Wellness Diet

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.

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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.

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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 #174: How to Make Peace with Your Body in Pregnancy & Beyond with Angela Garbes

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Angela Garbes, author of Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy, joins us to discuss how pregnancy changed her relationship with her body, how writing her book helped her develop greater body acceptance, how our society dismisses body diversity and encourages body hatred, the importance of self-compassion, the lack of diversity in science and medicine, and so much more! Plus, Christy answers a listener question about whether eating dessert every day is a sign of “sugar addiction.”

Angela Garbes is a Seattle-based writer specializing in food, bodies, women’s health, and issues of racial equity and diversity. Garbes began writing for The Stranger in 2006, and became a staff writer in 2014. Her piece The More I Learn About Breast Milk, the More Amazed I Am is the publication’s most-read piece in its 24-year history, and the inspiration for her book, Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy. Garbes is an experienced public speaker, frequent radio and podcast guest, and event moderator. She grew up in a food-obsessed, immigrant Filipino household and now lives in Seattle with her husband and two children. Find her online at AngelaGarbes.com.

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.

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We Discuss:

  • How growing up in an immigrant Filipino household affected Angela’s relationship with food

  • How being a person of color influenced her relationship with her body

  • Some of the contradictory messaging around food and bodies in Filipino culture

  • Christy’s relationship with food and her body, and how her careers in journalism and dietetics helped her in her recovery

  • Pregnancy, and how it changed Angela’s relationship with her body

  • Realizing that the problem is not with our bodies, but with societal ideals

  • The judgment that often comes with parenting

  • Having generosity and compassion for ourselves and others

  • Acknowledging the strength it takes to survive and stay alive

  • Angela’s book, Like a Mother: A Feminist Journey through the Science and Culture of Pregnancy

  • Her path to becoming a food writer and author

  • How she almost had a career in public health and nutrition

  • Breastfeeding her daughter, and how it inspired her to write her popular piece, The More I Learn About Breast Milk, the More Amazed I Am

  • How the process of researching and writing her book helped her own body acceptance

  • Wishing that we’d heard more positive messaging around bodies growing up

  • Appreciating body diversity

  • Why Angela included parts of her own story and beliefs in her book

  • The lack of diversity in depictions of pregnancy

  • Our society’s policing of pregnant bodies

  • Intuitive eating in pregnancy

  • The surprising lack of evidence behind many of the recommendations for pregnancy

  • How intuitive eating can help with fertility

  • The non-inclusive history of science and medicine, and how that affects our understanding of bodies today

 

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 having dessert every day a sign of “sugar addiction?” Am I not getting intuitive eating in some way? Is it possible to be addicted to sugar? How do diet culture and the Wellness Diet reinforce the idea of “sugar addiction?” Is it possible to eat sugar every day and still be healthy? What are some of the benefits of eating sugar? What is the difference between intuitive eating and the diet mentality? What does “unconditional permission” mean

(Resources Mentioned: Food Psych® Podcast episode #80 with Marci Evans, Food Psych® Podcast episode #139 with Lisa DuBreuil, Sugar Addiction: The State of the Science (TW: weight/BMI numbers), etc.)

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