overeaters anonymous

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


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 #150: Disordered Eating & Gender Identity with Sand Chang


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.



  • 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



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




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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