medicine

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 #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.

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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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