body positive

Food Psych #155: Diet Culture in the "Natural" Health Field with Sarah Thompson


Certified Body Trust Provider and Health at Every Size recovery coach and consultant Sarah Thompson joins us to talk about the barriers she faced to getting an eating disorder diagnosis, the ways in which diet culture has infiltrated naturopathy and Chinese medicine, the lack of Health at Every Size education in healthcare programs, the false connection that diet culture makes between larger bodies and being unhealthy, weight bias in “food addiction” theory, and so much more! Plus, Christy answers a listener question about whether bingeing on fruits and vegetables is a sign of orthorexia.

Sarah Thompson is an eating disorder recovery coach, consultant, and writer based in Portland, Oregon and transplanted from Akron, Ohio. Her writing focuses on a wide range of philosophies - Body Trust®, Health at Every Size®, Intuitive Eating, Fat Liberation, eating disorder recovery, and more. She seeks to share what she has experienced and learned from her own discovery and journey with body liberation. Sarah definitely does not have all the answers, but she’s super excited to share what she has learned so far.

Even while Sarah is fat, female, and queer, she recognizes that being a working-class, white, and cis gender woman has afforded her many privileges. She strives to listen and learn from experiences that differ from hers.

Outside of her professional work, Sarah is an ice cream connoisseur, Grey’s Anatomy expert, avid movie buff, and lover of dogs, cats, horses, and ducks. Find her online at

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We Discuss:

  • Sarah’s relationship with food growing up, including being body shamed at a young age and learning that her size was connected to the food she ate

  • Her experience with sneaking food, and how she learned to not feel shameful for those actions later in life

  • Her experience with formal dieting programs and weight loss, and her path from disordered eating into an eating disorder

  • How objectification and sexualization played a role in her body shame

  • Sarah’s experience with the restrict-binge-cycle, and the pros and cons of her experience with Overeaters Anonymous

  • The barriers she faced to getting an eating disorder diagnosis, including the “food addiction” model of Overeaters Anonymous and weight bias

  • The false connection that diet culture makes between larger body size and being unhealthy

  • The value in harm-reduction techniques for food-behavior struggles

  • Sarah’s experience in the naturopathic community and the Chinese-medicine community, and the ways in which it fueled her disordered eating and chronic dieting

  • Sarah’s exploration of body-positive social media accounts

  • The historical roots of Whole30, paleo, and The Wellness Diet in naturopathic medicine

  • Sarah’s experience with weight-based microaggressions, and her journey to learning how to set boundaries around diet talk and weight-loss talk

  • The healthism and diet culture embedded in the “natural” wellness field and the healthcare system in general

  • The ways in which diet culture has influenced Chinese medicine and naturopathy, despite their roots in body trust

  • Sarah’s use of acupuncture to manage mental health struggles, and the ways in which she’s felt unsafe in her body over the years

  • The lack of Health at Every Size education in healthcare programs, and the inherent weight stigma that is often taught

  • The role of trauma in health issues, and how it often is ignored in favor of food-focused and weight-focused solutions

  • Why the naturopathic community might be more open to HAES and the anti-diet paradigm than Western medicine

  • Sarah’s path to coming out of chronic dieting and disordered eating and transitioning into a non-diet, intuitive-eating approach

  • Why we don’t need to cut out food groups to alleviate allergies or digestive issues, and the different treatments that are out there aside from dietary changes

  • How to weigh whether or not changes in your eating are worth it, mentally and physically

  • What “holistic” health really means, and why we need to consider discrimination and systemic issues


Resources Mentioned

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Listener Question of the Week

What does it mean if we start bingeing on fruits or vegetables? Can an eating disorder turn into orthorexia in recovery? How does deprivation contribute to bingeing? Do we need to investigate why we’re cutting out certain foods, even if we have ethical or environmental concerns around certain foods?

(Resources Mentioned:,,

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