weight inclusive practice

Food Psych #136: Mental Health, Intuitive Eating, and Postpartum Body Image with Stefani Reinold

Stefani Reinold

Psychiatrist and body-acceptance advocate Stefani Reinold joins us to discuss weight stigma in the medical field, how to handle the body-image issues that emerge in pregnancy and postpartum, why accepting your body is so hard in appearance-focused environments, her experience in Christy's Intuitive Eating Fundamentals course, and so much more! Plus, Christy answers a listener question about how to let go of restriction and accept your body size.

Stefani Reinold is a Psychiatrist, mother of two, and women’s mental health advocate. She completed her psychiatry residency training at George Washington University in Washington, DC. While at GWU, she trained in the renown Five Trimesters Clinic specializing in perinatal mental health, infertility and loss. She has presented nationally and internationally on the topics of eating disorders, body dissatisfaction and body image in pregnancy and postpartum. She is an advocate for Health at Every Size and anti-diet clinical practices in the medical field. Her most recent passion project is “Not the Typical Mom,” a blog, podcast and community about the not so typical, but all too common issues of motherhood and encourages mom to escape the stereotypes and banish mom guilt. Find her online at StefaniReinoldMD.com.

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We Discuss:

  • Stefani’s relationship with food growing up, including experiencing food in abundance, being preoccupied with her body in childhood, and the introduction of food scarcity due to financial restrictions

  • How gymnastics affected Stefani’s body image and relationship with food

  • Equating self worth with appearance, and the pressure on femme folks to strive for the beauty ideal over intellectual pursuits

  • Stefani’s experience with an eating disorder, and the ways in which colleges and Greek life are breeding grounds for disordered eating

  • How eating disorder awareness events can often encourage disordered eating rather than encourage recovery

  • The consequences of mental health stigma and the effect of untreated mental illness

  • How romantic relationships can help our body perceptions, promote recovery, and encourage unconditional acceptance of self

  • Stefani’s experience with body preoccupation in relation to pregnancy and fertility

  • Stefani’s exploration of intuitive eating, the discovery of different Health at Every Size professionals, and her experience with Intuitive Eating Fundamentals

  • Letting go of the weight loss goal

  • The dire consequences of healthism and weight stigma, and the problems with bariatric surgery

  • Stefani’s experience in her public health education, and how focused it was on the “obesity epidemic”

  • Thin privilege and learning to see the weight bias in the world

  • The need to consider mental health when considering holistic health status, and the higher value we place on body size than on quality of life

  • Taking mental health medication and how to discuss potential weight gain from the medication with clients

  • The demonization of Western medicine

  • Weighing side effects of “natural” remedies vs Western medicine

  • The problem with “clean eating” and “natural food” detoxes

  • Navigating out of the honeymoon phase in intuitive eating and finding food neutrality

  • Why gentle nutrition and balance in eating choice is at the end of the intuitive eating journey

  • How diet culture steals our time and our energy

 

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 face the fear of weight gain? Is there a way to break free from restrictive eating, internalized fatphobia, and tying our self worth up in our body size? What is the impact of diversifying our social media feed? What is the meaning behind weight gain for us as individuals? Would our food choices be different if they came from a place of desire rather than control? How does reflecting on diet culture as The Life Thief help us liberate ourselves from dieting?

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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 LucyAphramor.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 :)

12/20 is the LAST day to get Christy's newest online course for fellow health & wellness pros, Master Your Anti-Diet Message! Grab it now at christyharrison.com/message.

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Give your wardrobe an upgrade with MM.LaFleur by going to MMBento.com. Use the code PSYCH at checkout and MM.LaFleur will donate 10% of profits to GlobalGiving.

 

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

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

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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Food Psych #132: Diet-Culture Recovery, Body Trust, and Plus-Size Representation with Meredith Noble

Meredith Noble

Certified Body Trust Provider and life coach Meredith Noble comes on the show this week to talk about how intuitive eating becomes intuitive living, the importance of finding a Health at Every Size, fat-positive community for finding body acceptance, the problem with diet culture and how it’s embedded within the medical community, giving ourselves space to feel our feelings, and much more! PLUS, Christy answers a listener question about how to get started with this podcast.

Meredith Noble is a Certified Body Trust® Provider and life coach who helps plus-size people find food and body peace. Her practice combines Health at Every Size®, Body Trust® and intuitive eating philosophies with feminism and fat acceptance. With her compassion and expertise, her clients learn how to feel more comfortable in their skin, be at ease around food, and leave toxic diet culture behind. Find her online at GenerousPlan.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 :)

Get Christy's BRAND NEW online course for fellow health & wellness pros, Master Your Anti-Diet Message, at christyharrison.com/message.

 

We Discuss:

  • Meredith’s relationship with food growing up, including the limitations put on candy and learning about dieting and food restriction from a young age

  • Bingeing and overeating in response to the scarcity mentality

  • Puberty, weight gain, and how Meredith’s relationship with her body was integrated into her relationship with food

  • The social experience of shopping, the struggles of being plus size at a young age, and burgeoning body dissatisfaction

  • How the endorsement of weight loss efforts and restrictive diets from medical professionals feeds into disordered eating

  • Meredith’s experience with Weight Watchers, including the idea of community and support around dieting

  • The effect of doctor authority, and remembering that medical professionals are influenced by diet culture as much as the rest of us

  • Shame and isolation around bingeing and emotional eating

  • Feeling out of control around food

  • How effective the victim blaming of the diet industry is

  • The investments we make into diet culture

  • How important community is in the Health at Every Size, body acceptance, disordered-eating recovery journey

  • Meredith’s transition into the “clean eating” world

  • Meredith’s stepping stones to the Health at Every Size paradigm

  • The importance of mental readiness to integrate the Health at Every Size, size acceptance movement

  • Food insecurity as a risk factor for eating disorders

  • Acknowledging our privilege and embracing intersectionality

  • Learning about emotional restriction, giving up on the pursuit of weight loss, and embracing intuitive eating

  • Finding body acceptance through finding a fat-positive community

  • The parallels between compassion and body respect

  • Meredith’s experience of being hyperaware of her body, and how being surrounded by other people in larger bodies allowed her to no longer by hyper-vigilant

  • Creating diet-culture-free spaces, both online and in-person

  • Balancing being aware of your body in order to heal it with forgetting about your body in order to embody healing

  • Intuitive eating, how the mental effort required to tap into your inner wisdom decreases over time, rooting out the diet mentality with our food behaviors, and how body image factors into healing our relationship with food

  • Giving yourself space to feel your feelings and grieve the thin ideal

  • Somatic experiencing techniques, feeling emotions through the body, and working with a therapist to find healing

  • Meredith and Christy’s professional transitions into Health at Every Size work

  • How intuitive eating spills into intuitive living

 

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

Where does a Food-Psych-Podcast newbie start? Are there some Food Psych episodes that are helpful to return to in order to give us an anti-diet refresher and to remind us how diet culture embodies “The Life Thief” role? How has the podcast evolved since its inception in 2013?

(Resources Mentioned: Food Psych Podcast Episode #127 with Ashley Seruya, Food Psych Podcast Episode #106 with Ijeoma Oluo, Food Psych Podcast Episode #121 with Emily Contois, Food Psych Podcast Episode #99 with Lindy West, Food Psych Podcast Episode #94 with Alan Levinovitz, Isabel Foxen Duke’s first Food Psych episode, Katie Dalebout’s first Food Psych episode, and gain access to Season One of Food Psych Podcast with a Food Psych Premium Membership here!)

 

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Food Psych #129: Health at Every Size and Eating Disorder Recovery with Kristie Amadio

Kristie Amadio

Activist and recovery coach Kristie Amadio joins us this week to discuss why disordered-eating professionals need to shift to a Health at Every Size paradigm, why it’s important to advocate for FULL recovery, the effect of internalized fatphobia on our relationship with food and our bodies, how to support people in all stages of treatment, body dysmorphia, eradicating weight stigma in the medical community, and much more! PLUS, Christy answers a listener question about intuitive eating with an autoimmune disease.

‘RecoverED’ activist Kristie Amadio is the founder of Recovered Living, providing practical online eating disorder recovery coaching and support.

With a 14-year history of an eating disorder, Kristie sought treatment in three different countries before finding peace with food and her body. This unique experience led to the creation of putting video calling platforms to creative use, and was the driving force behind the birth of Recovered Living.

This heartfelt journey of being comfortable in her own skin has led to an effervescent passion about the notion of being ‘fully recovered’ as opposed to ‘in recovery’.

Described as empathic, quirky, and refreshingly honest, Kristie is a qualified therapist in Australia and New Zealand and a certified Eating Psychology Coach in America. She has a rich history of being an elite athlete, an outdoor instructor, and has helped individuals all over the world in their journeys towards ‘Recovered’.

Kristie embraces a non-diet and health at every size approach and is a true advocate for being free in your own skin. Find her online at recoveredliving.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 :)

Get Christy's BRAND NEW online course for fellow health & wellness pros, Master Your Anti-Diet Message, at christyharrison.com/message.

 

We Discuss:

  • Kristie’s relationship with food growing up, including learning about how certain foods were “good” or “bad,” and being taught about food-based morality

  • The effect of body comparisons

  • Kristie’s experience being a weightlifting athlete, and how it contributed to her eating disorder development

  • The effect of internalized fatphobia on disordered eating

  • The widespread nature of diet culture, specifically its permeation in Australian culture

  • America’s influences on widespread global media

  • The rationale behind weight classes

  • The myth around weight control, the truth about set-point weight theory, and the cost of maintaining intentional weight loss

  • Kristie’s experience with a high-functioning eating disorder

  • Being drawn to nutrition and food careers due to a disordered relationship with food

  • Christy’s experience in her nutrition and dietetics education, and the seeds of Health at Every Size that she observed in the curriculum

  • Learning about the social determinants of health, and understanding how environmental influences affect people’s health

  • The importance of eradicating weight stigma in the medical community

  • Kristie and Christy’s process of embracing the HAES paradigm in eating-disorder treatment and turning their back on the fatphobic medical model

  • Embracing a model of true and lasting recovery

  • Kristie’s experience with body dysmorphia

  • Learning how to take the emphasis off the body

  • Kristie’s drive for evidence and research around HAES and intuitive eating

  • The cult of diet culture

  • How important and revolutionary it is to spread the anti-diet message

  • Why diet culture is a life thief

  • The challenge and timeline of recovery

  • Finding the motivation to change, and finding the value in suffering and ultimately recovery from disordered eating

  • The required ongoing work of unlearning weight bias and body shame to find full recovery

  • Navigating body image within diet culture, and embracing body acceptance and fat acceptance

  • Being aware of the shape-shifting nature of diet culture

  • Kristie’s process of embracing joyful movement through a recovered mindset

  • Kristie’s professional experience working with clients to work on the practical components for recovery, and her new company, Recovered Living

  • The limitations of the current American insurance model in eating disorder recovery, and how important it is to remember that eating disorders don’t have a size

  • The need for more eating disorder support for male-identified individuals

 

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 we do if we want to do intuitive eating, but we have a chronic illness? Are dietary changes necessary for autoimmune issues? Do I need to avoid gluten even if I don’t have celiac disease? Is taking medication to manage a disease an indication of failure? How do we find weight-neutral care for autoimmune conditions? Can intuitive eating help manage some chronic issues? What are the caveats and dangers of trying this method too early?

(Resources Mentioned: Paige Smathers, Alan Levinovitz’s Food Psych Podcast episode)

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Food Psych #128: How to Transition to a Non-Diet Paradigm with Haley Goodrich

Haley Goodrich

Fellow entrepreneur and anti-diet dietitian Haley Goodrich joins us this week to discuss her path from disordered eating to intuitive eating, how she opened her own Health at Every Size dietetics practice, the challenges of transitioning to a completely weight-neutral paradigm and the value of mentorship in this process, overcoming her anxiety and the role that anxiety played in her eating behaviors, how to practice as a recovered clinician, getting comfortable setting boundaries, and much more! PLUS, Christy answers a listener question about bingeing in recovery from restrictive eating.

Haley is the founder and CEO of INSPIRD Nutrition, where she specializes in intuitive eating, disordered eating, and eating disorder recovery from a Health At Every Size perspective. She is currently pursuing her Certified Eating Disorder Registered Dietitian (CEDRD) Certification. In addition to her full-time private practice she is also the co-founder of INSPIRD to SEEK, a community-based learning experience designed to mentor and guide nutrition entrepreneurs to build amazing businesses. Find her online at inspirdnutrition.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 :)

Get Christy's BRAND NEW online course for fellow health & wellness pros, Master Your Anti-Diet Message, at christyharrison.com/message.

 

We Discuss:

  • Haley’s relationship with food growing up, including having a wonderful family relationship with breakfast and having agency in the kitchen from a young age

  • Haley’s first experience with body insecurity and size comparisons in middle school

  • Anxiety disorder, how it affected Haley’s education, and the effect of mental health stigma

  • The common motivation behind pursuing dietetics education, and how often people in the nutrition and food fields struggle with the idea of “perfect” eating

  • Haley’s experience with over-exercising and restriction

  • Haley’s exposure to intuitive eating, and how it helped her toward the path of healing

  • The value of therapy in the recovery process

  • Opening a private practice to spread the intuitive eating, Health at Every Size message

  • The importance of mentorship in health and wellness training, and how it can help the healthcare community transition out of the diet culture model

  • Thin privilege, how it protects some from shame around food and body, and the privilege it gives you in eating disorder recovery

  • Trying to toe the line between a weight-neutral perspective and holding onto the weight loss paradigm

  • Transitioning into a full, non-diet, weight-inclusive practice

  • Overcoming the fear of criticism

  • Understanding struggle as an opportunity to learn, and ultimately to help others heal from that very same struggle down the road

  • The diet culture embedded in some of the content within the self-acceptance community

  • Feeling confident in our new definition of health, and finding ways to navigate the diet-culture world as an anti-diet advocate

  • The intentional structure of the original Intuitive Eating book, and the importance of not using the principles of gentle nutrition and feeling your hunger/fullness as excuses for restriction

  • How to root out the diet mentality in your marketing material and still make money without promising weight loss

  • Bridging the personal and the professional, learning the art of self-disclosure, and practicing as a recovered clinician

  • The value in clinical supervision

  • Assessing your readiness to work in the disordered eating field, and choosing to work with the population that lights your fire

  • Avoiding burnout by seeking out self-care and setting boundaries

 

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 we do if meal plans make us feel restricted? Are there other ways to make sure we’re eating enough throughout the day? How do we handle overeating or bingeing in recovery from a restrictive eating disorder? Is there a way to reconnect to our body trust, and to get back in touch with our hunger and fullness signals? Can mild restriction still lead to feelings of deprivation and, ultimately, binge eating? What are the prolonged consequences of restriction?

(Resources Mentioned: Food Psych Episode #127: Intuitive Eating & Health At Every Size FAQs with Ashley Seruya & Christy Harrison, Evelyn Tribole’s Food Psych Podcast episode)

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