eating disorder

Food Psych #158: How to Heal from Weight Stigma with Kathleen Bishop

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Health at Every Size therapist Kathleen Bishop shares how the trauma of dieting gets passed from one generation to the next, how to mourn the loss of the life that diet culture stole from you, ways to start recovering from internalized weight stigma, the connection between substance use disorders and eating disorders, and so much more! Plus, Christy answers a listener question about how to accept your changing body and stop beating yourself up for not being the same size you were 10 years ago.

Kathleen A. Bishop from San José, California. She is a Licensed Clinical Social Worker, Certified Intuitive Eating Counselor and Relapse Prevention Specialist. In private practice, she specializes in Eating and Substance Use Disorders. and she works at a non-profit providing Intensive Outpatient Treatment to clients with Substance Use Disorder and cooccurring mental health conditions like anxiety, depression or Eating Disorders. Kathleen, who is also a body positive size diversity activist who promotes Health At Every Size (HAES) principles to end stigma and mistreatment that is associated with weight, has overcome her own body image obsessions and she shares her great insights with us! Find her online at BodyPeaceLiberation.com.

Enrollment for my latest Master Your Anti-Diet Message live webinar is open now! Register this week for early bird pricing.


We Discuss:

  • Kathleen’s relationship with food growing up, including her exposure to diet foods at a young age and her experience watching her mother weight cycle and diet her whole life

  • Intergenerational trauma, including how watching our parents chronically suffer due to diet culture can impact us in adulthood, and even in later generations

  • Kathleen’s experience with various eating disorders, including bulimia, and how it intersects with her alcohol use

  • The connection between substance abuse and eating disorders

  • The pros and cons of Overeaters Anonymous, including how it gives us a supportive community but also encourages restriction

  • How seductive the short-term results from our very first diet can be

  • Kathleen’s experience with weight cycling

  • Why our bodies push us towards food and prevent weight loss in times of deprivation

  • Kathleen’s career trajectory, and how she found her drive to better her life

  • The social aspect of diet culture, and the lure of social connection through the diet mentality

  • Kathleen’s discovery of intuitive eating and Health at Every Size

  • How intuitive eating becomes intuitive living, including how we learn to set boundaries and the ways in which we reclaim our time and energy when we leave dieting behind for good

  • Why grieving is an important part of the process from healing from diet culture

  • The ways in which Health at Every Size can spark our fire around advocacy and social justice

  • How to confront our privilege and unlearn our personal biases

  • Kathleen’s experience with EMDR therapy and trauma-informed care, why processing trauma is essential for mental wellbeing, and how EMDR therapy can help with body image concerns

  • Body image and weight stigma as trauma, and how we can recover from internalized weight stigma

  • The power in changing our clothing and rejecting clothing rules

  • How to embrace body diversity and different kinds of beauty

  • How to see the sneaky iterations of diet culture for what they really are, and how the diet industry and the gastric bypass surgery industry tries to keep us hooked

  • Why weight loss surgery is so harmful, and why we need to change the culture rather than our bodies

  • The growth of the Health at Every Size community


Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.


Listener Question of the Week

How do we accept our changing body with age or the changing of circumstances? What are some strategies that we can use when we begin to feel nostalgic for your old body? Is the desire to change our bodies really about our body, or is it about something bigger? How can we meet our needs without resorting to weight loss efforts?

(Resources Mentioned: Food Psych Podcast episode 154 and 151)

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

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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 ResilientFatGoddess.com.

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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

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

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: HAESCommunity.com, NEDA.org, IntuitiveEating.org)

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Food Psych #150: Disordered Eating & Gender Identity with Sand Chang

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Psychologist and trans-health educator Sand Chang joins us to talk about the complex experience of body acceptance for trans folks, the intersections of trans advocacy and Health at Every Size work, the growing body of research around trans folks and eating disorders, the shape-shifting nature of fatphobia and diet culture, and so much more! Plus, Christy answers a listener question about how food restrictions to try to cure acne can exacerbate an eating disorder.

Dr. Sand Chang is a Chinese American clinical psychologist, educator, and writer based in Oakland, CA. Sand identifies as queer, nonbinary, and genderfluid and uses they, them pronouns.

Sand currently divides their time between working at Stanford University’s counseling center, Northern California Kaiser Permanente Transgender Services, and a private practice specializing in trans health, relationships and sexuality, trauma, EMDR, eating disorders, and addictions. As a psychotherapist, trainer, and advocate, Sand is invested in healing and empowerment within marginalized communities and disrupting systems of oppression.

Sand co-authored the 2015 APA Guidelines for Psychological Practice with Transgender and Gender Nonconforming Clients and is the past Chair of the APA Committee on Sexual Orientation and Gender Diversity. They regularly present at conferences and provide trainings on a wide number of topics for health care systems, educators, and organizations. Sand’s upcoming book, A Clinician’s Guide to Gender-Affirming Care: Working with Transgender and Gender Nonconforming Clients, which they co-authored with their colleagues Drs. lore dickey and Anneliese Singh, will be published by New Harbinger in late 2018.

Outside of their professional work, Sand is a dancer, avid foodie, punster, and pug enthusiast. They live in Oakland, CA with their pug Zelda Sesame. Find them online at SandChang.com.

 


WE DISCUSS:

  • Sand’s relationship with food growing up, including how their Chinese-American heritage influenced how they related to food

  • Sand’s first exposure to diet culture and fatphobia, including how unconscious and covert diet mentality was while they were growing up

  • How being involved in dance negatively influenced Sand’s body image

  • Sand’s experience with an eating disorder and over-exercise, and how trauma and coping played a role in the development of their disordered behaviors

  • How positive feedback from weight loss egged on Sand’s disordered relationship with food and the issue with body appraisals

  • Sand’s process of seeking recovery, including the ways in which healthcare practitioners both help and harm individuals attempting to heal

  • How weight bias prevents folks from getting the proper care for their eating disorder

  • Sand’s discovery of size acceptance and fat liberation, and struggling with applying body acceptance to our own bodies

  • Trans healthcare and body image, including the fatphobia and binaries embedded in queer communities and body norms within the trans community

  • Sand’s experience discovering their gender non-conforming identity

  • The growing body of research around trans folks and eating disorders

  • How the minority stress around being misgendered feeds into disordered eating

  • The current limitations within the healthcare field around trans identity and barriers to care for trans folks

  • Gender dysphoria vs body dysmorphia

  • The limitations of the current DSM mental-health diagnoses for eating disorders and for the trans experience

  • The complex experience of body acceptance for trans folks

  • The intersections of trans advocacy and anti-diet, Health at Every Size work

  • Why gender-affirming surgery isn’t a cosmetic surgery and why it saves lives

  • Sand’s experience finding their way back to inclusive eating disorder work

  • The need for the HAES movement and eating disorder work to become more intersectional and move away from the gender binary

  • “White feminism” vs intersectional feminism

  • Sand’s experience with orthorexia, how their experience navigating their gender identity within the healthcare system reinforced their disordered experience, and their path to breaking out of diet culture for good

  • Sand’s path to finding intuitive eating, joyful movement, and body acceptance

  • How diet culture keeps up in the limbo period between disordered and recovered

  • Moving away from the perfectionism around the idea of recovery

  • The positive and negative takeaways from Sand’s time in Overeaters Anonymous

  • How valuable it is to have a community by your side during healing

 

RESOURCES MENTIONED

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

 

LISTENER QUESTION OF THE WEEK

Can eating in certain ways and cutting out certain foods help cure cystic acne? What are the dangers of trying to heal our skin through food restriction? Can disordered eating contribute to hormonal acne issues?

(Resources Mentioned: Dr. Steven Bratman’s work on orthorexia, Julie Duffy Dillon’s anti-diet resources for PCOS, the Certified Intuitive Eating Counselors Directory, the Health at Every Size Registry)

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Food Psych #147: Why Nobody Needs "Weight Management" with Jennifer Rollin

Jennifer Rollin

Health at Every Size therapist Jennifer Rollin joins us to talk about dispelling eating disorder myths, why weight stigma in the eating disorder field is harmful, how Health at Every Size work contributed to healing Jennifer’s body image and breaking down her learned fatphobia, the problem with the idea of “weight management,” and so much more! Plus, Christy answers a listener question about how to handle it when a significant other’s family comments on your weight.

Jennifer Rollin, MSW, LCSW-C is a therapist in private practice in Rockville, Maryland, eating disorder and body image specialist, and expert writer and speaker. She is passionate about helping people to find freedom from eating disorders and body-hatred. Jennifer has completed certificates in CBT-E for Eating Disorders, Dialectical Behavioral Therapy, and is a Certified Intuitive Eating Counselor. She is a member of The Junior Board of Directors for The National Eating Disorders Association. Her articles have reached thousands of people through media including The Huffington Post and Psychology Today. She offers eating disorder therapy in Rockville, Maryland and eating disorder recovery coaching to people worldwide. Find her online at JenniferRollin.com.

Ready to learn how to cook, make movies, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

Start sleeping ahead of the curve with Casper. Get $50 toward select mattresses by visiting Casper.com/PSYCH and using the code PSYCH at checkout. That’s Casper.com/PSYCH, offer code PSYCH for $50 off your mattress purchase. Terms and conditions apply.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

 

We Discuss:

  • Jennifer’s relationship with food growing up, including how growing up with a mother who was a dietitian taught her food rules and diet culture at a young age

  • The beginning of Jennifer’s body image struggles, including the role of comparisons

  • How gender plays into body policing

  • Jennifer’s first forays into dieting, and how that eventually led to an eating disorder

  • The roles of isolation and rigidity in disordered eating

  • Why diet culture is The Life Thief

  • How restriction around food leads to obsession around food, including our professional career tracks and hobbies

  • Dispelling eating disorder myths, and what drew Jennifer to the therapy field

  • Jennifer’s discovery of Health at Every Size work, and how it contributed to healing her body image and breaking down her internalized and learned fatphobia

  • Why weight stigma in the eating disorder field and general medical field is harmful

  • The need for evidence-based work in eating disorder treatment

  • How important it is for providers to understand their own size bias and disordered behaviors around food

  • Why it’s necessary to hold compassion for our past selves and our previous weight-centric paradigms

  • The value in finding a Health at Every Size community, and Jennifer’s efforts to create the HAES Therapists and Nutritionists Facebook group

  • The problem with the concept of “weight management”

  • How important social connection is to our overall health

  • The ways in which control over food often hides the desire for control in other areas of our lives

  • Why our body size is really out of our control, and why that’s okay

  • How important it is to work with trained professionals in your recovery and in order to help you identify diet culture thoughts in your life

  • Feeling gratitude for our struggles

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

  • Minnesota Starvation Experiment

  • Project Implicit (resource for implicit bias tests, including weight bias)

  • Submit your questions for a chance to have them answered on the podcast!

  • My online course, Intuitive Eating Fundamentals, which includes monthly listener Q&A podcasts and access to my private Facebook support group

  • Ready to learn how to cook, make movies, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

  • Start sleeping ahead of the curve with Casper. Get $50 toward select mattresses by visiting Casper.com/PSYCH and using the code PSYCH at checkout. That’s Casper.com/PSYCH, offer code PSYCH for $50 off your mattress purchase. Terms and conditions apply.

 

Listener Question of the Week

What do we do when people around us make fatphobic comments about our bodies? How do we set boundaries around what language is and isn’t okay for us? How do we react when our partner’s family participates in this fatphobic language and weight bias and talks about our bodies?

(Resources Mentioned: Rachel Millner’s Food Psych Podcast episode)

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Food Psych #145: Diet Culture and Hidden Anorexia with Rachel Millner

Rachel Millner

Health at Every Size psychologist and Body Trust Provider Rachel Millner joins us to discuss how diet culture masks anorexia, why it’s so important for everyone in our society to address our own weight bias, the power of community in breaking free from diet culture, the role of clinicians as activists, how we can spread the Health at Every Size message and plant seeds for change, and so much more! Plus, Christy answers a listener question about dealing with anger toward a parent who constantly pushed diets on you in childhood.

Rachel Millner, Psy.D., CEDS is a licensed psychologist and certified eating disorder specialist. She sees adults with all forms of eating disorders and disordered eating and those wanting to break out of diet culture in her private practice, and treats children and adolescents with eating disorders as part of the Eating Disorder Assessment and Treatment Program at the Children’s Hospital of Philadelphia. Dr. Millner is a certified Body Trust(r) provider. She practices from a Health at Every Size(r), fat positive, weight inclusive perspective. Find her online at RachelMillner.com.

Grab Christy's free guide, 7 simple strategies for finding peace and freedom with food, to start your intuitive eating journey. You can also text "7STRATEGIES" to the phone number 44222 to get it on the go :)

 

We Discuss:

  • Rachel’s relationship with food growing up, including how being raised in a Jewish family resulted in internalizing mixed messages about food being abundant but off-limits

  • How food messaging changes based on body size

  • Rachel’s experience with sneaking food in order to avoid being shamed about her food choices

  • The problem with blaming the individual for health outcomes or body shape, and the role of diet culture in our understanding of health

  • Rachel’s struggles with the binge-restrict cycle

  • How hard it is to integrate body acceptance into our lives even if we intellectually understand and agree with fat acceptance

  • The power of community in breaking free from diet culture

  • The trajectory of Rachel’s eating disorder, including how being in a smaller body allowed her to get the help she needed

  • Why we need to shift away from treating bodies, and move towards treating symptoms

  • How pervasive fatphobia is in the medical field

  • Higher-weight anorexia, and the need for health professionals to break down and engage with their own weight bias

  • How to find a Health at Every Size, fat-positive healthcare

  • Rachel’s path to recovery, including the role of therapy and self-care, and how she set boundaries her family during that time

  • Rachel’s professional trajectory, including how she became more involved in the fat activist community

  • The role of clinicians as activists and the power in trusting your message

  • How valuable age is, both professionally and personally

  • How we can spread the Health at Every Size message, plant seeds for change, give space for people to have their own journey, and let go of the goal of perfection

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

 

Listener Question of the Week

How do we forgive the people in our life that taught us diet culture, especially when those people were our family? Is anger a helpful emotion in this process? How has the wellness industry been co-opted by the diet mentality? Are our parents at fault for putting us at diets when we were young? How do we tell the people who put us on those diets about the Health at Every Size perspective?

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