weight bias

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

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

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

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

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

We Discuss:

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

  • Gendered messages around food

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

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

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

  • The Restriction Pendulum

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

  • Pushing beyond the “Recovery Diet”

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

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

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

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

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

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

  • The delays and gaps in eating-disorder care

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

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

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

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

 

Resources Mentioned

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

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

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

  • Erin’s Facebook page and email

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

     

Listener Question of the Week

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

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

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

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

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

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

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

We Discuss:

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

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

  • Struggling with body image despite having lots of privilege

  • Men and dieting

  • How fatphobia shows up in people with thin privilege

  • The toxicity of complimenting weight loss

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

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

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

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

  • Having compassion for people who are stuck in diet mentality

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

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

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

  • Praising productivity, and how that can be problematic

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

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

  • Diving into the meaning behind our wellness and weight goals

  • The contradictory messages from popular diet programs

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

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

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

  • Ableism, and its damaging messaging

  • The intersection of body liberation and chronic illness

  • The healing qualities of holding space versus offering solutions

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

  • How our digestive system can carry a lot of tension

  • Why it’s important to oppose healthism

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

  • Being our “own client” first

 

Resources Mentioned

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

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

Listener Question of the Week

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

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

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

 

We Discuss:

  • 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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