"Dr. Miller is an extraordinary resource for me and my patients. She provides intelligent nutritional and behavioral advice to parents, children, and adolescents with a variety of eating/weight problems."
- Dr. Robin Chernoff, Pediatrician
PEDIATRIC AND TEEN NUTRITION
Families Are Welcomed!
My treatment philosophies for pediatric and teen nutrition counseling stem from a parenting perspective as well as a clinical one. Parents are the greatest support resource for their kids — I help build on that.
My training background is diverse. In 2003 I completed a Ph.D. in Nutrition Sciences from Penn State with a concentration in family therapy. Since then, I have had extensive specialized training for pediatric nutrition including with the Ellyn Satter Institute, the Maudsley Model for Eating Disorders Treatment, and Castlewood Treatment Center.
I welcome a team approach and enjoy collaborating with pediatricians and child and adolescent specialists throughout the Washington, DC metro area.
Childhood weight concerns
Concerned about your child's weight? Managing childhood weight is a tricky business; traditional methods can send children and teens to eating extremes. I teach parents and kids how to listen and respond to internal hunger and fullness feelings, institute a better structure for meals and snacks, purchase an optimal variety of food, and encourage physical activity.
Parents: food policing doesn't work and it's no fun for everybody involved. I teach better ways of helping you guide your kids to eat healthily. I also work with kids directly to address maladaptive eating habits and attitudes about food and weight. Some kids need extra help getting to know, listen, and respond to their internal hunger and fullness cues — I teach these skills.
I focus on long-term, health-driven changes that empower kids and support their self-esteem.
Feeding picky eaters can be challenging, and mealtime battles often result when parents get frustrated. I teach skills to help manage fears of certain foods, to help them become less rigid and expand their food preferences. I also work with parents on the feeding relationship. Parents can do a lot to improve selective eating patterns. Peace can happen at family meals — and it's worth the effort!
Targeted help for teens
I enjoy working one-on-one with teens to promote responsible, intuitive eating practices, self-directed lifestyle choices, and a healthy level of fitness. I believe in keeping parents appropriately involved and supported.
Have a child or teen with poor body image? Having a poor body image can prevent children and teens from succeeding in many aspects of their lives. I challenge kids' views about societal standards of beauty and internal stuggles to fit body expectations that may be unrealistic.
TREATMENT FOR ADULTS
How do you eat?
- Have you tried losing weight on diets only to gain some or all of the weight back?
- Do you feel out of control when you eat?
- Do you overeat mainly at night?
- Do you have difficulty eating out and enjoying holidays, parties,
- Do you have difficulty knowing if you are truly hungry?
- Do you eat when you feel stressed, anxious, bored, or sad?
- Do you give yourself rules about what and how much to eat, only to find that you repeatedly break these rules?
- Have you been suffering with an eating disorder for years and think you might be ready for treatment?
I go far beyond issuing short-term meal plans -- I help my clients figure out what got their eating off-track in the first place, and what perceptions, attitudes, and life-style factors are contributing to the maintenance of the eating problem. I teach clients new skills so that they can get to know and trust their own body cues, move away from diet rules (and rule breaking), and learn better and more insight-oriented coping strategies. The goal is to move towards a more natural, balanced, self-led style of eating, reaching weight normalization and a 'good enough'-to-great body image.
I believe that a collaborative approach to care is beneficial to many individuals. If you would like to work with a team of professionals (e.g., physician, psychologist, psychiatrist) I am happy to help you establish this support or work within your existing support team.
My offices are located in Montgomery County, Maryland, serving the Washington, D.C.
COUNSELING FOR EATING DISORDERS
Eating disorders are treatable illnesses
Finding the right treatment for an eating disorder can be overwhelming as there are many options for style, intensity, and level of care. The right level of care for you (or your child) will depend on many factors, including severity of symptoms, scheduling, location, and affordability.
Eating disorder treatment is typically multi-faceted, involving a psychologist (for deeper therapy), a nutritionist (for thoughts and behaviors related to food and weight), a psychiatrist (mainly if medications are needed), and a physician (for medical management). Group counseling is often helpful as well.
I work in a solo, out-patient practice and I am well-networked with many eating disorder specialist colleagues with whom I refer and collaborate throughout the DC metropolitan area. Call me — we can discuss the right therapeutic fit for you and treatment options.
My treatment orientations include cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), internal family systems (IFS), and mindfullness based therapies. I use a family-based model for children and teens with eating disorders. This model is called The Maudsley Method for eating disorders treatment. Click here to learn about the Maudsley approach.