I don’t want pizza anymore.” Or they’re not wanting to to to a birthday party because maybe there’s gonna be … “Well they don’t have any food that I like there.”

You know, really paying attention to those little, those changes. Maybe not always, you might have a kid that’s always been a picky eater, but there’s usually some kind of change in their eating patterns and their eating behaviors.

Vickie Brett:                      And I think that, you know,  it’s addressing it, right? Because I think after speaking to a lot of parents it’s just, you know they’re blind-sided. And it’s hard, it’s hard to have this conversation, right? It’s hard to say like, “Hey a year ago, you know you were doing fine with all types of food. What’s going on now?” Because of course, kids are like changing their mind about wanting to be a vegetarian or a vegan. Like I’m sure being in California is not easy with like everybody wanting to be vegan.

But there being options for that, which is great. Whereas maybe before they could hide behind that. Like, “Oh, I’m vegan now”, you know. I think often times, a lot of times, you know we get parents that are really upset with this system, right. And where are those interpreters of the law and even going into meetings and helping them through that. Is that part of the program that you guys have, where you’re not just addressing the child, maybe you can take the child outside of that setting, but, you know, they have to go back into that setting, so are like family therapy sessions provided or at least encouraged?

Jen Teutscher:                  Absolutely, as Anna was saying earlier, it’s not just the kid or adult or the person, it is the family dynamics. For older people, it’s the friend group they hang out with, there’s partner. It’s all encompassing, so family therapy is hugely important. We do offer a once a month multi-family group where all the families get together and we have a six hour long day and there’s a lot of conversation. There’s a topic and we have a lot of great conversations. In addition to that, we absolutely do weekly, you know twice monthly, depends on the client and what they need, but family sessions. So, so, so important because once, you know, sometimes they’re … so as we’re talking about with schooling even, you know they’re pulled out of the school system because they need residential treatment, so residential, they need to live at a facility. They need residential treatment or they need the full day programming so they can’t attend school all the time, so they’re pulled out of that environment.

But once they go back, that is so tough for the kid. And so they really need a lot of support, and so that’s where we can come in too. Pulling in the family, talking to the teachers, talking to the school and saying, “This is what’s in the kid’s best interest. You, know Julie really needs lunch support, so I’m gonna ask that the nurse eats lunch with her every day, or the teacher, or some kind of support staff can eat lunch with this person everyday, to give them that support cause that what she needs right now, um here she needs.” Definitely incorporating family work and talking with anybody that we need to talk to.

We talk with schools, doctors of course, outpatient therapists, registered dieticians, the whole shebang.

Amanda Selogie:              I know that when, probably think of this with any kind of mental health, but maybe when a family member or friend identifies that maybe they have a loved one that maybe going through something, I know it’s always a challenge of well, how do you bring it up to them without them lashing out, or you know, eloping from the situation, right. A lot of people don’t want to face their issues, so I know there’s always that fear of well if I bring it up are they just gonna reject that conversation. Do you have any advice for the best way to maybe bring it up with someone if you do notice some of these signs?

Anna Jones:                       I think at the beginning and end of the day, love wins. You know, being compassionate, being empathetic, being kind, but also taking responsibility for what you see and what you experience with that person. I think when you love someone it is like your responsibility to confront the truth, but you can do that in a really kind, compassionate, non-judgemental way. Not saying something, though is kinda being part of the problem. It’s enabling the problem to go on. So I think, you know, if you are nervous about confronting the issue or maybe your teen is super angry and agitated and just their mood, they’re having mood swings or they’re isolating or they’re pushing you away, I think it’s really important to be educated yourself. You know, think about what you’re going to say, and if you get shut down, revisit it. Don’t give up. Your child is not worth giving up on.

I definitely think confronting the problem in a loving way is the way to go.

Vickie Brett:                      And it’s probably more than just one conversation.

Anna Jones:                       Yes. Yes. It’s more than one. It’s letting them know that you’re gonna support them this journey. And it’s also letting them know, it’s also being a listening ear. As Jen mention and I mentioned that it is a family dynamic issue. So as a parent, asking your child, like, “How can I support you best? Have I done anything to attribute to this issue? You know, have I not listened? Have I not seen something?” I think kind of looking at the mirror at yourself and seeing how you’ve contributed as well is really, really important.

As I mentioned earlier, we live in a culture, that sadly, eating disorders are rampant and our diet culture kind of feeds into disordered eating, so often times as parents, as aunts, uncles, we contribute to the problem and don’t even realize, by our own body talk, by the things we say about food, how we can, you know, restrict and count calories and diet or hate what we see when we look in the mirror. So I think it’s really important to look at yourself reflectively and then also bring that to your child and see how you can change and take accountability for your part in the problem.

Vickie Brett:                      And probably bringing that up to the child, right? To let them know, hey we all have these issues and not only that but to kinda paint the picture of it’s not your fault, because I think that’s probably hard when you do bring up, even if it’s in a loving way, they probably hear it as, “I’m doing something wrong.” So if they can hear, “Hey, maybe we haven’t done enough to support you. How can we fix that?” It’s kinda like putting the blame elsewhere versus the child.

Anna Jones:                       Definitely. And normalizing the struggle. I mean as human beings, right, like we all have insecurities. We all struggle with different things at certain times, so I think just opening the conversation, taking accountability, but also humanizing your child and normalizing your child, and saying “Look, non of us are perfect. This is why you have parents. This is why you have a family, cause you weren’t supposed to go through this alone. And as your parent, I’m hear to support you and love you through this, and we’re gonna do what it takes to tackle this together.”

Amanda Selogie:              Is there an average amount of time that adolescents are within your program?

Jen Teutscher:                  That’s a great question and I don’t have a direct answer to that, unfortunately. It varies based on the client, what their needs are, what their symptoms are, what their progress is. It also depends on insurance. More often than not, we find that insurance will not authorize the length of stay that we’re desiring or we think, or we are clinically recommending. So there’s a lot of factors that play a role. It could be anywhere from a month to a year. It could really vary. You know, we have clients who have been in program for a year, fifteen months, and oh my gosh, the change is just so incredible to see. So much more insight, so much more self love, less criticism, normal eating patterns and consistency.

What we want to see in order to discharge somebody or step them down in level of care, we really want to see consistency. And I wanna really, really, really, really reiterate that to all my, especially my parents or the loved ones who are caring for these, these children. One, two, three weeks of consistency is not enough. Three months of consistency before discharging from program is sometimes what’s needed, maybe even more. Cause the more support they get through this, the more likely they are to actually fight and end this disease. Cause that’s what it is, it’s a disease.

Like you were saying, it’s nobody’s fault, nobody’s to blame. We always use like the cancer analogy. It is disease and it really, nobody wakes up one day and says, “I wanna be miserable and have an eating disorder and have this intense preoccupation and never go out with my friends and eat.” Like nobody wakes up one day and says any of that. So, you know, I think it’s so important to realize that this is a disease. And if your kid or you had cancer you would go to chemotherapy. And you would do it until the doctor said stop.

Vickie Brett:                      Right, right. It’s reframing that issue. And, you know, we do that all the time in our area of the law with special education, often times people will see special education as charity. So if these kids are disabled, we’re gonna give them these services, and it’s like, “No, it’s not a form of charity. These are people within our society that we would like to be independent if possible, and if not then we’ll take care of them.” And there’s a very small percentage of kiddos with disabilities or unique needs that even end up on the security disability.

However, if the right services and accommodations and modifications aren’t put into place as early as possible then we’re seeing … that’s the conservative part. I think when we’re talking about conservatives [inaudible 00:23:38]

Amanda Selogie:              We say it’s all about equality, right. It’s about equal opportunities and equal access for all students. And so where we see the crossover with the great work that you guys are doing is when the kid does transition back to school or they’re missing school. If they do miss fifteen months, how is the impacting, especially if they’re like middle school/high school, right? And looking at how often are these students given the appropriate supports when they come back, because we’ve now missed school and we’re probably going to need supports in this school, so it lends itself 100% to either a 504 plan or IEP. But how often do you guys see the schools actually acknowledging that that is a need?

Jen Teutscher:                  It really varies. You know, sometimes I have situations where I am just blown away and the school or the principal or the teachers are like, “He or she has to complete these one activities every week and we’ll be okay with that. Like she needs to study or read through the book but otherwise, whatever he or she needs then we are okay with that.” And in other situations where, you know, there is such pressure to put the kid back in school, and for the kid to be working full time at the same level as they were before, and it’s just not possible for some of these individuals.

Again, say you have fourteen year old who ends up going into residential, say she there for three months, so she’s missed all that class time. She’s still expected to complete her school work during that time, which residential treatment centers are great in the fact that they have study hour two to three times, three hours a day usually for their residence, so that’s great. They get some study time. Tudors will come in and really support them with that, but they are there for three months so they are out of that environment. They come back. They step down to a day program, so eight hour a day program, so a lot of times there’s this pressure for them to go to two classes in the morning and then go into program for eight hours and then do homework.

Amanda Selogie:              That’s a long day.

Jen Teutscher:                  It’s a long day.

Amanda Selogie:              More than what most people work.

Jen Teutscher:                  Exactly. I mean, well if you, we’re a six day a week facility as well, so they’re there Monday through Saturday. And so they’re working 45 hours a week just in treatment and trying to get the nutrients they need and the help and then they still have to do school work on top. Which I’m not saying, you know, they can go fifteen months without doing any kind of school work or learning but there’s definitely sometimes a lack of understanding into how much they are actually working in program and how much work they’re really doing. So it continues even when they step down then to IOP, so that three and a half day program. Then the expectation is that they go to school until 2:30 for a full day, come in at 3:30 or 4:00 and again it’s the same process all over again so it’s a twelve hour day non-stop.

Vickie Brett:                      Yeah, and I think it’s important to like note that like pressure, feeling not good enough, feeling overwhelmed, feeling like they have to meet all these expectations is kind of what flamed the problem initially. So when you add, so now that they’re in recovery and their trying to, the parents are trying to be supportive and the child is like, “You know what? I’m going to tackle this, I’m going to fight this.” the last thing we want to do is completely overwhelm them and put more pressure on them. So just having that understanding and balance. And thinking about like this is a young child. This is three months, six months, a year of their life that is building the foundation for a lifetime. School can wait if your child is dying. Mentally, emotionally, physically, and spiritually, and so just keeping that in mind, that your child is resilient, they can bounce back, especially when they have loving parents and loving support. That’s really important.

Amanda Selogie:              You guys have a feel good story about a consumer that you kinda, I know that you’ve already touched … yeah, there’s so many. If you can, just like one if you wanna …

Anna Jones:                       She’s been doing this long than me, so she’s got a lot.

Vickie Brett:                      That’s how we like to end when we have a very heavy conversation. It’s a positive note and it kinda reminds everyone, you know, why Amanda and I are doing this in like why you guys are doing this and what they can do, you know to just make this world a better place.

Jen Teutscher:                  Yes, yes. I mean, I think that there’s so many great stories. So, I’ve been working at Shoreline for seven and a half years, and I do need to chime in cause Rachel Levy will be mad at me if I don’t. We also have a Long Beach location. Long Beach and Laguna Hills and we will be opening up a residential treatment center in Long Beach very soon, but they also have the full day and the half day programs. So, much more support.

Feel good story. I mean I don’t wanna, of course I don’t wanna violate anybody’s confidentiality, but I think there’s so many great recovery stories out there. We’ve had so many adolescents in program who have done the nine month track of residential PHP, IOP, and they start out with such intense preoccupation. All they’re thinking about is food, they’re self harming, they’re burning themselves, they’re purging, they’re doing it all, right? They’re over excersising, and, you know, they’re so miserable. They’re just so sad, and they do all this work. There’re struggles, don’t get me wrong, there’s definitely moments where there’s hysterical breakdowns and crying and moment of despair and hopelessness. And they ride that wave and we’ve had so many clients. We just had one that discharged, actually, who had come so far and was, you know, a little dishonest at first about her behaviors but after about a month or two, she really owned up to her, she was able to own up to her own struggles, her own expectations, the fear of disappointing other people, work through all that and now is, I mean had been consistent for two months before she discharged, is doing great, comes to alumni.

We have an alumni group for people who have discharged, and there’s so many people who come there, and just are, they really, I think that’s also a big piece is one you end treatment, still get that support. There’s free support groups out there. I run an ANAD group in Long Beach or in Laguna Hills on Mondays and I also run a support group for our alumni on Tuesday in Laguna. Continue to get that support. I think, I don’t know is there any additions that you want to add to the feel good? Sorry, I didn’t give you a chance …

Vickie Brett:                      No, no, no that’s perfect. That’s exactly …

Anna Jones:                       I just wanna say that the group she runs on Monday nights is free to the community. It’s her ANAD group, so if you’re struggling or just need support. You know, if you’re iffy about treatment it’s a free group to utilize and Jen is awesome.

Jen Teutscher:                  Thank you.

Anna Jones:                       A little shout out to my boss. However, just to add to what Jen said about this particular client, but I think the really beautiful thing to see is when these clients just get in touch with their value and their self worth and their purpose and their talents and you see that come alive. You know they come into program hating themselves. Literally all they can focus on is their body. If their body’s not good enough therefore they’re not good enough, yet when they start tapping into like, I’m good because I’m me and I’m unique and I have talents and gifts, I mean, like that’s the most beautiful thing to see. You know these young kids just start to believe in themselves, and believe they can do things and they can help people and they can have a purpose.

Vickie Brett:                      It changes lives. It just totally changes lives.

Jen Teutscher:                  Yeah.

Vickie Brett:                      And we just admire the work that you ladies do. How can they find your facility? Just is there an email, phone number that you want to give a shout out to? We can put it[crosstalk 00:31:33]

Jen Teutscher:                  Yeah, definitely our website is www.shorline-eatingdisorders.com. My email is JenniferT@shorline-eatingdisorders with an s.com. Yeah, the number 562-434-6007. Give us a holler. We’ll answer questions that you have and if you need support for you or your child or your loved one or your friend or whoever that might be, more than happy to have a conversation and see if we can do anything to support you.

Amanda Selogie:              Thank you so much for being here and shedding the light on, you know, this tough but really important topic that, you know, I’m sure a lot of people it’s good to hear. Not enough people talk about this, so we really appreciate it.

Jen Teutscher:                  Absolutely!

Anna Jones:                       It was great to be here. Thank you.

Jen Teutscher:                  And than you for all your hard work too. I know you guys are busy ladies and I appreciate you.

Vickie Brett:                      Thank you.

Amanda Selogie:              Thank you.

Vickie Brett:                      So happy to have met you and have you on. Alright, I think that’s it.

Amanda Selogie:              Yeah, yeah. I’m on to the, we’re on to the weekend now. I gotta run 8 miles tomorrow. That’s gonna be fun.

Vickie Brett:                      You have a packed afternoon as well, so …

Amanda Selogie:              It’s Friday, but it’s not even anywhere near over, so. Well, for all our listeners, don’t forget to subscribe, if you haven’t already. Give us those reviews if you can, send us any suggestions on future topics or like we’ve said before, if you’re listening and you’d love to be on the pod, send us an email and we’d be happy to talk to you and have you on, so we will talk to you next week.

Vickie Brett:                      Till next week. Bye.

Amanda Selogie:              Bye.

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