disordered eating

Food Psych #203: Healing from Orthorexia and The Wellness Diet with Katherine Metzelaar

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Season 6 finale! Fellow anti-diet dietitian and certified intuitive eating counselor Katherine Metzelaar joins us to discuss orthorexia within the health-and-wellness field, the cultural shift that made it seem cool to eliminate foods, mourning the loss of community and connection when you stop dieting, why growing up with a peaceful relationship with food doesn’t guarantee a lifetime of immunity against diet culture, and so much more! Plus, Christy answers a listener question about how to deal with physical discomfort like thigh chafing and waistbands digging into your belly. 

Katherine Metzelaar, MSN, RDN, CD is a Seattle-based Dietitian and Certified Intuitive Eating Counselor who is passionate about inclusive healthcare for all bodies. She is the owner and founder of Bravespace Nutrition, a private nutrition practice that helps women, both virtually and in-person, to create peace with food and their body free from rules, dieting, and perfectionism. Through the use of a client-centered, therapeutic, non-diet approach, she helps women and womxn to recover from disordered eating, eating disorders, and body image challenges. In addition to her practice, Katherine is the founder of Body Image Badass: Compassion, Connection, Embodiment, a body-acceptance group that works to create community and a safer space for women to talk about the challenges of what in means to exist in a world that seeks to control and oppress women’s bodies via dieting and body-shaming. When not at work, you can find her checking out the local foodie scene, dancing salsa, and in the pursuit of finding the best latte in town. Find her online at www.bravespacenutrition.com.

We Discuss:

  • How participating in sports can nurture your relationship with food

  • Why Katherine told herself at a very young age that she would never go on a diet and how that changed when she went to college

  • Katherine’s struggle with orthorexia

  • Katherine and Christy’s shared experience of finding connection with other women through dieting

  • How connecting over diets builds a conditional sense of belonging, and how that changes when you stop dieting

  • Mourning the loss of community, connection, and identity when you move away from diets

  • Why growing up with a peaceful relationship with food doesn’t guarantee a lifetime of immunity against diet culture

  • The cultural shift that made it seem cool to eliminate foods

  • The link between perfectionism and idealizing diets

  • Katherine’s formal nutrition education that helped her liberalize her relationship with food

  • Orthorexia within the health-and-wellness field, particularly naturopathic medicine 

  • How The Wellness Diet fails to consider the reality of food insecurity 

  • The importance of making intuitive eating more inclusive to people struggling with food insecurity

  • The surprising ways people responded to Christy’s post about inflammation

  • Taking diet culture out of how we understand “wellness” 

  • The privilege of being able to interpret and critique health and nutrition research

  • The financial burden of training to be a dietitian 

  • Working in a fatphobic environment while practicing as a Health at Every Size® provider

  • Katherine’s new YouTube channel that will further spread the anti-diet message

 

Resources Mentioned

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

Listener Question of the Week

How do I merge the two desires of having freedom with food and wanting to change my body’s size? How does diet culture affect the way you want to change your body’s size? Can you permanently shrink your body? How can you better tolerate the physical discomfort that may occur with weight changes? How does internalized fatphobia affect the way you want to change your body?

Resources Mentioned:

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Food Psych #201: The Path Back to Intuitive Eating with Devinia Noel

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Psychotherapist and fellow certified intuitive eating counselor Devinia Noel joins us to discuss how her work as a therapist influenced her own process of re-learning intuitive eating, why using food as a coping skill isn’t a bad thing, how diet culture creates shame, the need for diversity among intuitive-eating counselors, and so much more! Plus, Christy answers a listener question about what to do if you get a diagnosis of pre-diabetes.

Devinia Noel is a cognitive-behavioural psychotherapist and certified intuitive eating counsellor. She believes in a health at every size paradigm and a weight-neutral approach. Her mission is to create a safe diverse intersectional space for all individuals to develop peace with food and their bodies. Devinia is passionate about making non-diet spaces more diverse by sharing her experiences as a black woman previously trapped by diet culture. She also works in the community as a cognitive behavioural psychotherapist helping people with a wide range of problems including depression, anxiety, low self-esteem, and disordered eating. Her experience of implementing self-care and self-compassion, inspires her to encourage clients to implement these practices. When Devinia has free time, she can be found baking, lifting weights and spending time with family and friends. Find her online at DeviniaNoel.com.

We Discuss:

  • How Devinia’s relationship with food changed as she grew up, including the role of experiencing puberty and comments from family members

  • Why using food as a coping skill isn’t a bad thing

  • The pain and shame of living in diet culture

  • How to introduce intuitive eating to our families

  • Having compassion for our younger selves who were trapped in diet culture

  • The process of re-learning intuitive eating

  • How Devinia’s work as a therapist influenced her personal path toward intuitive eating

  • Weight stigma in the public-health field

  • What it’s like to be a black woman working in the anti-diet space

  • The need for more diversity among intuitive eating professionals

  • Vulnerability and navigating social media

  • The challenges and rewards of setting boundaries

  • The importance of self-care for activists

 

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

As someone living in a larger body, will my diagnosis of being prediabetic push me back towards having an eating disorder? Are there any HAES resources for people who are prediabetic? Is prediabetes a real diagnosis? Does prediabetes lead to diabetes for most people? How can healing my relationship with food help my blood sugar levels? Should I cut out carbs? Will healing my relationship with food also heal my physical symptoms?

Resources Mentioned:

  • Article about how the diagnosis of prediabetes is influenced by the pharmaceutical industry (CW: “O-words” and other diet-culture language)

  • Christy’s list of Health at Every Size providers

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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 #189: False Pictures of Health with Tiffany Roe

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Mental-health counselor and fellow podcaster Tiffany Roe joins us to discuss how diet culture paints false pictures of what health and eating disorders “look like”; the connections between religion, shame, diet culture, and eating-disorder recovery; why we need to fight fatphobia in the eating-disorder-treatment field; the importance of learning to sit with feelings of distress and discomfort; why even therapists have internalized stigma about mental illness and treatment, and so much more! Plus, Christy answers a listener question about how navigating emotional eating fits into the intuitive eating process.

Tiffany Roe is a Licensed Clinical Mental Health Counselor, psychology teacher, speaker, podcast host, & the owner of Mindful Counseling in Orem, Utah. She passionately helps her clients remember they are enough. Tiffany has focused her career on treatment for women navigating disordered eating, poor body image, poor relationships with themselves and food, anxiety, life transitions, and low self-worth. Tiffany personally survived an eating disorder and has been fully recovered for over 12 years. She passionately works to dismantle diet culture and feels called to work with women and to help them find their true purpose and self-worth. Tiffany believes you can love yourself, your mind, your body, and your relationship with food.

She attended Argosy University where she graduated with honors and received her Master of Arts degree in Mental Health Counseling in 2011. She received her Bachelor degree in Sociology from Brigham Young University in 2008. Tiffany is an award-winning teacher & speaker. She taught psychology courses in the Behavioral Sciences Department for Utah Valley University from 2012-2017. Tiffany regularly speaks for community events, workshops, and retreats. She wants to change the mental health game and make therapy accessible and cool. Find her online at TiffanyRoe.com.

This episode is brought to you by Ori, a new clothing brand that makes cute, comfortable, and modern pieces specifically designed to fit larger bodies. Head over to WearOri.com/Psych for an exclusive 15% discount for Food Psych® listeners.

This episode is also brought to you today by Katie Dalebout’s let [a podcast] out course. If you’ve ever wanted to start a podcast, this workshop, which features interviews with over 100 podcasters (including Christy,) will help you learn the ins-and-outs of podcasting, so that you can focus on crafting your own unique content. To learn more and sign up, visit LetAPodcastOut.club, and use promo code FOODPSYCH for $25 off at checkout. Sign up before March 21, 2019 to receive an additional $75 off the course.

We Discuss:

  • How growing up in a large family steeped in diet culture affected her relationship with food and with her body

  • The factors that led to her eating disorder

  • How disordered eating is often normalized or ignored because of stereotypes of what eating disorders “look like”

  • Why people who are diet culture’s “picture of health” are often secretly struggling

  • How moving to another country as a Mormon missionary exacerbated her eating disorder

  • How recovery changed her relationship with her faith and identity

  • The connections between shame, religion, and diet culture

  • Post-traumatic growth

  • Intuitive eating, and its role in eating-disorder recovery

  • What inspired Tiffany and Christy to work with eating disorders

  • Why we need to fight fatphobia in eating-disorder treatment and dietetic training

  • The importance of recognizing our own biases

  • Being open to being called out/in and educated

  • Why it’s essential for helping professionals to be aware of social justice and systems of oppression

  • Healthism in healthcare institutions

  • Sitting with our shame and discomfort in growth and recovery

  • Mental-health stigma amongst therapists

  • Tiffany’s work to break down the stigma around mental illness and treatment

  • Vulnerability, and arriving at a place where it feels safe to share personal information and experiences

  • Trust in eating-disorder recovery and intuitive eating

  • Tiffany’s podcast, Therapy Thoughts

 

Resources Mentioned

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

  • Be Nourished, and Food Psych® episodes with co-founders Dana Sturtevant and Hilary Kinavey

  • Therapy Thoughts podcast

  • Tiffany’s website, counseling practice, Facebook, Twitter, and Instagram

  • This episode is brought to you by Ori, a new clothing brand that makes cute, comfortable, and modern pieces specifically designed to fit larger bodies. Head over to WearOri.com/Psych for an exclusive 15% discount for Food Psych® listeners.

  • This episode is also brought to you today by Katie Dalebout’s let [a podcast] out course. If you’ve ever wanted to start a podcast, this workshop, which features interviews with over 100 podcasters (including Christy,) will help you learn the ins-and-outs of podcasting, so that you can focus on crafting your own unique content. To learn more and sign up, visit LetAPodcastOut.club, and use promo code FOODPSYCH for $25 off at checkout. Sign up before March 21, 2019 to receive an additional $75 off the course.

     

Listener Question of the Week

Given that emotional eating is normal, does the intuitive eating principle “Honor Your Feelings Without Using Food” still apply? What truly drives what we call “emotional eating?” Is it possible to turn to food for comfort without a background of dieting or deprivation? Why is simply replacing emotional eating with other coping mechanisms usually not effective? What are the first steps that a person take to recover from disordered eating? What are some coping mechanisms that a person can use in addition to emotional eating? What are some ways to reframe the idea of emotional eating?

(Resources Mentioned:

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Food Psych #185: How Diet Culture Hurts Your Relationships with Kristina Bruce

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Health At Every Size® life coach Kristina Bruce joins us to discuss how diet culture can affect relationships, how to find self-trust and self-acceptance in recovering from disordered eating, how diet culture shows up in spiritual communities, why health and well-being is about so much more than eating and exercise, and so much more! Plus, Christy answers a listener question about weight stigma in the military.

Kristina Bruce is a Certified Integrative Life Coach and advocate of the Health at Every Size paradigm. Calling upon her education in health studies, sociology, yoga, meditation, and The Work of Byron Katie, Kristina works one-on-one with people to help them reconnect to their bodies and feel more trusting and accepting of themselves. Find her online at KristinaBruce.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.

We Discuss:

  • Some of the covert diet culture messaging that Kristina received growing up, despite her parents avoiding overt diet talk

  • The evolution of diet culture, particularly over the last few decades

  • How Kristina’s relationship with her body changed from childhood to young adulthood

  • Yoga culture, and how it uses “spirituality” to reinforce The Wellness Diet

  • How relationships—particularly romantic relationships—can highlight and be affected by disordered relationships with food, exercise, and/or the body

  • What helped Kristina stop dieting and embrace Health At Every Size

  • Her experience of returning to dieting while in recovery

  • Diet culture in spiritual communities

  • Relearning self-trust, and why the “honeymoon phase” is sometimes necessary to get there

  • The body-soul connection

  • Self-acceptance, and its importance in recovery

  • Letting go of our inner critic

  • How relationships transform with recovery

  • Why health and well-being is about so much more than eating and exercise

 

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 it possible to challenge the BMI and body-size standards required by the military? How can a person choose between their health and their career? How can individuals advocate for systemic and institutional change? Why are some organizations and people quicker to adopt new ideas than others?

(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.

This episode is brought to you by Blinkist, where thousands of non-fiction books are condensed into key takeaway information that you can read or listen to in just 15 minutes. Start your FREE 7-day trial by going to blinkist.com/foodpsych

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.

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:

  • 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 #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 #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 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 #175: The Truth About Digestion and Gut Health with Marci Evans

Fellow anti-diet dietitian Marci Evans is back! We discuss the intersection of digestive disorders and eating disorders, the risks associated with elimination diets, the role of the gut microbiome in digestion and health, the importance of consistency in self-care and well-being, and so much more! Plus, Christy answers a listener question about why she as a dietitian doesn’t advise people to shift their food choices to less-processed foods.

Marci is a Food and Body Image Healer™. She has dedicated her career to counseling, supervising, and teaching in the field of eating disorders. She is a Certified Eating Disorder Registered Dietitian and Supervisor, Certified Intuitive Eating Counselor and Certified ACSM personal trainer. In addition to her group private practice, Marci launched an online eating disorders training platform for dietitians in 2015 and co-directs a specialized eating disorders dietetic internship at Simmons College. She volunteers for a number of national eating disorder organizations and has spoken locally and internationally at numerous conferences and media outlets. She loves social media and you can find her on all outlets @MarciRD. Find her online at MarciRD.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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Finally, give the gift of Audible or treat yourself this holiday season. Go to Audible.com/FoodPsych or text FOODPSYCH to 500-500, and for a limited time, get three months of Audible for just $6.95/month, or more than half off the regular price

We Discuss:

  • What Marci has been up to since she was last on the podcast

  • Christy’s upcoming book

  • How Marci became interested in digestive concerns in her work as an eating disorder dietitian

  • The risks associated with the low-FODMAP diet and other elimination diets

  • Alternative therapies to elimination diets

  • What defines a functional gut disorder

  • The overlap between eating disorders and functional gut disorders

  • The role of mental health in digestion

  • Why we shouldn’t dismiss psychosomatic symptoms

  • Whether eating disorders lead to functional gut disorders, or vice versa

  • The common risk factors between disordered eating and digestive issues

  • The mechanisms that lead to digestive concerns in eating disorders

  • Why symptoms can sometimes persist after recovery

  • How any disordered eating behaviors can contribute to gut symptoms

  • How dieting can lead to digestive concerns

  • The gut microbiome, and its role in digestion, weight, and health

  • Why it’s too early to draw many conclusions from gut microbiome research

  • The consequences of a restrictive diet

  • The limitations of nutrition and weight research

  • Anti-diet dietitians and medical nutrition therapy

  • Pelvic floor disorders, and how their symptoms can be similar to functional gut disorders

  • Why in many cases dietary interventions should be the last resort, not first-line care

  • The importance of consistency in self-care and well-being

  • Christy’s own experiences with digestive symptoms

  • Stress-management techniques, and how they can help calm gut symptoms

  • Body image and its intersection with digestive disorders

 

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 it possible to eat intuitively when you are choosing mostly highly-processed foods? Shouldn’t dietitians and health advisors be advising people to move away from fast food? How can you attune to your internal cues when there is so much external messaging associated with fast food and highly-processed foods? What does the science say about how our food environment and how it affects our eating habits? Why do we need to be skeptical of Brian Wansink’s research? What made his research so popular and widely cited? How can listening to our internal cues versus external cues change our eating habits? What is “gentle nutrition” in the context of intuitive eating? Why is gentle nutrition the last principle of intuitive eating? Why doesn’t Christy advise people to shift away from choosing fast food and highly-processed foods? What is the connection between food insecurity and disordered eating?

(Resources Mentioned: Food Psych® Podcast episode #127, Restrained Eating and Food Cues: Recent Findings and Conclusions, Food Insecurity and Eating Disorder Pathology - TW/CW for the last two resources for specific numbers and fatphobic language )

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Food Psych #169: The Truth About Fitness Culture and "Clean Eating" with Christine Yoshida

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Mental health counselor and Certified Intuitive Eating Counselor Christine Yoshida joins us to discuss how fitness culture affected her relationship with food, how she broke free and restored her relationship with her body, why diet mentality and “clean eating” can make health problems worse, how young children can be influenced by diet culture, using empathy and connection to spread the anti-diet message, and so much more! Plus, Christy answers a listener question about how to handle black-and-white thinking in eating-disorder recovery.

Christine Yoshida, MS, NCC, maintains a private counseling practice in Vancouver, Washington (north of Portland, Oregon). Christine is a Licensed Mental Health Counselor, Certified Intuitive Eating Counselor, NASM certified personal trainer, and she is also currently in the process of completing a program to obtain her Eating Disorder Certificate. Her practice focuses on assisting teens and adults dealing with eating disorders and disordered eating. She is a practitioner and advocate of Intuitive Eating, Body Respect, and Health at Every Size.

While Christine loves working with and helping young children in a school setting (she has been an elementary counselor since 2007) she has an unwavering passion for helping all people struggling with body insecurity, poor relationships with food, eating disorders, chronic dieting, and over-exercising. Christine strives to help her clients overcome and unlearn the harmful messages and artificial standards created by the diet and fitness culture.

Away from work, Christine lives in Portland with her husband and two cute but troublemaking young children, Lucy and Matthew! Find her online at ChristineYoshida.com.

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We Discuss:

  • Growing up with access to enough food even in poverty

  • How having privilege shielded Christine from many diet culture messages, and helped her to have an intuitive relationship with food as a child and adolescent

  • How fitness culture affected her relationship with food and her body

  • Going on her first diet, and how it quickly spiraled into disordered eating

  • Having health concerns dismissed or misdiagnosed due to being in a “normal weight range”

  • Wellness culture, and how even health providers can take advantage of genuine health concerns and feed into the diet mentality

  • “Clean eating,” and how it can actually trigger health problems

  • Remembering that healthcare providers are people too, and can be struggling with diet culture themselves

  • The prevalence of digestive issues in people with disordered eating

  • How we’re rarely taught to trust our intuition and inner wisdom throughout our lives

  • How dieting lures us by making us feel temporarily powerful and accomplished

  • Becoming pregnant, and how that helped Christine become more intuitive with her eating

  • The various forms of diets in disguise within fitness culture

  • Seeing the harms of a weight-centric model through her clients, and working to create a career and life that’s better aligned with her values

  • Having self-compassion for having worked within diet culture in the past, and also having compassion for people who are still in it

  • Learning about intuitive eating and Health At Every Size® for the first time

  • Why getting support can be important in integrating the concepts of intuitive eating into your life

  • How intuitive eating becomes easier over time

  • How diet mentality can be passed on to young children by parents and teachers

  • Fighting against diet culture messaging in subtle ways

  • Using empathy and connection to spread the anti-diet message

  • Christine’s private practice, and how that is different from her work as a school counselor

 

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

  • Health At Every Size, by Linda Bacon, and their Food Psych Podcast episode

  • Intuitive Eating, 3rd Ed., by Evelyn Tribole and Elyse Resch, and their Food Psych Podcast episodes (Evelyn’s episode, and Elyse’s episode)

  • Julie Bowman’s work

  • Katharine Jeffcoat’s work

  • Elizabeth Scott’s Food Psych Podcast episode

  • Hilary Kinavey’s work through Be Nourished, and her Food Psych Podcast episode

  • Christine on Facebook, Instagram, and Twitter

  • Save money with Paribus! Paribus monitors 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.

  • If you’re a smoker who is trying to quit, get the support you need through a unique, three-pronged approach with a Zero Quit Kit. Save $50 on your first month by visiting QuitWithZero.com/FoodPsych.

     

Listener Question of the Week

How do we handle black-and-white thinking in eating-disorder recovery? Can all-or-nothing thinking be a good thing? How are disordered eating, diet culture, and black-and-white thinking linked? What are some helpful first steps when someone is ready for eating-disorder recovery? Why might researching eating disorders be unhelpful in the early stages of recovery? What are some resources that can be helpful for recovery, and how do we know when we’ve found them? Do the anti-diet and Health At Every Size® communities engage in black-and-white thinking around weight stigma?

(Resources Mentioned: Health At Every Size® Community, Certified Intuitive Eating Counselors directory)

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Food Psych #168: Gentle Nutrition vs. Diet-Culture Nutrition with Heidi Schauster

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Health At Every Size® dietitian, eating-disorders specialist, and author Heidi Schauster returns to discuss her new book, unlearning diet-culture messaging, connecting with our body’s inner wisdom, gentle nutrition as an act of self-care, and so much more! Plus, Christy answers a listener question about what to do when it seems like your disordered eating behaviors have more to do with individual mental-health issues than with diet culture.

Heidi Schauster, MS, RDN, CEDRD-S is a nutrition therapist with over 20 years of experience in the field of eating disorders and emotional eating issues. She is a writer, consultant, and certified eating disorders registered dietitian, based in the Greater Boston area. Heidi is the founder of Nourishing Words Nutrition Therapy, facilitates the No Diet Book Clubs, and supervises other nutrition therapists in the field of eating disorders. She is the author of the new book Nourish: How to Heal Your Relationship with Food, Body, and Self. Heidi lives in Arlington, Massachusetts with her partner David and twin daughters, Ava and Kyla. Heidi and her family enjoy hiking, swimming, herb gardening, tea-making, storytelling, and professional stilt performing. Heidi enjoys most food that is lovingly and consciously prepared, especially if it’s followed by a dishwashing dance party. Find her online at ANourishingWord.com.

We Discuss:

  • Heidi’s new book, Nourish: How to Heal Your Relationship with Food, Body, and Self, and what inspired her to write it

  • Why I created my Intuitive Eating Fundamentals course

  • The different chapters within the book, which are based on how Heidi works with her clients

  • Becoming aware of our eating habits in a non-judgmental way

  • Creating a resource that presents nutrition in a non-triggering way

  • How she defines “nourishment,” and the concept of “nutrition common sense”

  • Why intuitive eating requires some planning

  • The role of intention in our relationship with food

  • The contrast between abundance and scarcity, and how they affect eating disorder recovery

  • How small changes in our eating habits can sometimes make a big difference in how we feel

  • Joyful movement and gentle nutrition as acts of self-care

  • Overcoming fears around food and carbohydrates

  • Unlearning the patterns of restriction from diet culture

  • What guides her work in nutrition counselling

  • Why gentle nutrition is often considered “advanced” intuitive eating

  • Connecting with our body’s wisdom through mindfulness practice

  • The benefits of recovering from diet culture, and what motivates our work in helping others in this process

  • Anger as part of the recovery journey

  • Arriving at a positive relationship 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.

Listener Question of the Week

Is it just easier to take aim at diet culture rather than focus on individual mental health? What if a person’s disordered eating behaviors have more to do with individual mental-health concerns as opposed to diet culture? Can recovery at the individual level happen without addressing diet culture and fatphobia? How can cultural factors affect individual mental-health concerns? Does binge eating always happen in response to restriction? What are some subtle ways that diet mentality might be showing up for me?

(Resources Mentioned: Intuitive Eating Fundamentals online course, Judith Matz’s Food Psych Podcast episode)

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Food Psych #167: Food, Sex, and Body Liberation with Kimberly Dark

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Sociology professor, writer, and performer Kimberly Dark joins us to discuss the connections between our relationship with food and our relationship with sex, the harms of “medically supervised” diets, how to view diet culture through a critical lens, how food can help connect us with our inner wisdom, and so much more! Plus, Christy answers a listener question about how to stop calorie counting and worrying about weight gain when transitioning to intuitive eating.

Kimberly Dark is a writer, professor and raconteur, working to reveal the hidden architecture of everyday life one clever essay, poem, and story at a time. She uses humor, surprise and intimacy to help audiences discover their influences, and reclaim their power as social creators. Kimberly teaches in Sociology at CSU, San Marcos along with writing and theatre courses for Cal State Summer Arts. She also facilitates experiential retreats in Hawaii for Conscious Practitioners - examining how our own embodiment and social relationships influence how we work with others in helping professions and Yoga is for Every Body retreats for all.

Kimberly Dark has written award-winning plays, taught and performed for a wide range of audiences in various countries over the past two decades. She is the author of Love and Errors, a book of poetry and Co-Editor of the anthology Ways of Being in Teaching. Her novel, The Daddies is forthcoming in 2018. Her essays appear in popular online publications, such as Everyday Feminism, and Ravishly. Kimberly's storytelling performances and interactive lectures make big, complex ideas relatable at campuses, conferences, companies, and anywhere people seek startling revelations and positive change. Learn more at KimberlyDark.com

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We Discuss:

  • Kimberly’s relationship with food as a child in a larger body

  • How fatphobia is normalized in our society

  • Receiving praise for weight loss while struggling with an eating disorder

  • The harms of “medically supervised” diets

  • What started her recovery from disordered eating

  • Bingeing as our body’s way of responding to restriction

  • How Kimberly used her trauma history to help with her recovery

  • The connections between food and sex

  • Engaging critically with diet culture

  • Kimberly’s unique career as a sociology professor and performer

  • Autoethnography, the practice of writing about the self in order to understand the culture

  • The institution of academia, and how it silences certain types of knowledge

  • Our bodies as a site of knowledge

  • Conventional research, and how it imposes intellectual knowledge instead of considering lived experiences

  • The role of patriarchy in diet culture

  • Food as a vehicle to attune to the body’s inner wisdom

  • The performative element of wellness culture, and how it relates to sexuality

  • Social media and selfie culture

  • The emotional labor of creating content

  • The body as part of the visual narrative

 

Resources Mentioned

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

Listener Question of the Week

How do we unlearn the food rules and calorie counting from the diet mentality when trying to eat intuitively? How can we separate ourselves from our eating-disorder thoughts? How do we stop worrying about weight gain? What are some steps we can take to overcome internalized oppression from diet culture? Where can we get support when we’re at the beginning of eating disorder recovery?

(Resources Mentioned: Kylie Mitchell’s Food Psych Podcast episode, Intuitive Eating Fundamentals online course, Certified Intuitive Eating Counselors Directory)

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Food Psych #166: How to Resist Diet Culture & Build Community with Lilia Graue

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Eating-disorders specialist and Certified Body Trust® Provider Dr. Lilia Graue joins us to discuss letting go of perfectionism, the importance of community in body acceptance and overcoming shame, diet culture as a form of trauma, why working toward societal change is just as important as individual recovery, and so much more! Plus, Christy answers a listener question about how the Health At Every Size® framework addresses the notion of an “obesity epidemic.” 

Lilia Graue, MD, LMFT, is an eating disorders specialist and clinical supervisor; mindfulness, compassion and mindful eating instructor; and Certified Body Trust® Provider. With 18 years of clinical experience, she is intimately familiar with bodies and minds and our healing processes, and how we relate to, nourish and take care of ourselves and our bodies in ways that bring us closer to wholeness, radical presence, fierce embodiment and joy.

Lilia practices at the intersection of different healing modalities, centering lived experience and the body as a source of knowing. Her own life experiences with developmental and complex trauma, depression, anxiety, chronic pain, and a healing journey through psychotherapy and mind-body practices, have shaped her approach. Her practice is trauma informed, and rooted in intersectional feminism. She is Mexican and provides services in both English and Spanish.

Lilia loves working with providers navigating the challenges of advocating bravely for body liberation, embodiment and freedom from performative health who wish to cultivate and honor boundaries that allow for their self-care and replenishing empathy and compassion. 
Lilia is an avid amateur cook, baker, and foodie. She and her partner share their home with their beloved cats, Thomas and Ziggy. Find her online at fiercelyembodied.com.

This episode is brought to you by Casper. Get $50 toward select mattresses by visiting casper.com/foodpsych and using the code FOODPSYCH at checkout.

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!

You can also get my Master Your Anti-Diet Message course in Spanish thanks to today’s guest, Lilia Graue! Just go to christyharrison.com/spanish to learn more and sign up.

 

We Discuss:

  • Lilia’s complex relationship with food as a child

  • Growing up with, and eating around, family members that had mental health concerns

  • How being a competitive swimmer while going through puberty affected her relationship with food and with her body

  • The interrelationship between depression and disordered eating

  • Fatphobia and healthism in the medical field

  • How performative health can actually push people into a disordered relationship with food and body

  • The role of privilege in intuitive eating and recovery

  • Being more connected to food through eating and cooking with our hands

  • Sensory issues, and how they can affect a person’s eating preferences and relationship with food

  • Incorporating gentle nutrition without falling back into the diet mentality

  • Yoga, meditation, and mindful eating

  • Attuning to our body’s own needs instead of trying to be “normal”

  • Learning from our mistakes in our intuitive eating practice

  • The role of trauma in our relationship with food

  • Diet culture as a form of trauma

  • Why intuitive eating and mindful eating are about more than our relationship with food

  • How our societal ideals are causing harm to non-conforming bodies

  • The importance of community in body acceptance and overcoming shame

  • White supremacy and the mythic norm

  • Why it’s typical for people with a history of trauma to become caretakers

  • Connection through embodiment and vulnerability

  • Moving past black-and-white terms in eating disorder recovery

  • Living with and resisting diet culture at the same time

  • Finding community in your recovery journey

  • The difficulty of translating concepts across cultures, and the need for local communities within different cultures

  • How diet culture has co-opted mindful eating

  • Why we need to work toward societal change along with individual recovery

  • Lilia’s current projects as a medical provider and mindful eating teacher

 

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 does Health At Every Size® fit in with research that shows that we are becoming heavier as a population? Is HAES® concerned with “obesity” prevention? If HAES views that there is nothing wrong with being in a larger body, and that there is no effective way to lose weight, does it matter what causes some bodies to be larger than others? How can “obesity” prevention potentially be harmful? What other changes have happened at the same time as our population increasing in weight? What are some resources where I can continue to learn about HAES?

(Resources Mentioned: Misclassification of cardiometabolic health when using body mass index categories in NHANES 2005-2012, Perceived Weight Discrimination and 10-Year Risk of Allostatic Load Among US Adults, Weight Science: Evaluating the Evidence for a Paradigm Shift, What’s Wrong with Fat? by Abigail Saguy, Medicare’s Search for Effective Obesity Treatments: Diets Are Not the Answer)

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