NALGONA POSITIVITY PRIDE

The Eating Disorder Harm Reduction Course:

Radical Compassion and Self Preservation for Clients Living With EDs

The most comprehensive eating disorder harm reduction course for eating disorder and care providers.

This new course is the only one of its kind and only offered once a year.

You don't want to miss out!

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WHO IS THIS FOR?

We are looking for innovators and compassionate caregivers.

The EDHR course is for care providers that want to better serve communities disproportionately impacted by eating disorders and mental health. Maybe you are considered divisive in your field, frequently addressing unseen and ignored issues and always feeling burnt out. You care deeply about the state of the world and its inequities and aspire to create better health systems that empower communities. 


  • Educators: Coaches/Mentors, Activists, Recovery Advocates, Eating Disorder Public Figure Educators, Peer Supporters, People With Lived Experience Guiding Others

  • Mental Health Providers: Social Workers, Counselors, Psychologists, Psychiatrists, Mental Health Advocates, Mental Health Therapists

  • General Healthcare Providers: Physicians, Dentists, Nurse Practitioners, Physician Assistants, Registered Nurses, Dieticians/Nutritionists, Physical Therapists

     

    All care providers currently working at or preparing to work in eating disorder treatment centers 

You're in the right place!

 

The EDHR course will give you the tools, inspiration, and support in your journey to adopt a harm-reduction framework that suits you and the communities you serve.

This course is here to hold your hand throughout the

journey—you don't have to do it alone! Let the EDHR course give you the confidence to be the provider everyone turns to and connect with your client in more powerful ways.

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Do any of these sound familiar?

✔ You're constantly saying "there must be something else we can do to help this patient."

✔ You're often deemed as not a team player for thinking outside-the-box.

✔ You feel like your field is not informed about the unique barriers and needs of marginalized communities.

✔ You wish ED healthcare was more centered on social justice.

 

Imagine what it would feel like if you knew exactly what to do with clients that were not seeking recovery or abstinence from their eating disorder behavior.

What if I told you that you could...

✔ Provide accessible psychoeducation that helps clients feel empowered.

✔ Support clients' self-determination within their treatment plans and improve their overall quality of life.

✔ Co-design a genuinely motivating and comprehensive support plan with clients.

✔ Provide space for clients to show up "as they are" and disrupt isolation. 

✔ Learn the power of communal sacred witnessing and provide care like no one else has.


You’re ready to be part of the eating disorder harm reduction movement!

  • Be part of the group of providers pioneering new eating disorder healthcare paradigms that put people first.
  • Tap into a network with fellow activists, providers, and educators demanding more options for clients.
  • Become highly sought out by clients and colleagues for your innovative approaches to care.

That’s why I’ve created my simple, step-by-step course to help take you to the next level and beyond! 

 

Nalgona Positivity Pride (NPP) and Gloria have made a massive contribution to the eating disorder and body justice field. Through her research and education on harm reduction, we can see where our field has failed clients and how we as providers can do better and be better for our clients. Gloria has changed me and my career for the better in ways she cannot imagine. The education NPP providers has truly changed how I treat clients and how I treat myself.
— WEDNESDAE REIM IFRACH REAT, ATR-BC, ATCS, LPC, NCC, CLAT, LCMHC, TPMH, LPCC
@queer.art_therapist
NPP has made a tremendous impact in the eating disorder and body justice field. Gloria has been a leader in the social justice advocacy of eating disorders and she is incredibly dedicated, talented, and has many offerings and courses that bring much needed knowledge to the field, including ED's and Historical Trauma, ED's and Religious Trauma, Anti-Oppression Visions for the Field and ED Harm Reduction. Without her, this field would be lacking a seriously critical lens.
— ALLYSON INEZ FORD, MA, LPCC 
@bodyjustice.therapist

Eating Disorder Harm Reduction is a compassionate, pragmatic philosophy and approach designed to minimize negative consequences related to eating disorder behaviors and co-existing conditions. A unifying principle of harm reduction, is that individuals do not necessarily have to quit to receive support. Instead of pushing for abstinence/remission only outcomes, EDHR offers more options for care, meeting people where they are at. Rejecting archaic and punitive models, EDHR places greater value on comprehensive

and wholistic support.

 

 

Non-judgemental

EDHR is founded on radical compassion, neither condoning nor condemning any behaviors. Everyone is taken care of in the circle.  

Dignified Care

 EDHR offers a more customized patient plan with  smaller, more manageable goals. EDHR only works when patients feel heard and supported. 

A Social Justice Movement

EDHR is a health justice movement. Body-image and eating disturbances are not caused by any single issue but rather by multiple systems failing both patient and care provider.

Led By People With Lived Experience

EDHR honors de-professionalized survival work (care systems beyond institutions), work done by volunteers. People with lived experience have the best knowledge to create efficient and culturally appropriate care.  

Mutual-Aid 

People heal people. EDHR is survival work rooted in anti-capitalism, anti-imperialism, racial justice, gender justice, & disability justice. Mutual aid allows communities to be interdependent and directly aid each other. 

Individualized Care

Just like one size does not fit all, one treatment model does not work for everyone. EDHR allows provider to creatively co-design a support and care plan that will optimize the patients overall quality of life. 

  • Traditional ED treatment is often ineffective with research up to now demonstrating that about 30-40% of ED patients go on to relapse.

    The treatment field is in urgent need of realistic approaches that increase safety and hope. 

     

    Williams KD, Dobney T, Geller J. Setting the eating disorder aside: an alternative model of care. Eur Eat Disord Rev. 2010 Mar;18(2):90-6. doi: 10.1002/erv.989. PMID: 20099264.

     

    Berends, Tamaraa; Boonstra, Nynkeb; van Elburg, Annemariea,c,d. Relapse in anorexia nervosa: a systematic review and meta-analysis. Current Opinion in Psychiatry 31(6):p 445-455, November 2018. | DOI: 10.1097/YCO.0000000000000453
     

  • In a prelimary study, based out of St. Paul's Hospital in Vancouver, British Columbia, researchers found that participants who transitioned into an eating disorder harm reduction program experienced a significant improvement in ED and psychiatric symptoms. 

    Prelimanery outcome results indicated that individuals experienced significant ED symptom improvements and decreased hopelessness.

    Williams KD, Dobney T, Geller J. Setting the eating disorder aside: an alternative model of care. Eur Eat Disord Rev. 2010 Mar;18(2):90-6. doi: 10.1002/erv.989. PMID: 20099264.

  • In a quasi-experimental inpatient treatment study, the provisions of choice and autonomy reduced drop-out rates in the first month with hope for a long-term results with further increased autonomy.

    Harm reduction informs clients that the door is always open for them and for some, it is a back-door approach to treatment and recovery.

    Vandereycken W, Vansteenkiste M. Let eating disorder patients decide: Providing choice may reduce early drop-out from inpatient treatment. Eur Eat Disord Rev. 2009 May;17(3):177-83. doi: 10.1002/erv.917. PMID: 19306300.

  • Harm reduction is an ethical matter.

    Considering the high rates of recidivism in EDs, offering harm-minimizing strategies is a responsible move from the provider. The "do no harm" obligation involves having the client's best interest in the present and future.

  • Harm reduction provides hope. 

    Up to 20% of those who die from anorexia nervosa die by suicide. Patients with anorexia nervosa are 18 times more likely to die by suicide, and those with bulimia nervosa are 7 times more likely to die from suicide. Binge Eating Disorder is also associated with an increase in suicidal behaviors. 

     

    Smith AR, Zuromski KL, Dodd DR. Eating disorders and suicidality: what we know, what we don't know, and suggestions for future research. Curr Opin Psychol. 2018 Aug;22:63-67. doi: 10.1016/j.copsyc.2017.08.023. Epub 2017 Aug 12. PMID: 28846874.

     

    Conti C, Lanzara R, Scipioni M, Iasenza M, Guagnano MT, Fulcheri M. The Relationship between Binge Eating Disorder and Suicidality: A Systematic Review. Front Psychol. 2017 Dec 5;8:2125. doi: 10.3389/fpsyg.2017.02125. PMID: 29259574; PMCID: PMC5723427.

This Course is Only Offered Once Per Year

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" Gloria brings a unique aspect to the field because she understands what it means to expand access outside of the echo-chambers of academia where the most privileged, stereotypical bodies continue to dominate at the expense of making room for others. Gloria's work has been very important to me in expanding my understanding and encouraging more thoughtfulness around treating eating disorders and prioritizing client values over measurable protocols that don't last and lack intersectional considerations in healing. "
— Mimi Cole, MS
@the.lovelybecoming
"The things I have learned from Gloria have changed my practice, but more importantly, have changed my understanding of myself as a therapist. Gloria has helped me see that I have a responsibility to think outside of traditional paradigms of treatment in order to meet my clients where they are and offer meaningful care. I am enormously grateful for this shift because I believe it has made my work more sustainable and enjoyable on a daily basis."
— Jennie Wang-Hall, Ph.D
@dr.jenniewh

GLORIA LUCAS

nalgonapositivitypride.com

Meet your teacher! I'm Gloria! ❤

Gloria Lucas (she/her) is the founder and CEO of Nalgona Positivity Pride and her work has focused on the intersections of size diversity, eating disorders and historical trauma, and indigenous matriarchal epistemologies for eating disorder healing. Her work has been featured in NPR, Teen Vogue, MTV, PBS, Los Angeles Times, and Bitch Magazine.

 

Gloria was first introduced to harm reduction by the local DIY punx community in her hometown, Riverside. She recognized the value in accessible eating disorder literacy and strategies to minimize harm. After multiple negative experiences with eating disorder treatment that left her feeling voiceless, Gloria has been dedicated to the development of harm reduction in community and in eating disorder healthcare. Over the years, she has collected eating disorder harm reduction strategies from research and her own personal experience. Currently struggling with bulimia, Gloria shares the practices that have provided aid for her with the goal of helping others create a life worth living.

 

Gloria resides in Orange County and loves chonky cat videos, collecting 1960's psychedelic vinyl, and appreciates a crispy hand pie.

With The EDHR Course, you can:

 

Gain education and tools to expand support and safety options for people traditionally deemed “non-compliant”. 
 

Prevent professional burnout by cultivating and staying connected to an ED provider community with like minded values and goals that are ready to take eating disorder care to the next level. 

Create a successful and impactful private practice/business through the interdisciplinary practice of harm reduction

Here's what you'll be learning:

1. ALL THINGS HARM REDUCTION & EDHR 101

 

Indigenous peoples and Black communities have been practicing harm reduction long before it became a public health term. In Module 1, participants will learn the people's history of harm reduction, ranging from its roots within the Black Panthers/The Young Lords movements to innovations and contributions from transgender sex workers, and finally culminating in eating disorders. By the end of Module 1, participants will be able to differentiate institutionalized harm reduction, indigenous-based, & liberatory harm reduction. Lastly, participants will know the philosophy and pillars of eating disorder harm reduction.

2. THE HEALTH OUTCOMES AND COMPLICATIONS OF EATING DISORDERS: WHAT CLIENT'S NEED TO KNOW

 

Unlike other psychiatric disorders, EDs can impact every system within the body. Rarely do clients receive adequate and compassionate education on their condition from providers. In this module and throughout this course we will review eating disorder consequences/complications and their impact upon hormones & fertility, bone mineral density loss, cardiovascular complications, endocrine manifestations, electrolyte abnormalities, dental/oral, gastrointestinal, and vitamin/nourishment depletion. Providers will also learn about the causes of premature deaths among people with EDs, which include pneumonia, sepsis, gastric rupture, suicide and more. This module not only focuses on enhancing eating disorder literacy but also providing guidance on how care providers can make ED health education accessible to their clients.

3. THE FUNKY BRAIN: THE NEUROSCIENCE OF EDS

 

Inadequate nutrition absorption disrupts the brain's ability to function properly. Only in recent years have scientists and ED researchers uncovered more about the brain and EDs. In this module, participants will learn about the parts of the brain that undergo structural changes and abnormal activity in relation to EDs. Providers will receive the most up-to-date and crucial neuroscience information to help their clients better understand their eating disorder and themselves. Education is power!

 

4. ORAL, DENTAL, AND GASTROINTESTINAL HARM REDUCTION TECHNIQUES FOR CLIENTS LIVING WITH EDS

 

Many have described eating disorders as divorcing the body due to the disembodiment features and psychological symptoms. Providing education that leads to awareness is essential to the wellbeing of clients. In this module, providers will learn the most common dental, oral, and gastrointestinal manifestations among eating disorder clients. These complications are often a result of restrictive disordered eating, acid exposure from frequent vomiting, and eating and drinking habits. In this module, participants will learn the different strategies that can help minimize harm as well as how and which routine medical exams should be recommended to ED patients to ensure the patient’s best care possible.

5. EVERYDAY STRATEGIES: A COMPREHENSIVE EDHR ACTION LIST TO IMPROVE QUALITY OF LIFE

 

ED behaviors and co-occurring disorders vary and require different harm reduction strategies. This module will cover the remaining EDHR strategies that are simple and easy to do, providing alleviation for many of the discomforts that come with restriction, bulimia, and binge eating disorder. EDHR strategies will center on different ED symptoms like overexercise, nutritive depletion, and laxative abuse. This module will also cover best hygiene practices for ED behaviors and harm reduction strategies for alcohol misuse.

6. MENTAL HEALTH HARM REDUCTION: PHARMACOTHERAPY & ALTERNATIVES TO ED CARE

 

EDs are multifaceted disorders with complex psychological components. According to the American Psychiatric Association, lifetime rates of depression in individuals with EDs range between 50% and 75%. In this module, providers will learn various medication options for treating EDs and co-occurring psychiatric disorders. The module will end with an overview of alternative treatments and complementary treatments to boost mental health, which include acupuncture, amino acid supplements, and traditional Chinese medicine.

7. BECOMING A HARM REDUCTIONIST: HOW TO WORK WITH CLIENTS WHO DON’T WANT RECOVERY

 

After learning about the people's history of harm reduction and a multitude of EDHR strategies, providers will learn how to adopt a harm reduction framework for the long term. In this final module, we will self-assess comfortability with harm reduction, establish personal ED care non-negotiables and how to navigate those non-negotiables with clients. Providers will learn how to screen for eating disorders, evaluate client's level of willingness & readiness for recovery and/or behavioral reduction, and help patients establish their life/health goals. Lastly, providers will learn how to create an individualized harm reduction plan and help their clients build a community and medical support network.

1. Instant Access to The Eating Disorder Harm Reduction Course  (2 modules released per month) ($3000 VALUE)

I will teach you how to transform the way you provide services to your clients by integrating a harm reduction and social justice approach. You will gain essential eating disorder literacy and learn EDHR strategies that will help your practice grow.

 

2. Access to our Private Peer-to-Peer Facebook Community + Monthly Live Q&A ($499 VALUE) 

Got a question, or looking for feedback on a case? We've got you covered! You'll get exclusive access to our private Facebook community, where you can get all the help you need from your talented and like-minded peers. My team and I will also be there to share feedback, answer questions, and make sure you’re supported every step of the way.

 

3. Worksheets and Cheat Sheets ($399 VALUE)

Get a breakdown of each module and case studies that will help you practice your new acquired harm reduction knowledge. These PDFs will take you from zero to a highly esteemed harm reductionist. 

You Need This Course Because:

 

There is no other training like this. 

 

Harm reduction works collectively. 

 

You will learn about eating disorders through a social justice & health justice lens. 

 

You want to be part of the eating disorder harm reduction movement.

 

 

If you're ready to be part of the new up-and-coming Eating Disorder Harm Reduction group, join The EDHR course now:

✅ Access to the EDHR course ($3000 value) 

 

✅ Facebook group support + Live Monthly Q&A so that you can stay connected! ($499 value) 

 

✅ Bonus(es) that are complementary to the topic of eating disorder healthcare transformation and harm reduction. ($374.97 value) 

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"Gloria and Nalgona Positivity Pride tirelessly highlight themes that have not traditionally been a part of eating disorder treatment, with superb materials that emphazise the BIPOC experience, systems of oppression, fat positivity, and harm reduction as a valid option. I have learned so much from Gloria and Nalgona Positivity Pride. My awareness of my own privilege and how it influences the way I care for patients benefits enormously from absorbing the invaluable lessons that NPP teaches."
-Jennifer L. Gaudiani, MD, CEDS-S, FAED
@gaudianiclinic

"Gloria's work takes conversations about eating disorders deeper than they would otherwise go, de-pathologizes them, and truly makes space for people who are in absolutely every possible place in recovery, including not at all. I was so tired of hearing eating disorders demonized or over-simplified without attention to their functionality within oppressive systems before I came across NPP. So often people tout being "non-judgmental" as if that's a selling point - not only is Gloria's work non-judgmental; it explains why it wouldn't be logical to judge behaviors. I don't know that there is any other content about EDs out there that can authentically say it meets people where they're at."

- Stacie Fanelli, LCSW

@edadhd_therapist

Disclaimer

 

The information in these resources is for general informational purposes and is not intended as a substitute for individualised medical or treatment advice from a qualified health practitioner, or for appropriate clinical training, skill development and professional supervision. Accordingly, before taking any actions based upon such information, we encourage you to undertake appropriate training, consult with appropriate professionals as part of a multidisciplinary approach to care, and consider your own scope of practice.

 

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