WEBVTT
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One-on-One Professional Outreach - Carrying the Message of Overeaters Anonymous
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1) The video is intended for use at the intergroup and service board level
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2) The video is an example of a fellow conducting an interview/discussion with a health care professional
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3) The talking points document can help guide fellows when speaking with their own health care professionals
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Hi, Mrs.
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Souza. Thank you so much
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for taking the time to meet with me today.
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Absolutely. Call me Elaine, please.
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Thank you, Elaine. Barbara here.
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And Elaine,
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what I am doing is, I am reaching out to medical providers
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and mental health professionals to do public outreach
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about a program called Overeaters Anonymous.
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I do not know, are you familiar
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with Overeaters Anonymous or OA?
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I am a little familiar with it.
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I have had a few patients over the years
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who have talked about their own experience with it.
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Okay. And this was... and you are a clinical dietitian?
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Correct. Okay.
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Well, how about if I tell you a little bit about it,
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and then I would love to hear what it is
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you have heard from some of your patients and clients.
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That would be great. I think that is a good idea.
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Full disclosure, I am a member
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of Overeaters Anonymous and have been for 25 years.
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I am in recovery, which in OA we call abstinent.
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And when I came in some 25 years ago,
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I was somewhere north of 225 pounds,
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and today I am maintaining an over 65-pound weight loss,
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and I am very excited.
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All the clothes in my closet fit so... a gift
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of recovery physically that has been wonderful for me.
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I will also get to tell you
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that my life emotionally has also come into great balance
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as a result of working the 12 Steps of OA.
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Full disclosure, I come from a passionate
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point of view, but also a desire to carry the message
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to people like you who have clients
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who may suffer from what I like
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to call food-related conditions,
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Whether it is diabetes, cardiac issues, obesity,
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and things like that.
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So I am sure you have heard of Alcoholics Anonymous?
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I have, yes. Okay.
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And OA is,
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just another 12 step program patterned exactly
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after Alcoholics Anonymous. We have the same 12 Steps
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with only one difference,
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one word that we are powerless over: food. Okay.
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So what we talk about in OA is,
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you heard me use the word abstinence.
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Some people have a variety
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of ideas what that might mean,
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and our definition is to refrain from compulsive eating
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or compulsive food behaviors
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while working towards
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or maintaining a healthy body weight.
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Okay. And we...
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our members will have issues of weight, body image,
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food attitudes
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and behaviors, whether it is bulimia, restriction
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or just that binge eating that happens
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that you may have seen in your practice.
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Do you have members
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that have diagnosed eating disorders?
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I am sure we do. Okay.
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We do not inquire of them about it.
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If they share it, that is certainly part of it.
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We have folks...
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That is not a requirement, in other words.
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No, you know, there is one requirement in OA
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and that is that you have a desire
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to stop eating compulsively.
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Okay. It is just the desire. Okay.
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And there are no dues or fees.
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We are not a diet and calories club
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or what we call a "pay and weigh."
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Some people will use the plans of eating
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that you might find in a commercial plan
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while working the 12 Steps with a sponsor in OA.
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Our primary purpose each
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and every day is to abstain from compulsively eating,
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and showing up for our lives.
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As a clinical dietitian,
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you may have some questions about, "Well,
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what do you have them eat?" I am curious,
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and also I am curious what your experience is
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with OA, what you have heard.
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That is great. Thank you. Thank you
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for that overview, by the way.
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I think it is, you know, one of the things that...
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My personal experience with patients in clinics
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that have told me about OA... not a lot of detail,
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but [that OA is] more of a support organization
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that they found, that they identified with.
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[they said] that here was a sponsor involved similar
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to AA
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and that sometimes they are given a meal plan to follow
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to help them.
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And the meal plans were very basic,
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what I would call "food exchange" kinds of things,
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which patients had shown me,
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And that was fine.
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I think that is pretty much all I have been...
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the only exposure I have really had to it.
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And I think one of the big key things
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as a clinical dietician I worry about, is this sense of
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like, with AA, it is very much a...
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like when you say abstinence, it is a yes or no.
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Yeah. Either drinking or not drinking.
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And with food, it is always different.
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And there is always that caveat of, well, you have
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to eat in order to live.
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Right. And so, the definition, I am glad
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that I heard this definition of
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maladaptive eating that has the desire to change.
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That is encouraging
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because... you know,
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you think if it is alcohol, it is yes or no.
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Well, food cannot necessarily fall into that category.
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So that has been my only
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clinical experience with it.
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I have had patients talk to me about
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other sort of, what you call, pay programs,
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like, you know, Jenny Craig
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and Nutrisystem and things like that.
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And they have a health coach that works with them.
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So in a lot of the same context,
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in those cases, the food was being given to them,
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they are paying for it.
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It is a little different approach.
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And usually 90% of the time it is
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for weight loss... is the intention.
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So that is where OA to me is, maybe
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where I am not sure. Is it really geared towards losing
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weight or is it just geared towards
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finding a healthy relationship with food?
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I want to answer that with "Yes" to both things.
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In Overeaters Anonymous, we see
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compulsive overeating
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and compulsive eating as a disease
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with a threefold component.
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Certainly the physical, you know... coming in
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morbidly obese, coming in moderately obese,
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or coming in underweight.
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All of those issues exist.
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And then [we have] the emotional component. The physical,
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emotional, and then there is a spiritual component too.
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And I want to to emphasize
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that it is not a religious program,
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that there are no rituals, there are no requirements.
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Everyone comes to their own path of
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understanding that there is an energy, a being,
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an entity, whatever you want to call it,
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that is just more powerful than me.
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You get to call it whatever you want.
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There are references to God,
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but there is no requirement of that use.
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Okay. So a threefold disease of physical,
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emotional, and spiritual.
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We talk about... the goal of abstinence
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is to be at a healthy, normal weight
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... or maintain a healthy normal weight.
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Okay. And that happens. You brought up an interesting
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[point] about the food plan.
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In Overeaters Anonymous,
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there are other 12 step programs I will share with you that
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might be a little bit more directive around
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what you can and cannot eat. In Overeaters Anonymous,
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that is not how we roll. That is not how it works.
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Every individual who walks into a meeting, first of all,
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is filled with courage and shows up
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and wants to be handed, "Tell me what to eat
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so I can be successful."
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You know, I am going to guess you might get
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that a lot in your practice.
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Very often, yes.
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Yeah. And we do not hand them a plan of eating.
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We certainly can share our experience, strength,
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and hope. In my instance, I knew
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that anything that looked like a dessert food was
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what I was going
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to eat all day from the time I woke up.
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It is what I would hide in my...
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when I was growing up as a kid, [and]
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how I would hide eating it in the bathroom at work.
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I mean, the pink box at work was my nemesis.
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And for some...
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and for me, it was amazing
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that I could not stop once I started.
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Mm-hmm. So when I walked into OA,
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... I never had a question.
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I knew I had to stop eating dessert foods.
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Now other people who come into OA
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have a different flavor.
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It might be salty, crunchy... Mm-hmm.
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flour, all sorts of different things,
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but they come to their path.
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And other people, it is three banquets a day
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with whatever you can fit in between, so
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everybody comes in and connects with a sponsor
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or connects with other members of the Fellowship.
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And there is a certain awareness when you come in.
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"I know what I am doing. I do not necessarily want to admit it,
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but I know what I am doing."
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We also encourage our members to
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seek the guidance or advice of medical, nutritional,
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or mental health professionals, if indicated for guidance.
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We also have a portion of our membership
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that have had bariatric surgery.
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Mm-hmm. And they come to OA before,
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or come to OA
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after, for the support to not go back to the behaviors
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of compulsively eating.
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So we are not directive on food.
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It is an individually developed plan between a sponsor
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and usually their Higher Power.
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That is the spiritual path... Mm-hmm.
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with a lot of support from
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fellows in the program.
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Okay. So I have given you a lot.
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Do you have any other questions before I keep going?
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No, this has been enlightening...
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Enlightenment for me.
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I think, as a professional with
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different organizations out there,
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and taking a step back from the assumptions of
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what I thought I knew about different programs
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and being open to hearing about different programs
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and what the real, true tenets of them are...
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I am happy that these are
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programs, with OA particularly. Like I said,
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it has been just a few patients who have even
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told me that they were in it.
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I have never directly asked.
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Maybe I did not know to directly ask,
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but the idea that we would work collaboratively with
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a patient's care in terms of support and
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on an individual level, like you were saying
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with a sponsor,
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but then also having medical providers chime in with
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directives that may be more specific to
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that person's health.
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Always coming back into...
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and this is where I think we share a similar
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philosophy, is in the behaviors
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that drive our eating habits.
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Although I will say a lot of dietitians,
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particularly in my field, with outpatient, that do work
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with patients in terms of changing behaviors, too
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... a lot of that is small steps, small goals.
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It is not a quick fix.
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It is an evolution, I say,
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rather than a diet plan.
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And so I am glad to hear that we are in sync on a lot of this,
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so thank you for that.
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But yeah, I am very interested in hearing more.
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Well, I think the most important
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component is... well, I cannot say it is the most important.
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What I can share with you is, I was an excellent dieter
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before coming to OA.
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I knew how to lose weight.
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The issue for me was that I would hit goal weight
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and keep it off for about a minute
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and a half, have a cup of coffee,
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and then I would start putting the weight back on.
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And...
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what OA has given me is this emotional balance,
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this safe place to exist in the world around food,
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because so much of the social energy
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behind meals
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and celebrations... How can I show up to be enough of Barbara
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at a social event
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and not have to eat to feel comfortable?
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Because for me, I used food as the solution.
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It was my solution for fear, for not being good enough, for
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being embarrassed, for
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just never being enough.
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And by working the 12 Steps and
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working with a sponsor, I have come to the other side
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of it where food is not the solution for me anymore.
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It is... realizing that the emotional component
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and the spiritual component all match up with the physical.
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And now I get to continue to live this life
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of balance that... never before.
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Food does not control me today.
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The obsession behind it has been removed.
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It shows up, and that is why I keep going to meetings.
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So that is a little bit more about me.
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I know that we have a short time scheduled today
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to talk, and I did want to let you know
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that I have some materials for you that I would like
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to drop off at your office, if I might.
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Absolutely.
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Included is a sheet that is easily
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... reproduced, excuse me.
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It is called the 15 Questions of Overeaters Anonymous.
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You may have seen them. Similar to AA,
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you give this to a client
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and then they can decide, answer the questions
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for themselves, to see if you might refer someone to OA.
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This might be an avenue or pathway for them to see it.
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Another document, a pamphlet, a set of pamphlets I would like
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to drop off, [includes] our most recent Membership Survey Report,
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and some pamphlets that give you a little bit more
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general information about OA.
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Okay. And the last thing that I would drop off
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with you is our local meeting schedule.
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We are very fortunate in the Sacramento area to have
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meetings every day of the week,
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and currently, as you can imagine, on Zoom.
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But we will be back in the rooms someday
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and... we miss
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seeing everybody in person.
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But I would like to drop those off to you
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and also say to you that you have my contact information
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and if you have any follow-up questions
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or concerns,
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or you hear something that does not jive with
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what we have talked about today, I want to encourage you
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to give me a call and ask. Okay.
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Yeah. Yeah.
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And if it is something
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that you are comfortable giving to your clients
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as a resource, we have a great website that has a lot
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of information, a local website,
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and then a world website
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that I will give you in the information as well.
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I know this has been a very short
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and tight appointment due to our schedules,
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but do you have any other questions
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that I can answer for you?
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You have been very thorough.
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I love it, and I am looking forward to having the brochures
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and the questionnaires to be able to use...
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with patient care and
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be a credible source to know more about it,
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to speak to it a little bit better.
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I think that is always, maybe one of those things
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that providers worry about is
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knowing the programs are out there,
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but not knowing enough to really speak to it as well.
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And so I appreciate your time today to help educate me
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and I can share this with my colleagues as well, so
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we have a little bit more of a well-rounded idea about
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what the program entails,
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and what a patient may [do to] be able to make
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that decision for themselves if
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that is something they want to pursue as well.
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So thank you for that. Well,
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You are welcome. And
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also, if I may say thank you for understanding.
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As you know, it is Overeaters Anonymous
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and I am an OA member, so
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that is why I am in silhouette on the screen.
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And I know I had shared that that was going to happen.
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I appreciate your understanding of that as well.
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Of course, of course. Well, again, thank you for your time.
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I have left my contact information with you
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and if you have any questions,
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do not hesitate to give me a call, please.
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Wonderful. Thank you, Barbara.
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Okay. Thank you, Elaine. Bye-bye. Bye.
