HAES

Food Psych #199: PCOS and Food Peace with Julie Duffy Dillon

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Fat-positive dietitian Julie Duffy Dillon joins us to discuss common misconceptions about managing polycystic ovarian syndrome (PCOS), how weight stigma harms people with PCOS, why you shouldn’t believe the hype about certain foods causing inflammation, the connection between PCOS and binge eating, the importance of considering that PCOS occurs in people of all genders, and so much more! Plus, Christy answers a listener question about the problems with a particular multi-level-marketing diet and the concept of “accountability” in the fitness world.

Julie Duffy Dillon is a Fat Positive Dietitian, Eating Disorder Specialist, and Food Behavior Expert who partners with people along their Food Peace journey. Julie began specializing in treating Polycystic Ovarian Syndrome in 2005 after noticing the connection with weight bias and eating disorders. She sought training on the physiology and endocrinology from pioneering experts willing to not focus on weight loss and diets to treat the complicated condition. This insight has provided people with PCOS to advocate for their physical and emotional health without torturing themselves with diets.

Julie hosts the weekly podcast Love Food. It is a Dear Abby show for those with eating concerns hoping to rewrite their fate. Listeners pen a letter to food outlining their complicated relationship. Julie and sometimes a guest discuss solutions before Food writes back.

She speaks around the country about anti-diet approaches to PCOS while running a group practice in Greensboro North Carolina. She was the featured expert dietitian and PCOS expert on TLC's documentary My Big Fat Fabulous Life. Find her online at JulieDillonRD.com.

We Discuss:

  • The effects of weight stigma in polycystic ovarian syndrome (PCOS) management and support

  • PCOS and My Big Fat Fabulous Life

  • Common misconceptions about PCOS management

  • The psychological consequences of PCOS

  • Julie’s practice-based evidence of PCOS management

  • Research on PCOS and weight

  • The updated evidence-based guidelines for PCOS management

  • The role of omega-3 supplementation for people with PCOS

  • Inflammation as it relates to PCOS

  • Why inflammation and “anti-inflammatory diets” are the latest bogus diet trend

  • Falsely blaming weight for medical conditions

  • The effects of weight cycling on health

  • Carbohydrate cravings among people with PCOS

  • High insulin levels in people with PCOS and what that means

  • Research on binge eating and PCOS

  • Christy’s experience with a misdiagnosis of PCOS

  • How sexism affects PCOS support from healthcare providers

  • Current research that may change the way PCOS is diagnosed

  • The importance of considering that PCOS occurs in people of all genders

  • Why it is important to have gender-affirming care for all health conditions, including PCOS

 

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 is your opinion on programs like Beach Body, and should I stop using and paying for them? Why does this program make you feel bad about yourself? Why is it important to give yourself permission to walk away from programs like this? How is this program different from a diet? How is the concept of accountability related to diet culture? How is movement different from exercise? How are the business practices of these types of program unethical? How are these businesses harmful to the coaches and clients of these programs?

(Resources Mentioned:

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Food Psych #198: Preventing Disordered Eating in the Next Generation with Lauren Muhlheim, Psychologist and Eating-Disorder Specialist

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Eating-disorders psychologist Lauren Muhlheim joins us to discuss how we can model a peaceful relationship with food for the kids in our lives, the problem with “childhood obesity” interventions, how some eating-disorder-treatment methods are being co-opted for weight loss, the rise of orthorexia, weight bias in medicine and the eating-disorders field, and so much more! Plus, Christy answers a listener question about the Biggest Loser reboot and shares the official description that will be on the book jacket of her upcoming book, Anti-Diet: Reclaim Your Time, Money, Well-Being, and Happiness Through Intuitive Eating.

Lauren Muhlheim, Psy.D., FAED, CEDS is a psychologist, certified eating disorder specialist (CEDS), and IAEDP (International Association of Eating Disorder Professionals) - approved supervisor who provides evidence-based treatment for eating disorders in the outpatient setting. She directs Eating Disorder Therapy LA in Los Angeles and is able to provide teletherapy in California and New York. She provides cognitive-behavioral therapy (CBT) for adults and family-based treatment (FBT) for adolescents and adheres to Health at Every Size® principles. She is certified in FBT by the Training Institute for Child and Adolescent Eating Disorders.

Dr. Muhlheim is the author of When Your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Overcome Anorexia, Bulimia, and Binge Eating, published by New Harbinger Publications in September, 2018. This book is an FBT-based book for parents who are helping adolescents with eating disorders.

Dr. Muhlheim is active in several professional organizations. Dr Muhlheim is the Eating Disorders Expert for Verywell (formerly About.com) and is Clinical Director of the Eating Disorder Information website, Mirror-Mirror Eating Disorders. She presents nationally to parents, professionals, and trainees. She is active on social media and in eating disorder advocacy efforts. Find her online at EatingDisorderTherapyLA.com

Christy’s upcoming book, Anti-Diet: Reclaim Your Time, Money, Well-Being, and Happiness Through Intuitive Eating is NOW AVAILABLE FOR PRE-ORDER! Be one of the first to get a copy of the book and help spread the anti-diet message to more people when you pre-order at christyharrison.com/book.

We Discuss:

  • The lineage of dieting in Lauren’s family

  • Her different experiences with dieting

  • What helped her overcome dieting and disordered eating

  • What motivated her to become an eating-disorders psychologist

  • Psychodynamic therapy and cognitive-behavioral therapy (CBT)

  • Enhanced cognitive-behavioral therapy for eating disorders (CBT-E)

  • How CBT is often co-opted for weight loss

  • Adopting a weight-inclusive approach in the weight-centric healthcare field

  • Lauren’s different roles throughout her career as a psychologist, including starting the Shanghai International Mental Health Association

  • Family-based treatment (FBT)

  • Weight bias and diet mentality in the eating-disorders field

  • Goal weights in eating-disorder recovery, and the problem with setting them too low

  • Parents gaining weight and recovering from diet culture when helping their child recover from an eating disorder

  • Why diagnostic criteria for eating disorders can be problematic

  • Orthorexia, and how our culture has contributed to its development as an eating disorder

  • Health At Every Size as a treatment framework for eating-disorder recovery

  • How parents, especially those who are in eating-disorder recovery, can model a more peaceful relationship with food for their children

  • Ellyn Satter’s Division of Responsibility (DoR)

  • Why DoR doesn’t work for kids with eating disorders

  • Early signs of disordered eating in children

  • FBT as an early intervention for disordered eating in kids

  • How eating disorders are often missed in sports and healthcare

  • The problem with “childhood obesity” interventions

  • Lauren’s book, When Your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Overcome Anorexia, Bulimia, and Binge Eating

 

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 is Christy and the Health At Every Size community saying about the return of The Biggest Loser? What were some of the harmful outcomes of the show? How does The Biggest Loser uphold The Wellness Diet? What makes The Wellness Diet so harmful? Why are there doubts that The Biggest Loser reboot won’t be different from the original version? What are some ways that people can speak out against this show?

(Resources Mentioned:

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Food Psych #197: Hormones, Disordered Eating, and How The Wellness Diet Harms Your Health with Robyn Nohling

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Nurse practitioner and fellow HAES dietitian Robyn Nohling joins us to discuss her experiences with disordered eating and hypothalamic amenorrhea (HA), how diet culture wreaks havoc on our hormones, why doing less may actually be better for our health, how The Wellness Diet is making us sicker, and so much more! Plus, Christy answers a listener question about how to navigate intuitive eating with diabetes.

Robyn’s own health journey has been the catalyst to her career focused on counseling, nursing, mentoring, and teaching in the field of women's health and eating disorders. As a Board Certified Family Nurse Practitioner and Registered Dietitian, Robyn specializes in hormone & reproductive health along with eating disorders and disordered eating. She uses a weight-inclusive and non-diet approach and firmly believes health goes far beyond your plate and exercise routine. Alongside her private practice, blog and inpatient NP position, Robyn opened an online learning center in 2017 to both educate other practitioners and empower women to advocate for their own health and healing.

In both her RD and NP practices, Robyn works through the Intuitive Eating and Health At Every Size® framework. She is a member of and involved in several women's health and eating disorder organizations including the International Association of Eating Disorder Professionals, Nurse Practitioners in Women's Health, and the International Federation of Eating Disorder Dietitians.

When she's not working with women or behind the screen, she enjoys exploring Boston and the northeast with her husband and baby boy, traveling despite her fear of flying, cooking new recipes, hosting others in her home and experiencing the food scene wherever she might be. Robyn loves connecting on social media. Follow her on Instagram and Pinterest, join The Real Life Facebook community, and check out her blog, The Real Life RD.

We Discuss:

  • How Robyn’s relationship with food and her body started shifting in high school

  • How her weight loss was normalized as “healthy”

  • Hormonal and menstrual concerns, and how they are often overlooked

  • How Robyn’s eating disorder evolved throughout college

  • “Ideal body weight,” and why it is bullshit

  • Michael Pollan and the “real food” movement

  • The links between Michael Pollan’s work, fatphobia, and orthorexia

  • Alcohol, and its role in Robyn’s eating disorder

  • What sparked Robyn’s interest in hormonal health

  • Her and Christy’s experiences with hypothalamic amenorrhea (HA), and the lack of support they received

  • The prevalence of disordered eating in the dietetics field

  • Why Robyn feels nursing school was a “healing experience” for her

  • How she got her period back after missing it for 10 years

  • How diet culture affects our hormonal health

  • “Sick thyroid” syndrome, and how restriction can affect thyroid function

  • The lack of evidence for cutting out gluten and dairy for autoimmune conditions

  • Stress, cortisol, and their effects on hormonal health

  • How The Wellness Diet is actually making us sicker

  • Diet culture in conventional and alternative healthcare

  • Why diets and food rules can be appealing

  • How disordered eating clouds our intuition

  • Robyn’s experiences with pregnancy and breastfeeding

  • The harmful messages regarding body size for people who are pregnant or postpartum

  • Intuitive eating, and how it can benefit reproductive health

  • The need for more research on HAES®, healthcare, and fertility

  • What it would take to shift fertility medicine toward HAES

  • Robyn’s course for health professionals

 

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 can a person with diabetes or another chronic condition navigate intuitive eating? What can make intuitive eating particularly difficult for someone with type 1 diabetes? What is the difference between type 1 and type 2 diabetes, and not having diabetes? What are some intuitive eating skills that can apply for people with diabetes? Why is it important to make peace with all foods in diabetes? Why is it OK for people with diabetes to sometimes have blood sugars outside of the “normal” range?

(Resources Mentioned:

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Food Psych #196: Diet Culture’s Racist Roots with Sabrina Strings

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Sociologist and author Sabrina Strings joins us to discuss her new book, Fearing the Black Body: The Racial Origins of Fat Phobia; the history of how “race science” led to the development of diet culture; the many problems with using weight as a measure of health; how culture influences science; and so much more! Plus, Christy answers a listener question about how to tell the difference between diet-culture rules and intuitive observations about foods that help us feel our best.

Sabrina Strings is Assistant Professor of Sociology at the University of California, Irvine, and a former Berkeley Chancellor’s Postdoctoral Fellow in the Department of Sociology and the School of Public Health at the University of California, Berkeley. Her work has appeared in the Journal of Women in Culture and Society, The Feminist Wire, and Feminist Media Studies. Find her online at uci.academia.edu/SabrinaStrings.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion, including lots of plus-sized options. Download the free app and enter invite code FOODPSYCH for $5 off your first purchase.

We Discuss:

  • How Sabrina’s grandmother influenced her relationship with food growing up, as well as her current sociology work

  • What is considered a “desirable” black body

  • Her decision to become vegetarian, and now pescatarian

  • The role of cooking in her and Christy’s relationships with food

  • Sabrina’s grandmother’s reaction to diet culture

  • The life-and-death situation that inspired Sabrina’s graduate studies

  • The problems with conflating weight and health

  • Her experience with fatphobia in the medical system, despite being within the “normal” BMI range

  • How weight stigma in healthcare worsens health

  • Her book, Fearing the Black Body: The Racial Origins of Fat Phobia

  • Why BMI continues to be used as a measure of health, despite evidence proving otherwise

  • Weight research, and its ties to the weight-loss industry

  • The racist roots of diet culture

  • The history of “race science”

  • The links between “race science”, politics, and capitalist interests

  • Why science is not completely objective

  • How culture influences science

  • Spreading the Health At Every Size® message to the mainstream medical community and education

  • The need for cultural competency in healthcare

  • The increasing acceptance of HAES® and anti-diet work

  • The role of religion in the establishment of diet culture

  • The coded ways we talk about race

  • How the racist origins of fatphobia affect white women, too

  • Intersectionality, and how racism reinforces other oppressive hierarchies

  • Why all body ideals are unattainable

  • How beauty is both empowering and oppressive

 

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 can someone tell the difference between a diet-culture food rule, and what makes their body feel their best? How can someone figure out how much to eat without restricting, and also without eating too much so that they don’t feel well? What are some of the ways that diet culture can co-opt intuitive eating? Can our physical symptoms always be traced back to what and how much we eat? What are some other potential reasons why a “large” nighttime snack might leave someone feeling tired the next day? Where might diet mentality be showing up in self-judgments of eating “large” amounts of food? What are some coded words that diet culture uses to mean “fat” and reinforce fatphobia? How can internalized fatphobia and diet-culture beliefs contribute to struggles with intuitive eating? What are some of the subtle differences between unconditional and conditional permission to eat? Why is it normal to eat to the point of discomfort in the early stages of intuitive eating?

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Food Psych #195: Why Fatphobia Hurts All of Us with Sofie Hagen

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Comedian, author, and fellow podcaster Sofie Hagen joins us to discuss her new book, Happy Fat; how fatphobia affects people of all sizes; why health isn’t a matter of individual responsibility (and why framing it as one is oppressive); how science often gets twisted by diet culture and the media, and so much more! Plus, Christy answers a listener question about how to define “health” outside of diet culture.

Sofie Hagen is a stand-up comedian, author, podcaster, fat activist and blogger. A modern legend in her native Denmark, Sofie burst onto the British comedy scene by winning Best Newcomer at Edinburgh Festival 2015. Her 2016 follow-up, Shimmer Shatter, was a second total sell-out, which followed again with another sellout show in 2017, Dead Baby Frog. Sofie has spoken to millions as host of her successful Made of Human podcast, as well as Secret Dinosaur Cult and Comedians Telling Stuff. Her first book, Happy Fat, is published in the UK by 4th Estate on May 2, 2019. Find her online at SofieHagen.com.

We Discuss:

  • The many factors that contributed to Sofie’s negative relationship with food growing up

  • Why fat people are resilient, not weak

  • The different levels of fatphobia, and how they relate to thin privilege

  • The discomfort of acknowledging our privileges and biases

  • How we all have a role to play in social justice

  • Sofie’s history of depression and binge-eating disorder

  • Sofie’s and Christy’s experiences in therapy

  • Why the “individual responsibility” narrative is oppressive

  • How body positivity has been co-opted by diet culture

  • Sofie’s rebellious nature as a child

  • How she was introduced to feminism and body liberation

  • Her new book, and what it was like to share it with people around her

  • Responding to people who are indifferent or opposed to body liberation

  • The parallels between The Wellness Diet and how Hitler talked about health

  • The history of diet culture and weight stigma

  • Fatphobia in progressive spaces

  • Why fat jokes are cheap and harmful forms of comedy

  • How fatphobia affects everyone

  • Jes Baker’s body currency theory

  • How diet culture and American culture reinforce the harmful belief that we all can be “above average”

  • Science and research, and how it’s often twisted by diet culture and media

  • Corporate sponsorship of “o-word” research

 

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 is “health” defined in the Health At Every Size® paradigm? How are fitness level and health related? Is it possible to be healthy without being fit? What is the difference between “having health” and “being healthy?” What is the difference between diet culture’s and HAES®’s versions of health? Is it possible to be fit and not in good health? Can people with chronic conditions have health? What are some of the factors that contribute to a person’s health? What are social determinants of health, and how much do they contribute to health?

(Resources Mentioned:

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Food Psych #194: The Truth About Weight-Loss "Success Stories" with Carrie Dennett

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Fellow anti-diet dietitian, certified intuitive eating counselor, and journalist Carrie Dennett joins us to discuss her experiences with “successful” dieting and being part of the National Weight Control Registry (NWCR), why she ultimately stopped dieting and embraced Health At Every Size®, the many problems with the NWCR, why the vast majority of intentional weight-loss efforts fail, how weight stigma affects people of all sizes, and so much more! Plus, Christy answers a listener question about whether to expect weight loss with intuitive eating.

Carrie Dennett is a Pacific Northwest-based registered dietitian, Certified Intuitive Eating counselor, journalist, author and blogger. She writes a weekly nutrition column for The Seattle Times and contributes regularly to The Washington Post. Carrie is the author of Healthy For (Your) Life: A Holistic Approach to Optimal Wellness, which blends intuitive and mindful eating with a non-diet approach, current nutrition science, and a lot of nutrition myth-busting—principles she also brings to her virtual private practice. She is a second-career dietitian who worked as a newspaper journalist for many years before earning her Master of Public Health in nutritional sciences from the University of Washington. Find her online at NutritionByCarrie.com.

We Discuss:

  • The positive and negative aspects of Carrie’s relationship with food, body, and physical activity growing up

  • How easily children can pick up on diet-culture messaging

  • The harmful effects of weight shaming

  • Carrie’s early experiences with dieting, and how that led to years of yo-yo dieting

  • What made her decide to become a dietitian

  • Her experience with, and criticisms of, the National Weight Control Registry (NWCR)

  • The history of the NWCR

  • The research on the failure rate of diets

  • The problem with the siloing of research

  • What motivated Carrie to give up on dieting

  • Paradigm straddling in the dietetics field

  • How learning about the social determinants of health helped to shift Carrie and Christy’s thinking about health

  • How Health At Every Size® is becoming more incorporated in dietetics training and practice

  • Self-compassion, and its role in examining our own biases and dietetics practice

  • Why it’s important to fight against societal weight stigma, not just internalized weight stigma

  • Why social justice is an important but overlooked part of dietetics practice

  • Privilege, and how it can affect our relationship with diet culture

  • How privilege doesn’t provide complete protection from diet culture and body hatred

  • Weight stigma, and how it affects people of all sizes

 

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

Is weight loss possible with intuitive eating? How does diet culture condition us to desire a smaller body? Why do some people have a smaller body than others? What is “thin privilege”? Why is it important to acknowledge size diversity? Why is diet culture a Life Thief?

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Food Psych #193: Feminism, Marketing, and Breaking Free from Diet Culture with Kelly Diels

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Writer and feminist marketing consultant Kelly Diels joins us to discuss the links between diet culture, patriarchy, and anti-feminist marketing practices (aka The Female Lifestyle Empowerment Brand); the role of abundance in healing from diet culture; how to reclaim your life from The Life Thief; understanding and healing our relationship with money; and so much more! Plus, Christy answers a listener question about what to do if you’re one of those weight-loss “success stories” who’s actually just in the throes of disordered eating.

Kelly Diels (she/her) is a writer and feminist marketing consultant. She writes about a phenomenon that she calls "The Female Lifestyle Empowerment Brand," which she does not think is a good thing for women or our world. Kelly believes, instead, that we are culture makers and can create the culture we want to live in, right now. Kelly is also the Director of Marketing and Communications for SheEO (all opinions are her own). Find her writing and online workshops at KellyDiels.com.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion, including lots of plus-sized options. Download the free app and enter invite code FOODPSYCH for $5 off your first purchase.

We Discuss:

  • Kelly’s fraught relationship with food growing up

  • The societal messages about femininity that contributed to her eating disorder as a teenager

  • Kelly and Christy’s experiences as outspoken children growing up

  • The links between diet culture and patriarchy

  • Why adolescence is a high-risk time for eating disorders, especially for femme-identifying teens

  • How breaking free from diet culture has changed Kelly’s parenting

  • Why adolescence is a good time to introduce systemic analysis

  • The role of the Health At Every Size® and fat acceptance movements in Kelly’s recovery from anorexia and bulimia

  • Taking your life back from The Life Thief that is diet culture

  • How experiencing fatphobia can give people a heightened ability to recognize systemic oppression

  • Signs of a cultural shift toward increased fat acceptance

  • Community, including virtual communities, and their importance in recovering from diet culture

  • The “contagious” nature of cultural change

  • How Kelly was introduced to feminism, and how it helped her recover from the trauma of sexual abuse

  • The many anti-feminist practices in marketing today, and how it led her to her current work as a feminist marketing consultant

  • The meaning behind her motto, “We are the culture makers”

  • Why our friends and family can influence us more than big brands

  • The Female Lifestyle Empowerment Brand (FLEB) and how to divest from it

  • The men’s-rights activist lineage behind many FLEB marketing techniques

  • Why money and resources are important in divesting from FLEB

  • The parallels between the traumas of diet culture and poverty

  • Abundance, and its role in healing from diet culture

  • Creativity and ingenuity as survival tools

  • The creativity inherent in many of the coping mechanisms that are demonized by our society, such as binge eating and addiction

  • Media and resources as a form of community

  • Kelly’s work with SheEO

  • The difference between how women and men spend their income

  • Understanding and healing our relationship with money

  • The importance of having money and resources for survival, especially for marginalized people

 

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 the “95-98% of diets fail” statistic come from? Is it true that of the small percentage of people who are able to maintain long-term weight loss, most are struggling with some form of disordered eating? What is the true meaning of “body positivity?” How can a person be happier in a larger body when they know that they are engaging in unhealthy habits that are contributing to weight gain? What does Health At Every Size actually entail? How is HAES a holistic approach? Why are higher body weights generally considered unhealthy? What are some factors that could lead to people in larger bodies having more negative health outcomes? Why is it important to recover from disordered eating? How can weight stigma and other forms of discrimination contribute to poor health? Are there any health conditions that can only be managed with weight loss?

(Resources Mentioned (TW for all research papers mentioned for specific weight numbers, o-words, fatphobic language, and/or description of disordered eating behaviors):

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Food Psych #187: How to Make the World More Accessible for ALL Bodies with Alissa Sobo

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Software engineer and Ample co-founder Alissa Sobo joins us to discuss how being fat-shamed at the doctor’s office inspired her to create the Ample app, how to improve the accessibility of public spaces for people in ALL bodies, her journey through disordered eating and recovery, why business reviews are a form of education and advocacy, and so much more! Plus, Christy answers a listener question about whether the principles of intuitive eating and Health At Every Size® still apply for older people.

Alissa is a software engineer and a cofounder of Ample, a review website, like Yelp, for rating doctors, services, and establishments on their accessibility and inclusiveness towards fat, trans, disabled, and BIPOC bodies. Ample has amassed over 700 reviews and recommendations across 10 countries since its beta launch in 2018. Alissa began the open-source, volunteer-led project in 2017 after experiencing fat shaming at the doctor during her pregnancies. While there were some nascent resources for finding fat friendly services at the time, she started Ample with the hope of improving these tools with up-to-date technologies, centralizing the information into one easy-to-find repository, and honoring the intersectional identities of communities. When she’s not coding, she can be found riding bikes and gardening with her family in Portland, OR. Find her online at IsItAmple.com.

Help us and our potential advertisers learn a little bit more about you. Visit podsurvey.com/foodpsych to take an anonymous survey, and you can enter to win a $100 Amazon gift card. Terms and conditions apply.

This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

We Discuss:

  • Alissa’s experiences growing up as a larger-bodied child

  • How her relationship with food and her body developed into an eating disorder

  • How she learned about Health At Every Size

  • How where we live can influence our relationship with food and our bodies

  • Body acceptance, and how it can look different for everyone

  • Her experience of being fat-shamed at the doctor’s office, and how it inspired her to start Ample

  • How creating the app helped her to learn more about accessibility

  • Why Ample is for all marginalized identities, not just larger bodies

  • The mechanics behind the app

  • Practical strategies for increasing accessibility, even when space and/or funds are limited

  • Advocating for ourselves, and the work that it can take to be comfortable doing so

 

Resources Mentioned

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

  • Virgie Tovar’s work, and her first, second, and third appearances on Food Psych®

  • Health At Every Size by Linda Bacon (and their Food Psych episode) (CW: Dr. Bacon no longer recommends the book Health At Every Size and instead directs people to their second book, Body Respect)

  • Hot & Heavy by Virgie Tovar

  • Shoog McDaniel’s work

  • The Ample app

  • Corissa Enneking’s work, and her Food Psych episode

  • Fat Friendly Docs

  • Ragen Chastain’s work, and her first and second appearances on Food Psych

  • Ample on Facebook and Instagram

  • Help us and our potential advertisers learn a little bit more about you. Visit podsurvey.com/foodpsych to take an anonymous survey, and you can enter to win a $100 Amazon gift card. Terms and conditions apply.

  • This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

     

Listener Question of the Week

Is there any point in Health At Every Size and/or intuitive eating where an older person with health concerns should consider weight loss? Is there an age limit to HAES and intuitive eating? What are the effects of dieting, or any intentional weight loss? What are the consequences of weight cycling and weight stigma? How can a person access healthcare that doesn’t involve weight cycling or weight stigma? What are some things you can prepare ahead of a doctor’s appointment?

(Resources Mentioned:

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Food Psych #182: Fitness Culture, Hypothalamic Amenorrhea, and Why Health Is Not an Obligation with Cara Harbstreet

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Non-diet dietitian Cara Harbstreet joins us to discuss hypothalamic amenorrhea and the lack of adequate care in conventional and alternative health, the normalization of diet-culture thoughts and behaviors in collegiate athletics and dietetics education, why thin privilege and other privileges don’t necessarily protect a person from internalizing body shame, why you don’t have to engage in or value movement or health, and so much more! Plus, Christy answers a listener question about whether weight loss is necessary for conception and pregnancy.

Cara Harbstreet is a Kansas City-based non-diet dietitian. She's the owner of Street Smart Nutrition, a food blog that celebrates fearlessly nourishing meals and explores food-related topics. She's also the founder of Libre Connections, a digital platform that connects clients to HAES-informed dietitians for virtual coaching services. Her mission is to provide greater access to the support so many of us need for our healing journeys to take place, as well as providing opportunities for dietitians who aspire to work in this area. She is passionate about advocating for change both within and beyond the dietetics profession. Cara is an active volunteer for multiple professional organizations and recently authored a cookbook, The Pescetarian Cookbook: The Essential Kitchen Companion, to promote a more realistic and simple approach to home cooking for health and happiness. When not occupied with work, she can usually be found checking out the local food scene, spending time outdoors, or experimenting in the kitchen. Find her online at LibreConnections.com.

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We Discuss:

  • How Cara’s parents’ emphasis on family meals positively influenced her relationship with food growing up

  • Thin privilege, and how it and other privileges don’t necessarily protect a person from internalizing body shame

  • The normalization of diet culture in collegiate athletics, and how this affected Cara’s relationship with her body

  • How over-exercising affected her athletic performance and overall health

  • Hypothalamic amenorrhea (HA) (aka missing periods), and her experience of being misdiagnosed with PCOS

  • The lack of competent care from conventional and alternative health practitioners when it comes to menstrual and hormonal issues

  • How “fear talk” associated with some medical diagnoses perpetuates diet culture

  • How diet culture skews our view of how much food or activity is “normal”

  • Dietetics education, and how it reinforces diet mentality and behaviors

  • Cara’s experience working at a weight-loss camp for children

  • One of her key strategies to help recover from diet mentality

  • What helped her push diet culture away and start to heal her relationship with food and her body

  • Her experience with the “honeymoon phase” of intuitive eating

  • Why she credits some of her business success to intuitive eating

  • Exploring other forms of movement after her collegiate athletic career

  • Giving ourselves permission to not engage in physical activity

  • Why you don’t owe anybody your health, even if it is something that you value

  • How participating in The Wellness Diet is a form of privilege

  • A quick litmus test to see whether an activity is right for you

 

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

Can weight loss help regulate hormones and increase fertility? Is it possible to try to lose weight without relapsing into eating disorder behaviors? What are some ways that the eating disorder voice or diet culture messaging can show up for people? What is harmful about intentional weight loss? What is likely behind difficulties with conceiving for people in larger bodies and why don’t we hear about them? What is hypothalamic amenorrhea (HA) and what are some of its risk factors? What can a person do instead to help increase their chances of conception?

Resources Mentioned

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Food Psych #181: How to "Just Eat It" and Break Free from Diet Culture with Laura Thomas

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Intuitive eating counselor and author Laura Thomas joins us to discuss the problems with The Wellness Diet, why subtle levels of weight stigma are so hard to pinpoint and eradicate, why "emotional eating" and turning to food for comfort are falsely demonized in diet culture, why people in the nutrition field often struggle in their own relationships with food, her new book Just Eat It, and lots more. Plus, Christy answers a listener question about whether the 12-step model works for food issues.

Laura Thomas, PhD is an AfN Registered Nutritionist and Certified Intuitive Eating Counsellor specialising in intuitive eating, mindful eating, weight-inclusive and non-diet nutrition. She has a BSc in Health Sciences from the University of Aberdeen, a PhD in Nutritional Sciences from Texas A&M University, and completed her post-doctoral research at Cornell University in behavior change. She is the host of Don’t Salt My Game podcast and was the Nutritionist for the 2017 BBC1 documentary Mind Over Marathon. She established the London Centre for Intuitive Eating in 2017 to help clients and train clinicians in Intuitive Eating. Her first book, Just Eat It: How intuitive eating can help you get your shit together around food was published this month by Bluebird Books. Find her online at LauraThomasPhD.co.uk.

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We Discuss:

  • How Laura’s difficult family life mirrored her complicated relationship with food and her body

  • Why it’s normal for people, especially children, to turn to food for comfort

  • The factors that reinforced Laura’s disordered eating

  • How we were introduced to Health At Every Size®, and why it can be difficult for people to embrace the paradigm

  • Why people in the nutrition field often struggle in their own relationships with food

  • Our experiences with The Wellness Diet, and what helped us realize that it’s actually diet culture in disguise

  • How a lot of “anti-wellness” work is still rooted in diet culture

  • Christy’s FNCE debate, and the response from the Academy of Nutrition and Dietetics

  • The problem with how the “obesity”-industrial complex is trying to combat weight stigma

  • Our gratitude for the pioneers of the HAES® movement and the difficult work that many continue to do

  • Privilege, and how it interplays with HAES work and activism

  • Microaggressions, and how they affect people in marginalized bodies

  • Why subtle levels of weight stigma are so hard to pinpoint and eradicate

  • Why the “o-word” and labeling larger body size as a disease is problematic

  • Laura’s experiences of weight stigma in nutrition academia

  • Her book, Just Eat It: How intuitive eating can help you get your shit together around food

  • The oppressive nature of diet culture, and why liberation is important

  • How Trump embodies patriarchy

 

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 the 12-step model work for food issues? What is the difference between addiction to alcohol and substances and addiction to food? Is the feeling that food has addictive qualities the same as food addiction? What is the role of restriction and deprivation in the addictive qualities of food? What is The Restriction Pendulum? Is it possible to be “starving” without looking emaciated? What do physical and psychological starvation look like? How can intuitive eating stop The Restriction Pendulum? Why doesn’t the abstinence model work with food issues? How does the 12-step model reinforce diet culture? What is the problem with food-addiction research? What is the role of pleasure in human life?

Resources Mentioned

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Food Psych #179: How to Avoid Falling for The Wellness Diet This New Year with Colleen Reichmann

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Anti-diet therapist Colleen Reichmann joins us to discuss how to keep from falling prey to diet culture, the problem with Whole30 and other forms of The Wellness Diet, why true well-being is about so much more than food and movement, a quick way to tell if your “lifestyle change” is really a diet, why eating-disorder diagnoses are often problematic, and so much more! Plus, Christy answers a listener question about how to handle envy for people who seem to be “successfully managing” their weight.

Dr. Colleen Reichmann is a licensed clinical psychologist, practicing in Williamsburg, VA. She works in her private practice, Wildflower Therapy, and is a staff psychologist at the College of William and Mary. She is recovered from an eating disorder, and this experience sparked her passion for spreading knowledge and awareness that recovery is possible. She is now an eating disorders specialist, and has worked at various treatment facilities including University Medical Center of Princeton at Plainsboro Center for Eating Disorder Care, and The Center for Eating Disorders at Sheppard Pratt. She is an advocate for intersectional feminism, body liberation, fat acceptance, and Health At Every Size. She speaks at national and regional eating disorder conferences, and writes about body image and eating disorders for MORELove Project, Project HEAL, The Mighty, Recovery Warriors, Adios Barbie, and more. Find her online at ColleenReichmann.com.

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We Discuss:

  • The different factors that contributed to Colleen’s multifaceted relationship with food growing up

  • The insidious nature of wellness culture

  • Colleen’s foray into dieting, and eventually her eating disorder

  • How diet culture keeps disordered eating under the radar

  • Why eating-disorder diagnoses are often problematic

  • The importance of receiving treatment even when diagnostic criteria are not met

  • The power of empathy and validation, and how feeling invalidated triggered Christy further into her eating disorder

  • How Colleen’s college experience intensified her eating disorder, and the restrictive culture at some college campuses

  • Bamboo as an analogy for eating-disorder recovery

  • How Colleen’s eating disorder morphed to a “wellness” focus in graduate school

  • The problem with Whole30 and other “wellness” diets

  • Orthorexia, and the need for more research and awareness

  • The Wellness Diet, how it is really the modern incarnation of diet culture, and why it’s so problematic

  • How wellness culture capitalizes on people’s fears of illness and death

  • Privilege and oppression in clean eating and diet culture

  • Christy’s upcoming book, and how it traces the history of diet culture

  • A quick way to tell whether your lifestyle change is really a diet

  • How true well-being is about so much more than food and movement

  • How Colleen recovered from her eating disorder, and why she works in eating disorder recovery today

  • Health At Every Size®, and why it is crucial in eating-disorder treatment and recovery

  • Diet culture and fatphobia in eating-disorder treatment, and how it gets in the way of full recovery

  • Why it’s important for clinicians to work through their own biases in order to provide ethical eating-disorder treatment

 

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 can we give up the envy of those who seem to be able to stay at a lower weight through dieting and restriction? How can we give up the feelings of failure for not being able to stay at a lower weight? What is some of the research that shows the high failure rates of diets? What is likely happening when people are able to maintain a lower weight? What is thin privilege, and how is it related to other forms of privilege like male privilege or white privilege?

(Resources Mentioned:

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Food Psych #178: The Truth About High-Weight Anorexia with Erin Harrop

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Weight-stigma researcher Erin Harrop joins us to discuss how anorexia is treated (or not) in people of different sizes, how diet culture and weight stigma influence treatment and recovery for disordered eating, the problem with the “atypical” anorexia label, how improving eating-disorder treatment in people with larger bodies can benefit everyone, and so much more! Plus, Christy answers a listener question about what to do if you develop binge eating in recovery from restrictive eating behaviors.

Erin Harrop received her B.S. and MSW from the University of Washington, where she is currently a fourth-year doctoral student in social welfare. Her research interests concern eating disorders, substance abuse, and weight stigma. She sees weight-based discrimination as a critical, and often ignored, social justice issue, and her research agenda seeks to address this limitation by focusing on the systemic factors of weight stigma which impact the illness journeys of eating disorder patients. She employs an interpretive, critical feminist theory and anti-oppression lens to her work, as well as an explicit Health at Every Size® approach to the promotion of health behaviors. Her research is informed by her clinical experience as a medical social worker at Seattle Children’s Hospital, where she has worked for the past five years. Erin recently was funded for two NIH TL1 Translational Research Training grants for her dissertation research with women who have atypical anorexia. Erin is also active in the student group, SWAG (Sizeism, Weightism Advocacy Group), which she co-founded in 2012. Find her online at facebook.com/erin.harrop.3

From now until New Year’s, we’re offering gift subscriptions to the Intuitive Eating Fundamentals course. It’s the perfect gift for someone looking for anti-diet inspiration, or put it on your wishlist so that others know to get it for you. For more information, visit christyharrison.com/gift.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • “Intuitive cooking,” and how it helped to bring experimentation and joy to Erin’s relationship with food

  • Gendered messages around food

  • Diet culture, and how it steals our pleasure from food

  • Learning to trust our body’s desires for different foods

  • How diet culture and The Wellness Diet can twist our expectations of intuitive eating

  • The Restriction Pendulum

  • The role of Health At Every Size®, fat activism, and intuitive eating in Erin’s eating-disorder-recovery journey

  • Pushing beyond the “Recovery Diet”

  • How diet mentality and weight stigma amongst eating-disorder clinicians and treatment centers can hinder people’s recovery

  • Erin’s personal experiences in treatment as someone with anorexia in a lower-weight and higher-weight body

  • Why improving eating-disorder treatment for people in higher-weight bodies would improve treatment for everyone

  • Erin’s research on how anorexia is treated (or not) in people of different sizes

  • The reliance on weight in anorexia diagnoses, and how that is causing harm

  • How restriction, not weight loss or low weight, leads to the medical complications associated with anorexia

  • The delays and gaps in eating-disorder care

  • How our own biases can affect eating-disorder treatment and recovery

  • Why we shouldn’t make assumptions when people say that they’ve “restricted” or “binged”

  • How diet culture blurs the line between normal eating and disordered eating

  • Why we need to validate people’s problematic experiences with food

 

Resources Mentioned

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

  • Submit your questions for a chance to have them answered on the podcast!

  • My online course, Intuitive Eating Fundamentals, which includes monthly listener Q&A podcasts and access to my private Facebook support group. From now until New Year’s, we’re offering gift subscriptions! It’s the perfect gift for someone looking for anti-diet inspiration, or put it on your wishlist so that others know to get it for you. For more information, visit christyharrison.com/gift.

  • Erin’s Facebook page and email

  • This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

     

Listener Question of the Week

What can a person do if they’re still binge eating after they stop restricting their food? How can they accept their body while believing that they’ll gain weight eating so many calories? What are some less-obvious signs of disordered eating or thinking that can still lead to a feeling of deprivation? What’s the difference between physical and mental restriction? What’s the difference between diet culture and diet mentality? How are diet mentality and binge eating linked? Where can a person get support to overcome diet mentality and pursue eating-disorder recovery? How can a person tell whether they’re binge eating as a result of restriction or as a coping mechanism for difficult emotions? What are some ways that eating-disorder treatment can hinder recovery?

(Resources Mentioned: Anti-Diet, Health At Every Size, and Intuitive Eating Providers for Disordered-Eating Recovery, Food Psych® podcast episode 151 with Judith Matz)

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Food Psych #177: Intuitive Eating, Chronic Illness, and Breaking Free from The Wellness Diet with Linda Tucker

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Health At Every Size® health coach and certified intuitive eating counselor Linda Tucker joins us to discuss how dieting causes health problems even while purporting to solve them, how diet culture and its new guise as the Wellness Diet twist the definition of self-care and health, how intuitive eating can help with managing a chronic illness, and so much more! Plus, Christy answers a listener question about how to handle the feeling that things were just *easier* in a smaller body.

Linda is a Certified Intuitive Eating Counselor who incorporates Health at Every Size, body liberation, and intuitive living into her private coaching practice. Linda works through a truly holistic lens, meaning that ALL aspects of someones lived experience are examined. She has her own history of disordered eating and chronic illness and wants to raise awareness and release shame around both. Find her online at LindaTuckerCoaching.com.

Registration for my Master Your Anti-Diet Message course is open for a few more days! If you’re a fellow Health At Every Size practitioner who would like to learn how to refine your marketing messages so that they are aligned with HAES philosophy, sign up at christyharrison.com/message.

This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • The different factors that affected Linda’s relationship with food and her body growing up

  • Scarcity mentality, and how it played into her relationship with food

  • Struggling with body image despite having lots of privilege

  • Men and dieting

  • How fatphobia shows up in people with thin privilege

  • The toxicity of complimenting weight loss

  • Linda’s experience with diet pills and their side effects

  • Her personal journey with dieting, weight loss, and “wellness”

  • The tendency to give dieting the credit for weight loss and deny the harm that it can cause

  • Clean eating, and how it worsened her health and triggered or exacerbated chronic illness

  • Having compassion for people who are stuck in diet mentality

  • How diet culture and The Wellness Diet twist the definition of self-care and push us to blame ourselves for poor health

  • Isolation, and how it can make us susceptible to perfectionism and performing

  • Social media, and how it can perpetuate disordered thoughts and behaviors

  • Praising productivity, and how that can be problematic

  • What inspired Linda to start doing the work that she does today

  • How we sometimes use health and wellness goals to hide our true desire to lose weight

  • Diving into the meaning behind our wellness and weight goals

  • The contradictory messages from popular diet programs

  • Why intuitive eating alone isn’t enough for full recovery

  • Using the principles of intuitive eating, HAES®, and body liberation together

  • How Linda’s health concerns helped to solidify her belief in body liberation

  • Ableism, and its damaging messaging

  • The intersection of body liberation and chronic illness

  • The healing qualities of holding space versus offering solutions

  • How she uses self-care to manage her chronic health conditions

  • How our digestive system can carry a lot of tension

  • Why it’s important to oppose healthism

  • Acceptance and letting go, and how they can improve health

  • Being our “own client” first

 

Resources Mentioned

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

  • This episode is brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

Listener Question of the Week

What if being in a smaller body was easier? How can a person reconcile the freedom of intuitive eating with mourning a thinner body? Any advice to make peace with my body and its limitations today? Can changes in body size be seen as neutral? Can we manage the changes associated with weight gain without losing weight? How do diet culture and weight stigma make it difficult to live in a larger body? How can we harness our anger in mourning a smaller body? What are some ways to help reframe the discomfort that is associated with a larger body, and practice self-care and self-compassion?

(Resources Mentioned: Food Psych® episodes #113 with Sonya Renée Taylor, #119 with Ragen Chastain, and #62)

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Food Psych #176: Confessions of a Former Weight-Loss-Surgery Dietitian with Vincci Tsui

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Anti-diet dietitian and certified intuitive eating counselor Vincci Tsui joins us to discuss weight loss surgery and its consequences on physical and mental health, her journey from working in bariatrics to specializing in intuitive eating and Health At Every Size®, how dietitians get caught up in The Wellness Diet, what thin privilege really means, disordered eating and how it interplays with bariatric surgery, and so much more! Plus, Christy answers a listener question about how to deal with the fear of weight gain in recovery from an eating disorder.

Vincci Tsui is a former bariatric dietitian turned Certified Intuitive Eating Counselor and Health At Every Size advocate. She is passionate about helping people find freedom in their relationship with food and with their body, so that they can worry less and get the most out of life. Ultimately, she is on a mission to prove that it is possible to improve health without focusing on weight.

Vincci takes a collaborative and compassionate approach to nutrition counselling and coaching that is rooted in HAES® and Intuitive Eating philosophy. She believes in helping clients learn to listen to their body and their inner wisdom when it comes to making decisions around food, eating and health. Aside from her private practice, Vincci serves as the Community & Content Manager for Food Psych® Programs Inc, and is the author of The Mindful Eating Workbook: Simple Practices for Nurturing a Positive Relationship with Food. Find her online at VincciTsui.com.

Early bird registration for my Master Your Anti-Diet Message course is open for a few more days! If you’re a fellow Health At Every Size practitioner who would like to learn how to refine your marketing messages so that they are aligned with HAES philosophy, sign up at christyharrison.com/message.

Sleep better with Casper! Get $50 toward select mattresses by visiting casper.com/foodpsych and using the code FOODPSYCH at checkout.

This episode is brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

This episode is also brought to you by Poshmark, the fun and simple way to buy and sell fashion (including many plus-sized options!) Get $5 off your first purchase when you sign up with the invite code FOODPSYCH.

We Discuss:

  • How her different privileges helped to protect her relationship with food and body

  • Some of the food rules that she had growing up

  • Why so many people value “cleaning their plate”

  • Thin privilege, and how it can show up in our society

  • Why losing weight isn’t the answer to avoiding weight stigma

  • Why she pursued a career in dietetics

  • How becoming a dietitian changed her relationship with food

  • Diet culture, and how it can affect dietitians and nutrition advice

  • Her work with bariatric surgery patients

  • How current narratives around “obesity” actually helped her become a HAES practitioner

  • The Wellness Diet’s rhetoric, and how it shows up in “obesity” and bariatric care

  • What sparked her interest in HAES and intuitive eating

  • How she tried to introduce HAES concepts to people pursuing weight loss surgery

  • The Association for Size Diversity and Health (ASDAH), and its position on bariatric surgery

  • Finding the middle ground between respecting body autonomy and holding the position that weight loss surgery is harmful

  • Complications that are associated with bariatric surgery, including strictures, nutrient deficiencies, and dumping syndrome

  • Disordered eating, and how it can interact with weight loss surgery

  • Why diagnostic criteria for eating disorders can sometimes be problematic

  • Eating disorders, and how they can get missed in diet culture

  • Nutrition recommendations post-bariatric surgery, and how they can affect a person’s relationship with food

  • How bariatric surgery is presented to patients, and how that can affect their mindset and expectations of the surgery

  • The consequences of bariatric surgery on physical and mental health

  • When bariatric surgery outcomes don’t meet expectations

  • HAES as an alternative to weight loss surgery

  • Finding her niche in HAES and intuitive eating

  • Attracting clients as a private practice dietitian

  • Vincci’s current and upcoming projects

  • The overlap between yoga, intuitive eating and mindful eating

 

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 if my set point weight is much higher than my current weight? How can I keep my fear of weight gain from getting in the way of my eating disorder recovery? Why is getting rid of the diet mentality and embracing Health At Every Size so important in eating disorder recovery? What are the risks of bulimia and other eating disorders to health? If higher weights don’t cause poor health, then what does? What are some strategies to help overcome internalized weight stigma? Why is it not recommended to jump into intuitive eating directly from an eating disorder? Where can I find support for eating disorder recovery? What if my finances are limited?

(Resources Mentioned: Intuitive Eating Fundamentals course, Food Psych® Podcast episode #172, Slides from Christy’s FNCE debate, Meredith Noble’s work and Food Psych® Podcast episode, Body Positive Instagram Accounts, Certified Intuitive Eating Counselor directory, Heidi Schauster’s work and Food Psych® Podcast episode, Jessi Haggerty’s work and Food Psych® Podcast episode, Haley Goodrich’s work and Food Psych® Podcast episode, Marci Evans’ work and latest Food Psych® Podcast episode, Project HEAL, Nalgona Positivity Pride)

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Food Psych #173: How Diet Culture Steals Our True Culture with Melissa Carmona

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Health At Every Size® counselor Melissa Carmona joins us to discuss how her Colombian roots shaped her relationship with food and body, the role of discrimination and food insecurity in triggering her disordered eating, how diet culture took her away from her heritage, how to set boundaries with people who are less receptive to the HAES message, how she’s helping her young daughter preserve her natural intuitive eating skills, and so much more! Plus, Christy answers a listener question about how to handle overeating after a period of food insecurity.

Melissa is a bilingual Clinical Mental Health Counselor in Greensboro and Winston-Salem, North Carolina. Her experience as a counselor includes helping people heal from eating disorders, trauma, depression, and anxiety. She works through a HAES® and Intuitive Eating lens, which has allowed her to view other aspects of our identities through that same lens as well.

Being the daughter of immigrants, growing up in Colombia (South America) and having Latinx roots are an essential part of what shaped who she is—including her personal beliefs, the route of her career, and the relationship with her body and food. It was in Colombia that she had her first exposure to mental illness and the stigma that comes with this as well.

The experience that she’s had in both the USA and Colombia is allowing her to reflect on the influence that culture has on the way we see and treat ourselves, and being able to acknowledge her privileges or lack thereof within these have also been a powerful awakening of how much control our cultures can have over any type of healing that needs to happen in our lives. Find her online at ThreeBirdsCounseling.com.

Tomorrow, November 6 is Election Day! This could the most important midterm elections in our lifetime, so make sure you have a plan on when and how you’re going to get out and vote. Visit Vote.org for general election information, including registering to vote, and VoteSaveAmerica.com to find out about events and rallies in your area.

We Discuss:

  • How her family’s Colombian roots influenced her relationship with food

  • Beauty pageants in Colombian culture, and how this affected her relationship with her body

  • The mixed messages that she received about food and body growing up

  • How the desire to fit in contributed to her eating disorder

  • The role of food insecurity in binge eating

  • The problem with restricting the types of food that can be purchased with food stamps

  • How dietitians and nutritionists cause harm when prescribing weight-loss diets

  • The importance of cultural awareness in healthcare

  • How her eating disorder stole her connection to her cultural background

  • Reconnecting with the pleasures of food in eating disorder recovery

  • The discrimination she faced when she moved to the US

  • The influence of oppressive patriarchal systems on diet culture

  • What led Melissa to her work as a counselor and in social justice

  • Helping clients navigate our current political climate

  • How Melissa’s work in Health At Every Size has influenced her own relationship with food

  • The sneaky, shape-shifting nature of diet culture

  • Seeing her young daughter naturally eat intuitively

  • Imagining what the world would be like without diet culture

  • Sharing the HAES message with her family members, and setting boundaries with those who are less receptive

  • Connecting with personal experience instead of science

  • The negative experiences that her family members have had with bariatric surgery

  • The difficult journey through diet culture to HAES

  • Recognizing a person’s worth beyond their size

  • Why we shouldn’t compliment people on weight loss

  • How we start receiving diet culture messaging at a very young age

  • Sharing the anti-diet messages we wish we had heard when we were younger

 

Resources Mentioned

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

  • Audre Lorde’s work

  • Maria Paredes’s work, and her Food Psych® Podcast episode

  • Gabriela Stein’s work

  • Nalgona Positivity Pride, and founder Gloria Lucas’s Food Psych® Podcast episode

  • Melissa on Facebook and Instagram

  • Tomorrow, November 6 is Election Day! This could the most important midterm elections in our lifetime, so make sure you have a plan on when and how you’re going to get out and vote. Visit Vote.org for general election information, including registering to vote, and VoteSaveAmerica.com to find out about events and rallies in your area.

     

Listener Question of the Week

How do I handle overeating after a period of food insecurity? What can the Minnesota Starvation Experiment teach us about the effects of deprivation? (CW/TW if you decide to look up the study.) How do diet culture and diet mentality affect our eating? What are the subtle ways that we might be experiencing deprivation, and how can we overcome that?

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Food Psych #171: Healthcare Without Diet Culture with Jennifer Gaudiani

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Physician and eating disorder specialist Jennifer Gaudiani joins us to discuss how healthcare professionals are doing harm by perpetuating diet culture, why people with eating disorders are often missed in our medical system, medical outcomes she has seen in some of her patients who have adopted Health At Every Size®, the role of social justice and acknowledging privilege in our work, and so much more! Plus, Christy answers a listener question about whether it’s a contradiction to be an eating-disorder treatment provider who also does bodybuilding and fitness competitions.

Jennifer Gaudiani, MD, CEDS, FAED, is the Founder/Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency/chief residency at Yale. From 2008 to 2016, she was one of the leaders of the ACUTE Center for Eating Disorders. She left after serving as its Medical Director to found the Gaudiani Clinic, which provides expert in-person and nationwide telemedicine outpatient medical care to patients of all genders with eating disorders/disordered eating and to those in recovery. The Clinic is a HAES-informed provider and embraces treating people of all shapes and sizes. Through a collaborative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

She has lectured nationally and internationally, is widely published in the scientific literature as well as on blogs and is a current member of the editorial board of the International Journal of Eating Disorders and the Academy for Eating Disorders Medical Care Standards Committee.

Dr. Gaudiani is one of very few outpatient internists who carries the Certified Eating Disorder Specialist designation. She is also a Fellow in the Academy for Eating Disorders. Find her online at GaudianiClinic.com.

This episode is brought to you by Paribus. Paribus helps you save money by monitoring online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

Ready to learn how to cook, make movies, write books, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

This episode is also brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

We Discuss:

  • How her privilege and family background shaped her relationship with food

  • Her sister’s struggle with bulimia, and how that influenced her work in eating disorders

  • Weight stigma in the medical field

  • Recognizing the harm that we as health professionals have done in perpetuating diet culture

  • When she realized ‘calories in, calories out’ doesn’t work

  • How she discovered the Health At Every Size® model and began to use it in her practice

  • Why people with eating disorders are often missed in our medical system

  • What an initial assessment looks like at her clinic

  • Medical outcomes that she has seen in some of her patients who have adopted HAES

  • The importance of having a multidisciplinary, HAES-informed team

  • The links between our healthcare system, the supposed “obesity epidemic,” and diet culture

  • How our bodies adapt to starvation

  • “Survival” genetics vs. “sensitive” genetics

  • How diets can make health issues worse

  • Why she doesn’t recommend moderation (and what she recommends instead)

  • Letting go of diet fads and embracing all foods

  • What draws people to problematic alternative-medicine practices, and what providers can do to help them re-engage in evidence-based healthcare

  • How she’s continuing to learn and integrate HAES into her practice and her book

  • The role of social justice and acknowledging privilege in our work

  • Jennifer’s book, Sick Enough: A Guide to the Medical Complications of Eating Disorders

  • The problems with our current diagnostic criteria for eating disorders

  • Atypical anorexia nervosa, and its high mortality and complication rates

  • How we can stop the spread of diet culture

 

Resources Mentioned

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

  • Submit your questions for a chance to have them answered on the podcast!

  • My online course, Intuitive Eating Fundamentals, which includes monthly listener Q&A podcasts and access to my private Facebook support group

  • Carmen Cool’s work, and her Food Psych® Podcast episode

  • Deb Burgard’s work, and her Food Psych® Podcast episode

  • Hilary Kinavey’s work, and her Food Psych® Podcast episode

  • Desiree Adaway’s work

  • Jennifer’s book, Sick Enough: A Guide to the Medical Complications of Eating Disorders (TW: Contains detailed descriptions of eating disorder behaviors)

  • Gaudiani Clinic

  • Jennifer and the Gaudiani Clinic on Facebook, Twitter, and Instagram

  • This episode is brought to you by Paribus. Paribus helps you save money by monitoring online retailers to make sure that you get the best price, and will even help you get compensated if your shipment arrives late. Head to GetParibus.com to sign up.

  • Ready to learn how to cook, make movies, write books, and more from the masters? MasterClass has launched the All-Access Pass – a thoughtful gift for the home cooks or lifelong learners in your life. Food Psych listeners can get the All Access Pass at MasterClass.com/FOODPSYCH.

  • This episode is also brought to you by TomboyX. Go to tomboyx.com/foodpsych and check out their special bundles and pack pricing. Food Psych listeners will also get an extra 15% off with the code FOODPSYCH.

     

Listener Question of the Week

Is it contradictory for eating disorder professionals to promote body acceptance and intuitive eating alongside bodybuilding and fitness competitions? What is diet culture? Would bodybuilding and fitness competitions exist without it? How are other sports related to diet culture? What if you’re an eating disorder professional with diet culture beliefs? How do you approach someone who is sharing triggering content?

(Resources Mentioned: Sand Chang’s Food Psych® Podcast episode)

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