weight loss surgery

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 #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 LisaJDuBreuil@gmail.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:

  • 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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Food Psych #138: Body Peace, Fat Acceptance, and Yoga for All Bodies with Sarah Harry

Sarah Harry

Psychotherapist and yoga instructor Sarah Harry joins us to discuss how to handle fatphobia in the family, the most important step in her journey to body peace, how diet culture drives eating disorders, weight stigma in the fashion industry, the complications of weight-loss surgery, the role of yoga in diet-culture recovery, moving from body-positive activism to fat activism, avoiding burnout as a clinician, and lots more! Plus, Christy answers a listener question about how intuitive eating can help end the restrict-binge cycle.

Sarah Harry is one of Australia’s leading Body Image and Eating Disorder specialists. Her roles in this field are varied and she offers a unique perspective as an experienced Clinician, Lecturer, Researcher, Yoga Teacher and Author. She is the co-director of Body Positive Australia alongside the amazing Fiona Sutherland.

Sarah was the first yogi in Australia to offer yoga for bigger bodies. She has practised yoga for more than 20 years and has been running specialist classes and retreats for the last few years all over Australia.

Sarah has more than 15 years’ experience counselling individuals and groups with all kinds of eating and body image issues, she has worked in the public and private sectors, lectures at universities and has just published her first book Fat Yoga - Yoga for All Bodies. Find her online at FatYoga.com.au or BodyPositiveAustralia.com.au.

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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:

  • Sarah’s relationship with food growing up, including how the thin ideal contributes to a disordered relationship with food

  • Food and body policing, including Sarah’s first diet and the rules around what she was and wasn’t allowed to wear

  • Navigating diet culture in the family

  • How we as a culture connect lovability to body size

  • Sarah’s shame around her lap band surgery

  • How diet culture and a job in fashion contributed to her eating disorder

  • Confronting the myth that eating disorders have a certain body type

  • Sarah’s experience seeking out recovery, including the most important ingredient in getting started on the path to making peace with food and her body

  • How recovery led her to go back to school for counseling and become an eating disorder clinician, and her discovery of yoga

  • Sarah’s winding path to becoming a yoga teacher focused on liberating all bodies

  • Sarah’s work with Fiona Sutherland and her practice of body peace

  • Body image, body acceptance, body shame, and the ways in which body dissatisfaction transcends body size

  • The difference between body positivity and fat activism

  • The various levels of fatphobia, including the interpersonal, the intrapersonal, and the internalized

  • How therapy has helped Sarah to heal and maintain her recovery and mental health, and the importance of therapy in general

  • How to support people through mental health struggles, and navigating the care-taking role

  • The power of supervision in professional development and support

  • How often people who are attracted to helping professions are those who have grappled with these issues themselves, and how important it is to manage our own recovery before venturing into working in the field

  • The power in sharing your recovery story

  • Navigating body acceptance and body image work, and understanding that it’s not a perfect experience

  • The malleable nature of health, and why it’s more important to pursue self-care and health behaviors that work for you than the idea of “perfect health”

  • How chronic pain and chronic illness can fit into our personal definitions of health

  • The ways in which health has become a new manifestation of diet culture and privilege

  • The myth of the “golden ticket,” and how various industries attempt to sell us products that promise happiness and a perfect life

  • Respecting everyone’s journey to Health at Every Size

  • How Health at Every Size and anti-diet work is spreading in Australia and the US

  • Sarah’s experience with lap band surgery, how it affected her body image journey and her eating disorder recovery, the dangerous side effects, and the importance of doing body image work after folks have found recovery

  • Sarah’s process of learning to eat intuitively and letting go of weight loss

  • Sarah’s experience embracing the public persona of her fat-acceptance work

  • Why diet culture is The Life Thief and how it shape-shifts in this new age of wellness

  • Prioritizing self-care, and the embracing the right to do nothing


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 manage binges during the intuitive eating process? Can intuitive eating eliminate binges completely? How does self-compassion support our recovery journey? What’s the biological processes that contribute to binge behaviors (AKA The Restriction Pendulum)? How can working with an intuitive eating dietitian help us to heal our food behaviors?

(Resources Mentioned: Certified Intuitive Eating Counselor Directory)

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