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Making Room at the Table

This workshop explores the relationship between attachment and mealtimes, providing strategies for creating positive mealtime experiences and promoting secure attachment. Topics include the Circle of Security, attachment basics, emotion regulation, DBT and CBT approaches, body positivity, and more.

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Making Room at the Table

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  1. Making Room at the Table Christine O’Grady, LCSW Haley Scott, M.Ed., Ed.D

  2. Ice Breaker My Personal Shield Activity

  3. Outline • Circle of Security • Attachment Basics • Strategies for Mealtimes and Snacks • Emotion Regulation • DBT and CBT Approaches • Body Positivity • Eating Disorders • Treatment and coping stratergies

  4. Attachment We are hardwired to connect……. Alicia Lieberman https://www.youtube.com/watch?v=k2YdkQ1G5QI

  5. Baby Feeding Cues

  6. Feeding Cues https://www.youtube.com/watch?v=vQvEIslQLO0

  7. Attachment Security Use of a preferred person as a secure base from which to explore….. And as a haven of safety or comfort when needed. Confidence that the secure base person will “always be there for me,” available, responsive and able to help or save me. NY Attachment Consortium

  8. Attachment Insecurity Lacking confidence that the secure base person will “always be there for me,” available, responsive and able to help or save me. NY Attachment Consortium

  9. Attachment What is Needed?

  10. Attachment • Effects the development of the brain • By 12-18 months of age it is what helps predict and problem solve • Becomes knowing but not remembering. Bowlby • Allows a child to feel safe and try new things…….

  11. Feeding and Attachment Think about what mealtimes were like for you as a child….. • What do you remember? Positive Interactions? Negative? • Have you or will you change things? • If so, how?

  12. Write your Wish Write on the post-it note: Thing you would like to keep from your childhood Or Thing you wish to change from your childhood

  13. Feeding and Attachment Things you can give to a child to enhance mealtime: • Understanding • Empathy • Connection • Healthy Foods Caregiver’s Role: Being With, Basic Skills, Encouragement to Explore

  14. Feeding and Attachment Caregivers who provide these basics and fill their roles have • Easier Mealtimes • Increase in Attachment • Increase in Life Skills

  15. Feeding and Attachment Strategies and View Who does what? • Caregivers: decide what foods, when to eat and where to eat • Child: How much and whether they eat Structured Times for Meals and Snacks: • Every 2-3 hours • No eating in between

  16. Feeding and Attachment Make a Connection • Sit with and enjoy child • Maintain a pleasant atmosphere • Sing a song, create a tradition

  17. Feeding and Attachment Face challenges with support • Offer new foods neutrally • Involve your child, prep and clean up (they are more likely to try food) • Give time to like new food (10-15 times) • Encourage but do not force • Model eating new foods • Help learn to understand hunger cues

  18. Secure Attachment

  19. Attachment Disruption • What would a disrupted attachment look and sound like for a child?

  20. Emotion Regulation (Self Regulation) • Flexible attention (Attention) • Working memory (Thoughts) • Self Control (Behavior)

  21. Opposite Action to Change Emotions Opposite Action: • Opposite behavior • Opposite words & thinking • Opposite facial expression, tone in voice & posture Role Play: • Role play an “opposite action” with a partner. The scenario- You are at a grocery store with your 11 year old daughter. She wants a candy at the checkout register, however the the father is saying not today .

  22. Cope Ahead & Building Mastery • Share two ways that you can assist your child in coping ahead of a projected situation • Describe the plan that you will use

  23. Conversations at Mealtime • How do conversations during meal time build self regulation skills? • What would it look like and sound like?

  24. Emotions and the Brain https://www.youtube.com/watch?v=t4okAfKCwRk&list=PL2yRU0zqN4egNbYiqXrl_m2i9uH554CuV

  25. Riley and Dinner with her Parents • From a strength based perspective, what positives did you see transpiring during the dinner conversation with Riley’s parents? • Name the emotions that Riley was exhibiting at the dinner table? • How can the parents provide emotional support to Riley at the dinner table before she is dysregulated and leaves the table? • How can the parents “cope ahead” for the next dinner?

  26. Role Play Dinner Activity • Find a group of three people • Role Play: Riley the child is having a difficult time at the dinner table and parent 1 and parent 2 intervene and utilize the cope ahead strategy.

  27. Dinner Time Activity 2

  28. CBT and DBT Approaches • Cognitive Behavioral Therapy (CBT) • Dialectical Behavioral Therapy (DBT)

  29. (DBT) Distress Tolerance Distress Tolerance: Utilizing a healthy coping skill to handle a stressful situation. Self Soothe with your six senses • Vision • Smell • Touch • Hearing • Taste • Movement

  30. (DBT) Distress Tolerance Activity

  31. Body Positive How does negative body messaging affect children? Body positivity: Supports physical and mental health by: • Building resiliency • Building coping skills • Providing positive messing to self and others https://www.youtube.com/watch?v=4O9I4RlNsUI

  32. Start a Body Positivity Wall

  33. Promote Body positive “talk” as it opens the line of open communication What my body does for me What I love about my body What’s unique about me What I can do to help it stay strong and healthy

  34. Eating Disorders and AdolescentsWhat are eating disorders? Signs Symptoms https://www.youtube.com/watch?v=wgtQ5W20plA

  35. Treatment • Walden Behavioral Care - South Windsor Clinic (860) 467-2210 • Turnbridge- (877) 955-1975

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