Coaching Case Review

Jennifer Zielke
 Client Overview LN
• 20-year-old female
• Cal Poly student: Psychology
major
• Weightlifter
• Lives with roomates
• Meal plans regularly
• Works in campus dining
• Busy with classes and work
• History of body dysmorphia and
disordered eating patterns

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 Focus Areas
• Client Assessment Questionnaire
• Weight management
• Healthy food prep
• Portion sizes
• Identified topics
• Bulking and fatigue
• Eating to fuel work outs
• Intuitive eating vs restriction
• Body image

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 Session 1
PROGRESSION OF DISCUSSION: STRATEGIES HANDOUT
o Disordered eating history Rapport building
• Significant energy deficit
• Emotional response Focusing
Bubble sheet →

o Bulking – Persistent Fatigue Open-ended questions

• Fatigue in mornings EPE
• Review of regular eating + exercise
pattern Reflections
• Protein Simple
• Fruit + Veg Summaries
Long volleys
o Evoking Values
• Lifting performance Evoke
• Protecting health Digging Deeper OEQ

GAB

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Session 1
SMART+
Goals
 SMART+ Goals
o Add protein and kcal to breakfast:
• Increase peanut butter in morning oats from 1 tsp to 1 tbsp and
add 1 slice of whole grain toast to breakfast 7 days a week for
two weeks
o Increase fruit and vegetable intake:
• Buy easy snack fruit (mandarin oranges) and eat it as a snack 7
days a week for two weeks
• Double portion of vegetables at lunch 7 days a week for two
weeks
ASSESSMENT + BARRIERS
o 8 out of 10
o No barriers perceived

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 Session 2
GOAL PROGRESS PROGRESSION OF DISCUSSION: STRATEGIES
o Morning Protein o Mindless vs Mindful eating Focusing
• increased at breakfast 7/7 • Classic mindless eating
days • bloating Open-ended questions
• Result: decreased • EPE to propose Mindfulness at dinner EPE
fatigue in mornings Change in the abstract
o Bulking –Fatigue change
o Fruit • Fatigue in evenings Reflections
• 4/7 days had fruit as snack • Review of eating portions
• 48hr verbal recall Simple and COMPLEX
• Balanced
o Vegetables • Heavy Emphasizing change talk
• Doubled portion at lunch • Proposed smaller meals for easier
7/7 days digestion Emphasize autonomy
• Result: increased energy
during day o What is a calorie?
• Mindset shift AFFIRMATIONS

o Body dissatisfaction GAB

• Comparison to others

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 Verbal Dietary Recall
• Breakfast • Lunch
• Oats with peanut butter and • Rice
almond milk • Chicken
• Peanut butter banana sandwich. • Broccoli
• AM Snack • Dinner
• Scrambled eggs • Pasta with cheese and meatballs
• Turkey slices • Banana
• Tangerine

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Session 2
SMART+
Goals
 SMART+ Goals
o Mindful eating o Mindset
• Wake up 30 minutes earlier to • Spend 1 less hour on fitness
have time to appreciate eating Instagram every day
breakfast 7 times a week for a • Replace body comparison
week thoughts with “I am strong too”
o Eat smaller meals and other affirmation type
• Split up dinner into two smaller phrases at least twice a week
meals and snack throughout day 7
days a week for a week for a week

ASSESSMENT + BARRIERS
o 8 out of 10
o Barrier = changing mindset
• Reminder to extend compassion for others to herself + affirmation

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 Session 3
GOAL PROGRESS PROGRESSION OF DISCUSSION: STRATEGIES
o Mindfulness o First Cut Focusing
• increased time at
breakfast 7/7 days • Less kcal focused Open-ended questions
• Result: increased • Less isolation from friends EPE
gratitude and decrease
bloating
o Social Reflections
o Smaller meals • Boundaries around time for Complex
• 7/7 days
• Result: fatigue meals Emphasizing change talk
resolution • Eat fun food with friends
o Mindset Evoking
• Decreased social media o Cutting now
some • Leaner proteins AFFIRMATIONS
• Caught comparison • Not restrict or eat past fullness
thoughts 4 times
• Increase cardio

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 Handout
• Focus on
proportions of
macronutrients
and differences
between
appropriate fuel
for different levels
of exercise

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Session 3
SMART+
Goals
 SMART+ Goals
o Social
• Talk to friends at least once in
next week about compromising
on shared gym times
o Cutting
• Try new proteins (tilapia) at least
once instead of beef for dinner in
the next week
o Cutting Continued
• Increased Cardio from once a
week to three times a week
• Delete Instagram for at least
one day during the week
• Go out with friends and eat
something fun at least once
during the week

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 Session 4
• Location: • Cutting
• Scout’s – get coffee together for fun • No restriction of foods –
food goal • Eat for nourishment and enjoyment
• Topic – (focusing, choice from list) • Not affected by body dysmorphia
• Body dysmorphia
• Recent mental health event • More Cardio
• Holding space, empathetic • Athlete’s Plate was helpful with balance
listening
• Affirmation of values and compassion • Short term Goals:
• Meeting client where they are at • Wear clothes that are comfy so won’t
• Strategies judge body during work out
• Body Neutrality
• Journaling and Later review • Affirmation

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 Session 4
GOALS GOING FORWARD
o Nourish body with adequate energy
o Cut by increasing Cardio
o Spend time during weekly journaling (once
a week) to consider why negative feelings
about body – begin to avoid triggers
o Eat joyfully
o Continue to enjoy weightlifting because it is
empowering

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 Client Follow Through
• My thoughts
• Established change of mindset
involving food, exercise, and body
image
• Confident can continue with cut
without restriction
• Strategies to begin tackling body
dysmorphia
• Easy to work with because
intrinsically motivated, driven, and
open to ideas

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 CLIENT’S THOUGHTS

“I always looked forward to sessions with you

and felt empowered to just, live my life after.”

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 Self Review
MI Techniques ☺ Very comfortable, adapted for my style

MI Techniques  Too much leading, information overload, increase motivation

Success? I actually helped somebody! ☺

Main Takeaways Incredibly fulfilling, honor to hold space

Self-efficacy 3/5 → 4.9/5

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thank you
☺