division of responsibility

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

Lauren Muhlheim.jpg

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 #191: Stopping a Lifetime of Dieting with Savala Trepczynski

Savala Trepczynski.jpg

Writer and social-justice lawyer Savala Trepczynski joins us to discuss how she stopped a lifetime of dieting and started decolonizing her relationship with food, why pathologizing emotional eating is problematic, how fatphobia shows up even in social-justice-oriented communities, why there’s so little legal protection for discrimination based on body size, and so much more! Plus, Christy answers a listener question about food planning for long hiking trips and how calorie counting can contribute to bingeing.

Savala Trepczynski is a writer, teacher, and social justice attorney. She is the Executive Director of the Thelton E. Henderson Center for Social Justice at UC Berkeley School of Law, convening scholars, activists, lawyers, and community members at the best public law school in the country to tackle social justice problems.

Savala and her writing about race, gender, bodies and culture have been featured in/on NPR, Forbes, Bust, The Nation, Detroit Free Press, San Francisco Chronicle, and more. She is a regular keynote speaker and panelist on social justice issues, including body-based bias, implicit bias, structural racism, and understanding Whiteness.

She has practiced law in San Francisco and Detroit, MI, and was a law clerk in the Obama Administration’s Office of White House Counsel, where she focused on constitutional law. Before becoming a lawyer, Trepczynski worked at the Studio Museum in Harlem and the Peggy Guggenheim Collection in Venice, Italy.

She lives in the San Francisco Bay Area with her partner and child. Find her online at SavalaT.com.

We Discuss:

  • How Savala started dieting at a very young age

  • Generational fatphobia

  • How bodies can be viewed differently by different cultures

  • Savala’s journey to “diet rock bottom,” and how she started to “decolonize” her relationship with food

  • How it’s common to circle around intuitive eating before being fully ready

  • How intuitive eating is often twisted in the service of diet culture

  • Why viewing fatness as a problem is so harmful

  • Eating as a coping mechanism, and how it is pathologized by diet culture

  • The history of the problematization of emotional eating

  • The connections between racism and fatphobia

  • Social media, and its pros and cons

  • How body liberation has helped Savala be a better parent

  • Ellyn Satter’s Division of Responsibility model

  • Creating a diet-free zone for children

  • Diet culture as The Life Thief

  • The power of community in breaking down oppressive systems

  • Fatphobia in woke spaces

  • How different forms of oppression are all connected

  • Savala’s experiences with oppression in her work as a lawyer

  • Why there is little legal protection for discrimination based on body size

  • The compounding nature of marginalized identities

 

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 food plan for long trips in a way that binge eating can be avoided? Why might a person still binge despite ensuring that they’re having a certain amount of calories worth of food? How does diet culture reinforce deprivation and bingeing? What are some ways that a person can prevent bingeing during/after a long hiking trip? What are some next steps for someone who still keeps binge-eating after allowing themselves more food? How might diet culture and disordered eating influence a person’s career choice?

(Resources Mentioned:

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