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Navigating the 4th Trimester

CE Hours 1

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.

Learning Objectives

  • Identify 2-3 risk factors that may contribute to the intensification of eating disorder symptoms postpartum.
  • Identify at least one intervention for supporting clients in navigating the stressful and often overwhelming task of feeding themselves and their newborns.
  • Identify 2-3 ways in which postpartum people are adversely affected by sizeism, weight stigma, and diet culture narratives.

Learning Levels

  • Intermediate
  • Advanced

Course Instructor(s)

  • Kate Geoghegan , LCPC, CCS, NCC

    Kate Geoghegan (she/her), LCPC, CCS, NCC is an outpatient clinician at Crossroads in Scarborough, Maine, where she works primarily with clients struggling with eating disorders and substance use disorders. Kate received in her MA in Mental Health Counseling and Behavioral Medicine from Boston University in 2020. Kate worked as a group and primary therapist at Monte Nido prior to moving from Massachusetts to Maine with her family. Kate is passionate about supporting eating disorder healing.

References

  • Chapman, L., Cartwright-Hatton, S., & Lester, K. J. (2023). “I think it is woven through me, and sadly that means it is woven through our family life”: the experiences and support needs of mothers with eating disorders. Journal of Eating Disorders, 11(1), 147. https://doi.org/10.1186/s40337-023-00868-y
  • Ecob, C., Smith, D. M., Tsivos, Z., & Peters, S. (2025). A qualitative investigation of the factors influencing eating disorder symptomology during the postpartum period. Journal of Eating Disorders, 13(1), 127. https://doi.org/10.1186/s40337-025-01295-x
  • Rodgers, R. F., Campagna, J., Hayes, G., Sharma, A., Runquist, E., Fiuza, A., ... & Piran, N. (2024). Experiences of embodiment during pregnancy and the postpartum period: A qualitative study. Body image, 48, 101645. https://doi.org/10.1016/j.bodyim.2023.101645
  • Incollingo Rodriguez, A. C., Smieszek, S. M., Nippert, K. E., & Tomiyama, A. J. (2020). Pregnant and postpartum women’s experiences of weight stigma in healthcare. BMC pregnancy and childbirth, 20(1), 499. https://doi.org/10.1186/s12884-020-03202-5

CE Process Info

Content

  • Recording
    2 parts
    • Navigating the 4th Trimester
    • Navigating the 4th Trimester
  • Joint Accreditation

    Joint Accreditation (JA)

    In support of improving patient care, CE Learning Systems is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

  • Interprofessional Continuing Education (IPCE)

    This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

  • Association of Social Work Boards (ASWB)

    As a Jointly Accredited Organization, CE Learning Systems is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive up to 1 clinical continuing education credits.

  • American Psychological Association

    American Psychological Association (APA)

    Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP office maintains responsibility for the content of the programs.

  • Nurses (ANCC) Credit Designation Statement (ANCC)

    Successful completion of this program qualifies for up to 1 contact hours for nurses.

  • Physicians (ACCME) Credit Designation Statement (ACCME)

    CE Learning Systems designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Commission on Dietetic Registration

    Commission on Dietetic Registration (CDR)

    Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (1 IPCE credits = 1 CPEU). If the activity is dietetics related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (1 hour/60 minutes = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Logs. Performance Indicator selection is at the learner’s discretion.

  • National Board of Certified Counselors (NBCC)

    iaedp™ is approved by the National Board of Certified Counselors (NBCC), provider number 5912.

  • New York Education Department's State Board for Marriage and Family Therapy (NYEDMFT)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Marriage and Family Therapy as an approved provider of continuing education for licensed mental health counselors. #MFT-0045.

  • New York State Education Department's State Board for Psychology (NYEDPSY)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed mental health counselors. #PSY-0016.

  • New York Education Department Board for Licensed Psychoanalysts (NYSEDLP)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychoanalysts as an approved provider of continuing education for licensed mental health counselors. #P-0031.

  • New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0072.

  • New York Education Department Board of Creative Arts Therapy (NYSEDCAT)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board of Creative Arts Therapy as an approved provider of continuing education for licensed mental health counselors. #CAT-0008

  • New York Education Department's State Board for Social Work (NYEDSW)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed mental health counselors. #0060.

FAQs

Navigating the 4th Trimester
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$25
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  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    Feb 15th, 2026
  • Expires on
    December 31st, 2026

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