1. How do I know which clients are appropriate for the different Decoding Processes? Is there a particular time in their treatment?

  • Barbara covers this in the training for each process, but generally, this is related to the client’s ability to access and discuss feelings, needs, and begin to increase their responsibility in their treatment. Most people can do these processes.  It is really up to your professional assessment of your client, and your level of rapport at that time.

2. Can this be used with groups?

  • Yes, Barbara will cover this as a specific training topic in the Webinar.
  • There are separate handouts (charts for clients) to use with groups.
  • It is important to use the process with individuals to learn the nuances of working with Decoding first, then branch out to using it with groups.
  • Basically, the process is the same, but how you deliver it to a group is very different, and there are the group dynamics to consider.
  • Many clinicians find it serves as a powerful discussion topic for weeks.
  • Can be used with Closed Groups (set number of sessions with a start and finish, no new participants added)
  • Can be used with Open Groups (on-going group with revolving participation: clients leave and new ones enter)
  • Also Barbara has used Decoding Processes in Parent Groups (in Intensive out-Patient Programs) and found it very revealing for parents (who often have one or more of these behaviors as well)

3. Can the Decoding Process be used for kids and young teens?

  • That depends on your level of rapport, the severity of their ED, their level of being able to access feelings and discuss emotional meaning. Case by case.

4. How does the Decoding Process help clients who don’t want to look at their behaviors?

  • It provides a new way of seeing things—because it is self-guided, it helps them find their own language, their own feelings, needs and solutions, and therefore, they are less resistant to, and often don’t require outside suggestions on ways to transform their behaviors. Because it uses the current behaviors, it is not asking more of the client than where they are, or can access, in present time.

5. How long can you use these processes with clients?

  • Throughout their treatment, because so much rich information is revealed, not all of it can be addressed immediately. Also, some information may be more useful for the psychotherapist to address, and some more for the nutrition therapist, or other health professional, and working together as a team with these processes enriches the client’s experience.

6. When and how do you introduce the Decoding Processes to clients?

  • This is part of the Training, and much of it also depends on your assessment of your client.
  • Initially, let clients know that there are many techniques that you may use in your work together, and some of them are called Decoding Process, that help to find the positive intention and purpose for the client’s current behaviors. We may do one of these in a future session.  There are some handout materials that can be given ahead of time so that the client can become more familiar with feelings, needs, etc.
  • In one of your sessions, there may be the behavior that the client is working on, and it might seem a perfect time to do a Decoding Process. There should be at least 40 minutes, or continue with the session, but plan for the next session to do the Decoding Process.
  • The Quick Decoding materials can be used during the week before the Decoding session to help clients prepare and get used to checking in with feelings and needs at the time of engaging (or thinking of engaging) in their behaviors.

7. How does the Decoding apply to people who are just really stuck on losing weight (non-ED)?

  • It helps them to find what is the underlying meaning in their quest for weight loss (it is never about the weight).  Once they discover this, it gives them a whole new perspective, and helps them to get unstuck, so that they can move toward healthy behaviors, not stuck on the numbers on the scale (in fact, it helps them to get rid of their scale in a positive way), and begin to experience all of the things thaty they were putting on hold until they lost weight.

8. Is this something that clinicians just starting out in a new practice can use easily?

  • Yes, once trained, all of the Decoding Processes are done similarly, there are different questions that are asked from the different behaviors and nuances, all covered in the training.
  • This Training provides a “take-away” approach. You can go practice using the processes right away.
  • Professional Peer Support is provided in the Training, through Live Q+A Webinar sessions, plus the Training Participant’s Private Membership Site Forum for confidential case consultations and sharing experiences

9. How do participants in the Webinar Course interact with each other? (see above)

  • On the Live Q+A, and the Participant’s Private Membership Site Forum for confidential case consultations and sharing experiences

10. Does this approach help clients connect into their body, and how help them to trust themselves?

  • Yes, by giving them a process to access feelings through the actual behaviors or representations of the behaviors, to uncover the emotions, both triggering and emotions being sought through the behavior, as well as their deep, soulful needs, which reside in the body

11. How does this process help our really stuck clients?

  • By being in rapport with their current behaviors (not just wanting them to stop and take on new behaviors) but truly having compassion for the underlying meaning and purpose, and that there may be something even more precious to the client than we are aware of; this gives the client permission, acceptance and compassion for themselves, so they are better able to begin taking more responsibility for their

12. Are the processes conducted differently for clients who are in different diagnoses or different stages in their recovery?

  • Not really, with the exception of severe food restriction and underweight or severe bulimia, as these clients may not have the mental and emotional capacity at this extreme, and their focus may need to be in a higher level of care so that they can get medically stable to be able to process the information.

13. What about using these with Bariatric clients?

  • Yes, especially before the surgery; hopefully they can find what hasn’t been found or as not been offered to them offered to them before that could help them get off the dieting-weight obsession and weight cycling (and a reason to postpone the surgery maybe indefinitely—so that they can see how an alternative CAN work)
  • Yes, after surgery to prevent relapse and failure of the procedure—as there is a high percentage, and usually no alternatives other than dieting, which has been part of the problem from the beginning.