weight research

Food Psych #151: Emotional Eating and Diet Culture with Judith Matz


Anti-diet therapist and author Judith Matz joins us to talk about shifting the focus of emotional eating toward the underlying deprivation and diet mentality, why turning to food to meet emotional needs isn’t an “eating problem” but a “soothing problem,” how diet culture and marginalization rob us of the ability to meet our needs, why Health at Every Size and intuitive eating are better approaches for true health, Judith’s work teaching other therapists about weight stigma, and so much more! Plus, Christy answers a listener question about how to frame public health efforts to change the built environment in a way that doesn’t stigmatize people in larger bodies.

Judith is the co-author of two books on the topics of eating and weight struggles.

Beyond a Shadow of a Diet: The Comprehensive Guide to Treating Binge Eating Disorder, Compulsive Eating and Emotional Overeating has been called “the new bible” on this topic for professionals. The Diet Survivor’s Handbook: 60 Lessons in Eating, Acceptance and Self-Care was a #1 bestseller on Amazon and a favorite resource for therapists to use with clients. She is also the author of Amanda’s Big Dream, a children’s book that helps kids to pursue their dreams – at any size!

Judith has a private practice in Skokie, IL, where she focuses her work with clients who want to get off the diet/binge rollercoaster and learn to feel at home in their bodies. Through her individual counseling, groups, workshops, presentations and books, Judith has helped thousands of people to develop self-care skills that increase physical, emotional and spiritual wellbeing without a focus on the pursuit of weight loss. Through educational programs, she is dedicated to helping people end the preoccupation with food and weight and to fighting weight stigma.

Judith is a popular speaker at national conferences and descriptions of her work have appeared in the media including the New York Times, LA Times, Allure, Fitness, Self, Shape, Today’s Dietitian, Diabetes Self-Management, Psychotherapy Networker, NBC News Chicago, Huffington Post Live, and she appears in the documentary America The Beautiful 2. Find her online at JudithMatz.com.



  • Judith’s relationship with food growing up, including how intuitive it was when she was young, and how that changed with the introduction of body comparisons and commentary from peers

  • Recognizing the connection between restriction and binging

  • Judith’s experience with weight gain, weight cycling, and the restrict-binge cycle

  • How thin privilege shielded Judith from some of the negative impact of diet culture

  • The ways in which we can make children resilient against fatphobia and body shaming

  • The bonding experience of dieting and the toxicity of weight-related compliments

  • How many of us are complicit in diet culture even when we don’t realize it

  • The Weight Watchers announcement about their free program for teens, and why it’s unethical to be pushing intentional weight loss onto impressionable young kids

  • Why Health at Every Size is a better approach for true health

  • The shame attached to the diet-binge cycle and the inevitable weight regain

  • Judith’s professional work in mental health and therapy, and her experience working in a diet-centric program

  • Why eating behaviors aren’t all about the psychology, and why intuitive eating needs to be factored into the healing process for people struggling with binge eating

  • The ways in which physical deprivation, rather than emotional eating, drives binge behaviors

  • Why we need to suss out the influence of the diet mentality on our food choices before we ask questions about whether or not we’re emotionally eating

  • Judith’s work teaching other therapists about weight stigma, and how professionals who continue to perpetuate the diet-centric paradigm are complicit in the oppression of people in larger bodies

  • The problem with assumptions about eating behavior based on body size

  • Shifting the focus of emotional eating from being an “eating problem” to being a “soothing problem”

  • Utilizing compassion on our journey to find new coping mechanisms, and why we can always use food as an emotional coping skill

  • Shifting from being in control to being in charge

  • How leaving behind dieting and shifting to intuitive eating can decrease anxiety and allow ourselves the space to take care of ourselves through depression and other stressors

  • The ways in which diet culture and marginalization rob us of the ability to meet our needs

  • How marginalization and food insecurity affects our relationship with food and our ability to heal, and how the restrict-binge cycle becomes protective and adaptive in this situation

  • The grief process of letting go of dieting

  • The negative health outcomes related to weight cycling and weight stigma, and the health benefits of intuitive eating

  • Judith’s efforts to integrate Health at Every Size and social justice into her therapeutic practice

  • The positive and negative implications of social media, and how diet culture has gotten more aggressive while resources have become more abundant

  • Why diet culture is The Life Thief, and how it robs people of meaningful conversations



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




How do we support health for everyone and support increased access to health-promoting variables without resorting to fatphobia? Are there ways to sneak weight-incisive language into public health research? How can changes in the unit environment improve people’s health, regardless of body size? Are there ways in which individuals can develop a compulsive, extreme relationship to exercise or food commonly thought of as “healthy?” How does cultural familiarity with certain foods affect people’s ability to interact with these foods? What research is out there about weight stigma and health disparity related to social inequities?

(Resources Mentioned: "Weight Science: Evaluating the evidence for a paradigm shift” by Linda Bacon and Lucy Aphramor, Linda Bacon and their Food Psych Podcast episode, Lucy Aphramor and her Food Psych Podcast episode, "Weighed down by stigma: How weight-based social identity threat contributes to weight gain and poor health,” Journal of Social Issues, Vol 70, Number 2)

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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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