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

2. My Personal Shield Activity
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

5. Baby Feeding Cues

6. Feeding Cues

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? Touch Thoughtfulness Affirmation
Connectedness
Hope
Memories
Emotional Availability
Needing one another
Trust

10. Attachment Effects the development of the brain
By 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 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

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

32. Start a Body Positivity Wall

33. What I love about my body What’s unique about me
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 Adolescents What are eating disorders
Eating Disorders and Adolescents What are eating disorders? Signs Symptoms

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