About this course
As an eating disorder clinician, it is not uncommon to hear a client state that the only time they allowed themselves to nourish their body sufficiently since the onset of their eating disorder was during pregnancy. While there is evidence supporting the notion that pregnancy may be a supportive factor in promoting decreased eating disorder symptomatology, research indicates that eating disorder symptoms often resurge in the postpartum period. This presentation focuses on the risks and vulnerabilities, as well as the opportunities present in the postpartum period for clients and providers seeking to promote eating disorder healing and growth. The presentation explores the factors that may cause eating disorder symptoms to recur, intensify, or begin for the first time in the postpartum period. The presentation highlights stressors and risk factors - present for most postpartum parents - that are particularly challenging for clients with eating disorders, including lack of sleep, overwhelm with new responsibilities, lack of sufficient parental leave policies and access to resources, isolation, body changes, shift in sense of self and identity, and 'bounce back' culture, or diet culture narratives exhorting new parents to 'get their bodies back.' The presentation further investigates challenges particularly common or acute for new parents with eating disorders, including co-occurring postpartum depression, body image distress and disembodiment, and trouble with feeding oneself and one's newborn. It investigates how body and hormonal changes in the postpartum influence mood and ED symptomatology, disrupting one's sense of embodiment, identity, and control, impacting body image, and contributing eating disorder behavior usage. Additionally, research indicates that parents with eating disorders initiate breastfeeding at the same rate as the general population, but are more likely to terminate breastfeeding prior to 6 months. The presentation explores this phenomenon and highlights challenges faced by new parents with eating disorders in feeding themselves and their new babies - be it via breastfeeding/chest feeding, or by bottle, with breast milk or formula. It offers interventions routed in intuitive eating and self compassion for supporting these parents. Utilizing a Health at Every Size framework, it illuminates how postpartum people are affected by sizeism, fatphobia, and 'diet culture' narratives prevalent in both the medical establishment and the broader culture and advocates for inclusive interventions aimed at reducing shame and stigma while promoting healing. In particular, it highlights the potential of ACT and self compassion based interventions as alternatives to perfectionism and comparison so common in early parenthood. It also highlights the utility of these interventions to support tolerating emotional and physical discomfort and body image distress, while shifting one's locus of identity and worth away from one's weight shape and size. Specifically, it explores the potential effectiveness of utilizing values as a guiding compass in the postpartum period, a time of identity instability, role shifts, and body change.