Food Psych #135: Body Respect, Weight-Inclusive Care, and Health at Every Size with Lucy Aphramor

Lucy Aphramor

Lucy Aphramor, anti-diet dietitian and co-author (with Linda Bacon) of Body Respect, joins us to talk about Health at Every Size, why we need to be weight-inclusive instead of just weight-neutral, the social determinants of health, the importance of having a trauma-informed focus as a healthcare provider, her struggles with body image in the context of gender identity and sexuality, the importance of prioritizing emotional safety, and so much more! PLUS, Christy answers a listener question about how to handle arguments that stopping emotional eating automatically leads to weight loss.

Lucy Aphramor is an award-winning radical dietitian and critically acclaimed performance poet aka The Naked Dietitian. She practises the weight-equitable approach Well Now that advocates health-gain and body respect for all. Her co-authored book Body Respect, written with Linda Bacon, explores many of the key concepts of Well Now. She subsequently developed Well Now theory to be compassion-centered, trauma-informed and justice-enhancing. Lucy is interested in starting conversations that build a fairer world--and the role of story in this--and co-founded Dietitians for Social Justice with Fiona Clarke. Find her online at

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We Discuss:

  • Lucy’s relationship with food growing up, including her transition into an orthorexic and anorexic style of eating and movement, and her struggle with IBS

  • Lucy’s experience as a nationally ranked runner, and the current problem with fitspo

  • How coping mechanisms can serve a larger purpose, even if they’re destructive in the end

  • The effect of trauma on our eating behaviors

  • Lucy’s experience finding a feminist therapist, and how they helped her heal

  • The experience of healing from an eating disorder versus healing our body image

  • Gender identity and sexuality, the idea of identity resilience, and understanding our core sense of self worth in our body image journey

  • The value in naming our experience

  • Lucy’s discovery of her queer identity, and how poetry helped her to discover it

  • Lucy’s model of “eating distress discovery,” and the different philosophies surrounding recovery

  • How social oppression affects our mental health struggles

  • Lucy’s experience training as a dietitian, and the ways in which dietetics education reinforce disordered eating

  • Lucy’s experience working in the mental health system, and the ways in which it opened her eyes to social justice

  • Social determinants of health, and Lucy’s process of finding a weight-neutral paradigm that considered trauma’s impact on wellness

  • Finding Health at Every Size, and Lucy’s approach of “Well Now”

  • Weight inclusive vs weight neutral, and the healthism embedded within neutrality

  • Lucy’s and Christy’s experiences finding communities to hold their ideas and exploration

  • Guiding clients away from weight loss and to intuitive eating, and exploring the role of restriction and dieting in someone’s life

  • Helping people to identify and meet their needs and desires

  • The importance of prioritizing psychic and emotional safety

  • Centering health behaviors vs social determinants of health in discussions about Health at Every Size, and grappling with the definition of HAES


Resources Mentioned

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Listener Question of the Week

Does stopping emotional eating lead to weight loss? Is intuitive eating a path to weight loss?

(Resources Mentioned: Food Psych Podcast Episode #127)

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