substance abuse

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

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 #139: The Truth About Weight-Loss Surgery & "Food Addiction" with Lisa DuBreuil

Lisa DuBreuil

Social worker and fat activist Lisa DuBreuil joins us to discuss weight loss surgery and its unexpected side effects, what the research really says about this surgery, how it affects people's body image, what the science really says about so-called "food addiction," the intersection of substance abuse and weight-loss surgery, her own journey to recovery from diet culture, how she became a Health at Every Size clinician, how to handle clients seeking weight loss surgery when you’re a weight-inclusive professional, and so much more! Plus, Christy answers a listener question about how to make the case for Health at Every Size to skeptics.

Lisa DuBreuil, LICSW is a mom, wife, fat activist, and clinical social worker. Since 2003 she has been a psychotherapist doing individual and group work in an outpatient hospital-based clinic, treating people with co-occurring substance use disorders and eating disorders and more recently people with new-onset SUDs and compulsions following weight loss surgery. She also has a private practice in Salem Massachusetts where she treats people diagnosed with binge eating disorder and people dealing with various problems following weight loss surgery. Lisa helps people live peacefully in their bodies by improving self-care skills and teaching how to navigate our challenging body culture. Contact her at

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:

  • Lisa’s relationship with food growing up, including her self-consciousness about her size and weight from a young age

  • The historical and geographical roots of the Health at Every Size movement and fat acceptance

  • How diets evolve and the ways in which different foods become demonized

  • The need for compassion for those who transmitted diet culture to us as children

  • Lisa’s experience with body shame, and the ways in which people of all sizes harbor body loathing and internalized weight stigma

  • How chronic dieting can develop into binge eating disorder

  • The long road to gentle nutrition and joyful movement in the intuitive eating process

  • Lisa’s discovery of the Health at Every Size movement, and how it helped her find lasting eating disorder recovery

  • Lisa’s experience as a therapist working with clients struggling with trauma and eating disorders, and her eventual path to becoming a social worker and program director

  • The connection between eating disorders and substance abuse, and the ways in which they are both coping strategies

  • Lisa’s experience working with clients with weight loss surgery

  • Why “food addiction” is different from addiction to substances, including the effect of habituation

  • The difficult side effects and disillusionment of weight loss surgery, including malnutrition and continued body dissatisfaction

  • How internalized fatphobia pushes folks towards weight loss surgeries and is correlated with many of the poor health outcomes often blamed on body size

  • The ways in which internalized weight stigma makes it harder for people to pursue self care

  • The lack of research around long-term outcomes for weight loss surgery

  • Body autonomy, and how to work with clients that are making decisions counter to our personal opinions

  • How intersecting oppressions affect the decisions we make

  • The stress of change, and the need for extra support even in the face of positive outcomes


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 do I do if I’m trying to spread the Health at Every Size message to professionals in the health promotion field? What research is out there to support the HAES paradigm? How does weight stigma factor into health?

(Resources Mentioned: Linda Bacon’s Food Psych Podcast episode, Lucy Aphramor’s Food Psych Podcast episode, "Weight science: evaluating the evidence for a paradigm shift" by Linda Bacon and Lucy Aphramor, Deb Burgard’s Food Psych Podcast episode, “The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss” by Deb Burgard et. al., Ragen Chastain’s first and second Food Psych Podcast episodes, Ragen’s Dances With Fat blog)

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