Understanding Disordered Eating: Eating Disorder Recovery and Body Image Healing: Recent Episodes
Rachelle Heinemann
This show will explore the deeper meaning of our relationship with food. We dive into issues related to body image, restriction, bingeing, purging, compulsive exercise, and eating disorder related behaviors. We utilize ideas from psychoanalysis, the deep work therapy, to bring you answers about why you do the things you do and one step closer to a healthier relationship with food and yourself.
We’re kicking off our summer throwback series with an episode that’s just too good not to share again. While we take a little summer break, we’ll be rereleasing some of our most powerful and thought-provoking conversations—and this one tops the list.
Originally aired as Episode 73, this conversation with Dr. Judith Brisman is one of those rich, soul-stirring interviews that stay with you long after it ends. Dr. Brisman is an icon in the eating disorder treatment world. With over 35 years in the field and deep roots in psychoanalytic thought, she brings both clinical depth and human compassion to the most complex questions about food, desire, and emotion.
In this conversation, we explore why we turn to food to manage our feelings, how disordered eating often becomes the language of our unmet emotional needs, and what happens within family systems when an eating disorder is present. Dr. Brisman helps us understand not just the "what" but the "why" behind it all, offering a compassionate and grounded approach to recovery that emphasizes self-discovery, choice, and relational repair.
In this episode, we’re talking about:
- How Dr. Judith Brisman became a pioneer in the treatment of eating disorders by blending behavioral work with psychoanalysis.
- How food becomes symbolic for desire and the complex ways we try to manage our wants and needs through eating behaviors.
- The link between emotional regulation and disordered eating, including compelling patient stories that bring theory to life.
- The role of family dynamics in shaping (and healing) disordered eating patterns.
- How feelings like anger, helplessness, and fear often get hidden behind food behaviors—and how therapy can bring these to light.
- Why recovery is not just about stopping behaviors, but about uncovering the inner voices and desires we’ve been afraid to face.
- What family-based treatment looks like and how parental roles and patterns can both support and hinder recovery.
- How to use moments of emotional overwhelm—like the urge to binge or restrict—as doorways into deeper self-understanding.
- How simple questions like “What do you want to eat?” can begin the process of helping someone find their voice again.
Tweetable Quotes “Families all get into patterns, some of which work, some of which don’t work. An eating disorder in the family is an opportunity to say, okay, what might need to be changed right now? What might need to be inspected?” – Dr. Judith Brisman
“We don’t just see a parent in their role, and a child in their role; we see everybody in their roles, and how the dynamics come together.” – Rachelle Heinemann
“Knowing [your emotions and patterns] allows for choice.” – Dr. Judith Brisman
“It’s not so important to identify the cause of the eating disorder… maybe it’s interesting, but that's not going to end all or be the key… It’s more about what’s happening today, the identification, and what choice that provides.” – Rachelle Heinemann
Resources Dr. Judith Brisman’s Website
Surviving an Eating Disorder: Strategies for Families and Friends
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Let’s be honest—most of us would love to be the kind of person who “lives in the moment.” You know, one of those magical unicorns who wakes up excited for the day, mindfully savors every bite of their avocado toast, and breathes through stress like it’s non-existent. But instead, we’re over here eating lunch in front of our inbox, wondering why we feel like a disembodied ghost hovering somewhere between a meeting and a meltdown.
Tweetable Quotes "I just don't wanna feel like I am dissociating my entire life." - Rachelle Heinemann
"Food is inherently soothing, and it works because it's distracting and soothing at the same time." - Rachelle Heinemann
"Without practicing in very neutral low-stakes moments, it's gonna be almost impossible for us to notice when we're triggered." - Rachelle Heinemann
"We really have to think about all of this in the context of our specific lives and what we need so that we can work toward a version of ourselves that lives in however much of the present moment we actually want to live in." - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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If imposter syndrome were a person, most of us would be in a very toxic, on-again-off-again relationship with it. And just like any clingy ex, it loves to show up at the worst possible time—like, say, the first day of a new job, or every single time we try to feel confident about our bodies. Fun, right?
*Quick reminder that next week will be our last episode until September. Stay tuned for the re-release of some oldies but goodies to get you through the summer!
Tweetable Quotes “By not talking about it, by not owning it, we sort of imply our own shame.” - Rachelle Heinemann
“If we start opening up and at least being open to the fact that other people can help us through some of the imposter syndrome... we at least give ourselves a chance to find some sort of self-acceptance there.” - Rachelle Heinemann
“Ultimately, what we're telling ourselves is ‘I can handle a little bit of human vulnerability’, which is the exact opposite of imposter syndrome.” - Rachelle Heinemann
“Working through imposter syndrome requires a lot of courage and alot of work.” - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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Now accepting new clients! Find out if we're a good fit!
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Today, we’re diving back into the murky waters of secrets with none other than the incredible Dr. Katheryn Zerbe. If you’ve been around the UDE fam for a while, you’ll remember her from our earlier episode on secrets and eating disorders (if not, press pause and go listen to that one first—we’ll wait). This time around, we're exploring what secrets do to our bodies, why we keep them, and how they might just be fueling more than your midnight snack cravings.
Kathryn Zerbe, MD, FAED, FABP, is a psychiatrist, psychoanalyst, and author of over 150 clinical papers, book chapters, reviews, and 4 books. Her publications include the landmark volumes: The Body Betrayed: Women, Eating Disorders, and Treatment (1993) and Integrated Treatment of Eating Disorders: Beyond the Body Betrayed (2008).
Tweetable Quotes "Your secrets tell us who we are, but too many secrets with huge content areas that we keep out." - Dr. Kathryn Zerbe
"Eating disorders are often hidden in plain view." - Dr. Kathryn Zerbe
"Secrets may be the greatest problem of all. We don't look at the toll they take on the mind or the body." - Dr. Kathryn Zerbe
"Secrets also make us very aware of where our boundary lies." - Dr. Kathryn Zerbe
“ Transparency and sharing the content of a secret or information that might be private is not the point here. It's not about the content. It's not about people knowing. It's about what happens to you and your internal state and your relationships when the secret happens.” - Rachelle Heinemann
"We all need somebody to talk to." - Dr. Kathryn Zerbe
Resources Learn More About Dr. Kathryn Zerbe Here!
Get access to Dr. Zerbe’s newest book: Secrets in Psychotherapy: Stories that Inform Clinical Work. Use code 25AFLY1 for 20% off!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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**We will be taking a summer break at the beginning of June! Stick around for the next few episodes before we're off for a couple months!
This episode is all about what happens when you combine years of working with people navigating eating disorders, a healthy dose of sarcasm, and way too many personal run-ins with perfectionism. I’m unpacking the idea I’m calling The Perfectionist Paradox—where striving for perfection actually gets in the way of the thing you’re trying to do well in the first place. Neat trick, right?
Tweetable Quotes “Thinking about what you're afraid of can help us open the door to what is driving your perfectionism.” - Rachelle Heinemann
“The perfectionism target is always moving, which means that you will never be able to attain it, and that’s kind of frustrating.” - Rachelle Heinemann
“The idea of striving for perfection in some ways is trying to avoid imperfection, and that any sort of mistakes or flaws are just unacceptable.” - Rachelle Heinemann
“One of the most important parts to understand about perfectionism is the illusion of control.” - Rachelle Heinemann
“We are too busy focusing on how our body ends up looking... that we don’t focus on what it is like to actually get there.” - Rachelle Heinemann
“Vulnerability is not only about sharing deep, dark secrets.” - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Forget everything you think you know about eating disorders—this episode goes way beyond the old myths about "willpower" and "control." Today, we're digging into the real, science-backed roots of eating disorders with Dr. Erin Knopf: pediatrician, psychiatrist, Certified Eating Disorder Specialist, and co-founder and chief medical officer of Very, a virtual outpatient treatment center delivering high-level care straight to your laptop.
Dr. Erin Knopf is a board-certified pediatrician, adult psychiatrist, and child/adolescent psychiatrist as well as an IAEDP Certified Eating Disorder Specialist. Dr. Knopf completed residency training at the University of Kentucky in a combined residency program, the Triple Board program. She previously worked at The Eating Recovery Center and ACUTE Center for Eating Disorders. She is co-founder and Chief Medical Officer of VERY | Virtual Eating Recovery for You, an outpatient virtual treatment option dedicated to individualized care and grounded in weight-inclusive, trauma-informed, and gender-affirming principles.
Tweetable Quotes “Binge eating is not just about being undisciplined or impulse control issues. It is actually based in restriction.” - Dr. Erin Knopf
“You have to be intentional and really look for ways to create balance.” - Dr. Erin Knopf
“It's[SSRIs] not necessarily causing any damage or harm, but it’s certainly not going to give them the benefit that they are waiting for.” - Dr. Erin Knopf
“There is no medication I can give to make the “nutritional restoration process”, weight gain happen with just a pill. There's no such thing.” - Dr. Erin Knopf
“Health biometrics are so much better looked at from a vitals perspective, lab perspective, functionality perspective, quality of life too.” - Dr. Erin Knopf
“ There's so many questions when it comes to medications and eating disorders, especially because there isn't a clear cut answer. It’s just not that simple.” - Rachelle Heinemann
Resources Connect with Dr. Erin Knopf here!
Connect with Dr. Erin Knopf on Instagram!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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In this episode, I’m diving into the messy and complicated cycle of restriction and bingeing—not just with food, but with all the things we tell ourselves we shouldn’t need. Why do we do this? How does it backfire every time? And more importantly, how do we break free?
Tweetable Quotes "You can't just ignore your needs and wants forever. That's when this moment of lapse of judgment, the binge, whether it's money, food, sex, anything under the sun, comes in." - Rachelle Heinemann
"Food is inherently soothing." - Rachelle Heinemann
"How did it come to be that the only way that you know how to deal with your emotional pain is with food?" - Rachelle Heinemann
"There’s something about acknowledging, “yeah, I actually do need this”, which is the hardest part of it, but also the thing that allows us to actually have it and feel good about it eventually." - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
In this episode, I sit down with therapist and author Ilene Fishman to explore what it really takes to achieve lasting recovery. We dive into the complex, sometimes uncomfortable truths about healing from an eating disorder, the importance of self-compassion, and why true freedom goes beyond simply “eating normally.”
Ilene V. Fishman, LCSW, ACSW, FAED, has maintained a general psychotherapy practice specializing in the treatment of eating disorders for more than 40 years in both Montclair, NJ and New York City. Ilene helped found NEDA, serving on its Board of Directors for over a decade. She then served on the board of ProjectHEAL. Ilene speaks widely as an expert on the subject of eating disorders and is the author of the book, THE DEEPER FIX.
Note: The podcast is off for the next two weeks! We will be back on April 22nd, with a new episode!
Tweetable Quotes "I don't wanna keep people comfortable. People will talk about, ‘Oh that therapist was so nice, she was such a nice person.’ But did you get better?” - Ilene Fishman
"If we avoid our pain. If we don't suffer constructively, productively, then we're blocking ourselves." - Ilene Fishman
"Tell your therapist everything. Try to find a therapist where you can say, 'I'm afraid to start therapy with you, and these are the reasons I'm afraid.' Let's talk about it." - Ilene Fishman
"It's about taking the risk and being afraid and not really knowing what's gonna be on the other side and doing it with somebody who's gonna, who's gonna hopefully catch you, but that you need to do it scared." - Rachelle Heinemann
"Good therapy should be growthful and empowering." - Ilene Fishman
"Recovery is so worth it." - Ilene Fishman
Resources Connect with Ilene Fishman Here!
Find Ilene Fishman on Instagram
Check out Ilene’s book: The Deeper Fix: For Your Growth and Empowerment
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
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When it comes to exercise and movement, we believe it is this wonderfully balanced, healthy thing, right? But for a lot of us, it’s… complicated. Maybe you feel like you have to move or else your anxiety will skyrocket. Maybe you mentally calculate every bite of food and match it with a “required” workout. Or maybe you find yourself hitting the gym even when you're sick, exhausted, or, oh—I don’t know—literally injured. Sound familiar?
Tweetable Quotes “It wasn’t about enjoying movement—it was about earning my food, controlling my body, and never feeling like I was doing enough.” - Rachelle Heinemann
“At some point, I had to ask myself—am I moving because I love it, or because I’m afraid of what happens if I don’t?” - Rachelle Heinemann
“The truth is, over-exercising isn’t healthy. It’s just another way to punish yourself under the disguise of ‘discipline.’” - Rachelle Heinemann
“Recovery meant redefining movement—not as a requirement, but as something I get to do, not something I have to do.” - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
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You know that feeling when you’d rather do literally anything than sit with your own emotions? Like, suddenly, cleaning out your junk drawer or reorganizing your spice rack sounds way more appealing than dealing with that uncomfortable feeling creeping in? Yeah, we’ve all been there.
The truth is, our brains are wired to avoid pain and chase comfort—it’s a survival thing. The more we run from discomfort, the stronger it gets. It’s like that pushy friend who won’t take a hint and just keeps showing up.
In this episode, I’m joined by Jenna Hollenstein for a second time! Jenna Hollenstein, MS, RDN, CDN, is an anti-diet dietitian-nutritionist, certified Intuitive Eating Counselor, speaker, meditation teacher, and author of five books, including Eat to Love and Intuitive Eating for Life. She blends Intuitive Eating with mindfulness to help people transform food and body shame into joyful eating and movement.
Tweetable Quotes "We are not machines that are going to operate exactly as we want to operate." - Rachelle Heinemann
"It takes a fair amount of mindfulness to say, I'm struggling right now. And I'm going to do my best to show up to what I had planned to do." - Jenna Hollenstein
"We have to build the muscle of being with discomfort, and part of how we do that is by allowing ourselves to experience discomfort." - Jenna Hollenstein
"Sitting with your emotions doesn’t mean you have to like them—it just means you stop running from them." - Jenna Hollenstein
"Your brain thinks it’s protecting you by avoiding discomfort, but all it’s really doing is delaying the inevitable." - Jenna Hollenstein
"Growth doesn’t come from feeling good all the time. It comes from learning to be okay when things aren’t easy." - Jenna Hollenstein
"If you never let yourself sit in discomfort, how will you ever build the resilience to handle hard things?" - Jenna Hollenstein
"Most of the time, the thing we’re avoiding isn’t actually as bad as we’ve built it up to be in our heads." - Jenna Hollenstein
Resources Visit Jenna’s Website Here!
Connect with Jenna on Instagram!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me (rachelle@rachelleheinemann.com), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
People like to say that OCD and eating disorders go together. They even sometimes like to use fancy words like “co-ocurring.” Then they talk about how OCD can explain the development of ED symptoms and sit back triumphantly as if they’ve solved the world's toughest rubik’s cube. Satisfying, right?
Meh, not really.. We’re setting the record straight and peeling back the layers on this so-called "connection" between eating disorders and OCD.
Tweetable Quotes "If something is making us anxious, we really need to think about what about this particular thing is making you anxious." - Rachelle Heinemann
"When we talk about eating disorders and OCD, there's so much overlap because the entire premise of most restrictive eating disorders that have to do with body image is, by nature, obsessive and compulsive." - Rachelle Heinemann
"One of the most important pieces that you can give somebody who's struggling with this particular experience or a version of this experience is some space to ask some questions." - Rachelle Heinemann
“Living in your head to the extent where you ruminate and obsess and are anxious 24/7, is incredibly distressing." - Rachelle Heinemann
"Ultimately, this is one big mess and it is an incredibly distressing mess." - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me (rachelle@rachelleheinemann.com), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Alright, let’s be real—working in the eating disorder field while navigating your own relationship with food? That’s messy. Like, “double-booked therapy sessions and forgot your coffee on the roof of your car” kind of messy. And yet, it’s something so many clinicians face but rarely talk about.
So, let’s talk about it.
Tweetable Quotes "There’s something particularly scary about being supported by someone who is really struggling." - Rachelle Heinemann
"The moral of the story is to be the best clinician you can and try to keep your client's needs forefront, but also not make too many assumptions about them." - Sarah Rzemieniak
"People with eating disorders have a radar that is so on point, they can tell." - Rachelle Heinemann
"We all have our blind spots, and we can only be as good as our ability to assess ourselves." - Sarah Rzemieniak
"We can’t do any good in this world if we don’t get the proper support." - Rachelle Heinemann
"It’s not about whether a clinician can have lived experience; it’s about whether they can show up and hold space for their clients." - Rachelle Heinemann
Resources Connect with Sarah Here!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me (rachelle@rachelleheinemann.com), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
If you’ve ever talked about eating disorders for more than five seconds, someone always drops the classic line: "It’s not about the food; it’s about control.” Boom. Case closed, right?
Well, not exactly. Because what does that even mean? Control over what? Your body? Your feelings? Your life? And why does control even matter so much? That’s where things get interesting.
So today, we’re getting into it. Not in some vague, theoretical, “let’s throw around big words” way, but in a way that actually helps us understand what’s happening—whether in our own relationships with food or in the work we do with others.
Tweetable Quotes "Eating disorders are not about the food. It's about something deeper." - Rachelle Heinemann
"Eating disorders are ways to moderate our emotions." - Rachelle Heinemann
"One of the biggest, most important questions to ask is, ‘I know which emotion I'm feeling now, am I allowed to [feel it]?’”- Rachelle Heinemann
"Building up your tolerance for experiencing parts of your emotional experience will actually help you bring up your tolerance overall of emotions." - Rachelle Heinemann
"There is a big difference between acting out anger and saying it in words. - Rachelle Heinemann
Resources Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me (rachelle@rachelleheinemann.com), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Alright, let’s talk about self-esteem.
Have you ever felt like you're just one awkward social interaction away from a full-blown identity crisis? Like, one unanswered text, one awkward pause in a conversation, or one unliked Instagram post, and suddenly you're spiraling into, "Does anyone even like me?”
Well, welcome to the club—it's a big one.
In this episode, I’m talking about self-esteem: what it really is, why so many of us struggle with it, and how it connects to our relationship with food and body image. Because let’s be honest, it's not about staring at yourself in the mirror and repeating affirmations until you magically feel worthy.
Tweetable Quotes "We all, every single person, need to be seen, heard, accepted, and supported." - Rachelle Heinemann
"In order to heal from an eating disorder and in order to develop some version of a healthy self-esteem, it's all the same idea—the acceptance that I am who I am." - Rachelle Heinemann
"I take up space. I do have lots of flaws. Not everyone's going to like me, but I have to take up space." - Rachelle Heinemann
"Self-esteem is about knowing the people who matter to you already, accept you and you know you're good enough the way you are without changing." - Rachelle Heinemann
Resources We're hiring! If you think you could be a great fit, email your resume & cover letter to w.rachelleheinemann.com
Grab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
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Have you ever felt that tiny bit of excitement about breaking a “food rule?” Like finally getting your hands on the “forbidden” chocolate cake, only to inhale half of it and immediately promise yourself you’ll “be good” tomorrow? Yeah, we’ve all been there. But what if that intense food drama could just… disappear? No guilt, no shame, no last-supper mentality—just food, doing what food is supposed to do: nourish and satisfy.
So, if you’ve ever felt trapped in food rules, if “cheat days” have ever dictated your weekend plans, or if you’re just curious what the next step in healing your relationship with food looks like—this episode is for you.
Elyse Resch, MS, RDN, CEDS-C, Fiaedp, FADA, FAND, is a nutrition therapist in private practice with forty-three years of experience, specializing in eating disorders, Intuitive Eating, and Health at Every Size. She is the co-author of Intuitive Eating, now in its 4th edition, the Intuitive Eating Workbook and The Intuitive Eating Card Deck—50 Bite-Sized Ways to Make Peace with Food.
Tweetable Quotes "Maybe for the beginning, you might eat more of something that you have previously restricted, but it takes its place because it's no longer forbidden." - Elyse Resch
"It's not like we're ruining the enjoyment of food, it's just that we don't have that charge anymore of, ‘I'm going to get my hands on this and I'm going to be so good tomorrow, I'll just eat it all right now.’" - Elyse Resch
"It's all about healing. I never talk about recovery. I talk about the healing process." - Elyse Resch
"So every one of us who makes a change in that kind of thinking [ weight stigmatization] is actually bettering the world." - Elyse Resch
"Children are listening. Be careful." - Elyse Resch
Resources Visit Elyse’s Website Here!
Learn More About Intuitive Eating
Grab my Journal Prompts Here!
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Many often question whether they’re “sick enough” or feel like their struggles don’t fit into a neat little box. So let’s talk about it.
This week, we’re diving into why eating disorders are way more complex than the labels we slap on them—and why real recovery requires thinking outside the diagnosis.
Tweetable Quotes "It is impossible to focus on just symptom reduction and not the bigger picture of all the other things that contribute to someone's eating disorder." - Rachelle Heinemann
"The second someone's relationship with food or really anything out there bothers them, it's already an issue." - Rachelle Heinemann
"When we typically see one version of an infection in a hospital, we can sort of treat it the same way—but with mental health, it's not uniform at all." - Rachelle Heinemann
"You couldn't possibly treat someone based on a diagnosis because then you've missed most of the story." - Rachelle Heinemann
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In this episode, we’re diving headfirst into practical tools to deal with dissociation —the kind of techniques that are handy to have when you feel like your brain and body feel like they’re speaking two different languages.
Tweetable Quotes "Dissociation is just sort of like what it sounds like: dissociated from whatever's going on." - Rachelle Heinemann
"Our bodies hold everything in that is important." - Rachelle Heinemann
"There has to be some wiggle room to be able to open yourselves up and try something new." - Rachelle Heinemann
"If you eye roll too much, or if you use sarcasm through all of this, then you completely cut off yourself from your internal somatic experience." - Rachelle Heinemann
"Your body will often have the answers way before your brain does." - Rachelle Heinemann
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The media often portrays eating disorders as affecting ultra-thin, hospital-bed-bound college girls. While this happens, it’s not the majority of what we mean when we say someone struggles with an “eating disorder.”
In this episode, I’m talking about how the media’s (and beyond) portrayal is not only wildly inaccurate but also dangerously misleading. That “sick enough” myth? It’s real. And let’s be honest, it’s all kinds of messed up. I’m unraveling the reason why those 19-year-old, emaciated models aren’t the majority, and how most people don’t fit neatly into a category.
Tweetable Quotes "Eating disorders are when food and emotions are kind of messed up."- Rachelle Heinemann
"The emotions are the crux of it. They're the absolute foundation of it. And if we neglect to look at the emotions part of it, then we are neglecting basically the entirety of the eating disorder." - Rachelle Heinemann
"Just because somebody doesn't have any medical complications at all doesn't mean they don't have an eating disorder." - Rachelle Heinemann
"The largest percentage of people that we see with eating disorders... is the category for the people who don't fit in the categories." - Rachelle Heinemann
"It's important to talk about what eating disorders actually are: a complicated relationship with food, and we have this continuum of where the symptoms lie." - Rachelle Heinemann
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Picture this: you’re 18, your body is one way. Then you blink, and suddenly you’re navigating a new shape, new rules, and oh, a closet that betrays you every step of the way. What gives?
Hormones give, my friend. And they’re running the show.
Today’s episode is the reality check you might be looking for.
In this episode, I’m joined by Dr. Esther Rollhous, She’s a reproductive psychiatrist who’s here to unpack the hormonal chaos—er, beautiful journey—we all endure. From the sneaky effects of estrogen on your brain to the “Oh, my hips just widened forever” postpartum revelation, she’s breaking it all down. Dr. Rollhous is bringing both science and empathy to help us reset those expectations and maybe—just maybe—make peace with our ever-evolving forms.
Tweetable Quotes "Your body is different. It will probably be bigger, maybe a different shape completely. And that is expected." - Rachelle Heinemann
"To expect to have the same or similar body to what we had when we were 18 or 19 years old is absolutely bonkers." - Rachelle Heinemann
"The reproductive system is not essential to survival. When the body is in a calorie deficit, it's going to prioritize living over reproducing." - Dr. Esther Rollhaus
"Pregnancy literally remodels your brain, with some changes lasting up to two years postpartum." - Dr. Esther Rollhaus
"Snapback is a really toxic expectation to have of women, not acknowledging the tremendous change their bodies and identities have undergone." - Dr. Esther Rollhaus
"Moms want to do everything they can for the baby, but sometimes this leads to disordered eating." - Dr. Esther Rollhaus
"The healthier the mom is, the healthier the baby and the pregnancy will be." - Dr. Esther Rollhaus
Resources Dr. Esther Rollhaus’ website: https://www.childandfamilypsychiatry.com/
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Welcome to 2025, where we’re leaving behind unrealistic New Year’s resolutions and that tired idea that confidence is about power poses and pretending to have your life together - cause it’s not.
We’re throwing out the idea that confidence is some sort of performance art and instead diving into the real deal: confidence as resilience.
Tweetable Quotes "Confidence itself is not showy. It is feeling secure." - Rachelle Heinemann
"Resilience and confidence cannot be born.” - Rachelle Heinemann
"If you don't embody this courageous version of yourself, if you don't do things, especially before you're ready, you won't go anywhere." - Rachelle Heinemann
"Instead of saying, 'I'm going to power through this particular piece,' even though it seems challenging, think about it and think about, 'What is holding me back here? What am I afraid of?'” - Rachelle Heinemann
"Maybe building resilience and building mastery means starting from the ABCs." - Rachelle Heinemann
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In this episode, I’m diving into what actually builds confidence: relationships. Real ones. Consistent, validating, non-judgy, "I-got-you" type of relationship. The kind that reminds you you’re worthy, even when you’re sporting your least flattering sweatpants.
Confidence isn’t flashy or loud. Sometimes, the most confident person in the room is the quiet one. (Let that one marinate.)
Tweetable Quotes "Confidence is complex, and it is impossible to give a list of things to do in order to build confidence." - Rachelle Heinemann
"It takes a lot of risk and a lot of emotional vulnerability to build confidence." - Rachelle Heinemann
"The confident people in the room might actually be the quietest people in the room." - Rachelle Heinemann
"Building confidence is not making a person narcissistic or outwardly charismatic." - Rachelle Heinemann
"The idea of building confidence ultimately stems from your capacity [or your privilege] of being in a relationship with people who consistently provide you with reassurance, validation, soothing, and support." - Rachelle Heinemann
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You know that feeling when a conversation veers off the rails, but you can’t look away because the train wreck is oddly fascinating? Yeah, we’re about to do that—but in a way that will make you think, “Wait, why aren’t more people talking about this?”
In this episode, I’m joined by Jenna Hollenstein. Together, we’re talking about what’s happening in the field, how we navigate division, and what it looks like to move from conflict to connection.
Spoiler alert: it’s not glamorous, but it’s worth it.
Jenna Hollenstein, MS, RDN, CDN, is an anti-diet dietitian-nutritionist, certified Intuitive Eating Counselor, speaker, meditation teacher, and author of five books, including Eat to Love and Intuitive Eating for Life.
Tweetable Quotes "What I'm missing and what I'm really hungry for are public examples of repair, public examples of somehow continuing the conversation." - Jenna Hollenstein
"Boring has got such a bad rap, right? Because boring is not just boring. Boring is also repetitive enough that you notice the subtle variations from day to day." - Jenna Hollenstein
"Something that I realized meditation had done for me was that it increased my appetite for reality as opposed to fantasy." - Jenna Hollenstein
"In our efforts to be inclusive, we’ve been so exclusive about it." - Rachelle Heinemann
"My fear is that when we're secretly hoping that we never publicly screw up, we actually stop doing any of the useful stuff we can really do to learn." - Jenna Hollenstein
"What helps us feel safe is the feeling that we are safe through our connection with others." - Jenna Hollenstein
Resources Visit Jenna’s Website Here!
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What happens when “just eat” isn’t the solution, and the stakes are literally life or death?
Picture this: you’re at the dinner table. Your teenager is glaring at you like you’ve personally served up their worst nightmare—maybe broccoli, maybe a slice of pizza, who knows? They shout, “You’re ruining my life!” Meanwhile, you’re just trying to figure out if this counts as “parenting” or if you’re starring in some twisted reality show.
In this episode, I’m joined by Susannah Neufeld—a licensed psychotherapist, certified eating disorder specialist and consultant, author, and all-around badass about how FBT turns the chaos of food fights into moments of healing. Spoiler alert: it’s as heartwarming as it is messy.
Tweetable Quotes "You know your kid the best, and I know a lot about eating disorders, and we're going to work together to figure this out." - Suzannah Neufeld
"When your kid yells at you, you're getting a gift because you're getting to see what's happening inside their head... if you can respond to it with strength and love, they're going to internalize that." - Suzannah Neufeld
"FBT really supports the idea that the kid is not alone in it. They're part of a team working on this." - Suzannah Neufeld
"The kid is not the one who's lying. The kid is not the one who might hide the food. That's the illness. That's the eating disorder that's doing that." - Suzannah Neufeld
"I’m not going to be the person who saves you or your family. You’re saving your own life, and I’m on the journey with you." - Rachelle Heinemann
Resources A network that supports the Bay Area ED Care Community
Suzannah’s book - Awake at 3 a.m.: Yoga Therapy for Anxiety and Depression in Pregnancy and Early Motherhood (Parallax Press, 2018).
Suzannah is a contributing author in the anthology, Yoga Rising: 30 Empowering Stories from Yoga Renegades for Every Body.
Suzannah Neufeld's Website
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Body image is one of the most overused but essential topics in mental health.
So why does poor body image seem to be the last clingy guest at the recovery party, the one who refuses to take a hint and just leave? Sure, changing your body might give you a short-term confidence boost, but once that “ideal” inevitably slips away, so does that fragile confidence. Turns out, there’s no quick fix here. Instead, there’s a long road to unpacking why we’ve all bought into the lie that self-worth and body size go hand in hand.
Tweetable Quotes “I know that you might feel more confident when you shrink your body and then you feel like you have a better body image, but that confidence is very much tied to your body.” - Rachelle Heinemann
"Body image is really not at all like a symptom." - Rachelle Heinemann
"Who said that working on our body image is supposed to be easy?" - Rachelle Heinemann
"What would people think about you if you took up more space?" - Rachelle Heinemann
"If I want to feel more confident, I have to take a lot of risks with doing things that I don't want to do, whether it's interpersonally or just with tasks." - Rachelle Heinemann
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Body size does NOT equal health status.
Let’s be real: there’s a lot of confusion surrounding weight, health, and chronic illnesses like diabetes and PCOS. And if you’re like me, you’re probably tired of hearing the same old, tired advice. There are so many mixed messages when it comes to health and body size. Especially this myth that being in a larger body means you’re unhealthy.
Tweetable Quotes "There’s so many different things that you can do to manage chronic illness that have absolutely nothing to do with your body size." - Rachelle Heinemann
"You can't tell from looking at somebody if they're healthy or not." - Chelsea Levy
"Over 90 percent of the population will gain back weight that they intentionally lose." - Chelsea Levy
“Diet culture is always selling us to do more, eat less, go harder.” - Chelsea Levy
“We know that it’s unethical to prescribe weight loss and also we see a lot of doctors prescribing behaviors without actually asking what clients are doing.” - Chelsea Levy
Resources Check out Chelsea Levy’s website here!
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Tweetable Quotes "It's pretty rare to find a doctor who practices from a weight-inclusive perspective." - Rachelle Heinemann
"Obesity stigma is extremely common in healthcare settings. People with larger bodies like consistently in research study after research study say, that healthcare settings are some of the most stigmatizing places that they go." - Dr. Mara Gordon
“Even the American Medical Association has said that clinicians shouldn't be using BMI to really be making decisions about their individual patients.” - Dr. Mara Gordon
"My approach as a size-inclusive doctor is basically like I let the patient initiate that conversation." - Dr. Mara Gordon
"Food is so important. It's so cultural. It's a way that we share community, a way that we show respect to people, and it really can change the way that people sort of experience food." - Dr. Mara Gordon
Resources Dr. Mara Gordon’s website
Dr. Mara Gordon’s substack
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If you’ve ever stood on the brink of a party, heart racing, contemplating whether to take the plunge into a sea of social awkwardness, you’re in good company. I mean, who doesn’t love the thrill of risking utter humiliation over finger foods and small talk, right? Spoiler alert: I don’t.
In this episode, I’m unpacking the intricacies of anxiety around social situations, recovery, and all those delightful emotions we tend to shove down deep. We'll explore the ever-elusive idea of "recovery"—which, let’s be honest, can feel like trying to define “normal.” Is it just me, or does it come with as many definitions as there are people trying to navigate it?
Tweetable Quotes "Recovery means something different to every person, and it's really great to try to describe it and break it down, what it means, and what it could look like." - Rachelle Heinemann
"If you're more vulnerable with somebody, you develop more trust, deeper trust." - Rachelle Heinemann
"We just sort of have to close our eyes and jump off the cliff to [a certain extent] with someone that lets us know that they might be a safe enough person to be vulnerable with." - Rachelle Heinemann
“You can't just build authentic connection by hanging out and not being vulnerable at all.” - Rachelle Heinemann
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Whether you are active on social media or not, it’s probably had an impact on your life in one way or another. Let’s be honest—most of us have a love-hate relationship with it, and it’s the same story when it comes to how it impacts our relationship with food and body image. But, hey, why delete Instagram when you can just add more stress to your life, right?
In this episode, I’m joined by Lily Thrope, a Certified Intuitive Eating Counselor and a Licensed Clinical Social Worker in NY, Massachusetts and Connecticut. Together, we’re diving into how social media can serve as a breeding ground for comparison, misinformation, and, surprise surprise, worsening self-esteem.
Lily Thrope, LCSW is the founder of Thrope Therapy LCSW PLLC, a group psychotherapy practice located in Midtown Manhattan. Thrope Therapy specializes in supporting individuals who experience eating disorders, disordered eating, low self-esteem, anxiety, depression, and LGBTQ+ clients. Lily helps her clients find the confidence to face these issues and find ways to live their happiest and most authentic lives. that they want in their lives. Thrope Therapy is built on the belief that each and every person deserves support and a safe space to work towards their most fulfilled and happy self.
Tweetable Quotes * "Social media is not inherently bad or good... It is what we make of it or how it impacts us." - Rachelle Heinemann * "You cannot possibly give general advice …. that would apply to everyone." - Rachelle Heinemann * "It’s this pressure to constantly prove yourself and show who you are, but like be really cool and beautiful and thin and all these other ideals." - Lily Thrope * “The problem with social media is that those people who are validating you often don't know you… They're not validating you as a human being. They're validating you as a square on an app on a phone.” - Lily Thrope * “Social media is not going anywhere, so instead of saying how terrible it is, we have to say, how can we support our clients in setting good boundaries with it?” - Lily Thrope * “If your strategy is to exit out [from distressing situations], you're not going to be able to grow together with people, and you will end up more lonely.” - Lily Thrope
Resources Connect with Lily on Instagram!
https://thropetherapy.com/
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Stop caring what others think about you.
Now that I’ve got your attention, let me back up. We’ve all been there—so consumed by “what will they think?” that we lose sight of what we think. But if there is one thing I’ve learned, it’s that trying to please everyone just makes you boring.
Tweetable Quotes * “It's not necessarily about caring less because there's no magic in that. It's how do we care just as much, but then make decisions based on what we need, our values.” - Rachelle Heinemann * “For those of the people who, at least on the outside, look like they don't care, I think for the most part, they're faking it.” - Rachelle Heinemann * “Can we be impacted less by our anticipation of other people's reactions or responses?” - Rachelle Heinemann * “If I push you away, you don't learn. I don't get to teach. I don't get to learn from other people. And one of the things that I absolutely love is being an educator.” - Rachelle Heinemann * “It's not necessarily about caring less. It's about doing things that feel better for you, that feel more aligned with your values, and keeping other people in mind.” - Rachelle Heinemann
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ADHD + a complicated relationship with food = a recipe for disaster. Am I right?
If you’ve ever found yourself forgetting key ingredients at the grocery store or using snacks to calm your brain from its chaotic circus act. If you're nodding along and thinking, "Yep, that's me," then listen up.
In this episode, I’m joined by Brittany Modell, a registered dietitian and certified intuitive eating counselor who knows exactly how overwhelming it can be to juggle all the things, especially when ADHD makes remembering groceries or even meals feel like an Olympic event.
Tweetable Quotes “When someone struggles with something like ADHD, eating disorder recovery can get really, really complicated for a variety of reasons.” - Rachelle Heinemann
"Self-compassion is a practice, it's not something you experience once or twice, and all of a sudden you have compassion for yourself." - Brittany Modell
"ADHD looks different for various people." - Brittany Modell
"Food is powerful, but food is not the end-all, be-all... it can play a role, but my brain's not going to change because I ate differently." - Brittany Modell
"This is general information. This is not one size fits all." - Brittany Modell
"Routine is really important, and it's hard because people with ADHD tend to struggle with routine, but they can thrive when they have it." - Brittany Modell
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Flashback to your teenage years.
What a blissful, uncomplicated time... said no one ever. Adolescence can be a confusing time—so confusing, in fact, that most of us can’t even make sense of our own teenage years even as adults. Prevention happens during these years, and because of that they are complicated.
But here’s the thing: preventing eating disorders, or at least minimizing the chances, is more about fostering self-worth and emotional health than just keeping them off the latest fad diet.
This episode isn’t just for parents who feel like they’re constantly playing catch-up with their kids' mental health. It’s for educators, clinicians, and anyone who's had the absolute pleasure of trying to navigate the tangled web of teenage emotions.
Tweetable Quotes "The words that you say about someone's body matter. They matter so much." - Rachelle Heinemann
"Let's go in with an open mind; we have no idea what a person is like before we get to know them." - Rachelle Heinemann
"Self-compassion is really one of the most powerful sources of coping and resilience that we have, and resilience building is very important for people's mental health." - Marcy Forta
“How people internalize the messages they hear actually makes a very big difference.” - Marcy Forta
“The most important thing about talking with your child about social media is that they can feel comfortable to come to you when they hear or see something that is concerning to them, they don't feel like, 'Oh, my mom's going to judge me.'” - Marcy Forta
Resources Connect with Marcy Here!
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Calling moms everywhere: if you have ever found yourself standing in front of the fridge, starving but too tired to decide between a sandwich or just grabbing the entire pint of ice cream, then stick with me, because I’m talking to you.
Mom life is amazing (read: exhausting). But let’s be real, it’s all about balancing both motherhood and a healthy relationship with food. Spoiler alert: it’s not as easy as those Instagram influencers make it look.
Tweetable Quotes "The number one thing you have to do is nourish yourself." - Rachelle Heinemann
"Don't skip any meal or snack ever." - Rachelle Heinemann
"Treat yourself as if it's a normal thing and it's not because you deserve it or you earned it." - Rachelle Heinemann
"Think about the way that we've methodically gone through different parts of the day during a random person's day today, and think about the different intricacies about your life, and your week, and your month, and apply some of these ideas to your life." - Rachelle Heinemann
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Are eating disorders actually a type of addiction?
It’s easy to think of eating disorders as, well, a disorder. But when we start to really dive into the nitty gritty, are they actually considered an addiction?
In today’s episode, I am joined by Iris Epstein.
Since 2004, Iris Epstein RD, CDCES, CEDS-S, CAI has focused her career on eating disorder awareness, treatment, family coaching, and intervention at her practice in Pomona, New York. Her philosophy is one of compassion along with hard work to break through the determined mindset that takes hold of people with eating disorders. By addressing the medical and malnutrition issues that give eating disorders their strength, we can weaken the grip they have on our clients. Just as there are many causes for eating disorders, it often takes a variety of strategies to treat them. Iris is confident that her team at the Nutrition Improvement Center can help provide a successful path for our clients to resume a healthy and balanced relationship with food and their bodies. Iris recently graduated from the ARISE intervention program where she received her certification in family coaching and intervention work for addiction. She believes that the addiction model has a place in the eating disorder recovery process.
Note: We’re celebrating three amazing years of the Understanding Disordered Eating podcast! Just as a reminder, this is the last episode for the next two weeks! We will be back on September 10th. In the meantime, catch up on our older episodes—they're still gems!
Tweetable Quotes "Eating disorders just don't happen fully. It starts sometimes as innocently as having a diet.” - Iris Epstein
"When you remove the substance, then their brain feels relief and calm. When it's there, their brains go into more of a depressed mode, an anxious mode." - Iris Epstein
"You have to reestablish good connections with people. And I think that's where the secrecy and everything comes into play." - Iris Epstein
"Eating disorders are a coping mechanism for survival." - Iris Epstein
Resources Connect with Iris Epstein here!
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How do we challenge cultural norms when society has a strong perception of how things “should” be?
Cultural and environmental factors undeniably influence our understanding and experience of our relationship with food and our bodies. But, let’s reconsider them. This is an opportunity to examine how our personal, professional, and political actions can drive meaningful change.
This exploration blends personal experiences with broader societal observations, encouraging us to reflect on how culture shapes our views on body image. The insights from this conversation are both enlightening and empowering, prompting us to think about how we, as individuals and as a society, can combat pervasive negativity and work towards a future of body positivity, equality, and genuine connection.
In this episode, I’m joined by Michael Levine. Together, we explore life skills that go far beyond just getting by. These skills challenge the norms that society loves to impose—norms that make us question our worth based on how we look or how we measure up to others. Spoiler alert: these norms are garbage, and we're here to dissect them.
Michael P. Levine, Ph.D., is an Emeritus Professor of Psychology at Kenyon College in Gambier, Ohio, where he taught from 1979 through 2012. In the field of eating disorders, his commitment to research, writing, and advocacy focuses on the intersection between sociocultural risk factors, prevention, and community psychology. He has authored three books and three prevention curriculum guides, and he has co-edited three books on prevention. In 2015, as co-editor with his long-time collaborator and colleague Dr. Linda Smolak, he published a two-volume Handbook of Eating Disorders (Wiley & Sons Publishing). In 2021 he and Dr. Smolak published a new, extensively revised, and expanded edition of their 2006 book The Prevention of Eating Problems and Eating Disorders (Routledge/Taylor & Francis). In addition, Dr. Levine has authored or co-authored approximately 115 articles, book chapters, and book reviews, and he has presented his work throughout the United States, as well as in Canada, England, Spain, Austria, and Australia. Dr. Levine is a Fellow of the Academy for Eating Disorders (AED), which has awarded him their Meehan-Hartley Award for Leadership in Public Awareness and Advocacy (2006), and their Research-Practice Partnership Award (2008).
Note: We’re celebrating three amazing years of the Understanding Disordered Eating podcast! Just as a reminder, we’re taking a two-week break at the end of August. We’ll be back with fresh content after Labor Day weekend, on September 10th. In the meantime, catch up on our older episodes—they're still gems!
Tweetable Quotes "These are life skills which are going to work on the personal level, the professional level, and the political level." - Michael Levine
"A sense of hope that the same kinds of massive transformations that have taken place in our culture can take place, and in fact are starting to take place, when it comes to the issues of body image, of equity, of control." - Michael Levine
"I really do see a world also where the exploitation of bodies, particularly female bodies, but bodies is not a multi-trillion-dollar industry." - Michael Levine
"It's going to require citizens and professionals from multiple disciplines, thinking about really complex matters. And I fall back to the fact that I believe we can do this." - Michael Levine
Resources Michael Levine’s Book: Prevention of Eating Disorders
Michael Levine’s Book: Paradigm clash in the field of eating disorders
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The idea of eating disorder treatment can feel very overwhelming.
If you aren’t sure where to start, then this episode is for you. Think of it as your crash course—because who doesn't love a good cliff notes version?
When it comes to eating disorder treatment, building an outpatient team (if we’ve excluded higher level of care for now) is probably the most important factor; the indispensable trio of a therapist, dietitian, and doctor.
Note: We’re celebrating three amazing years of the Understanding Disordered Eating podcast! Just as a reminder, we’re taking a two-week break at the end of August. We’ll be back with fresh content after Labor Day weekend, on September 10th. In the meantime, catch up on our older episodes—they're still gems!
Tweetable Quotes "None of us here are okay with the unknown." - Rachelle Heinemann
"It's really important to share everything with your team. And I know that there are lots of parts of this that feel really embarrassing." - Rachelle Heinemann
"You absolutely can. You just have to get through this hump. You got this." - Rachelle Heinemann
“It's important to have some sort of family involved, especially the family that you currently have a relationship with." - Rachelle Heinemann
Resources Grab my Journal Prompts Here!
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How many old wives’ tales have you heard about nutrition and fertility?
More importantly, how often have doctors told you that intentional weight loss will miraculously improve your IVF outcomes? If you’re even slightly “overweight” and experiencing fertility issues, it’s common for doctors to subtly (or not so subtly) suggest you “lose a little weight” as a solution.
In this episode, I’m joined by Rachelle LaCroix Mallik. We’ll take a deep dive into the limitations of studies claiming that weight loss boosts health. Spoiler alert: these studies often miss the mark by not considering other crucial factors like specific eating habits, physical activity, and improved glucose metabolism. Imagine that!
Rachelle (Rachel) LaCroix (LaCwa) Mallik (Mal-ick), MA, RD, LDN. She is a dietitian and founder of The Food Therapist, a virtual private practice specializing in nutrition counseling and education for reproductive health. Rachelle supports clients who are trying to conceive, pregnant, postpartum, breastfeeding or managing conditions like PCOS and endometriosis with a weight-inclusive approach that focuses on nourishment rather than restriction.
Rachelle has been working in reproductive health for 18 years, starting as an IVF patient coordinator at the Weill Cornell Center for Reproductive Medicine, and is a mom to two young children.
Rachelle is a member of the Academy of Nutrition and Dietetics, including the Women’s Health Dietetic Practice Group. She is also an active member of the Nutrition Special Interest Group of the American Society for Reproductive Medicine (ASRM). Rachelle serves as the reproductive nutrition content expert for the Nutrition Care Manual. She has presented for the Chicago Academy of Nutrition and Dietetics and at the ASRM Scientific Congress, and advocates for the role of nutrition and dietitians in multidisciplinary reproductive healthcare.
Note: We’re celebrating three amazing years of the Understanding Disordered Eating podcast! Just as a reminder, we’re taking a two-week break at the end of August. We’ll be back with fresh content after Labor Day weekend, on September 10th. In the meantime, catch up on our older episodes—they're still gems!
Tweetable Quotes "Intentional weight loss doesn't necessarily improve your IVF outcomes." - Rachelle LaCroix Mallik
"If any of the information that you are consuming, whether it’s on this podcast or outside, especially in regards to fertility, if it makes you stressed and anxious, it is not for you." - Rachelle Heinemann
"We all have to eat, so let's use nutrition to really work for us and help us feel as good as we can along that journey." - Rachelle LaCroix Mallik
"Nutrition may have an impact on both natural conception as well as fertility treatment outcomes." - Rachelle LaCroix Mallik
Resources Connect with Rachelle here: http://www.rachellemallik.com
Find Rachelle on Instagram! @rachellemallik
Learn more about her Fertility Foundations nutrition course here
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Have you ever noticed how sometimes substance use and eating disorders are intertwined? It turns out, these issues like to hang out together more often than not, complicating treatment and recovery. So, why do we keep these so separate in our conversations?
There’s this illusion that some people can juggle their substance use with such precision. Spoiler alert: it's not as glamorous as it sounds.
In this episode, I’m joined by Sydney Greene, a Registered Dietitian specializing in behavioral health nutrition.
Tweetable Quotes “Write out all the times you remember drinking. What was the outcome of that?” - Sydney Greene
"I never thought that I had an issue. I thought I was just a young person partying in New York City and everything was fine. And then it really quickly became not so fine." - Sydney Greene
“Treatment is so complicated.” - Rachelle Heinemann
"I see disorders as something that's protective in many ways, but then it becomes totally maladaptive and harmful. And then we find alcohol or weed or opioids or something like that, and it does the same thing." - Sydney Greene
"There's a tiger in a cage and you have to go and let the tiger out three times a day and put the tiger back in. Whereas for alcohol, you don't.” - Sydney Greene
“I'm going to say when someone has both an eating disorder and substance use issues, we just can't follow some of the cookie cutter suggestions.” - Sydney Greene
Resources Connect with Sydney here: https://www.sydneygreenehealth.com/
Find her on Instagram!: @greenehealth
Resource Library: https://www.sydneygreenehealth.com/resources (Offering 50% off for my food and mood training for therapists. Use code PODCAST)
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Recovery is overwhelming.
If it feels like trying to solve a Rubik’s cube blindfolded, you’re not alone. But guess what? There’s one (okay, maybe two, but let’s not split hairs) thing that’s crucial for recovery to happen. Just one. And that is: eating adequately and consistently. It's the magic bullet that helps decrease food obsessions, restores physical health, boosts focus and memory, and—drumroll, please—improves your mood almost immediately.
Tweetable Quotes "When you are eating consistently and enough for your body, the food obsessions decrease significantly." - Rachelle Heinemann
"If you're not feeding yourself adequately across the board, your focus will be off." - Rachelle Heinemann
"There really does need to be one thing that you focus on, and that is going to be eating adequately and consistently." - Rachelle Heinemann
"Eating consistently means eating every two to four hours throughout the day. And it ends up being five to six times a day." - Rachelle Heinemann
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“This intuitive eating thing is BS, I tried it and it didn’t work.”
Sound familiar? Trust me, you’re not alone. Today we’re talking about another hot topic that’s been buzzing all over social media, popping up in emails and filling my DMs. \
That’s right, we’re talking about critical thinking in the realm of anti-diet messaging.
Tweetable Quotes "I love the fact that intuitive eating and anti-diet messaging is out there and becoming a little bit more accepted." - Rachelle Heinemann
"If you don't feel like you can trust yourself around food, then having pints of ice cream in your freezer will not feel safe." - Rachelle Heinemann
"The most important thing [you can do] to develop structure is to eat consistently and eat enough." - Rachelle Heinemann
"If you are not currently having breakfast, lunch, and dinner, and two to three snacks a day, throw the intuitive eating book in the back of your closet and don't take it out until you are doing that." - Rachelle Heinemann
"Healing one's relationship with food will not heal all for every single person." - Rachelle Heinemann
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Saying “no” sometimes means saying “yes”.
Okay, don’t let me misguide you here. What I mean, is that sometimes when you say “no” in one area of your life, you’re often saying “yes” to another. When you say “no” to working overtime, you are saying “yes” to spending time with your family. When you say “no” to going out for drinks on a Friday evening, you might say “yes” to an early morning trip to the Farmer’s Market on Saturday.
In this episode, I’m joined by Eli Weinstein, and we're taking a slight detour from our usual deep dives into food relationships to talk about relationships in general. Because let’s face it, whether you’re the life of the party or the king of introversion, we all have to deal with people.
Tweetable Quotes "When we don't have boundaries, someone else is controlling what comes in and comes out." - Eli Weinstein
"You never have to explain why you have boundaries to people." - Eli Weinstein
"For growth, we need boundaries with relaxation." - Eli Weinstein
"Boundaries keep us safe. Boundaries keep us healthy. And we are in control of who we let in, what we let in, and how we let it in." - Eli Weinstein
Resources Connect with Eli here!
Find him on social media: @eliweinstein_lcsw / @thedudetherapist
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Remember the last time we dipped our toes into the hot world of Ozempic and other GLP meds? Yeah, we barely scratched the surface. The world is absolutely obsessed with GLP medications, and the more we know, the better we can make informed decisions—without all the drama, please.
But honestly, conversations around Ozempic, Wegovy, and other GLP medications can get super heated with not nearly enough facts to back them up.
In this episode, I’m chatting with Dr. Kim Dennis about the science and controversy of GLP medications.
Kim Dennis, MD, is a board-certified psychiatrist, eating disorders specialist and board-certified in addiction medicine. She specializes in treating eating disorders, addiction, trauma, and complex co-occurring psychiatric disorders. Dr. Dennis also brings lived experience to her work as a physician with long-term recovery from ED, addiction, and developmental trauma.
Tweetable Quotes "They never think, well, maybe that treatment isn't tailored to me, or maybe that there's something wrong with that treatment when applied to me." - Dr. Kim Dennis\
"When we hit some slumps, whether it's with relationship food or otherwise, it's so much harder to get ourselves out and actually make progress." - Rachelle Heinemann
"Even if I want to stop, I can't, I can press on the brakes, but they're not helping me at all because my brakes are faulty." - Dr. Kim Dennis
"Bolstering the brakes can help people make decisions about what they want to eat, when they want to eat in ways that they feel like they actually have more autonomy over the car, right?" - Dr. Kim Dennis
“Imagine being a patient that has that co-occurrence coming to your eating disorder team's office and being told one thing and going to your endocrine or your primary care office and being told a completely different message." - Dr. Kim Dennis
"We inadvertently sort of reinforce that or insurance reinforces that by saying, for sure, we're denying your care because you're not making progress, or we're denying your care because you've made too much progress." - Dr. Kim Dennis
Resources Connect with Dr. Kim Dennis Here!
Check out this recent blog from Dr. Kim Dennis
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Ah, summer—the time of year when the sun is blazing, the BBQs are sizzling, and the body image issues are... lurking. If the thought of putting on your swimsuit and being invited to a pool party sends shivers down your spine, you're not alone.
There’s an often misunderstood world of intuitive eating. Sure, it’s all about “all foods fit” and “no food rules,” but let’s get real—sometimes you need a bit of structure, especially when that party-size bag of chips starts whispering your name.
Tweetable Quotes "We do need some rules and one of those rules is the party bag or the serving plate is not your plate." - Rachelle Heinemann
"If you go and get a scoop or two of ice cream when you're out with your friends as your afternoon snack, that's a great way to teach yourself I can have the two scoops of ice cream and then move on and I'm okay." - Rachelle Heinemann
"First of all, still put on the bathing suit." - Rachelle Heinemann
"Fill your plate and eat it.” - Rachelle Heinemann
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You know, parents have an intuition for a reason.
If you ever feel like your child is getting worse or not receiving the right treatment, trust your gut and seek alternatives.
Many listeners have requested episodes focused on parents and families dealing with eating disorders. We usually address the issues from the perspective of those struggling or the clinicians working with them. But families need support too, right?
In our field, we often talk about "lived experience" versus "expert by experience." These are people who have directly dealt with eating disorders, either personally or within their families. Their insights are invaluable, yet they are often underrepresented in the conversation.
Tweetable Quotes "If you feel like your kid is getting sicker, if you feel in your gut that your kid is getting bad treatment and they're only getting worse, find an alternative." - Rachelle Heinemann
"Parents have to be empowered. And the best way to do that is through education. And we believe that nobody should go through this journey by themselves." - Judy Krasna
"The idea isn't control. The idea is restoring someone to health. The idea is making sure that somebody recovers." - Judy Krasna
"If their kid's getting resentful, they're doing the right thing, they're doing a good job." - Judy Krasna
"There's no recovery without weight restoration. It just can't happen." - Judy Krasna
Resources Judy can be reached at judy@feast-ed.org.
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Are you team strict diet or team intuitive eating?
Or maybe, the team thing is kind of ridiculous.
When it comes to nutrition, it often feels like we're stuck between two opposing camps: those who are all about strict diets and scientific nutrition, and those who advocate for intuitive eating. It’s like there’s an invisible line, and folks tend to stick to their side, often mocking the other without really engaging in meaningful dialogue. But reality isn’t that black and white. It’s not just about choosing between nutrition science and having a peaceful relationship with food.
So a bit about Claire. Claire Chewnig is a Registered Dietitian and Certified Intuitive Eating Counselor who's not on board with restrictive diets. She’s the owner and founder of Yours Chewly Nutrition, a virtual private practice where she helps individuals heal from chronic dieting and disordered eating so that they can discover more peace, satisfaction, and trust in their relationships with food + body. Claire is also the RD Advisor for Health-Ade Kombucha where she educates both employees and consumers on all things gut health from an evidence-based, non-diet lens. When she’s not on the clock, you can find her either taking a walk on the beach near her house or glued to her Kindle reading a fiction novel.
Tweetable Quotes "A lot of times when we talk about either nutrition science or intuitive eating or relationship with food, it seems to be boiled down into two camps." - Rachelle Heinemann
"There's the nutrition science world and, you know, the science world. And then there's like this [concept of] intuitive eating, woo woo, spiritual, whatever you want to call it, like free for all going on on the other side. They're two separate worlds. " - Rachelle Heinemann
“The most basic thing that we have to make sure we're doing is eating enough and eating regularly throughout the day. Because if we're not doing that, then focusing on any like specific nutritional concept isn't really going to matter because our body's energy needs have to be met.” - Claire Chewning
“The bottom line is, if you're not getting enough food or your food with your relationship with food is chaotic like this restrict binge situation going on, like we haven't even gone the first step. And so going to step 10 is just kind of out of order and doesn't work.” - Rachelle Heinemann
"It is about so much more than the specific food choices that you're making." - Rachelle Heinemann
Resources Connect with Claire on Instagram - @clairechewning
Connect with Claire on TikTok - @clairechewning
For additional information about how to work with Claire 1:1, join her monthly membership program, or enroll in one of her self-paced online courses, please visit www.clairechewning.com.
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What is really considered an “expert” opinion?
When we talk about topics like weight loss or body positivity from an emotional angle, it's easy to paint the other side as the villain. It's tempting to accuse those advocating for weight loss of spreading misinformation or manipulating the truth. It’s tempting to speak with cynicism and sarcasm and scoff at the other side. This mindset can lead us to dismiss their views, believing that only our perspective holds the real answers.
Tweetable Quotes "Most people who are providing information about anything weight loss and obesity-related don't really think about eating disorders and disordered eating the way that somebody who is part of this world thinks about it." - Rachelle Heinemann
"I think we have to be open to other people's opinions; when we open our mouth, we have to be the ones to invite the curiosity, to invite the compassion, and to ditch the rigidity in terms of how people are supposed to think." - Rachelle Heinemann
"Ultimately, we have to think about the delivery of our message and how the person is receiving it." - Rachelle Heinemann
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Communication shapes our world.
The words we use don't just reflect our thoughts; they shape our experiences, both internally and in our relationships with others. We often ask: What's the deeper meaning behind someone's struggle with food? What could be going on beneath the surface? While these questions are important, we should also be thinking of how we can apply this understanding to create positive change.
In this episode, I am joined by Karen Koenig.
Karen R. Koenig, LCSW, M.Ed., is a psychotherapist and international, award-winning 8-book author. Her books and blogs for chronic dieters and emotional, binge, and over-eaters are full of humor and practical wisdom and have been called “therapy on the page.” With 35 years of experience in the field of eating psychology, she teaches people how to eat “normally” and create a joyous, healthy, meaningful life for themselves. Her media experience includes scores of TV, radio, print, and podcast interviews. She lives and practices in Sarasota, Florida and her website is http://www.karenrkoenig.com.
Tweetable Quotes "There is often a connection to anxiety and depression, and we talk about them differently, but they're kind of the same neurotransmitters." - Karen Koenig
"I think stable sense of self and regulated emotional reactions are the places that I often go right to." - Karen Koenig
"Emotions are, to me, the richest experience that we'll have." - Rachelle Heinemann
"It's okay to just feel that, just name it and be with it." - Karen Koenig
"There's a great deal of pain in life, and sometimes the only pain we can avoid is the pain of trying to avoid pain." - Karen Koenig
Resources Connect with Karen Koenig Here!
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Food, desire, intuition, and… sex.
We often get stuck in the food and body image loop when discussing eating disorders. But let's be real, it's so much more than that! Our relationship with food and our bodies spills over into every aspect of our lives, especially anything that connects with our desires, including our sexual desires and intimacy.
This week, I am welcoming back Dr. Judith Brisman. She joined me back in episode 73 for a discussion on food and desire. Now she’s back to talk about how eating disorders have an impact on our sexual desires.
Dr. Judith Brisman was the Founding Director of the Eating Disorder Resource Center for over 35 years. She is co-author of Surviving an Eating Disorder: Strategies for Family and Friends (Now in its fourth edition and available at Harper Collins or on Amazon!). She is an associate editor of Contemporary Psychoanalysis and is on the editorial board of the journal Eating Disorders. She is a member of the teaching faculty at the William Alanson White Institute and she maintains a private practice in New York City. Dr. Brisman is known internationally as among the first in her field to develop a treatment program for bulimic patients. She has published and lectured extensively regarding the interpersonal treatment of eating disorders.
Tweetable Quotes "It's like what's driving the eating disorder and what stops someone from getting better?" - Rachelle Heinemann
"I hear this all the time. It's either the fear of wanting too much, but when someone starts to get into recovery, the discussion becomes what else they're wanting.” - Dr. Judith Brisman
"I think wanting and desire is a huge issue." - Dr. Judith Brisman
"How is it that we got to this point? That people are so either disconnected from what they want or so afraid of what they want." - Rachelle Heinemann
"One of the most important things that you can do for yourself and for the people around you is to begin to tolerate really uncomfortable emotions internally so that you can take a second and think about what does this other person need?” - Rachelle Heinemann
Resources Connect with Dr. Judith Brisman Here!
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Check out all of the things we have going on this month!
Body Image. WTF Even Is it? - Body Image group hosted by myself and Sydney Green. Book your intro call with Sydney to sign up today!
Resistance in Treatment - Eating Disorder Edition Webinar - happening on May 31st at 11am EST! Grab your spot now!
“The food industry pays ‘influencer’ dietitians to shape your eating habits”.
Yep, you read that right. Recently, the Washington Post put out an article, and it's stirring the pot on a topic close to my heart: the Anti-Diet movement. So let’s stir the pot on this article.
Basically, the gist of the article is that big food companies, like General Mills, are teaming up with anti-diet dieticians to promote what they call "junk food" while discouraging weight loss efforts. Sounds sketchy, right? But here's the thing: this article is missing some crucial nuance.
Also as a little note - we have a new fun way for you to interact with the podcast! You now have the option to send us audio recordings! Just scroll down in the show notes to find the link. Tell us what you love, and what you hate, or just introduce yourself. Your voice goes straight to me, and hey, if you're up for it, we might even share it with the world.
Tweetable Quotes "Weight is a really important metric for us to evaluate someone's health, but it is not the only metric." - Rachelle Heinemann
"We have to break the cycle of shame attached to food and to weight and eating and that is a bad thing." - Rachelle Heinemann
"I think if you're ever going to point fingers at where the issues are in the food industry... we have to look at how much money they're spending on lobbyists." - Rachelle Heinemann
"We also have to be extremely mindful that there are people that are really being hurt by hearing only a very small percentage of the information that they need to hear." - Rachelle Heinemann
Resources Save your spot for my upcoming webinar: https://rachelleheinemann.systeme.io/resistanceintreatment
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Link to Washington Post Article: https://www.washingtonpost.com/wellness/2024/04/03/diet-culture-nutrition-influencers-general-mills-processed-food/
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Last Episode in April! See you in May!
From an early age, we’re taught that lying is bad. But, is it?
What drives someone to lie? Is all lying inherently bad? How does lying intersect with our internal struggles and vulnerabilities? These are just a few questions I had before my conversation with Tom.
There are a lot of reasons as to why someone may lie. But here's the thing - lying isn't a black-and-white issue, especially when it comes to individuals grappling with eating disorders. There's a profound connection between lying, shame, and vulnerability in this context.
Tom Wooldridge, PsyD, ABPP, CEDS-S is Chair in the Department of Psychology at Golden Gate University as well as a psychoanalyst and board-certified, licensed psychologist. He has published journal articles and book chapters on topics such as eating disorders, masculinity, technology, and psychoanalytic treatment. He has written 3 books including, Understanding Anorexia Nervosa in Males (2016), Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak (2018), and Eating Disorders (New Introductions to Contemporary Psychoanalysis) (2022).
Tweetable Quotes “How do we understand someone's relationship with the truth in a much more complex way as opposed to just saying ‘Well that's just someone's eating disorder.’” - Rachelle Heinemann
"Often people have a kind of outward presentation of indifference or commitment to whatever behavior they're engaged in. But maybe, just maybe there's ambivalence in there." - Tom Wooldridge
"You could say, well, there is a 0.5% chance that you'll die of the coronavirus. Well, that's just gonna make a kid anxious. What they need to hear is, no honey, it's gonna be okay." - Tom Wooldridge
"I don't rule out that [confrontation] could never be productive. But for most patients, most of the time, they're lying for reasons." - Tom Wooldridge
"Most of the time I would hope to get to a place where we could speak about the deception, but usually only after quite a bit of groundwork has been laid." - Tom Wooldridge
Resources Grab the replay of my Basics of Assessment and Early Treatment of Eating Disorder Webinar
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Connect with Tom here - www.tomwooldridge.com
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We're taking a short 2 week break! See you in May!
Pregnancy is beautiful (for some). Postpartum is raw.
There is so much more to a person’s fertility journey than just pregnancy. But there seems to be a universal narrative surrounding pregnancy - the glow, the anticipation, the miracle of life. But what about what comes next?
As a mother myself, I've experienced firsthand the pressures of bounce-back culture. It's everywhere - from social media ads to casual conversations. The expectation to quickly return to your pre-pregnancy body after carrying a human for 40 weeks and giving birth is, quite frankly, absurd.
In this episode, I am joined by Pam Skop. She is a licensed mental health counselor, certified eating disorder specialist, registered yoga teacher, and postpartum doula. Pam owns EveryBody Psychotherapy NYC, a psychotherapy private practice in New York City focusing on working with those with eating disorders, disordered eating, body image, trauma, and the perinatal period from a holistic, individualized, and embodied approach.
Tweetable Quotes "There's obviously so much to any person's fertility journey, whether it starts from way, way, way before anybody gets pregnant." - Rachelle Heinemann
“There's so much more that's going on with a woman's body postpartum, whether it's physically, hormonally, emotionally, I mean, you name it, there is a ton." - Rachelle Heinemann
"Your body might not ever go back and I think is so, so difficult." - Rachelle Heinemann
"I love that we're talking about this idea of expectation because I think so much of where this can be challenging for people and where sort of like emotional struggles come in is when the expectation and the reality do not match up to each other." - Pam Skop
"It takes a village, that's sort of what everybody knows. And so it is important to reach out for more support." - Rachelle Heinemann
Resources Grab the replay of my Basics of Assessment and Early Treatment of Eating Disorder Webinar
Grab my Journal Prompts here!
Connect with Pam here: https://everybodypsychotherapynyc.com/
https://helloalma.com/providers/pamela-skop/
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Has the eating disorder community pushed the envelope a little too far?
It's a nuanced conversation, one that doesn't lend itself to easy answers. As we endorse concepts like health at every size, intuitive eating, and body love, are we inadvertently alienating those who need our message the most?
At the core of it all lies a fundamental question: How did we get here, and what can we do to prevent further suffering?
Tweetable Quotes "All foods are morally equal, which means that you're not a good person for eating salad and you're not a bad person for having chocolate." - Rachelle Heinemann
"Intuitive eating is not going to help you if you suffer from a binge eating disorder." - Rachelle Heinemann
"Some people love the idea of being able to eventually love their body and really appreciate their body." - Rachelle Heinemann
Resources Grab the replay of my Basics of Assessment and Early Treatment of Eating Disorder Webinar
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When we talk about eating disorders, the conversation often revolves around body image – from the harmful effects of body shaming to the empowering message of body positivity. But there's another aspect of this conversation that often goes overlooked: beauty ideals.
There are so many tough questions to answer:
Is there such a thing as a "perfect" beauty standard? How does makeup fit into the narrative of body positivity? Can beauty ideals coexist with self-love? And most importantly, how can we redefine beauty on our own terms?
In this episode, I’m joined by my dear friend, Nechami Tennenbaum. Nechami isn't a typical guest on the show – she's not a clinician or a therapist, but her journey is just as fascinating. She is the founder and CEO of Defiance Beauty, a high-performance, natural cosmetics brand that celebrates diversity and inclusivity in the beauty industry.
Tweetable Quotes "If you're able to look in the mirror and point out things that you're appreciative of, then you're already ahead of the game." - Rachelle Heinemann
"I want every woman to feel seen and feel visible... when you see yourself, you don't have to start changing your body or changing your face to look like someone else." - Nechami Tennenbaum
"There's something so powerful about feeling like we belong that allows us to be individuals." - Rachelle Heinemann
"Unfollow if someone's making you feel lost." - Nechami Tennenbaum
Resources Grab the replay of my Basics of Assessment and Early Treatment of Eating Disorder Webinar
Grab my Journal Prompts here!
Connect with Nechami on her website: https://www.nechami.com/
Connect with Nechami on Instagram: https://www.instagram.com/nechamit/ https://www.instagram.com/defiancebeautybn/
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Everyone knows Ozempic. Everyone wants Ozempic.
There’s a sea of misinformation out there because medications like Ozempic, Wegovy, and Mounjaro have become so popular. But the real question is why? These aren’t necessarily brand-new medications but lately, we’ve seen them “prescribed” right and left and it leaves us wondering if it’s something we should consider.
What are these medications for? Who should use them? Who shouldn’t use them? What are the side effects? Are we using them correctly? Is there a better way to navigate these medications? What’s the impact on other aspects of people’s lives? What are the consequences in the larger society?
In this episode, I’m joined by Laura Cipullo, a seasoned registered dietitian, diabetes care and education specialist, and all-around wellness guru (the real wellness, like overall wellness not just weight = wellness thing.). Together, we're unpacking the science behind GLP-1s, demystifying their role in regulating blood sugar, promoting weight loss, and even delaying stomach emptying.
Tweetable Quotes "Everyone's body is so different. Everyone's metabolism is different. Everyone's microbiome is different." - Laura Cipullo
"I shouldn't judge you, shouldn't judge the eating disorder community, shouldn't be judging the people that are in whatever body right? We need to talk to them and see what is it that you're experiencing." - Laura Cipullo
"I don't think we have enough science for us to even really know like half of what's going on inside somebody." - Laura Cipullo
"We live in a world, especially within the eating disorder treatment community, that if you say the word obesity, you are already deemed as something bad, which is kind of a little silly because if there's a word out there, we can't ban it." - Rachelle Heinemann
Resources Connect with Laura on her website - https://lauracipullo.com/
Connect with Laura on Instagram - https://www.instagram.com/LauraCipullo/
Grab the replay of my Basics of Assessment and Early Treatment of Eating Disorder Webinar
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“Here’s what I eat in a day as an insert social media influencer title here”
If you’re active on social media, chances are you have scrolled through posts like these. Whether they are “what I eat in a day” or “what I earn in a month” or whatever it may be, they are so common but to be honest, a little toxic.
Tweetable Quotes "For the most part, every single person that I talk to when they get off social media, they feel worse about themselves, mostly because of this comparison trap." - Rachelle Heinemann
"There's so much that goes into every decision to put something in your mouth, to not eat something, to work out, to not work out. How do you do it? Why do you do it?"- Rachelle Heinemann
"Even if we understand something logically, it doesn't necessarily mean that we can actually implement something different to make us feel better." - Rachelle Heinemann
Resources Grab my Journal Prompts here!
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There’s a fine line between disordered eating and an eating disorder.
These are terms we’ve all heard, but have you ever stopped to consider the difference between these labels?
Better yet, does it truly matter what the difference is?
Tweetable Quotes “I think that when we narrow ourselves into boxes and say, this needs to be labeled as disordered eating or an eating disorder, we pigeonhole ourselves, we pigeonhole our clients and their recovery or self-growth healing journey.” - Rachelle Heinemann
"The way that I like to see a relationship with food is on a continuum." - Rachelle Heinemann
Resources Grab my Journal Prompts here!
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“You don’t look like you would have an eating disorder.”
Crazier things have never been said.
Here’s the thing, eating disorders don’t have a look. It’s a myth that eating disorders are typically portrayed by a “skinny” individual. But the reality is far from that stereotype. Eating disorders can affect anyone, regardless of their outward appearance. They don't discriminate based on size, shape, or weight.
Tweetable Quotes "When eating disorders were portrayed in the media, they said ‘If you don't look like this, you don't have an eating disorder’ and what's really ridiculous about that is that the majority of people who struggle with eating disorders actually don't look like that." - Rachelle Heinemann
"If we think about what an eating disorder looks like, there is no such thing." - Rachelle Heinemann
"The ultimate goal is for us to create some sort of harmony that if this is what you present on the outside, at the very least, you feel somewhat similar internally." - Rachelle Heinemann
"What is so incredible about the recovery journey is that it doesn't have to be the biggest disconnect between your insides and your outsides." - Rachelle Heinemann
Resources Grab my Journal Prompts here!
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Parenthood can be both beautiful and stressful.
Firstly, it’s okay to admit that. There are no sick days, there is no PTO, you work 24/7 shifts and you get paid nothing. It’s sometimes a thankless job, and you’ll never get a break. But, it’s the toughest job you will ever love.
If we really dive into the rut of parenting, it can feel incredibly overwhelming, and sometimes it’s enough to send someone into a downward spiral. However, it’s hard to prepare for something like this. Until you actually become a parent, you can’t really explain to someone what it’s like to be one.
In this epsiode, I'm sitting down with Dina Cohen, and discussing all things parenthood and eating disorders.
Dina Cohen, MS, RDN, CEDS-C is a nutrition therapist who specializes in pediatric nutrition and the treatment of eating disorders. She is the founder of EatWellSoon, a nutrition counseling practice in Lakewood, NJ dedicated to helping individuals and families develop lifelong healthy habits and a positive relationship with food. Dina's favorite thing to do is help prevent eating disorders before they ever happen, and she speaks in schools, pediatrician's offices, and mental health clinics about eating disorder prevention and awareness. Dina lives with her husband, four daughters, and lots of talking in Toms River, NJ, where she learns new things about food every day.
Tweetable Quotes "It's definitely true that kids are on a different timeline starting from when they're newborn." - Dina Cohen
"Recovery from an eating disorder is so, so hard, but you're really getting your bang for your buck because it's going to make other things in your life easier and better." - Dina Cohen
"I've found it pretty helpful is that beforehand, before the crisis happens, think about how you can be flexible in upcoming situations." - Rachelle Heinemann
"Sometimes we have these hangups of, I want my kids to be nourished well, I want them to have foods with lots of nutrients, a whole balanced meal, and sometimes, maybe, all the time, when you have lots of kids running around, it's really hard to do that." - Rachelle Heinemann
"If mama ain't happy, ain't nobody happy, and you have to make the time for yourself because otherwise it's not just you who's going to suffer, everybody's going to suffer." - Dina Cohen
Resources Basics of Assessing & Treating Eating Disorders Webinar
Grab my Journal Prompts here!
You can find Dina at https://www.eatwellsoonrd.com/.
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Weight loss and Eating disorder treatments? Pft. Talk to the hand.
Okay, let me clarify. This used to be my point of view. I couldn’t quite understand how these two topics really played into each other. Now, I don’t necessarily disagree, but I do think this is a lot more complex, and it’s far from black and white.
We should be exploring questions around the perception that excessive weight is a health problem, the dangers of intentional weight loss, and the conversations that uncover this controversial topic.
Tweetable Quotes "Weight is not synonymous with health; it's a significant factor but only one part of the bigger picture of someone's well-being." - Rachelle Heinemann
"If anybody so much as said the phrase weight loss and eating disorder treatment, or even just weight loss and health together, I'd just be like, talk to the hand." - Rachelle Heinemann
"Even if you're put in a position where it is imperative to lose weight for your health, going on a restrictive diet is not going to be the answer." - Rachelle Heinemann
"Your point on the BMI chart on that bell curve doesn't inherently determine your health, but it is one point. And this is the key, that weight is not synonymous with health, but weight is a very big factor in determining part of the bigger picture of someone's health." - Rachelle Heinemann
Resources Basics of Assessing & Treating Eating Disorders Webinar
Grab my Journal Prompts here!
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Just last year, The American Academy of Pediatrics put out (terrible) guidelines, that in a nutshell, give the “go-ahead” to evaluate children for weight loss medication and/or surgery.
Weight loss surgery is completely irreversible. So why is it being recommended?
There are many challenges that individuals will face when deciding to undergo weight loss surgery. Not only the painful physical challenges but the mental and emotional ones as well.
Dr. Marianne has been in the mental health field for 27 years and has specialized in eating disorders for the last 12 years. She was a full-time academic for 12 years and had a part-time eating disorder practice for much of that time until she left the university and went into private practice full-time in 2018. Dr. Marianne loves working with eating disorders as a therapist and a coach. She takes a non-diet, feminist approach that helps people of all genders live empowered, authentic lives. She embraces the Health at Every Size model and is LGBTQIA+ affirming.
Tweetable Quotes "This idea of weight loss surgery is that it is completely irreversible. There is no going back.” - Rachelle Heinemann
"When they come out on the other end, they still have an eating disorder." - Rachelle Heinemann
"They say this whole procedure is to make people not hungry and not feel hunger basically switch off the part of their brain that regulates hunger and fullness cues. That’s so messed up" - Dr. Marianne Miller
“Everything's fine initially, but that eating disorder is never going to go away unless it's treated.” - Dr. Marianne Miller
“Even people who are recovered from an eating disorder, need to be in therapy throughout it [bariatric surgery].” - Dr. Marianne Miller
Resources Follow Dr. Marianne Miller on Instagram @drmariannemiller
Visit Dr. Marianne Miller’s website https://www.drmariannemiller.com/
Journal prompts - https://www.subscribepage.com/r9d0a7_copy I
Interview with Jessica Setnik
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Why does it feel like everyone is anti-recovery?
It’s like we live in this world where everyone is either dieting, jumping on a health trend, or counting calories. Wanting to “feel healthy” is great, but the pressure to fall into some standard of health is overwhelming.
Everyone seems to have an opinion, you've probably encountered unsolicited advice and opinions from well-meaning (or not-so-well-meaning) friends or family.
Tweetable Quotes "The number one focus needs to be on you. You are number one in this journey, this is your life, this is your relationship with food, and this is ultimately your happiness." - Rachelle Heinemann
"This is not about them. This is about you. Don't engage in conversation, even if it's an attempt to stand up for yourself." - Rachelle Heinemann
"If the comment is directed toward you... do yourself a favor and don't engage." - Rachelle Heinemann
"You are not alone, and it doesn't mean that you won't get better. You can do it. And I know that it's incredibly difficult, and I know that it poses some really complicated challenges. You can do it. You absolutely can." - Rachelle Heinemann
Resources Journal prompts here!
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As a therapist, there are so many things I wish that psychiatrists knew when it comes to eating disorders.
Now before we hash this out, here’s my caveat–I am not a prescribing provider, I never went to medical school. I am a psychotherapist and these are all of my personal thoughts but from my professional experience.
When we view mental illnesses as medical illnesses, we are going to miss the nuance that is associated with emotions and psychology.
Tweetable Quotes "We can't just take a brain MRI and say, ‘this person has an eating disorder’.” - Rachelle Heinemann
"But at the end of the day, if we create too many boxes and we don't leave any room for you to be curious and for you to explore beyond the boxes, then I think we've done you a disservice. And I think that ends up becoming its own limitation." - Rachelle Heinemann
“Every single person has an intricate, complex way that their, ‘mental illness’ is developed and maintained, and it is the kind of thing that we cannot possibly insert a medication in order to fix it completely.” - Rachelle Heinemann
Resources Grab my journal prompts here!
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Everybody has emotions.
This isn’t a new concept. However, in more recent years, we’ve started to give names to everything as a way to “label” each other or give an overall meaning to how someone may feel, act, etc. (Labels are usually meant to organize things, not necessarily bad.) So somewhere along the way, we started to label certain individuals as “highly sensitive people”.
Everyone is sensitive to a certain extent, but some are more sensitive than others, hence, highly sensitive. The question is, how did it come to be that somebody might be highly sensitive and the next person is just not? Why do we assume people are just born this way? Is it genetic? Is it because of their personality?
Tweetable Quotes "Sometimes it's like all thoughts and all logic completely go out the window because you're just seeing red or feeling so, so hurt and really impulsive."- Rachelle Heinemann
"You are just sensitive and having emotions like a human does. There's nothing wrong with you." - Rachelle Heinemann
"Everybody has emotions. Everybody is sensitive to a certain extent, even if you don't want to be." - Rachelle Heinemann
Resources Grab my Journal Prompts Here!
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Let’s get controversial.
Can the concept of medical assistance in dying be used for individuals who are suffering from “severe” and persistent eating disorders, as it is for patients who have terminal cancer?
Now, before we go anything further, please know that I acknowledge the sensitivity of this topic and if it feels too heavy and overwhelming, please skip it.
But the question is, why is this a controversial topic? MAID is not a new construct. It has been utilized around the world with different controversies for many years as a way of ethically, compassionately, and humanely allowing people to have a dignified way of dying.
Tweetable Quotes “Even when there are hard conversations to have or complicated emotional conversations or even technically difficult conversations, these are not black or white topics. In any way that you look at this, if you look about the ethics, if you look about even the definitions of the words that we're using, none of it is black and white.” - Rachelle Heinemann
"Higher levels of care serve a very specific and limited function. They are not going to solve all of your problems." - Dr. Anita Federici
"We have to be really clear about what you're going for and what you're not going for." - Dr. Anita Federici
"Why is this controversial? I mean, medical assistance in dying is not a new construct." - Dr. Anita Federici
"You can't separate that from the history of how eating disorder treatment has evolved and what it is and what it isn't." - Dr. Anita Federici
"The limitations of the current system can leave individuals feeling hopeless, invalidated, and blamed." - Dr. Anita Federici
Resources Grab My Journal Prompts Here!
Annita's Email: Anita@MidlandDBT.com Anita's Website: www.psychology-emotionregulation.ca Canada MAID Policy Update: https://www.canada.ca/en/health-canada/services/health-services-benefits/medical-assistance-dying.html
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Happy New Year!
Can I be honest? I’m not a huge fan of New Year’s resolutions. I get that there’s this idea of a “new year, new me”. There’s almost like a fantasy of having a clean slate, when in reality, it’s just another day, in a new year. However, it could be a great time to reflect on the past year and embrace what was. So, here's the deal. If you're into New Year's resolutions, go ahead and set realistic, measurable, and slightly challenging goals for yourself. If you’re not, then no big deal!
Tweetable Quotes "What you're doing is hurting yourself, hurting them, and it's not even getting the intended outcome." - Rachelle Heinemann
“One week cannot possibly change your weight in a significant way." - Rachelle Heinemann
"I think one of the major things that [I] hear is, ‘I don't want to eat because I don't want to gain weight.’ and I know that I say this all the time, but you can't possibly gain weight from this one thing." - Rachelle Heinemann
"I don't want to feel obsessive. I don't want to have obsessions. I don't want to be sick. I don't want to be socially isolated. I just don't want those things." - Rachelle Heinemann
Resources Grab my Healing Journal Prompts!
In today's episode, we delve into a crucial discussion about the evolving landscape of traditional eating disorder treatment.
What comes to mind when you hear the term “body positivity”?
First off, it’s become a mainstream concept. Body neutrality, all foods fit, and body positivity are all terms to describe a phase of coming to terms with your body. However, we have to recognize that this approach may not resonate with everyone seeking help. While we shift towards inclusivity, we also inadvertently exclude individuals who may not be ready or comfortable with these concepts.
Tweetable Quotes "I think it's really amazing the field has gotten to this place where we're like, yes, you can pursue health wherever you're at. You can get healthcare and we're incorporating size inclusion.” - Rachelle Heinemann
"Body positivity is incredible. If you can look in the mirror and be really loving your body and appreciative of your body, all that is really incredible." - Rachelle Heinemann
"Maybe one of the goals of eating disorder treatment is not body positivity for a lot of people. Maybe it is body acceptance.” - Rachelle Heinemann
“All foods are not equal.” - Rachelle Heinemann
“I don't believe anything that you say, because you're telling me that I can eat cake and salad in the same way, but it's not the same thing." - Rachelle Heinemann
"The beginning will not look like incorporating all this food. The beginning is going to look like a lot more structured." - Rachelle Heinemann
Resources Grab my Healing Journal Prompts!
Addressing the impact of eating disorders within the Orthodox Jewish community holds personal significance for me. Within this community, there are many people who are struggling with eating disorders, and it’s crucial to explore how they are managing it and what actions they can take.
There are obvious questions around the topic of kosher. What does that mean? What does it look like? How do you deal with somebody who does keep kosher? What are the different levels of kosher and how do you personalize care?
Tweetable Quotes "If someone is concerned their child isn't going to be religious anymore, that's going to be very painful to them. That's going to be very worrisome.” - Devorah Levinson
"Some people are much, much more careful with what they're going to eat." - Devorah Levinson
“Lay's potato chips is not a Jewish company, but they are kosher. So some people won't eat Lay's potato chips because they only want the Jewish supervision.” - Devorah Levinson
"Don't just assume because someone says they're a rabbi that we need to do everything that they're saying and that their word is law." - Devorah Levinson
"Well, we're not giving you a cup [to wash with] because you purge in these things and you throw them out before we notice." - Devorah Levinson
“At what point does somebody else have a say in what needs to happen and how do you come to that medium? There's no fine line here.” - Rachelle Heinemann
"I think that's why you have to have a therapist who really is very well trained in eating disorders and who you really trust." - Devorah Levinson
Resources
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Relief Resources
Project Everybody
100% of people who struggle with their relationship with food, also struggle with assertiveness and boundaries.
Okay, now that I have your attention, maybe let’s say 95% just to be safe, even though it’s 100% of the people that I’ve met. Regardless, it is an issue for many people to have the courage to speak up and say what’s on their mind. It's a common hurdle that people face when trying to navigate the delicate balance between setting boundaries and practicing assertiveness. The interesting part is, these two aspects are intricately intertwined.
Tweetable Quotes "Assertiveness is this sort of happy medium of where you're speaking your mind, but you're doing so respectfully." - Rachelle Heinemann
"When you say things out loud, and we have them heard, even if they don't change anything, the value of just being heard and understood or even offered an apology with nothing actually changing is so important." - Rachelle Heinemann
"Almost 100% of the people that struggle with their relationship with food end up having to deal with this particular struggle with setting boundaries and assertiveness." - Rachelle Heinemann
"If you truly are assertive, kudos to you.” - Rachelle Heinemann
Resources Grab my Healing Journal Prompts
How do you do therapy? Are there “rules”? What are they?
Questions most of us have probably never considered before we start therapy. When we look at how the therapeutic relationship of therapy works, we have to consider the foundation of therapy, and what the deeper meaning is behind it.
In this episode, I am joined by Dr. Dana Satir. We are breaking down the what’s and why’s of therapy, and sharing some metaphors along the way.
Dr. Satir is a clinical psychologist who has been practicing in the eating disorders field for over twenty years. She received her doctorate from Boston University and completed her internship at Cambridge Health Alliance/Harvard Medical School. Her scholarship has been focused on the treatment relationship, specifically the therapist's experiences, and the psychoanalytic treatment of eating disorders. She has received grant funding from the American Psychoanalytic Association (APsaA) and Children's Hospital Colorado, and she was awarded an early career fellowship from APsaA in 2013. Dr. Satir teaches courses on eating disorders and psychotherapy at the University of Denver and TZK webinars, hosts study groups, and provides case consultations with licensed clinicians. She maintains a psychoanalytic private practice in Boulder County, Colorado, where she primarily works with individuals who have experienced early developmental trauma and have a history of eating disorder symptoms as well as young adults in transition.
Tweetable Quotes "The therapists that are working with patients with eating disorders are committed, deeply committed. And there's sort of an overarching idea of, we're in this together." - Dana Satir
"If we think about therapy as a game, it's playful, If we can't play in therapy, then I think that that's something that we ought to talk about because there is some sort of playfulness that is appropriate to have." - Rachelle Heinemann
"In therapy, the therapist doesn't share about their personal life, and the person in therapy shares everything about their life." - Rachelle Heinemann
“This is almost the hallmark of an eating disorder is that we use an eating disorder to communicate." - Rachelle Heinemann
"If it feels like holding that mystery is so anxiety-provoking, maybe we talk about what it would be like to know part of that." - Dana Satir
Resources Dana Satir's Website - http://www.drdanasatir.com/
What’s the deal with our dreams?
How often do you find yourself waking up in the middle of the night, from a crazy dream, wondering how you were even able to imagine it? Dreams, according to Freud, aren't mere froth. They're messages, beckoning us to pay attention to the deeper recesses of our minds. And here's the kicker: dreams don't bother with trivial matters. If it's in your dream, it's significant.
In this episode, I am joined by Jennifer Neely, LCSW-R, a psychotherapist and psychoanalyst in private practice in New York City with over 20 years of experience in the field.
Jennifer assists adults who are seeking relief from anxiety and depression. She offers psychotherapy to successful professionals who are hoping to find more enjoyment in their work and home lives. She helps people in recovery from addictions to address underlying their root causes. She sees those who are in loving yet problematic relationships with former addicts. She has specialized training in and experience working with people who have endured trauma. Jennifer holds a master’s degree from New York University’s School of Social Work. She is a member, instructor, and training analyst at the National Psychological Association for Psychoanalysis (NPAP). She enjoys supervising other clinicians. She has taught dream interpretation at NPAP, the Philadelphia School of Psychoanalysis, and Blanton-Peale Graduate Institute. She believes psychotherapy need not be humorless nor interminable.
Jennifer highlights how dreams are the mind's intricate mechanism for navigating ambivalence and desire. They connect seamlessly with our relationship with food and life in general. Dream analysis, it seems, is the compass guiding us through the labyrinth of our unconscious.
Tweetable Quotes "Freud would say that dreams do not concern themselves with triviality." - Jennifer Neely
"We all dream all the time. We don't necessarily remember it." - Rachelle Heinemann
"It's not that Google is wrong. It's more so that it's a generalization about dream interpretation and that it cannot possibly be accurate for everybody because each person has their own interpretations.” - Rachelle Heinemann
"The conflict is even greater, and the unconscious really wants to underscore and make a point." - Jennifer Neely
“It’s such a fascinating way to understand the intricate mechanisms in our mind that are trying to navigate ambivalence and desire, which obviously is really connected with a relationship with food." - Rachelle Heinemann
Resources Website: Jennifer A. Neely Psychotherapy
Phone: 212-242-0231
How do we define binge eating?
In this episode, we’re diving into all things binge eating and emotional eating. We’re breaking down what these terms mean, what they don’t mean, where they come from, and the underlying factors that contribute to these behaviors.
Tweetable Quotes "When someone says that they suffer from emotional eating or binge eating, I think first and foremost, we have to take the person's subjective experience into account." - Rachelle Heinemann
"Whether or not we call it binge eating, emotional eating, a binge eating disorder, officially, is irrelevant." - Rachelle Heinemann
"Binge eating, as well as every other eating disorder, is a way of regulating emotion. That is why it's happening, that is why it started, and that is what is maintaining it." - Rachelle Heinemann
"Not all emotional eating is bad. I think that when we're having a rough time, our appetite is going to fluctuate." - Rachelle Heinemann
"It's okay, you can feel these ways." - Rachelle Heinemann
"If somebody has difficulty regulating emotion, put those two together. Insert disordered eating. Insert eating disorder." - Rachelle Heinemann
There is no doubt that I disagree with diet culture. But recently I’ve been noticing that a lot of these things that frustrate me with this culture are starting to show up in the anti-diet culture as well. Between the judging, the internal shaming, and the “cult behaviors”, the lines are starting to blur and the cycle we were trying to break has begun to repeat itself.
In this episode, I’m talking with Jessica Brown about how anti-diet culture has started to become similar to diet culture. This conversation highlights some of the gray areas that aren’t discussed as often.
Jessica Brown has been a clinical nutritionist for over 20 years and is the author of the mind-body book, 'The Loving Diet.' She is a graduate of Stanford University's year-long Applied Compassion Teacher Training Program, where she explored how self-compassion can increase interoceptive awareness in individuals with disordered eating. Currently, she focuses her professional time on facilitating the eight-week self-compassion for disordered eating online groups she created. Her website and social media is The Loving Diet (www.thelovingdiet.com)
Over time, the anti-diet culture movement has seen significant changes, with the original values and mission statement giving way to new perspectives and approaches.
Tweetable Quotes "I feel like even people who we really disagree with, we can acknowledge that everyone messes up and that that was not a good journalistic moment." - Jessica Brown
"Self-compassion isn't relying on things going your way. It's saying I can be with myself in any state, happy, hurting, confused, scared, and the premise of self-compassion is how would I treat a friend?" - Jessica Brown
"At the end of the day, work on your own self-compassion." - Rachelle Heinemann
"We're really focusing more on the culture that's been created around all of this phenomenal help that's been really abundant these days." - Rachelle Heinemann
“It's sort of like the merging of common sense and looking at the science, which is if you eat a diet that's primarily ultra-processed food, you might run into some problems. But should we say you should never eat it?” - Jessica Brown
Resources
https://www.thelovingdiet.com/
Instagram - https://www.instagram.com/thelovingdiet/
Facebook - https://www.facebook.com/TheLovingDiet
Youtube - https://www.youtube.com/@TheLovingDiet
Feeling stuck isn't exclusive to one area of life; it can strike at any moment. Whether you're battling with your career, your relationships, or, as is often the case, your relationship with food, that suffocating feeling can be all too familiar. If you've ever grappled with issues related to your relationship with food or have felt trapped in various aspects of life, this discussion is going to be a game-changer for you.
In this episode, I am chatting with Sondra Kronberg about what to do when you feel stuck, as it’s a challenge that everyone faces at some point.
Sondra Kronberg, MS, RD, CEDRD-S is a seasoned nutrition therapist and recognized leader in the field of eating disorders. Founder and Executive Director, Eating Disorder Treatment Collaborative, FEED: IOP, CONNECT and CONCIERGE programs in New York. Sondra specializes in treatment and training of the collaborative approach to eating disorders. She is a founding member and past Board Trustee of the National Eating Disorders Association, (NEDA). The author of Comprehensive Learning/Teaching Handout Series Manual for Eating Disorders and contributing author to Eating Disorders: Clinical Guide to Counseling and Treatment and Eating Disorders in Special Populations: Medical, Nutritional and Psychological Treatments. Sondra received the International Association of Eating Disorder Professionals, (IAEDP), 2010 Certified Eating Disorder Specialists Award, the NEDA 2004 Excellence in Treatment Award, and the 2002 SCAN Excellence in Practice Award. In 2018 Sondra received NEDA’s first Legacy Award. Sondra is currently an IAEDP influencer and certification core course facilitator. She is a national speaker, treatment consultant, and media spokesperson. She is also a consultant to the Carolyn Costin Institute. Sondra’s greatest passion is helping people learn to nourish their minds and bodies in order to reclaim their lives and thrive.
Tweetable Quotes “It's sort of like taking the pacifier away from the baby. You can't really just yank the pacifier away. You have to understand the meaning and the value and maybe offer some other opportunity when you're going to go from pacifier to bottle.” – Sondra Kronberg
"People with eating disorders are the most stuck people because they just are going around in this circle all the time.” – Sondra Kronberg
"The process of unstuckness for the binge eating disorder is to learn how to set limits and boundaries and to be able to say no.” – Sondra Kronberg
"Something about an eating disorder is if you talk to clients is that what started out as something that they decided is now deciding them." – Sondra Kronberg
Resources https://sondrakronberg.com/
Instagram - https://www.instagram.com/sondrakronberg/
Facebook - https://www.facebook.com/EatingDisorderTreatmentCollaborative
Listener questions: answered.
To be totally honest, my inbox has been filled with amazing questions from podcast listeners. While I usually integrate listener questions into various episodes, today, I want to break down a few of the more popular ones.
Before we get started, I just want to note that if you have a question, whether it's something that you've been wondering about for a long time and just don't really know who to ask, or you've been asking like every single person you see and you want another take on it, let’s chat. Send me an email, DM me on Instagram, whatever it may be, and add “Podcast Listener Question” in the subject line so I can be sure to add it to a future podcast episode.
Tweetable Quotes "We are strong and we feel terrible about it, but we are together. And if that is the message that you can provide to your kids, whether or not they're being teased or teased for their weight, then you have provided your kid with the most valuable emotional lesson that you can possibly teach them about resilience." - Rachelle Heinemann
"Look at the person, ask the why, wonder why, even if you're not asking, and then go from there.” - Rachelle Heinemann
“When you're confronted with the choice of ‘what do I do’, I also think that we have to take into account people's past experiences with treatment.” - Rachelle Heinemann
“We can't just put a blanket statement or prescription on somebody's symptoms and say, you must choose a higher level of care.” - Rachelle Heinemann
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Let’s get personal.
In the therapy world, sometimes we think that we want a CBT therapist, a psychodynamic therapist, a DBT therapist, or whatever other type of therapist when ultimately, we may not necessarily know what any of that means or if it’s what we really need. We want to be able to “fit” into a box and have a specific type of therapy that we can lean into. In reality, it’s not black and white at all and therapy most certainly doesn’t fit into boxes.
I want to preface this entire episode with the fact this is me reflecting on my own personal and professional experience. So disagree away with me.
Tweetable Quotes "Just because somebody says this is evidence-based, it is a lot more complicated than that." - Rachelle Heinemann
"As a psychoanalytic psychotherapist, we do not shy away from anything uncomfortable. And that is what separates this from the rest." - Rachelle Heinemann
“It's not like you can go for a brain imaging test, and go in and say, ‘Oh, yes, I do have an eating disorder’ or ‘yes, I do have general anxiety.’ It doesn't work that way." - Rachelle Heinemann
"It requires knowing the theory behind how the human mind works, the development of psychology, and all of that stuff in order to integrate that into a therapy session that might almost look identical to somebody who hasn't had the training but just sort of tries to wing it." - Rachelle Heinemann
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Let’s stop criticizing intuitive eating.
In a world where intuitive eating has become a buzzword, it's crucial to sift through the chatter and truly understand what it means. We're not here to entertain misconceptions or misinterpretations of intuitive eating—those are a whole different story. Instead, we're bringing you a discussion that revolves around the insightful critiques of intuitive eating from individuals who genuinely respect and comprehend its principles.
In this episode, I am chatting with Elyse Resch (her second time on the UDE podcast, by the way!).
Elyse Resch, MS, RDN, CEDS-S, Fiaedp, FADA, FAND, is a nutrition therapist in private practice in California, with over forty years of experience, specializing in eating disorders, Intuitive Eating, and Health at Every Size. She is the co-author of Intuitive Eating, now in its 4th edition, the Intuitive Eating Workbook, and The Intuitive Eating Card Deck—50 Bite-Sized Ways to Make Peace with Food. Elyse is also the author of The Intuitive Eating Workbook for Teens and The Intuitive Eating Journal—Your Guided Journey for Nourishing a Healthy Relationship with Food and a chapter contributor to The Handbook of Positive Body Image and Embodiment. She has published journal articles, print articles, and blog posts. Elyse does regular speaking engagements, podcasts, and extensive media interviews. Her work has been profiled on NPR, CNN, KABC, NBC, KTTV, Wall Street Journal, New York Times, Los Angeles Times, Associate Press, KFI Radio, USA Today, and the Huffington Post, among others. Elyse is nationally known for her work in helping patients break free from diet culture through the Intuitive Eating process. Her philosophy embraces the goal of reconnecting with one’s internal wisdom about eating and developing body liberation, with the belief that all bodies deserve dignity and respect. She is a social justice advocate, a member of the Healer’s Circle of Project Heal—Help to Eat, Accept, and Live, supervises and trains health professionals, is a Certified Eating Disorder Specialist and Supervisor, a Fellow of the International Association of Eating Disorder Professionals, and a Fellow of the Academy of Nutrition and Dietetics.
Tweetable Quotes “You have to look at what's happening in your life and adjust to that.” - Elyse Resch
“We have to have compassion for everyone and meet them where they are and help them understand the place they're in.” - Elyse Resch
“I move my body because it helps make me strong. I love it when I can pick up a box when I can twist the top off of a bottle that nobody else can. I love being strong.” - Elyse Resch
“They have to do with cortisol, with our stress. If our stress is very high, if we don't know how we're going to pay our rent or get the food to pay to feed the kids or, not be able to go to a doctor because we don't have health care, the stress is so high. That is impacting our health far more than eating a ding dong.” - Elyse Resch
Resources Intuitive Eating
Research Studies
Connect with Elyse:
Instagram or check out her website at www.elyseresch.com/.
We paused regular programming to talk about current events and how it's been impacted our community.
This isn't meant as a political conversation or a news update.
Stay tuned for more on IG stories (@rachelleheinemann) and newsletter updates during the rest of the week here.
In a world driven by absolutes and quick fixes, where opinions often seem black or white, it's time to stop for a minute and just think about how complex the situation really is. Let’s embrace the nuance in our decision-making, whether it pertains to nutrition, relationships, or any other aspect of life.
It’s clear that we’re often pressured to make snap judgments and rely on one-size-fits-all solutions. However, life rarely follows directions. It’s not enough to say that something is definitively right or wrong, because everyone and every situation is different.
Tweetable Quotes "It is very hard to come to a consensus or a compromise or even an understanding of each other or of ourselves if we have differing opinions internally or ambivalence." - Rachelle Heinemann
"Please take everything with a grain of salt. Take everything on social media with a grain of salt." - Rachelle Heinemann
"What do I deep down know to be true and healthy for me in particular?" - Rachelle Heinemann
"It's kind of ridiculous for somebody to say, ‘this works for me and therefore it'll work for you.’ They don't know what your life story is. They don't know what your home situation is.” - Rachelle Heinemann
“A lot of people say, ‘Sleep is really important. You should get at least seven to eight hours of sleep.’ Well, if you're talking to any new mom or dad, that is completely impossible.” - Rachelle Heinemann
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Let’s talk body stuff.
So much of what happens to someone’s body when they engage in eating disorder behavior is individualized. It’s based on genetics, as well as other factors that we don't quite understand. The complexities of these effects are multifaceted, and to some extent, the specific causes may not matter.
In this episode, I’m joined by Jennifer Gaudiani. Jennifer L. Gaudiani, MD, CEDS-S, FAED, is the Founder and Medical Director of the Gaudiani Clinic. Board Certified in Internal Medicine, she completed her undergraduate degree at Harvard, medical school at Boston University School of Medicine, and her internal medicine residency and chief residency at Yale. Dr. Gaudiani served as the Medical Director at the ACUTE Center for Eating Disorders prior to founding the Gaudiani Clinic, which is a Denver-based outpatient medical clinic dedicated to people with eating disorders and disordered eating. The Gaudiani Clinic provides weight-inclusive and fat-positive medical care and embraces treating people of all shapes, sizes, ages, and genders. The Gaudiani Clinic is licensed to practice in 47 US states via telemedicine and offers international professional consultation and education.
Dr. Gaudiani has lectured nationally and internationally and is widely published in the scientific literature as well as on blogs. She is a Fellow of the Academy for Eating Disorders, and is a former member of the editorial board of the International Journal of Eating Disorders and the Academy for Eating Disorders Medical Care Standards Committee. Dr. Gaudiani’s first book, Sick Enough: A Guide to the Medical Complications of Eating Disorders (Routledge, 2018) is available on Amazon.
Tweetable Quotes “Virtually every human experiences medical symptoms of their eating disorder, whether they're measurable by labs or vitals.” - Dr. Jennifer Gaudiani
“The medical stuff is so vital because we understand when somebody, for instance, simply cannot remain in an outpatient setting. They need to be more intensely monitored.” - Dr. Jennifer Gaudiani
“The true science is that our metabolism is unbelievably dynamic and responsive.” - Dr. Jennifer Gaudiani
“Don't tell me you're fine. Don't tell me it's not that bad. Let's talk about what change you can make this week towards nourishing yourself better.” - Dr. Jennifer Gaudiani
Resources Sick Enough: A Guide to the Medical Complications of Eating Disorders Book
Gaudiani Clinic Website - https://www.gaudianiclinic.com/
LinkedIn - https://www.linkedin.com/in/gaudianimd
Facebook - https://www.facebook.com/gaudianiclinic/
Twitter - https://twitter.com/gaudianiclinic
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Calling all clinicians - this conversation is for you.
How do you handle someone giving you feedback, as a therapist? How do you handle a situation where the feedback is negative or hurtful? As clinicians, we have an obligation to explore whatever the person in front of us is bringing up with. We have to put our feelings aside during this conversation, despite it being an almost impossible thing to do.
In this episode, I’m diving into the hard situations that you may face as a clinician.
Tweetable Quotes "The hope is that over time, once you get used to it, and once you understand a little bit more of how you respond in these situations, you can get better at this." - Rachelle Heinemann
"So what we're doing is slowing things way down. What was it about what I said that made you angry? What was it about what I said that really hurt you? This allows them to start getting curious about their own anger and about the way that they express their anger." - Rachelle Heinemann
They are learning that they can trust people to be able to hear them when they just communicate with words. They don't have to get super loud. They can learn that the other person will hear what they have to say." - Rachelle Heinemann
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Have you ever considered what the limitations of scientific research are? What do we do with the limitations in nutrition science? Much of the conversation among nutrition scientists, outside the realm of eating disorders, revolves around various fad diets or approaches involving highly processed foods, intermittent fasting, and keto diets, among other trends. But the majority of this evidence may lack comprehensive scientific support.
During this conversation, I want you to stay in the gray area with us.
In this episode, I’m talking with Dr. A’nna Roby. Dr. A'nna Roby is an esteemed physiologist, author, speaker, and Registered Dietitian specializing in disordered eating and eating disorders. She received her Bachelor of Science from Cornell University where she studied nutritional sciences. A'nna was then accepted to the combined PhD/Registered Dietitian position at Cornell where she did her dietetic internship and PhD simultaneously, focusing on metabolism and body weight regulation. After her doctoral training, A'nna moved to Washington, D.C. and conducted research at the National Institutes of Health. She now runs a private practice in the Minneapolis area helping individuals cultivate a healthy relationship with food and their body.
Tweetable Quotes “There's all this hype about intermittent fasting and keto and what so many people were so quick to jump on is that it is terribly restrictive. It's it's horrible for you. But it's not that there's zero evidence.” - Rachelle Heinemann
“It's somewhat of a privilege problem. Some people don't have access to real food or the resources to prepare real food.” - Dr A’nna Roby
"We have shown that intermittent fasting is no better than a traditional diet in terms of weight loss. There's nothing magical about it.” - Dr A’nna Roby
“For those of you who are eating breakfast at seven and lunch at one, we're talking to you. Have a snack.” - Rachelle Heinemann
Resources Dr. A’nna Roby’s Instagram - https://www.instagram.com/dr.annaroby/?igshid=MjEwN2IyYWYwYw%3D%3D
Dr. A’nna Roby’s Website -
https://drannaroby.com/
Is BetterHelp actually providing better help?
Since 2020, online therapy platforms like BetterHelp have become very popular, mainly because of their convenience and affordability. With a subscription-based model, easy therapist switching, and 24/7 accessibility, they promise an accessible and hassle-free mental health solution. But are these platforms really a replacement for traditional therapy? Are these platforms providing true therapeutic value? Let's dive into this debate.
Tweetable Quotes "Therapy is a lot more complex... It's about so much more than just the specific issue you're going for." - Rachelle Heinemann
"Therapy changes aren't necessarily measurable in the ways that you think they are." - Rachelle Heinemann
"It's not actually therapy... It's cheaper, but its not actually therapy." - Rachelle Heinemann
"If you're not investing in therapy, then you probably won't get much out of it." - Rachelle Heinemann
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In moments of high emotions, like feeling stressed from work, angry at your spouse, or sad from grieving, how are you regulating your emotions? Do you bury them deep down and move on? Do you let them take control of you and guide your actions? There has to be a balance on the emotional scale, but where does the balance lie? In this solo episode, we’re covering how our emotions play into eating disorders and how emotion regulation is crucial.
Tweetable Quotes “It sucks that you have to teach yourself this stuff, but you can, and you absolutely will.” - Rachelle Heinemann
"In order to get to a place where you can identify and organize your emotions and have the ability to soothe yourself and tolerate uncomfortable emotions, it has to be learned. It has to be internalized." - Rachelle Heinemann
"Eating disorders are an emotion regulation issue. It's not about food, it's about emotions." - Rachelle Heinemann
Resources DBT Skills
Dr. Marsha Linehan: The 4 Skills Modules of DBT
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Join Dr. Elizabeth Hamlin and me to discuss the age old concept of eating disorders as a means of communication in a new way. Eating disorders are far more than a struggle with one’s food and body image. It’s a larger emotional battle that emerges to communicate pain without words. Learn more about how we know that and what you can do about it in this episode.
Elizabeth Hamlin, MD, is a psychiatrist, psychotherapist, and psychoanalytic candidate who has spent her career working intensively with patients with severe eating disorders. Dr. Hamlin has worked for many years on both inpatient and residential eating disorder units at Rogers Behavioral Health in Oconomowoc, WI, where she has also served as the medical director of the adult inpatient eating disorder program. Dr. Hamlin is clinical faculty at the Medical College of Wisconsin and teaches and supervises psychiatry residents on eating disorders and psychotherapy. Dr. Hamlin has published psychoanalytic papers and book chapters on eating disorders, including on fluid restriction. She has presented regionally and nationally on the intersection of psychoanalysis and eating disorders. Dr. Hamlin is currently a psychoanalytic candidate at the Chicago Psychoanalytic Institute. She maintains a private practice in Delafield, WI.
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In this episode Dr. Doug Bunnell and I talk about the differences between behavioral treatments and “deep work” or psychodynamic psychotherapy. (Dynamic and analytic used interchangeably.)
If you want to know more about what any of this means or if you’ve ever heard the term “evidence based” or “gold standard” for treatment of eating disorders, this is for you.
Spoiler: Anyone who is die hard anything, probably isn’t giving enough of a full picture of what actually works.
Douglas W. Bunnell, PhD, FAED, CEDS-S is a clinical psychologist in Fairfield, Connecticut. He has specialized in the treatment of people with eating disorders for the past 30 years. Dr. Bunnell is a past board chair of the NEDA and recipient of their Lifetime Achievement Award. Dr. Bunnell has helped to design, develop and manage PHP and residential programs for several national eating disorder programs. He is a Fellow of the Academy for Eating Disorders and Certified Eating Disorder Supervisor for IAEDP. Dr. Bunnell has co-authored numerous chapters and journal articles on the treatment of eating disorders and the training of clinicians. He is particularly focused on the integration of evidence-based treatment into higher levels of eating disorder treatment programming. More recently, Dr. Bunnell has been working on clinical protocols for addressing eating disorders and co-morbid psychiatric issues such as PTSD. He is currently a Senior Clinical Advisor for Eating Recovery Center and Pathlight Mood and Anxiety Treatment Programs.
Dr. Bunnell is a co-editor, along with Dr. Margo Maine and Dr. Beth McGilley, of Treatment of Eating Disorders: Bridging the Research Practice Gap.
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Here’s the scenario: You have a, let’s say, complicated relationship with food. You’re trying to work toward healing and get rid of these freaking food obsessions and weird binges. You crack open the Intuitive Eating book and love it. Eat when hungry? Stop when full? Honor cravings? This sounds amazing! You try it. And it totally backfires. Then you start wondering if it even works at all.
Today I am talking with Hilmar Wagner about what eating should actually look like at the beginning of recovery. Spoiler: not like the eating described above.
Hilmar Wagner is a Registered Dietitian/Nutritionist (RDN), licensed in Minnesota and Washington State. Hilmar has experience working in a variety of clinical, outpatient, community, and management settings. Hilmar joined the Emily Program in 2006 and has served in a number of clinical and management roles, both at the site, regional and organization-wide levels. He currently serves as the Dietetic Internship Coordinator and Clinical Outreach Specialist. In these roles he oversees dietetic intern experiences for all Emily Program and Veritas Collective locations. As a Clinical Education Specialist Hilmar has presents ona wide range of eating disorders and related nutrition topics at local, regional, and national conferences. Hilmar received his bachelor’s degree in Nutrition/Dietetics and Master’s in Public Health Nutrition from the University of Minnesota. He has worked in the field of eating disorders for the past 16 years. Hilmar has extensive experience working with clients of all eating disorder diagnoses in both individual and group settings. He has a particular interest in the application of mindfulness and body-centered, somatic approaches to the nutritional treatment of eating disorders.
Resources
Where to find Hilmar Wagner
The Emily Program
Veritas Collaborative
Email: Hilmar.Wagner@accanto.com
Intuitive Eating Book
Tweetable Quotes
“Intuitive Eating by its name is intuitive- not a thought process.” - Hilmar Wagner
“Jumping straight into Intuitive Eating without addressing the nuances of early recovery can lead to misunderstanding, misapplication, and continued cycles of disordered eating.” - Rachelle Heinemann
“The goal is not to never have deviations but to always return to regular eating habits after any deviation.”- Rachelle Heinemann
Related Episodes
Episode 88. Did We Take Intuitive Eating Too Far?
Episode 54. When Intuitive Eating Isn’t the Answer.
Episode 87- Ultra Processed Food, Food Addiction and Eating Disorders
Episode 45. Basics of Intuitive Eating.
Episode 40- 5 Tips for After a Binge
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Do you find yourself questioning your own thoughts and decisions? (esp with your eating habits) If so, you are not alone!
Today we have Diane Barth talking all about trusting oneself. F. Diane Barth, LCSW is a psychotherapist in private practice. She also teaches and supervises other therapists. Her articles have been published in professional journals and in popular online magazines including Think and Quartz. Her most recent book is I Know How You Feel: The Joys and Heartbreaks of Friendship in Women’s Lives. She has a blog on Psychology Today, called “Off the Couch” and a blog on Substack called “Aging Without a Map.”
Tweetable Quotes
“Even when you have an awareness of the different signals and messages, trusting yourself can still be challenging.” - Rachelle Heinemann
“A therapist provides a safe space where you can explore your thoughts and feelings without fear of judgment or external influence.” - Rachelle Heinemann
“In today’s culture, there is often a perceived “right answer,” which makes people fear making a mistake or being wrong. “ - Diane Barth
Resources
Where to find Diane:
Website
Substack: Aging Without a Map
Psychology Today Blog: Off The Couch
I Know How You Feel: The Joy and Heartbreak of Friendship in Women’s Lives (HMH February 6, 2018)
Integrative Clinical Social Work: A Contemporary Perspective
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The journey of recovery from an eating disorder is filled with fear of the unknown, anxiety of the future, and lots of bumps in the road. Today is all about finding and embracing your WHY for your recovery, especially in those moments when nothing seems worth it. We have TedX speaker Alana Van Der Sluys sharing personal insights, tools, and acronyms (so many acronyms!) to help you along your recovery journey.
Alana Van Der Sluys is a TedX speaker, entrepreneur, author, and Certified Intuitive Eating Counselor. She is dedicated to empowering women to heal their relationship with food and their bodies to step into their potential, take up space, and pursue true health. Her debut book, Freedom with Food and Fitness: How Intuitive Eating is the Key to Becoming Your Happiest, Healthiest Self, on November 7, 2023 with Urano World USA, Inc. She is also the host of the Finally Free Podcast. Find Alana online at freedomwithfoodandfitness.com, or to work with her, visit www.freedomwithfoodandfitness.com/discover.
Resources
Find Alana:
Ted Ex Talk
Website
Free Chill the Fuck Out Worksheet: www.freedomwithfoodandfitness.com/chillout
Related Episodes
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The Best Advice You’ll Ever Get
-
Is It All About Control?
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Change Your Mindset, Change Your Life with Jen Diaz
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Starting off with a loaded question I keep asking myself (& you keep asking me):
Did we take intuitive eating too far?
Today's episode is a follow-up from last week's with Dr. David Wiss, all about ultra-processed foods. I stand by the content of the information and data shared last week, and I know David only speaks about information he can completely back up. However, I do want to reiterate the intent of the conversation. It was not to make more rules in your brain or tell you to be more restrictive. We were mostly talking about issues with policies and the general food industry, the research, and the biases in research. We highlighted where some information out there may actually be false.
This is a much larger conversation— not just about me or you. Seeing how this problem will not be solved by just myself or any individual was eye-opening. Which means that the answer is not to change the way you as an individual eat (IE cutting out all UPF.)
To reiterate, I very much agree with the idea of all foods fit model, food neutrality, and listening to your cravings. However, I think when we end at that, it feels like something is missing.
Tweetable Quotes
"I very much agree with the idea of all foods fit model, food neutrality, and listening to your cravings." -Rachelle Heinemann
"For someone with a restrictive eating disorder, relearning means eating more regularly, eating more types of food (especially UPF), and challenging food rules." -Rachelle Heinemann
"I always say this, and I’ll say it again, intuitive eating doesn’t start at honoring hunger and fullness and cravings. It starts at relearning to eat and then, and only then, reintroducing the rest. " -Rachelle Heinemann
Resources
Christy Harrison's Books
Episode 87
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Today we are talking about ultra processed food with Dr. David Wiss.
Ultra processed food is defined as food that is completely comprised of processed culinary ingredients. Meaning that the food does not contain any non-processed foods or minimally processed foods. The eating disorder community needs to recognize this exists because it is so alienating and invalidating to some people to hear that there is no difference between foods whatsoever. Pretending that it doesn’t exist is not true, but perhaps it’s the way we talk about it that makes the difference. To reiterate, I promote intuitive eating and all foods fit approach, and there may be room for this to at least be in the conversation.
If you currently have an active eating disorder and have a lot of rules in your mind, this episode may be best for you to listen later until you have fewer rules in your mind
Dr. Risa Fridy is an adolescent and young adult medicine physician who practices in a solo, private medical practice in New York City. Dr. Fridy founded Tribeca Adolescent & Young Adult Medicine, where she provides adolescent and young adult patients with personalized, highly-attentive, and comprehensive medical, as well as emotional, care – the optimal strategy to prevent and/or overcome an eating disorder.
In today’s episode, Dr. Risa Fridy and I discuss the medical complications related to eating disorders. We mainly focus on restrictive eating disorders and purging behaviors and their impact on the body. We also cover how doctors monitor these risks so you’ll know what they’re doing next time you visit the doc. My hope is that this information will empower you to find the right doctor and take significant steps toward recovery.
Related Episodes
Episode 08. Starvation Study: The Extreme Psychological and Behavioral Effects of Malnourishment.
Episode 72: Examining the Harmful Implications of the AAP’s Guidelines on Weight Loss Medication and Surgery for Children
- Bone Density and Disordered Eating
Find Dr. Risa Fridy
Tribeca Adolescent & Young Adult Medicine Website
Jenn Friedman, MA, MHC-LP, is a Mental Health Counselor, author, and musician. She provides therapy at MTZ Counseling, drawing on psychodynamic and cognitive principles. Jenn is the author of Veganism and Eating Disorder Recovery (Routledge, 2022), a book that aims to improve the discourse about veganism in the eating disorder field. She writes, records, and performs music, which she considers a source of healing and connection.
Calling all vegans, those in eating disorder recovery, and anyone with ethical or religious eating restrictions! This blog post is a must-read. Today, we take a deep dive into a conversation that is tailor-made for you. We begin with the complex interplay between veganism and eating disorders. Jen and I identify the difference between restrictions that have everything to do with your eating disorder and that have nothing to do with your eating disorder. We identify what's what and reiterate the idea that each situation needs to be treated as individualized. Note: For those of you who have other ethical and religious restrictions on food, swap the vegan part and insert whatever your restriction may be. A good number of you, I know, keep Kosher (perhaps we should do a more thorough on that 🤔), and this will be really helpful for you, too.
What is the difference between an eating disorder and disordered eating?
To be honest, I don’t care that much about the difference since if someone’s relationship with food is subjectively distressing, that’s enough of a reason to take it seriously. But there are different ways of going about working through ED or disordered eating that make it helpful to differentiate. This episode will cover specifically the "disordered eating" version of binge eating disorder. The high-functioning binge eating disorder, if you will.
Ever wonder how your attachment styles are connected with your relationship with food?
In this episode we talk about:
- Different attachment styles
- How our way of "attaching" is developed
- The significance of the culture by which we are surrounded
- Working through attachment stuff
- Practical tips
A bit about our guests:
Kathryn Garland, LCSW-S is a licensed clinical social worker and supervisor in Austin, Texas. Kathryn spent her early career and completed postgraduate training in psychoanalytic psychotherapy in New York City. She incorporates relational and intuitive methods into her work with clients and has specialized in eating disorders over the last decade. Her experience includes working with LGBTQIA+ teens in the NYC foster care system, community mental health clinics, college counseling centers, as well as primary therapist and IOP Program Coordinator at an eating disorder treatment center. Kathryn currently co-owns a group therapy practice called CALM Counseling in Austin. Vanessa Scaringi is a licensed psychologist in Austin, TX. Vanessa co-owns a group therapy practice called, CALM counseling where she works with adolescents, young adults, and adult populations. Vanessa has dedicated much of her career to working in the eating disorder field. She is a relational psychologist who strives to understand the context of one’s eating disorder. By facilitating insight, Vanessa works with her clients to identify patterns and behaviors that interfere with living the life they want to live. Vanessa also strives to create a sense of hope in her clients, as she has found this is an important part of the change process. Calm Counseling
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Secrets are a central theme of eating disorders. But what came first? The secrets or the eating disorder?
In this episode, Kathryn Zerbe and I discuss how secrets and eating disorders are woven together and what we can do about it.
Kathryn Zerbe, MD, FAED, FABP is Training and Supervising Psychoanalyst, Oregon Psychoanalytic Center and Clinical Professor of Psychiatry, Oregon Health Sciences University. She has received numerous awards for her teaching and writing contributions and speaks nationally and internationally on topics such as resilience , psychotherapy, and the role of creative partnerships in fostering healing. Author of 4 books and over 150 papers, chapters, and reviews, she is in private practice in Portland, Oregon. She is one of my go to resources for me when developing any talk I give.
The Body Betrayed: Women, Eating Disorders, and Treatment 1993/1995.
Kathryn's Profile
Kathryn's Email
Is Emotional Eating ever okay?
This is exactly what we will be getting into today! I will talk about Emotional Eating from a few different perspectives: practical things to do, ways I understand Emotional Eating, and obviously how we can go deeper into Emotional Eating (my MO, of course 🙂)
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Do you love stories? I LOVE stories!
Stories are awesome. Besides being incredibly entertaining, they have the power to be completely transformative. And I mean that literally.
Today, we talk about the impact that stories and metaphors can have on your journey to heal your relationship with food. And we talk about why it works, the neuroscience and psychology of it all.
Dr. Anita Johnston- The True Pioneer in the Field
Anita Johnston, Ph.D., is a Depth Psychologist, Certified Eating Disorder Specialist, and author of Eating in the Light of the Moon: How Women Can Transform Their Relationships with Food Through Myths, Metaphors, and Storytelling, which has been published in seven languages. She is the co-creator of the Light of the Moon Café, an online resource with interactive and self-study courses for women around the world.
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So what if your journey through your eating disorder recovery isn’t going the way you had thought it would go?
You made huge strides with eating- you eat all the macros, eat way more frequently than you had before, and you challenge yourself with foods, but you still feel obsessive and anxious; you just feel you are not quite there yet.
You feel something is off. For sure, it feels a lot better than before; after all, you are eating and feeling more energized than ever! But completely free from the shackles of your eating disorder? Not thinking about food all the time? That’s not a thing you experience at all. And you wonder why. You wonder why your mind is still tied up with food if you’ve made all this progress.
Or maybe you know why. And it has to do with how much your fear is holding you back. Your fear of not “eating healthy” or your fear of “gaining weight” is getting in the way.
Maybe you are someone who struggled with anorexia, and now you struggle with orthorexia.
Resources
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Ever needed to get a DEXA scan but not sure what that has to do with your relationship with food? Join Dr. Marci Goolsby and me for a riveting conversation about bone health, hormones, and female athlete triad. (Yes, riveting is serious, she's incredibly interesting!)
We'll answer questions like: "Is there such a thing as too much exercise?" and "Is birth control being used in a harmful way?"
Dr. Marci Goolsby is board certified in Family Medicine with a subspecialty of Sports Medicine. She is the medical director of the Women’s Sports Medicine Center at HSS and incoming President of the American Medical Society for Sports Medicine. She has served as team physician for US Biathlon and the WNBA New York Liberty. She played college basketball where she met her b-baller hubby, Clark, and they have 2 wonderful kiddos, Penny and Nolan, and a rescue from Texas, Willie Nelson. She sees patients for sports medicine issues in Manhattan and White Plains.
Resources LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
How to Accept Your Body How do you accept your body when you don’t really like your body? I get this question SO often, and the reason I haven’t addressed it sooner is because there’s really no magic answer.
There’s nothing I can say in this episode that will revolutionize your body image – but I’m hoping it can help your brain start to think about it a little differently.
If this episode resonates with you or makes you feel something, share it with a friend! My hope is that we can keep this important conversation going long after the post is over.
Tweetable Quotes “Once you can tolerate uncomfortable emotions, that to me is working toward accepting your body.” – Rachelle Heinemann
Resources Understanding Disordered Eating episodes:
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Social Media, Societal Pressure, Disordered Eating, and Poor Body Image
-
ANNIVERSARY EPISODE! My Signature Approach to Eating Disorders
-
7 Tips for Positive Body Image
-
But What's Wrong With Wanting to Lose Weight?
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Health at Every Size is a hot topic right now. But what exactly does HAES or HAES-aligned actually mean? Health at Every Size (HAES) is NOT at all suggesting that someone is healthy at every size. In fact, if someone says that HAES stands for “Healthy at Every Size,” then they really don’t understand what they’re talking about. Yes, the one letter makes a difference. Now read this paragraph again.
DEFINITION: Health at Every Size is a framework that talks about access to healthcare. It states that everybody has the right to work toward health and have equal access to healthcare. That’s the main point.
So what does that even mean, and how can you apply the framework of HAES? I’m breaking it all down in today’s episode.
Tweetable Quotes “Health at Every Size is not at all suggesting that somebody is healthy at every size.” – Rachelle Heinemann
“Health at Every Size is a framework about access to healthcare for everybody.” – Rachelle Heinemann
“Health is something that everybody on this earth gets to pursue.” – Rachelle Heinemann
“A lot of people don’t go to doctors because they’re expecting their doctor to say ‘lose weight,’ which is totally unhelpful… they miss routine checkups, and people die.” – Rachelle Heinemann
Resources Understanding Disorder Eating podcast episodes:
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The Basics of Intuitive Eating
-
Tapping Into Your Hunger and Fullness
-
Examining the Harmful Implications of the AAP’s Guidelines on Weight Loss Medication and Surgery for Children with Jessica Setnick, MS, RD, CEDRD-S
The Health at Every Size Approach
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The mother-daughter relationship can be an extremely complicated one, especially as it pertains to eating disorders. How do you make sense of it, and start to make real change in your life today? Today, Judith Ruskay Rabinor and I dive into this loaded topic. If you don’t know Judy, she is a clinical psychologist, author, speaker, and supervisor at CSAB (Center for Study for Anorexia and Bulimia in NYC). She’s a therapist for individuals, couples, and groups.
Judy has written several books, including A Starving Madness: Tales of Hunger, Hope, & Healing in Psychotherapy; Befriending your ex after divorce: Making life better for you, your kids, & yes, your ex; and The Girl in the Red Boots: Making Peace with My Mother.Need I say more about this awesome woman?
You already know that the mother-daughter relationship can be incredibly complex. Judy and I will break down why it’s complicated, how your relationship with your mom affects you, and what to do about it to make a change today.
BONUS: We’ll chat about how this all comes into play when the daughter becomes a mom herself. We will just scratch the surface on this topic, so we’ll plan to do a follow up soon. Join the newsletter to stay up to date on when part 2 comes out!
Tweetable Quotes “Our first loves were our mothers. Our first heartbreaks were our mothers. Our mothers were the first ones who met our needs and were our first attachment figure. Their goal was to keep us safe and healthy, and food is interwoven into that.” – Judith Ruskay Rabinor
“When the mothering person is not attuned enough – is not feeding the child when the child is hungry, holding that child when the child needs to be held, helping that child fall asleep when they need sleep, the child doesn’t develop the ability to soothe themselves and they develop an insecure attachment to the mother. They’re waiting always for somebody else to do it for them.” – Judith Ruskay Rabinor
“When people are not secure, they generally fail to develop other ways to soothe themselves.” – Judith Ruskay Rabinor
“Part of what’s really, really important… is gathering details. When did it start? What else was going on? Being inquisitive, investigating, and potentially, if you can, start putting the puzzle pieces together… that’s going to be the crux of how we make change, how we begin to heal.” – Rachelle Heinemann
Resources Judith’s Website and Books
Judith’s Writing Workshops
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Advice is never universal or one-size-fits-all. This episode is for you if you’re the kind of person who reads or hears someone give advice and you think, “Should I do that?” and you always implement it (or think you should).
Let’s be real: how many of you are searching online for “how to be healthy” or “ways to lose weight” and read about that one secret food that will change EVERYTHING? Yeah, so many of us have fallen trap to that.
The truth is that this is going to happen your entire life. Everyone is going to have an opinion – especially the internet and marketing people – and you’ll get advice about food, money, relationships… everything.
So what kind of advice should we take, and what should we ignore? Tune in to find out!
NEWSLETTER UPDATE: If you’re not already signed up for my newsletter, then you need to – I’m ✨obsessed ✨ with it. In an effort to keep things fun and fresh, we’re going to monthly newsletters rather than weekly. If you have any feedback on what you want to see in the newsletters, reply back to one or send me a message!
Tweetable Quotes “You might go to a doctor, or any provider, and whatever advice they give you is not etched in stone.” – Rachelle Heinemann
“If you know your relationship with food is either spot on, or it leaves a lot to be desired and you need less structure as opposed to more rules… you are the first person that needs to say what goes and comes. Not anybody else.” – Rachelle Heinemann
“You need to know you… and your personal situation. Unless they have some sort of eye into how your brain works… will not be able to tell you you’re doing something wrong.” – Rachelle Heinemann
“Recommendations and advice are never universal.” – Rachelle Heinemann
Resources Understanding Disordered Eating Episodes:
42: How You Relationship with Money and Food are Connected with Lindsay Bryan-Podvin
55: My Signature Approach to Eating Disorders
72: Examining the Harmful Implications of the APP’s Guidelines on Weight Loss Medication and Surgery for Children with Jessica Setnick, MS, RD, CEDRD-S
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
When you feel like bingeing or restricting “just happens,” how do you begin to uncover how you got there… so you can take steps to make it stop? Believe it or not, an eating disorder has a purpose.
That purpose might be to manage emotions that feel intolerable, whether that’s anger, sadness, or yes, even desire. But how do you begin to name WHAT you’re feeling, and resolve it? How would you even recognize desire as something that’s playing out in food for you? Dr. Judith Brisman and I got to talk about exactly that today.
Dr. Judith Brisman opened the first center in the country for bulimia. She is known for taking a psychoanalytic approach with eating disorders, and for writing a book for the family and friends of those struggling with eating disorders entitled Surviving an Eating Disorder: Strategies for Families and Friends. In addition to discussing how eating disorders relate to desire, she also gives us some insight into Family-Based Treatment and how families can seek help to support their child suffering from an eating disorder.
Tweetable Quotes “Families all get into patterns, some of which work, some of which don’t work. An eating disorder in the family is an opportunity to say, okay, what might need to be changed right now? What might need to be inspected?” – Dr. Judith Brisman
“We don’t just see a parent in their role, and a child in their role; we see everybody in their roles, and how the dynamics come together.” – Rachelle Heinemann
“Knowing [your emotions and patterns] allows for choice.” – Dr. Judith Brisman
“It’s not so important to identify the cause of the eating disorder… maybe it’s interesting, but that's not going to end all or be the key… it’s more about what’s happening today, the identification, and what choice that provides.” – Rachelle Heinemann
Resources Dr. Judith Brisman’s Website
Surviving an Eating Disorders: Strategies for Families and Friends
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Join legend Jessica Setnick and me in a conversation discussing the recent AAP guidelines. The AAP has suggested weight loss medication as young as 12 and weight loss surgery as young as 13 for children they deem "obese." Naturally, as eating disorder clinicians, we'll have a reaction or two to that. Jessica never disappoints, she's highly entertaining and delivers really important information for you to become a more informed patient.
Jessica's website
Find an eating disorder dietitian at Admin@IFEDD.org
Ragen Chastain's research into the AAP's guidelines and authors of the guidelines
IFEDD Response
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This is the breakdown you need to begin to understand your hunger and fullness cues. If you’ve had a long history of dieting and disordered eating, chances are this isn’t something you’ve paid that much attention to. So how the heck do you do so? Stay right here! Before we get started with today’s episode, I wanted to take a second and let you know that although there are a couple of weeks left in December, this will be the last episode of 2022.
The reason for that is I’m going to be starting maternity leave right after this. I’ll take a couple of months off, and then I’ll update you exactly what I’ll return – most likely the first week of March 2023. I’ll update my mailing list on the exact details of my return as I know them more, so be sure to sign up here! You’ll get updates about when we’re coming back, along with my best tips, thoughts, and journal prompts each week.
Okay, back to today’s episode on hunger fullness cues!
Even though it seems like a simple concept, there are plenty of misconceptions that come along with hunger and fullness. Like when to start relying on them and how to identify each nuance. Let’s break down the whole mystery so you can avoid mistakes that make this process feel ineffective.
Tweetable Quotes “If you’ve tried to focus on hunger fullness before you’ve [focused on reconditioning your body to eat consistently], it will not work. 100%, I am sure of this, whether you’ve tried it or not, it will never work.” – Rachelle Heinemann
“Everyone is going to have their own version of a hunger fullness scale… and I want to encourage you to create your own. No matter what anyone else says, this is your body and you’re getting in touch with your body. You create the rules.” – Rachelle Heinemann
“The last place a lot of people want to be is in their body. I think we need to give space for the fact that there’s a reason this isn’t natural for you anymore and that it’s going to take a lot of time, and that’s okay. That’s expected.” – Rachelle Heinemann
“What feels so difficult about being in touch with your body? What feels so threatening about looking inward and seeing what’s going on?” – Rachelle Heinemann
Resources Understanding Disorder Eating Episodes:
- Starvation Study: The Extreme Psychological and Behavioral Effects of Malnourishment
- Basics of Intuitive Eating
- Intuitive Eating Gone Wrong with Leah Kern, RD
- When Intuitive Eating Isn’t The Answer with Laura Pumillo MA, RDN, CDN, CEDRD-S
Intuitive Eating: A Revolutionary Anti-Diet Approach
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Why do we get angry? What’s the point of anger, and how do we deal with it when it feels SO overwhelming and intolerable? This week’s episode was born out of an idea that popped into my head while reading an emotions book for toddlers. I know, right?
The book identified four different emotions: anger, sadness, frustration, and happiness. The whole premise of the book was teaching children to recognize when they’re having those emotions, and to figure out how to put words to them– so they can better communicate with others, get what they need, and then move on.
This fundamental message is so important.
Although it’s perhaps too sophisticated for a toddler to understand why their emotions are happening, bringing this type of awareness in is the beginning of putting those pieces together.
Our emotions are here for a reason. They’re not here to annoy us, and they’re not here so we will suffer. They’re here for a VERY specific reason. (Well, maybe they’re here to annoy us for the purpose of us paying attention to them. Kind of like a baby’s crying is not pleasant to listen to for a reason.)
And if we can tap into what that reason is, then we can interact with the world in a way that’s closer to our values, that is more communicative, and that feels better to us.
Tweetable Quotes “An emotional danger is something we may perceive the same way as a physical danger.” – Rachelle Heinemann
“When we feel angry, it lets us know where that boundary is drawn. Otherwise, we have no idea where we start and end. Anger is the tool that lets us know where that line is drawn.” – Rachelle Heinemann
“Beyond the information that [anger] provides for us to let us know what our boundaries and values are, it enables us to get what we need, to actually implement change.” – Rachelle Heinemann
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Are you the friend who has it all together? Does it seem to you that since you know others have it worse, you can’t possibly need help? If you’re listening to the episodes in order, this episode is a very interesting juxtaposition to last week’s episode on the neurobiology of recovery with Dr. Jeffrey DeSarbo, where we scratched the surface on Severe and Enduring Eating Disorders (SEED). In contrast to that, this week we’re discussing what it looks like when someone actually functions very well in their daily life, but still suffers from an eating disorder.
The interesting thing about high functioning eating disorders is that I’d say it accounts for a large majority of eating disorders.
Because despite popular belief, you really can’t tell if someone has an eating disorder just by looking at them. Or maybe you know that already because I say it all the freaking time.
Listen to learn what high functioning eating disorders really are, and how to know when it’s time to get help.
Tweetable Quotes “You cannot possibly tell whether someone has an eating disorder by looking at them.” – Rachelle Heinemann
“Part of a really, really big aspect of diagnosing an eating disorder is the level of distress it causes in someone.” – Rachelle Heinemann
“When we exclusively call the people who are really, really sick to be the only ones with eating disorders, then we’re excluding everyone else – and again, that’s a large percentage of the population of people who struggle with any form of eating disorders or disordered eating.” – Rachelle Heinemann
“There’s always gonna be someone who is sicker than you. Point is, where you are right now, if you have a complicated relationship with food and it’s upsetting you, you deserve any and all support that you’re willing to receive.” – Rachelle Heinemann
Resources Understanding Disordered Eating Episode 68: The Neurobiology of Recovery with Dr. Jeffrey DeSarbo
Information on Virtual Therapy and Individual Therapy
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What happens to the brain when someone recovers from an eating disorder? Is it really possible for EVERYONE to recover? In today’s episode, I’m talking with Dr. Jeffrey DeSarbo to answer exactly that. If you were with us for Episode 23 on the Neurobiology of Eating Disorders, then you’ve already met Dr. Jeffrey DeSarbo once before! Today’s episode pairs well with that one, so go back and listen to that one as well.
Dr. DeSarbo is a physician, psychiatrist, and medical director of ED-180, an eating disorder treatment center in Garden City, New York. He’s dealt with thousands of patients and is one of the leaders in the field. If you’re a visual person, you might find his video series on the neurobiology of eating disorders very helpful (I did!).
Today, as we talk about the neurobiology of recovery, we’ll discuss what recovery really means, if it’s possible for everyone, and of course, the processes that happen in the brain as someone is recovering. The last part of our conversation is one you won’t want to miss: we talk about SEED (Severe and Enduring Eating Disorders) and palliative care. This is a very tricky conversation, and we talk about our personal/professional experiences and opinions… so be sure to listen to the end!
Disclaimer: We are talking in general terms, so as always, take those generalities with a grain of salt and know everything said here may or may not apply to you.
Tweetable Quotes “[After suffering from an eating disorder,] adults will lose 4-6% of their brain cells and brain connectivity… children can lose 7.5-8% of their gray matter in their brain.” – Dr. Jeffrey DeSarbo
“[After treatment,] studies show that the volume in both the gray matter and the white matter starts to restore itself in almost every brain region.” – Dr. Jeffrey DeSarbo
“It’s important to me that the treatment team makes it clear to [a patient] that yes, it’s hard. It’s going to keep being hard. That’s one thing I never do – minimize it. It’s easier to say, ‘This is going to be very difficult. You’re going to go through a lot of pain. But you can do it. People do it.’” – Dr. Jeffrey DeSarbo
“[After my patients recover], they’ll usually say, ‘I can’t even remember what I was like. I can’t really remember how I thought like that.’” – Dr. Jeffrey DeSarbo
“Recovery is possible. It’s going to be really hard for most people. But no matter how hard it’ll be, it’s always worth it in the end. I’ve never had somebody say it wasn’t worth it. When you change your neural networks, it changes your mindset on a molecular level, and that’s what recovery is.” – Dr. Jeffrey DeSarbo
Resources Understanding Disordered Eating Episode 23: The Neurobiology of Eating Disorders with Dr. Jeffrey DeSarbo, DO
Dr. Jeffrey DeSarbo’s YouTube Channel
Dr. Jeffrey DeSarbo’s Website
ED-180
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You’ve probably heard it said: “Eating disorders are a way to maintain control.” The connection between control and eating disorders is a phenomenon people talk about all the time. It’s not untrue, but honestly, I’m not the biggest fan of it. Here’s why.
The biggest problem with the idea is that it’s so vague. What does “control” mean? Control of outside events? Control of how we feel? Control of other people and outcomes? What does control actually mean, and in what ways do eating disorders help maintain control?
To me, saying that all eating disorders are a way to maintain control just seems like a reductionist statement. 🤷🏻♀️
I think the most important thing to realize about control is that, even if you don’t have an eating disorder, a lot of behaviors are used to maintain some semblance of control. OCD, anxiety, and even people trying to control conversations are all examples. In this episode , we’ll explore what our behaviors are trying to control, and what control really means.
Tweetable Quotes “The idea that we can control how we feel, which emotions emerge… and the idea that we can control what’s going on externally with other people, our health, the state of the world… is completely an illusion.” – Rachelle Heinemann
“Striving for internal calmness rather than internal chaos is the goal of working toward some semblance of ‘control.’” – Rachelle Heinemann
“Let’s try to lean into it. Let’s try to use our emotions as information and be okay with whatever reactions are happening internally.” – Rachelle Heinemann
“We’re not striving for control; we’re striving for calmness.” – Rachelle Heinemann
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“Why don’t you endorse intentional weight loss?” This is a question I get SO often – from random people, from clients, and in messages from you guys (by the way, keep the questions coming in my DMs and by replying to the newsletter! I’d love to do podcast episodes answering your questions!).
The entire world has seemed to endorse weight loss, and especially as a means toward health. It’s become so normal and, sadly, is the root of a lot of people’s disordered eating.
To put it plainly, intentional weight loss is counterintuitive to healing your relationship with food. Trying to do both at the same time can’t work.
Sure, you can heal your relationship with food a little bit. You can increase your consistency with food and tap into a little bit more of your hunger and fullness cues.
But really, when we’re looking at healing the last bit of your relationship – like the obsessions, food rules, and food anxiety – that is NEVER going to go away if we are intentionally trying to lose weight. Hear exactly why in this week’s episode!
Tweetable Quotes “Every single person has a set point, or a range, of weight their body settles at when they’re eating enough food. It’s not what we decide it to be… but it’s what our body decides it to be.” – Rachelle Heinemann
“We know the diet failure rate is so high that we know pursuing intentional weight loss will not work.” – Rachelle Heinemann
“When we’re looking at our health, we really have to take a bird’s eye view… and think about how I can incorporate new things that can help me as opposed to taking things away.” – Rachelle Heinemann
“When we focus on diet and weight loss, we completely miss the point of health.” – Rachelle Heinemann
Resources: Understanding Disordered Eating episodes:
- The OG Intuitive Eating Author
- Basics of Intuitive Eating
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We talk about positive body image all freaking day. But how do we actually get there?? Body image is something so many of us struggle with, and it’s no wonder: we live in a world that is obsessed with thinness. But it’s so much deeper than just how you see yourself in the mirror and how you feel in your skin. It’s really intertwined with self-esteem. And it can be representative of deeper dynamics that we aren’t even aware that we struggle with.
It may reveal how we feel about ourselves, and how we feel about the space we take up.
As you start thinking about your body image, some questions you might ponder include: How does it feel to take up space in the world? Do you feel like you CAN take up space? Do you want to take up more space… or less of it?
All of these deeper questions concerning how we feel about ourselves, and how we feel about ourselves in relation to the world, come into play with body image.
Even if you have all of the knowledge in the world about body image, it doesn’t guarantee that you’ll be able to implement those tools. But deepening your understanding about yourself AND using these tips IS a really good place to start in your personal body image journey.
Tweetable Quotes “Every person has their own set point [of optimal health]. You are not meant to look like the person on Instagram, you are not meant to look like the person on TV. You are meant to look like you… period.” – Rachelle Heinemann
“The 25-year-old body is NOT supposed to look like a 40-year-old body. If it does, there’s something wrong.” – Rachelle Heinemann
“We want to expand our focus to me as a person as opposed to me as a body.” – Rachelle Heinemann
Resources: Understanding Disordered Eating Episodes:
- The OG Intuitive Eating Author: Elyse Resch
- Finding Joy in Your Relationship With Food
- Basics of Intuitive Eating
- Intuitive Eating Gone Wrong
Virtual Therapy Information
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Emotions that aren’t expressed through words don’t just fizzle away…they get channeled through the body and our bodies and behaviors will do the expressing for us. So what in the WORLD do we do about it if we're not interested in having an eating disorder do the communication for us? Tom is a psychologist and Certified Eating Disorder Specialist and Supervisor. He’s a psychoanalyst and chairman of the Department of Psychology at Golden Gate University. He has published several articles and books, the most recent (and my favorite) being Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak.
He is on the Scientific Advisory Council of the National Eating Disorders Association, faculty at the Psychoanalytic Institute of Northern California and the Northern California Society for Psychoanalytic Psychology. He is also the Assistant Clinical Professor at USFC’s Medical School, and finally, he has a private practice in Berkley, California.
So, he’s just a little bit busy.
In this episode, we talk about what psychoanalysis and deep work therapy are. We break it down in easy-to-understand terms, discuss why it’s actually helpful, and most importantly, how it can be helpful to YOU.
We’ll take the most complex ideas about psychoanalysis and break it down in ways that help you start to think creatively about your own life, your relationship with food, and your recovery.
Tweetable Quotes “If we don’t have access to words and images and narratives, then the feelings have to go somewhere else. Where else can they go? They go into the body and behaviors.” – Tom Wooldridge
“One way to think about eating disorders is that people have feelings they don’t have conscious awareness of… but those feelings still have to be regulated, and one way they can be regulated is through a binge, through a purge, through restriction.” – Tom Wooldridge
“If somebody is in a place of starving themselves, even to the point of potential death, what is their underlying emotional reality? It’s very painful, and it’s hard to meet it with our own open-heartedness. If we [therapists] can do that (which is not an easy thing to do), we can really start to understand that person from the inside.” – Tom Wooldridge
Resources: Tom Wooldridge’s Website
Tom Wooldridge’s Books:
Eating Disorders: A Contemporary Introduction
Understanding Anorexia Nervosa in Males: An Integrative Approach
Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak
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Obesity rates in America are on the rise, so the obvious solution is to start eating less and eating better. Simple, right? Yeah, right. If only life were that simple.
Today’s episode is a conversation with Chana Ganz, a family nurse practitioner. Chana is currently based in Israel, and spends her summers as a family and pediatric nurse practitioner in the US. Her year-round job is treating adult populations with acute and chronic conditions. Additionally, she’s an intuitive eating counselor (yes, she has three jobs!).
This episode was born out of a conversation Chana and I had in response to an episode of Bari Weiss’s Podcast, Honestly, entitled “Eating Ourselves to Death.” Bari is someone who I deeply respect– she’s someone who’s unafraid to say anything. Chana and I talk about what we agree and disagree with in the podcast episode, and answer questions about obesity in America, the diseases associated with obesity, and what the real answers may involve. We also talk about how intuitive eating plays a role in that.
They’re important questions that I know you have … and that most people don’t talk about.
Tweetable Quotes “As the voices of the external world get more and more manipulative and louder, the only way to fight that is to make our internal voices louder.” – Chana Ganz, FNP, RN
“You don’t have to worry about all the information out there, all the manipulation out there, or the systemic failure out there. The last thing to hold onto is your own self – your own self isn’t broken, and it really can be trusted.” – Chana Ganz, FNP, RN
Resources: Bari Weiss’s Podcast, Honestly
Chana’s Instagram, @Intuivitely_Eats
Chana’s Website, Intuitively Eats
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You might not be surprised to hear that perfectionism and disordered eating go hand-in-hand… but why is that? And HOW do we go about addressing it? Disclaimer: I’m not saying everyone who is a perfectionist has an eating disorder, or that everyone with an eating disorder is a perfectionist, BUT the correlation is pretty high.
And if this sounds like you? In this episode, we’ll explore what the connection is, why it’s there, and most importantly, what to do about it.
Colby is a Registered Dietitian who specializes in eating disorders and disordered eating. She got her Master’s in Clinical Nutrition from Columbia, and now she works at a private practice called Brown & Medina Nutrition and is on the eating disorder team at Columbia University Health Services. She has spent years working with young adults and high-achieving students, and comes to us with a great perspective on this topic.
If you’re a perfectionist, this one's for you!
Tweetable Quotes “The rules and rigidity around eating is hard to live up to… and often, that results in the breaking of rules which leads to overeating or binge eating.” – Colby Golder, RD
“Health is all intertwined… is it really healthy to miss your friend’s birthday party if you’re afraid to eat there?” – Colby Golder, RD
“The goal of treatment is not to eliminate health and wellness, but it’s to eliminate rumination, stress, and obsession, and to eliminate how it affects your everyday thinking and your ability to operate in everyday life.” – Colby Golder, RD
Resources: Brown & Medina Nutrition
Colby’s Email
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Exploring your relationships and your past is more important than you realize – and ignoring them might actually be hurting you. If you’ve been to therapy before, or read much about it (or listened to my signature approach before), you’ve probably heard the idea that your past affects your present.
And if you’ve rejected that notion, then you’d be in good company 🤷🏻♀️
In fact, I get a lot of pushback from this idea. What I often hear in response to this concept is either one of two things:
- “I had a really good childhood. My parents are really great, so this doesn’t apply to me.”
- “I don’t agree with that! It’s not helpful to bring the past back, I need to figure out skills for now and that’s it.”
In today’s episode, we’ll break down why analyzing your past doesn’t mean you had a bad childhood… and why ignoring your past can actually hold you back.
Do you ever feel like you just can’t understand WHY you do the things you do? You want to change your behaviors, so you’ve read all the research and know exactly what you’re supposed to do… but for some reason, you feel like there’s a glass wall that’s blocking your way. You don’t know why it’s happening or how to change, but you do know it’s SUPER frustrating.
That’s where Jen Diaz comes in.
Jen is a certified mindset and success coach for ambitious women entrepreneurs and executives. She helps high-performing women optimize their potential and feel more fulfilled in business and life.
She does this by using her training in positive psychology and neuroplasticity to shed light on unconscious ways of thinking that might be holding a person back.
And once someone is aware of these unconscious thinking patterns, they can work through it, embrace every part of themselves, and make a greater impact on the world.
Tweetable Quotes “Your needs are not going away. Shoving it down, not paying attention to that need, denying yourself… it just makes it stronger so that at a point, you’re not in control anymore – it is.” – Jen Diaz
“We have needs for a reason – mostly to survive. So it’s going to make itself known strongly because on a subconscious level, its primary goal is survival.” – Jen Diaz
“The end goal is to better the relationship with [loved ones] and have a more mature and compassionate relationship.” – Jen Diaz
Resources: Jennifer Diaz’s Website
The JAVA Method
Jennifer Diaz’s Instagram
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When you know in your gut that something isn't working in therapy how do you approach the conversation so you get what you need? You’re feeling stuck. You’ve been seeing your therapist for a while or perhaps just a short time, and maybe you don’t know what it is, but you KNOW something isn’t working. Maybe they’re just not getting you.
You’ve heard of just “not clicking,” but maybe this goes beyond that. Is it not the right fit? Or is it a bit more complex than that? Did something happen that turned you off?
Now, I’m a therapist, so I’m talking about this from a therapist perspective. You can replace “therapist” with anyone – psychiatrist, dietitian, doctor, and so on – but we’re going to be zeroing in on the therapist-client relationship today.
Whatever it is, and whomever it is… this is your episode to help you figure out what to do and how to get through it… even when it feels terrifying.
Tweetable Quotes “The interpersonal dynamic between you and your therapist is the key to your recovery, your healing journey, to really getting anywhere that you need and want to go.” – Rachelle Heinemann
“Honestly, you owe it to yourself to talk about it. Otherwise, you’re wasting your time and energy.” – Rachelle Heinemann
“Let’s think about any sort of disagreement. If there’s respectful disagreement, then what you have is a beautiful debate.” – Rachelle Heinemann
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Taking the first step toward treatment is terrifying, and riddled with information overload… and that’s where Ibbits Newhall comes in. Ibbits runs a consulting business as a treatment resource consultant. She works with individuals and families on treatment planning and what to do when navigating recovery – like step down options, residential programs, after care plans… any point of recovery. She’s the person who can connect people with whomever they need to connect with for treatment.
Ibbits is really well connected with a lot of different programs and people. She was a founding member and secretary of IAEDP-New York, which is our lovely IAEDP chapter. She served on the advisory board of CSAB (Center for the Study of Anorexia and Bulimia in NYC) and on the board of the Binge Eating Disorder Association. Currently, Ibbits serves on the Advisory Board Health 2021. She has worked with dozens of families and individuals to help them find the right treatment plans.
Maybe you’re struggling with disordered eating, or you’re the family member of someone who is. Today, we’re talking about what to do when you’re in these positions. When you have no idea what to do, what to look out for, and you’re terrified… Ibbits is going to share all her wisdom (along with her really entertaining stories).
Tweetable Quotes “As a family member, it’s important to understand the seductive power of this disease. If they can possibly begin to comprehend – although I think it is very difficult unless you’ve been in that brain yourself – how that seductive power permeates every corner of that individual’s being.” – Ibbits Newhall
“For the individual, [treatment] is terrifying. Even if, intellectually, the individual knows very well how destructive this disease is and what it’s taking away from them, it is terrifying and scary beyond belief to think of taking that first step. And if they’ve been through this a number of times, thinking of taking that painful step yet again… and for parents to understand what that undertaking is.” – Ibbits Newhall
“There’s this narrow, tiny pinprick of light through which individuals are looking, and they don’t see any other path [for their life]... and there is a world of possibility out there.” – Ibbits Newhall
Resources: Ibbits Newhall’s Consulting Website
Recovery Roadmap Series for families
Sick Enough by Dr. Jennifer Gaudiani
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Trauma is a word that’s thrown around a lot. And the idea that trauma and ED’s are connected is pretty known… but WHY are they connected, and what connects them? Heather is a clinical social worker and psychoanalyst with a private practice in NYC. She’s also an eating disorder and trauma expert. She is faculty and a supervisor at The Institute for Psychoanalytic Study of Subjectivity; The National Institute for Psychotherapies; and The Manhattan Institute for Psychoanalysis and the Certificate Program in Trauma Studies. She’s also a review editor for Psychoanalysis, Self and Context and she’s written about eating disorders from a self psychological, relational, and neurobiological perspective (if those words mean anything to you).
A lot of her work has inspired and informed the talks and webinars I’ve given. She’s written academic papers for decades and I love her work. To be honest, her works are some of my favorites when it comes to eating disorders and psychoanalysis. So consider us real lucky to have her join us here.
Tweetable Quotes “The eating disorder became a self-management tool, a self-regulating tool, a strategy to manage states of hyperarousal and anxiety, to have a sense of efficacy and control.” –Heather Ferguson, LCSW
“Most of us with a psychoanalytic frame of mind think about eating disorders serving both functions, that is, they can both downregulate and soothe the nervous system, but it can also be self-harming and self-punishing.” – Heather Ferguson, LCSW
“That’s part of what gets mapped around trauma – ‘I’m bad, I deserve punishment.’ It’s illogical, it’s sort of how the psyche makes sense of this – that you are the bad one, and you somehow induce the traumatic event.” – Heather Ferguson, LCSW
“The eating disorder in a way can be a window into understanding the trauma.” – Heather Ferguson, LCSW
Resources: Heather’s Website
Heather’s email: heatherfergusonlcsw@outlook.com
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There is SO much information out there on therapy, eating disorders, and self-help that you could spend endless amounts of time reading and learning… but what do you do when you’ve learned so much, and your life STILL isn’t changing the way you’d hoped? Giuliana Hazelwood is the owner of Sense of Self Somatics. She’s an acupuncturist who also does coaching. She does a lot of somatic therapies – she specializes in eating disorders, but works with a whole host of other health challenges, like anxiety, depression, and trauma. Her work is informed in part by Internal Family Systems (IFS – we’ll talk about this a bit in this post).
Giuliana is the perfect blend of art and science. She is the creator of Bedside Manner Universe, which is a really cool place to discuss and learn more about the art of medicine and how the arts relate to science. She also has a podcast there – it’s pretty awesome.
What we’re talking about today is so important. When you listen to podcasts (ahem), read books, or scroll through blogs, I know you’re trying to learn new information to improve your life. So why then does nothing actually change more often than not?
This is because increased awareness, understanding, and logic can only take you so far. Obviously, I'm going to be the first person to tell you that these things are important. But if we keep it in our brains and don’t actually move that into our body and incorporate it into our actual life… then what’s the point?
Today’s post is about how understanding and logic can only take you so far, and what the heck to do after that. So let’s jump right in!
Tweetable Quotes “It’s very common that people with restrictive-type behaviors have a glitch in the way that the brain deals with serotonin. They’ll have chronically high levels of anxiety, and one of the ways the body deals with that is by not eating – by repressing the physical urge to eat.” – Giuliana Hazelwood, MS, LAc
“The truth is, the part of the brain that is rational can communicate and be really intellectual… but that part of the brain doesn’t talk to the part of the brain that feels things really emotionally… so, what I do in session is help people make a bridge.” – Giuliana Hazelwood, MS, LAc
“If you physically get the body in a place where it’s more willing to cooperate from a neurological perspective, then you can bring in other things that are more emotional or psychological, or address the social context of the eating disorder.” – Giuliana Hazelwood, MS, LAc
Resources: Bedside Manner Universe
Giuliana’s Instagram
Bedside Manner Podcast
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Intuitive Eating is a highly popular framework that seems perfect on the surface… but is it always the right fit for those struggling with eating disorders? Laura Pumillo is the owner of Nutrition for Every-Body, a nutrition practice in Manhattan. Laura has over 25 years of experience working with people suffering from eating disorders. Right now, she treats every type of eating disorder: anorexia, bulimia, binge eating… everything.
Laura is really good at what she does. When someone comes to her, she looks at them as an individual. She has a knack for putting all the pieces of their unique experience and situation together and helping people work toward whatever recovery means to them.
I love the way Laura’s brain works. It is her understanding that the people who come to her know a lot, but her work is trying to bridge the gap between what people know and behavior change. She wants everyone she works with to cultivate a positive relationship with food and their body, and to feel comfortable in their body.
Both of us really appreciate and subscribe to intuitive eating. But part of what’s been going on currently is a very boxed way of thinking – meaning, for example, that intuitive eating is the only way to live and if you’re not eating intuitively, then you’re on a diet and have a messed up relationship with food. Keep in mind that this conversation is based on nuance. We have to understand that every person is an individual, and intuitive eating is a framework. It will look entirely different for each person. We’re not saying it’s bad or good. We’re saying to be honest with yourself and use it in a way that works for you.
Disclaimer: this episode is very generalized. Please understand that when we talk about some of the limitations of intuitive eating, this is not to say that intuitive eating does not work; it’s just to say intuitive eating might not be the answer for every single person out there.
I am SO excited for this conversation. So, let’s dive in!
Tweetable Quotes “We’ve got early data – but compelling data – about the fact that it is very related to the reward system in the brain. People who meet the criteria for anorexia nervosa have a brain reward system that is actually rewarded by the absence of food.” – Laura Pumillo
“Many, many, many people [in the US] never have intuitive eating skills. Were they born with them? Yes, most likely. But science shows that they can lose them by the age of 4.” – Laura Pumillo
“It’s going to be an individualized process. Anything you hear on a podcast or read in a book – any generalized information might not fit your personal life. So really looking at your situation and what makes sense for recovery at that point is going to be the only way to go.” – Rachelle Heinemann
Resources: Nutrition for Every-Body, Laura’s practice
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We know that the onset of eating disorders very typically begins in the teenage years and that teens are particularly vulnerable to disordered eating… so how can we create an environment that fosters a healthy relationship with food and body for teens? Whether you are a teen, have a teen, or just want to understand your teenage self, Danielle Swimm, LCPC, provides enlightening answers for us.
Danielle is a good friend of mine and is a certified eating disorder specialist in Annapolis, Maryland. She has a group practice, Collide Behavioral Health, that focuses on helping women heal their relationship with food and their body.
She’s really into mental health and female empowerment, and she’s a business coach for therapists – which is the coolest! When she’s not working, she’s doing yoga or outside with her toddler and puppy (and her puppy is pretty adorable!).
It's really important to talk about this stuff because so often teens are left struggling without getting help. But when we do have someone who reaches out for help sooner, recovery is so much more likely.
What we’ve noticed is that over the pandemic, the amount of inquiries – especially for teens – skyrocketed. Danielle has a few insights on why that may be and she’s sharing them with us. We talk about why eating disorders affect teens, how the pandemic exacerbated it, and how to approach conversations with teens around food and body image. Let’s just jump right in!
Tweetable Quotes “You’re trying to set your kid up for a healthy relationship with food… for their entire life. Today, they’re 13, 14, 17… but their body’s going to continue to change in 10, 20, and 40 years… especially for girls when they’re women, and they go through pregnancy and menopause – you have to have these skills, because otherwise, you’re totally screwed.” – Rachelle Heinemann
“In our culture, that isn’t talked about. It’s just assumed you go through puberty and your body stays the same for 50 years. It’s not accurate at all, and it’s very unattainable. The body isn’t meant to do that.” – Danielle Swimm
“If [a teen] is making comments [about their body], they’re asking for help. They want you to know. They’re not going to say things to you that they don’t want you to know – teens know how to be very secretive – so if they’re saying something to you or doing something in front of you, they’re waving a flag to say, ‘I need some attention in this area.’” – Danielle Swimm
“If they say, ‘I’m so fat,’ and you say, ‘No, you’re not’ or ‘You’re so beautiful,’ what really you’re saying is, ‘I actually disagree with your perspective’ and that’s really invalidating… or you’re almost saying ‘Yeah, you’re fat, but I also think you’re beautiful.’” – Rachelle Heinemann
Resources: Collide Behavior Health, Danielle’s practice
Health at Every Size
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When gut health issues, chronic illness, and disordered eating meet at a crossroads, how does someone take steps towards healing? That’s the subject we tackle today with Gianna Michalak, a Certified Nutrition Specialist and specifically gut health nutritionist. She works with women who have chronic illnesses to optimize their digestion and improve their quality of life.
If you’re an Instagram person, Gianna puts out TONS of information that’s both entertaining and informative on her Instagram and she has a new program out: The Gut Restore Program.
Normally, when you go to someone for this issue, the solutions you’re offered are going to involve a pretty heavy dose of restriction – but Gianna understands that when somebody has a chronic illness, there’s so much that has to do with your immune health and mental health, and sadly, very often, people struggling with this also struggle with eating disorders. So her goal is for you to expand your quality of life – which I love. What a breath of fresh air!
I do want to add that if you’re in the throes of your eating disorder and you struggle with chronic illness, it would be beneficial for you to work with a dietitian who specializes in eating disorders and gut health/chronic illness; some of Gianna’s specific suggestions might not apply to you. Just take all of this with a grain of salt and see what works for you.
So, without further ado, let’s jump right in!
Tweetable Quotes “The major myth in the gut health space is that you have to eliminate foods to restore your gut health – and that is simply not true.” – Gianna Michalak
“Let’s say you are reactive to gluten right now. There may be a way that, a year from now, if you focus on optimizing your gut health and your digestion, you CAN have gluten a part of your diet and have peace and satisfaction.”-- Gianna Michalak
“[Mindfulness] actually allows your body to digest food better and it allows you to also restore your relationship with food because while you’re consuming it, you’re activating a brain mode of safety.” – Gianna Michalak
Resources: Gianna’s Instagram
Gianna’s Newsletters and Gut Restore Guide
The Gut Restore Program
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The 12 Step Program and Overeaters Anonymous have been around for a while… but is there a side to it that might be harmful to some people? We’ll explore that… or at least, we’ll explore my opinions on that.
But first, a couple of disclaimers.
First of all, I am by no means an Overeaters Anonymous or a 12 Step expert. I’ve been to one meeting and it was for an assignment at school. So, in no way have I been part of the 12 Step Program nor do I claim to have the expertise here.
If that’s enough for you not to want to hear what I have to say, I totally respect that. You can skip to the next post! Don’t read something that’ll just piss you off for no good reason.
Secondly, if you attend OA and this works for you, I am so glad. You do not need me to agree with you – if it works for you, it works for you! Who am I to tell you not to go? (I know I tend to be sarcastic a lot but I am totally not sarcastic here. I am dead serious.)
That being said, this episode is about my thoughts on OA – and as you might’ve guessed, why I don’t particularly love it. We’ll talk about the 12 Step Program in general, the things I like and don’t appreciate in OA… so here we go!
Tweetable Quotes “There’s so much more to your relationship with food than managing it.” – Rachelle Heinemann
“I’ve seen people walk through the door with an eating disorder and come out the other side with no eating disorder. If that’s an option for you, why wouldn’t we entertain that?” – Rachelle Heinemann
“The idea that you’re born with a character defect as opposed to, there’s a reason why we’re the way that we all, removes all aspects of increasing our awareness, increasing our empowerment to make changes, and our hope that we can make changes.” – Rachelle Heinemann
Resources: Overeaters Anonymous Website
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We’re talking about self-compassion… but not the kind you’re thinking. Don’t roll your eyes yet, because if you know me, you know I’m right there with you. I’d never hand you mushy-gushy self compassion as a whole freaking episode. So hang with me. 😬😬
I love that the two of us are talking about this topic. Why? Because she and I are the most direct, no-nonsense women in the world. So we won’t be talking about self-compassion from the perspective of, “Oh, you have to love yourself more! Increase your positivity and affirmations!” Ugh, gross. Please. 🙄
Hey, if that works for you, then great! But if you’re anything like the two of us, that totally won’t work for you. We’re coming at it from a practical and physiological perspective that you won’t want to miss.
Mya Kwon is an anti-diet dietitian. She has a Masters in Public Health and Nutrition Science and works in two places: she has her practice, an online program called Body Respect where she’s helped hundreds of women break the cycle of food guilt and body shame; and she’s part of the nutrition faculty at Seattle Pacific University.
Mya has such cool ideas and you can see more of her anti-diet dietitian content on her Instagram. She’s done countless lectures at many different venues and on many different topics, and I am honored to be speaking with her today – honestly, she’s just a big freakin’ deal. 💫
Listen on for our conversation on self-compassion!
Tweetable Quotes “In reality, any difficulty we’re having doesn’t mean we’re broken; it means we’re human.” – Mya Kwon, MPH, RD
“...my difficulties are not what isolate me or make me different; they’re what connect me to other human beings.” – Mya Kwon, MPH, RD
“By practicing this component of kindness, you’re not being weak; you’re actually giving yourself a safe space to grow.” – Mya Kwon, MPH, RD
“You can go back to whatever you were doing before – as long as you try this for however much time and really give it your all. We’re seeing this as an experiment.” – Rachelle Heinemann
Resources: Mya’s Website, Food Body Peace
Mya’s Instagram, @foodbody.peace
Self-Compassion with Dr. Kristin Neff
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Have you ever considered the issues you have with food… might just be connected to issues you have in your relationships? Believe it or not, the two are closely related in ways you’ve probably never thought about – and Dr. Sarah Chipps is going to explain how, and give some tips for healing.
Dr. Sarah Chipps is our beloved Vice President (soon to be President – woohoo! 🎉) of IAEDP New York. She’s the founder of two different programs: Well Williamsburg, a group practice in Williamsburg, Brooklyn, and Sanctuary, an intensive outpatient program (IOP) for people with a trauma history in NYC.
Sarah specializes in the treatment of eating disorders, substance abuse, and trauma. She’s a regular presenter at conferences, and she does extensive work with dissociative identity disorders (DID). Maybe I can grab her for another episode about that, because that topic is super fascinating, y’all. 😏
Listen now for Sarah’s take on the connection between our attachment styles and our relationship with food.
Tweetable Quotes “Just show up and be open to feeling feelings that come up in relationships with other people. Sit with them and see if you can work through them.” – Dr. Sarah Chipps
“If you’re noticing that you’re restricting food… maybe, also, you need to focus on relationships.” – Dr. Sarah Chipps
“If you struggle with connecting, it’s not like, ‘follow this manual in four steps and you’ll make these significant, meaningful relationships’... you have to be you, and also, lean into your intuition.” – Rachelle Heinemann
Resources: Well Williamsburg Psychotherapy in Williamsburg, Brooklyn
Sanctuary in NYC
Dr. Sarah Chipps’s email, DrSarahChipps@gmail.com
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There are so many different types of chronic illnesses, from IBS to Crohn's Disease, that make healing your relationship with food infinitely more complicated. It’s not as simple as “read the intuitive eating book, eat when you’re hungry!” (let’s be real – that’s a boiled-down version of intuitive eating, anyway). When someone’s body responds differently to different foods due to a chronic illness, how do they navigate recovery from disordered eating and heal their relationship with food?
Anita Dharwadkar talks with me today about just that. If you struggle with a chronic illness and want to heal your relationship with food, then this episode is for you… but even if you don’t, this is a really interesting conversation that will allow you to pick out pieces that do apply to you – and help you understand that recovery and intuitive eating is not a one-size-fits-all process.
Anita is a Registered Dietitian who practices in the Boston area. She’s an anti-diet dietitian who practices Health at Every Size. She’s been trained to work with eating disorders and has worked with all levels of care.
Right now, she’s working as an outpatient nutrition therapist in Cambridge, Massachusetts with Marci Evans (who was actually on the podcast a few weeks ago!). Anita has a passion for working with the intersection of eating disorders and chronic illness, specifically in adolescents.
Listen now to our discussion about the complexities of navigating recovery from an eating disorder with a chronic illness.
Tweetable Quotes “Be gentle with yourself. Know that this isn’t going to happen overnight. You didn’t develop disordered eating… overnight, it’s going to take time and that’s frustrating.” – Anita Dharwadkar, RD, LDN
“Every time that you are choosing to eat, you’re making a good, nourishing choice and getting yourself one step closer.” – Anita Dharwadkar, RD, LDN
Resources: Anita’s Instagram, @Dietitian_Anita
Anita’s Email, Anita@marcird.com
Anita’s practice website
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In this episode, I’m excited to talk about dancers and how dancers, specifically, are athletes. Dancers, specifically, can work towards a healthy relationship with food. Even in a world that might be, you know, thin-obsessed. Or, obsessed with what kind of foods to eat. Or, making sure that you eat specific types of food in order to fill your body. But, that is not an oxymoron for developing a healthy relationship with food.
This episode provides so much information on how you can build a healthy relationship with food, even if there are messages telling you otherwise. Even if your schedule is really busy. Even if you’re on the go all the time.
Jump right in!
[00:01- 03:52] Introductions
[03:53-07:44] A Walkthrough of a Day in a Life of a Dancer
- Different types of dancers
- The mental and the physical toll of conquering a day in their lives
- Achieving sustainable habits through a balanced life
[07:45 - 13:21] Breaking Down Why Food Can Be a Tricky Aspect to Dancers
- Prevalence of privileged ideals and the exacerbation of toxic messaging and culture
- The requirement of performance nutrition - meal plans and other food items
[13:22 - 18:15] Dancers and The Demanding Nature of Dancing
- The intervention of cross-training - what for?
- How does nutrition help injury prevention for dancers?
[18:16 - 22:21] Nutrition and Health - Going Beyond Diets for Dancers
- The commonality of misinformation about nutrition, restrictive dieting, and physical movement, in general, affects a dancer’s relationship with food.
- Eliminating the impact of restrictive eating that affects other aspects of their lives
- The importance of establishing sustainable eating habits and making sure they’re eating enough
[22:22 - 25:25] How Can a Dietitian Help a Dancer Establish a Sustainable and Healthy Relationship with Food?
- The two-fold rule on determining whether you need a dietitian and when’s the right time to reach out.
[25:26 - 30:15] Rachel’s Message to Dancers who may be Struggling with Body Image Issues
- The importance of a supportive environment.
- Dance isn’t all aesthetic, it’s also physical.
[30:16 - 32:14] Outro
- Where can you find Rachel?
Tweetable Quotes:
"It’s 2022, there are plenty of environments out there that are now, thankfully, opening their arms to diversity.” - Rachel Fine, RD
“Remember the science that, at the end of the day, even though dancing, as we think of it as aesthetic or a visual art, that should have no reflection on body weight.” - Rachel Fine, RD
“Dancing techniques are not a product of body weight. It is a product of hard work and how your body moves. - Rachel Fine, RD
Resources:
- Rachel’s Website
- Rachel's Course
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Intuitive eating has become a hot topic in the media. I’m glad it’s become popular, but that comes with a danger… diet culture has adopted intuitive eating for its own purposes. So, as people who actually want to heal our relationship with food and not subscribe to diet culture, how do we approach intuitive eating? During this week’s episode, we discussed just that. This episode is with my dear friend, Leah Kern. Leah is an anti-diet dietician. She’s an RD and a certified intuitive eating counselor. Her practice specializes in helping people heal their relationship with food using intuitive eating.
[00:01- 02:15] Introductions
[02:15-07:53] Principles of Intuitive Eating
- How intuitive eating came to be.
- The framework of intuitive eating - how it can become another "diet."
- The basics of intuitive eating.
[07:54 - 10:34] Leah's Advice for Someone Who Wants to Work on Their Intuitive Eating
- Identifying whether it's a diet or not.
- How do social media, mobile apps, and society impacts one's relationship with food?
[10:35 - 13:38] The Difference with Eating Disorder Care
- It's temporary
- The long-term goal of being able to stabilize one's relationship with food.
- Trusting your body's cues - the end goal of eating disorder recovery.
[13:39 - 28:57] How Leah Integrates Science into the Framework of Intuitive Eating?
- Introduction of gentle nutrition.
- Intuitive eating comes from a place of self-care.
- The importance of balancing nutrition and variety for the body.
- Leah elaborates on the true essence of balancing - not a salad and burger kind of balancing.
- Society’s impact on diet culture made it more like a business venture.
[28:58 - 36:38] The Fusion of Movement and Exercise in Intuitive Eating
- What is movement in the intuitive eating perspective?
- Understanding what it means to be strong and finding the inspiration in its meaning before indulging in exercises.
[36:39 - 38:08] Outro
- Where can you find Leah?
Tweetable Quotes:
"Intuitive eating is eating for the way you want to feel in your body, not the way you want to look in your body." - Leah Kern, RD
“If you are eating and exercising with the intention of wanting to manipulate the size and shape of your body, you are probably going to end up disappointed.” - Leah Kern, RD
Resources:
- Leah Kern’s Website
- Leah Kern’s Instagram
- Shoulders Down Podcast
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We reference intuitive eating all the time, but we haven't discussed it in depth.
In this episode, I talk about the basics of intuitive eating. Please take note that this is not in lieu of reading the book.
In fact, I am encouraging you to read the book or listen to the audiobook to understand the principles enumerated even more.
Let's dive in.
[00:01- 01:40] Introductions
[01:41-22:53] Principles of Intuitive Eating
- Reject the diet mentality.
- Honor your hunger.
- Make peace with food.
- Challenge the food police.
- Discover the satisfaction factor.
- Feel your fullness.
- Cope with your emotions with kindness.
- Respect your body.
- Movement, feel the difference.
- Gentle nutrition.
[22:54-24:12] Closing Segments
Tweetable Quotes:
"Intuitive eating is not dieting. It is self-care." - Rachelle Heinemann
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It’s hard to determine whether a loved one is suffering from an eating disorder or not. The good thing is, that there are signs that you can look out for that can help you know when to start a conversation. In this episode, I talk about red flags and warning signs. If you see someone you love who might be experiencing any of these, you can go way back to episode 9 about what the heck to do. Spoiler: unconditional support and love go a long way.
Keep in mind that you can also look out for these warning signs in yourself. If you notice yourself ticking most of these off and saying “yep, yep, yep”, perhaps it’s time for you to get support for yourself.
Also keep in mind that even if you or your loved one doesn’t “meet the criteria” for an eating disorder, it doesn’t mean you don’t get help. The earlier you see a therapist or dietitian, the better. The more support you get, the better. Trust me, it’ll never be an opportune time. Do it now.
[00:01- 00:44] Introductions
[00:45-03:00] A Background on How I Conceptualize Eating Disorders or Disordered Eating
- Seeing it beyond the spectrum of black and white.
- Take my professional opinion with a grain of salt.
- The need for support for anyone struggling with disordered eating or eating disorders
[03:01-04:33] It’s Okay If You Don’t Agree with Me - Here’s Why
- The importance of understanding yourself and your tendencies before identifying yourself as someone who suffers from an eating disorder or disordered eating.
[04:34-15:14] Red Flags You Need to Watch Out For
- Shifts and emphasis on food, nutrition, or weight talk about a person’s life.
- Negative self-talk about body image.
- Overworking or excessive exercise/movement.
- Constant body-checking (whether the tummy looks flat, etc.).
- Suddenly emotionally-withdrawn.
- Avoids eating out in public.
- Skipping snacks and meals.
- Significant weight loss or weight gain.
- Feeling shameful or hiding food.
- Constantly running to the bathroom after eating.
- Irregular menstruation flow.
[15:15-15:40] Closing Segments
Tweetable Quotes:
“If it’s not a problem for you, and you’re doing everything fine, then, I’m not saying anything about it. You do you.” - Rachelle Heinemann
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You know me. I'm the first person to roll my eyes at the idea of breathwork. And mindfulness. I'm so quick to laugh at the seemingly preposterous idea that using our breath can really help in recovery. Or maybe I should say, used to be that person.
Talking to Erin kind of changed that. She is a Certified Eating Disorder/Anxiety/Breathwork, NLP Practitioner, and Trauma Coach. She also is the kind of person who totally rolled her eyes at the idea of breathwork. But then she tried it.
She will introduce the unbelievable benefits of breathwork, how it can help individuals with eating disorders, and how she came across such a unique modality. We also talk about how tricky this gets when someone who is experiencing poor body image or has a history of trauma would want to be the furthest place from their body and brining awareness to it. Tune in and don't forget to join in the discussion by signing up for my weekly newsletter.
[0:01-04:00] Introductions
- Introducing our guest speaker
[04:01-07:53] How Her Childhood Trauma led her to the Discovery of Breathwork
- The story of her eating disorder
- How did she use food to alleviate pain and anger?
- The tragic effect of her relapse from treatment and how it continued to spiral out of control.
[07:54-13:01] Going into Treatment for the Sake of Others - How Did It Affect Her?
- She narrates the devastating feeling she experienced when her son witnessed her battle against an eating disorder.
- Erin stresses the importance of treatment in a heart-wrenching and mother-son-centric analogy.
- Putting herself first and valuing herself first to be a fitting mother to her son.
[13:02-24:08] The Voluntary Decision of Inserting a Nasal Tube to Gain Weight
- Erin discusses how this last-ditch effort brought her body to a place of basic functionality - and save her life.
- The essence of following through for long-term recovery with the step-down treatment despite it being uncomfortable.
- Erin emphasized the importance of understanding your whys and a reliable support system for a continuous inner struggle with eating disorders.
- Listen to Erin's testimony of recovery as she recalls how she progressed, how she stumbled, and how she regained herself.
[24:09-40:46] Debunking the Eyeroll Topic of Breathwork
- What is breathwork?
- The differences between short and long breathwork.
- Breaking down the "journey" - guided and meditative breathwork.
- What are the possible bodily effects of being immersed in guided breathwork?
- How does breathwork affect people with eating disorders?
- In the midst of the life-threatening events and the relief brought by breathwork, where is Erin now?
[40:47-36:54] Outro
- Where to find Erin Reiland?
Tweetable Quotes:
"I need to do this for me. I need to be okay with me." - Erin Reiland
"Recovery from an eating disorder is not a linear process and that's okay." - Erin Reiland
"Triggers are teachers." - Erin Reiland
Resources:
- Erin Reiland’s Website
- Erin Reiland’s Instagram
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Lindsay Bryan-Podvin is a social worker-turned-financial therapist, author, and speaker. She has a Master's degree in Social Work from the University of Michigan, and a bachelor's degree in Sociology from Michigan State University. She authored the book, “The Financial Anxiety Solution” which is a self-paced workbook that integrates therapy techniques to improve your relationship with money. I've been talking about how our relationship with food and money are so connected since the dawn of time. Okay, maybe it feels like it to me. But the way we relate to food and the way we interact with money are so so similar. Take the restrict-binge cycle. The food part is obvious. You restrict and binge on food. But what about money? Ever feel super calculated about how you use your money? Ever say, I can't have that it's too expensive, even when it really isn't? Ever find yourself spending lots and lots of money on things you can't understand why? As if there was a lapse in judgment for a second? Listen to this episode for more on all this and what to do if this feels like you.
[0:01-04:40] Introductions
- Introducing our guest speaker
[04:41-08:53] Delving Deeper into Financial Therapy – How is Money Stuff Connected with Emotions?
- Lindsay answers the question, “what is a financial therapist?”
- She elaborates on why financial therapy is 80% emotions and 20% numbers.
[08:54-15:52] The Similarities Between One’s Relationship with Money and Food
- She shares her personal recovery experience and how she soooo relates to this idea.
- How labels, rules, restrictions, guilt, and shame apply to both food and money.
- How does financial anxiety manifest itself?
[15:53-22:04] What are the Main Struggles Lindsay Sees in People Nowadays?
- How do one’s childhood interactions with money shape the way people handle money now?
- The most common themes and behaviors that occur in people who are struggling with money – are procrastination and perfectionism.
[22:04-35:36] Working Towards Healing in Either Food Concerns or Money Woes
- The impact of practicing self-compassion and working on one thing at a time.
- What is a good first step for somebody who’s feeling anxious about money?
- Listen to Lindsay’s tips for taking note of your emotions while interacting with money.
- A bit about scarcity and abundance mindset.
- How do you separate financial value from your self-worth?
[35:37-36:54] Outro
- Where to find Lindsay Bryan-Podvin?
Resources:
- Lindsay Bryan-Podvin's Website
- What’s Your Financial Archetype
- Mind Money Balance Podcast
- Lindsay Bryan-Podvin's Instagram
Tweetable Quotes:
“Yes, we can cut all day but at the end of the day, what really helps is to advocate for better wages.” – Lindsay Bryan-Podvin
“Practicing financial self-care is so important and it affords us the ability to take care of so many things in our life.” – Lindsay Bryan-Podvin
“The tricky piece with money is that if we procrastinate on engaging with it, we really harm ourselves in the long run.” – Lindsay Bryan-Podvin
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Marci Evans, RD 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 and certified Intuitive Eating Counselor. In addition to her group private practice and adjunct teaching positions, Marci launched an online eating disorders training for dietitians and co-directs a specialized eating disorder internship at Simmons College.
She volunteers for a number of national eating disorder organizations including the IAEDP certification committee and is serving as an eating disorder resource professional for The Academy of Nutrition and Dietetics. She has spoken locally and nationally at numerous conferences and media outlets.
Sweets, spice, and everything nice! Sugar really does have an amazing effect on our food journeys. It creates a distinct taste that makes everything feel so irresistible.
If you feel like you’re struggling with sugar addiction and would like to be enlightened about this matter, this episode will surely do wonders for you!
Tune in as Marci Evans shares her knowledge with us in this sweet episode.
[0:01-05:54] Introductions
- Introducing our guest speaker
[05:55-29:34] What is Sugar Addiction and How Does It Differ From Other Food Addiction?
- Marci elaborates on her role as a registered dietitian and how she uses her scientific knowledge
- Redefining addiction and how it affects every aspect of the human anatomy
- How science cannot necessarily pinpoint what a sugar addiction is
- What are the proponents of the food addiction model?
- The neuro-responses of mice who have undergone restrictive or intermittent access to sugar in comparison to mice who have unlimited access to it
- The psychological impact of labeling food as “bad” or “good.”
[29:35-38:45] Fake Sugar and Artificial Sweeteners
- Digestive concerns that arise from misuse of artificial sweeteners
- Sugar recommendations – what could this mean?
[38:46- 53:00] Marci’s Advice for Those Who Feel that They’re Suffering From Food Addiction
- The importance of validating one’s emotions, feelings, and experiences to navigate through the concern.
- How a person’s medical history can help Marci’s personalized approach.
- The value of curiosity in understanding food behaviors and other factors that encourage particular actions.
- Marci elaborates on what it’s like working with her and an example of her approach to a hypothetical concern
[53:01-54:39] Outro
- Where to find Marci?
Resources:
- Marci Evans' Website
- Marci Evans' Facebook Page
- Marci Evans' Instagram
Tweetable Quotes:
"The process is not necessarily linear. It can get quite messy. It can go on all sorts of direction.” – Marci Evans, RD
“Know what your vulnerabilities are.” – Marci Evans, RD
“The answer is different everyone.” – Rachelle Heinemann, LMHC
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I know that I talk quite a bit about the deeper meaning of different eating disorder symptoms and behaviors. But sometimes, especially right after a binge, what you need is tips to help at the moment. In this episode, I share 5 tips to keep in mind after a binge.
That obviously doesn’t mean that we forget about the function of the binge. The binge is there for a reason. It is there to help us manage really difficult emotional experiences.
Chances are if you are still bingeing, it’s actually doing so effectively. Except that now the binges have become their own problem. So now you got the underlying stuff and the binge itself. If you’re not yet in a place to try to understand the function of your binges, or if you’ve just binged and don’t feel like thinking about anything else, be sure to listen to the end to get all 5 tips.
[0:01-1:15] Intro
- The uncomfortable feelings that we feel after a binge
[1:15 – 2:22] The Reality of Bingeing as An Emotional Thing
- Thinking about the underlying function of a binge
[2:23 – 3:29] Facing the Guilt After a Binge
- How guilt affects our emotional state and how it shapes our actions after a binge
[3:30 – 11:12] 5 Tips You Can Follow After a Binge
- Get physically comfortable
- Doing things that will distract your mind (try a sensory distraction)
- Drink water or do a light stretch
- Journal, journal, journal
- Continue eating as normal
[11:13 – 12:43] Closing Reminders
- Some thoughts to help you get through this difficult moment
Tweetable Quotes:
“It’s okay to eat past your fullness level. The discomfort will pass. It passes every single time. Allow yourself to feel uncomfortable. But, remind yourself that it’s okay, it will pass.” – Rachelle Heinemann
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This episode is a breath of fresh air. How often do you meet a medical doctor who practices from a weight inclusive perspective? On this episode, Dr. Dodell shares how the endocrine system works (it's really cool!) and why weight loss isn't necessarily the golden answer the world has been looking for. He talks about how you can actually work towards a healthier experience and how harmful dieting can be.
Dr. Gregory Dodell is a board-certified endocrinologist who received his medical degree from Albany Medical College. He completed his internal medicine and endocrinology fellowship at St. Luke's Health Center affiliated with Columbia University. He is now in private practice at Central Park Endocrinology.
[0:01-02:58] Introductions
- Introducing our guest speaker
[03:06 - 08:22] What is an Endocrinologist?
- The basics of the endocrine system.
- Dr. Dodell explains how medications affect hormones and their overall effect on the body.
[08:23 – 18:05] Debunking the Myths Surrounding Type – 2 Diabetes
- Does being in a large body cause type 2 diabetes?
- Listen to how insulin resistance may begin to occur before a person’s body starts to change.
- What does pre-diabetes mean?
- The role of genetics in a person’s health condition like diabetes.
- Does medication work for type 2 diabetes?
[18:06 – 28:21] Weight Cycling, Movement, and Health
- The impact of stigmatizing discussions around food and diet.
- Sustainable tips for health.
- The importance of sleep.
- Setting the record straight on carbohydrates and elaborating on the essence of pairing food.
- The scientific basis of why restrictive dieting doesn’t work and how blanket statements regarding weight do more harm than good.
[28:22 – 38:00] The Difference Between Type 1 and Type 2 Diabetes
- Dr. Dodell differentiates the treatments and the conditions of type 1 and types 2 diabetes.
[38:01 – 39:50] Outro
- Where to find Dr. Dodell?
Resources:
- Dr. Gregory Dodell's Instagram
- Dr. Gregory Dodell's Website
Tweetable Quotes:
"I call it movement. It could be anything like chores, gardening, dancing, or playing with their kids. Whatever movement there is that you enjoy can be beneficial." - Dr. Gregory Dodell
"No matter what someone's weight is, sleep is important. No matter what someone's weight is, managing stress is important." - Dr. Gregory Dodell
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Aaron Flores is a registered dietitian nutritionist based out of Los Angeles, California. He also works at Center for Discovery as Senior Coordinator for Weight-Inclusive Care He uses Intuitive Eating and Health at Every Size® in his work to help individuals learn how to make peace with food and their bodies. He is a Certified Body Trust® provider and he also the co-host of the popular podcast, Dietitians Unplugged.
We seem to think that disordered eating is a girl thing, perhaps because that’s what the “numbers” tell us. But the numbers only reflect people who get help and people who know they have a problem. For various reasons, that doesn't quite frequently happen in men. Aaron and I talk about what may be similar or different in ED’s in men. And we talk about shame.
Sprinkled into this episode is Aaron’s Star Wars love and his knack for taking lessons from the series. You can’t see but his office is full of Star Wars paraphernalia.
Stay tuned until the end, we chat a bit about clinicians who have their own ED and disordered eating struggles. I won’t say more about that here, you’ll have to listen! 🙊
[0:01-03:00] Introductions
- Introducing our guest speaker
[03:01 - 11:06] How Aaron Became a Dietitian?
- Aaron shares his career change and what influenced it.
- He shares his experince spiraling into over-exercising and restrictive eating.
- The magic moment that redefined his vision for his career.
[11:07 – 17:38] The Leap that Comes From Unlearning Certain Practice
- Why a society of diet-obsessed culture finds it hard to work toward a healthy relationship with food.
- How one's relationship with fear and anger affect one’s ability to establish healthier habits and acceptance in oneself.
[17:39 - 25:25] Men Experience Eating Disorders Too
- The impact of stigmatizing discussions around food and diet.
- How the patriarchy affects everyone in relation to food, health, and habits.
- Aaron emphasizes the need for self-compassion, especially in moments where one struggles to accept his body.
- The damage caused by using flawed and non-inclusive assessment tools for individuals suffering from eating disorders
[25:26 – 38:00] Aaron’s Words of Enlightenment To Individuals and To Clinicians
- Experiencing shame is okay. Easier said than done!
- For clinicians - the value of understanding and supporting people's shame for their healing.
- His perspective on the debate - whether or not clinicians can better provide service because of their experiences and how can their personal struggles affect their performance as a clinician.
[38:01 – 39:50] Outro
- Where to find Aaron?
Resources Mentioned:
- Aaron's Instagram
- Aaron's Website
- Dietitians Unplugged Podcast
Tweetable Quotes:
“It’s just a different way of thinking, that is more centered on experience, making sustainable choices that come from a place of compassion and not shame. I think it feels like a leap because we’re so entrenched in the diet culture.” - Aaron Flores
“Self-compassion is being kind, and we’re allowed to be kind to ourselves. It’s not an excuse. It’s sort of understanding what life is like, what is realistic, it doesn’t have to be a standard that is so high, it can be somewhere in the middle.” - Aaron Flores.
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Unlike any other disorder in the DSM (diagnostic bible for mental illness), eating disorders have become glamorous and even enviable. “OMG how do you eat so little?” and “You’re so good. You work out at the gym all the time.” Robyn and I talk about how in the world this happened and what to do about it. Robyn also shares some possible impacts of restriction on the body.
Robyn is a Certified Eating Disorders Registered Dietitian and Supervisor in private practice in Los Angeles, CA and has been in the field for 25 years! She is a contributing author and is a nationally and internationally known registered dietitian nutritionist. She has been quoted in The New York Times, The Huffington Post, Vogue, The Fix, Shape Magazine, Fitness, Oxygen, Pilates Style, Diabetes Forecast, BH Weekly, and Life & Style. She has been on national television as the eating disorder expert on The Insider. Robyn is the author of the new book The Eating Disorder Trap: A Guide for Clinicians and Loved Ones and the host of the podcast The Eating Disorder Trap Podcast.
[0:01-01:51] Introductions
- Introducing our guest speaker
[01:52 – 03:56] Why are eating disorders glamorized?
- How the media plays a role in this societal acceptance.
- How society downplays the effects of eating disorders.
[03:56 - 09:50] Eating Disorders: A Socially-Acceptable Form of Self-Harm?
- Robyn discusses what it's like to live with an eating disorder.
- The horrible yet familiar effects that people tend to downplay.
[09:51 - 11:20] What are Macronutrients and their Impact on the Body?
- Why does our body need macronutrients?
- Robyn illustrates how macronutrients help the body
[11:21 – 20:55] The Dangers of Restrictive Eating
- How do people find themselves in the depths of restriction?
- Why restriction is bad for you.
- The fad of restrictive eating in society.
[20:56 - 25:16] Offering Support and Understanding: How to Do It?
- Steps to take to offer support and understanding to family members or friends who are suffering from eating disorders
[25:17 - 26:40] Protecting Yourself and Creating Boundaries
- How to create boundaries for yourself and encourage a supportive environment
[26:41 - 29:09] Outro
- Where to find Robyn?
Resources Mentioned:
- Robyn’s Website
- Robyn’s Book
Tweetable Quotes
“If one food provided everything we needed, there wouldn’t be so many other types of foods out there.” – Robyn L. Goldberg
Listen, validate, ask questions, really understand the other person’s perspective and if you can’t do that, ask how you can better understand.” – Rachelle Heinemann
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I don’t know about you, but very often I seem to understand something so well in my brain except when I start to explain it in words, all that gets jumbled into a mess. Jack has this knack of taking complex concepts putting into really organized terms in a way that makes you go, “duh!”
In today’s episode, husband and wife (yours truly) talk about the true purpose of therapy and the power that holds. Jack shows us how when we approach our therapy experience as more than a means to an end, an entire world of opportunity is opened up to us. He outlines exactly how this works and how you can use these ideas to further your own self development. Friendly banter is for your extra entertainment 😉.
Jack Heinemann, LCSW-R is a psychoanalytic psychotherapist in private practice and holds a staff position as a clinical social worker at NYU’s community mental health clinic in Brooklyn, NY. He is a graduate of the Training Institute of Mental Health and provides group supervision at the Training Institute’s psychoanalytic training program.
[0:01-05:15] Introductions
- Introducing our guest speaker
[05:15 – 12:52] What is Process?
- Jack defines the vague concept of “process.”
- Elaboration on why therapy is a journey in itself and not a means to an end.
- Breaking down the surface level of emotions or responses
- How past experiences in life become the foundation of your interactions with the world.
- What’s the question behind the question?
[12:53 – 21:18] Gaining Control by Unravelling the Narrative
- How childhood experiences may cause you to behave, react or act a certain way.
- The broader context of age, responsibilities and inconsistencies.
- The impact of trauma and how the process of therapy can alleviate its effects.
[21:19 – 34:29] Things You Need to Consider Before Starting Therapy
- What is free association?
- Therapy red flags that you should be aware of.
- The ultimate barrier between one’s openness in accepting vulnerability.
- What are the goals of therapy?
[34:30 – 35:00] Outro
- Where to find Jack?
Resources Mentioned:
- Jack’s Website
Tweetable Quotes
“We have things going on in our lives that cause us to be upset and unhappy and we assume that there’s something wrong with the way we’re reacting because we’re supposed to be always kind of balanced and calm, and sort of happy. And that may not be realistic.” – Jack Heinemann
“Therapy in and of itself is not a means to an end. It’s the process itself that holds meaning beyond some tangible goal.” –Jack Heinemann
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Yaffi Lvova is an experienced Registered Dietitian Nutritionist and a proud mom of twins plus one. She earned a BA in Religious Studies and a BS in Nutrition and Dietetics from Arizona State University and went on to complete the Iowa State University dietetic internship. Yaffi is a published author of several books on feeding kids and is the creator of Toddler Test Kitchen. Yaffi supports parents through her social media, public speaking, and Nap Time Nutrition podcast and YouTube channel.
In today’s episode, Yaffi shares what she has learned from working with closely kids. Kids have a simple way to approach life. They are full of vigor and energy and excitement. They also soak everything up so whatever is in their environment is internalized. By listening to this conversation, we can better understand, perhaps, why we have a certain running narrative in our head and what we can do to reverse that narrative.
[0:01-1:55] Introductions
- Introducing our guest speaker
[1:56 - 12:30] Starting Them Young: Establishing Healthy Food Relationships at an Early Age
- Breaking the chains of food fear from one generation to another
- The scary statistics about children and their inclination towards unhealthy dieting
- What’s the wrong perception about dieting that children learned from adults?
[12:31 - 19:50] Embracing a Relationship with Food Starts with Appreciation
- How to take the first step towards finding the joy and comfort in food rather than being afraid of it
- Listen to some ways you can work your own joy and set an example to your kids in establishing a healthy relationship with food
[19:51 - 35:40] Taking the Eyes Away from the Table
- Understanding the impact of food pressure and how cooking together can help to address that concern
- Ways you can make food preparation fun for kids and yourself
- DOR: Division Of Responsibility
- Breaking down the process of eating as an intimate act
[35:41 - 45:08] The Influence that Society Has Over Children’s Eating Habits
- The continuous evolution of food philosophies and how we can teach adults, teachers, and school administrators to embrace changes.
- How to communicate varying food and lifestyle philosophies in different settings
[45:09 - 46:20] Outro
- Where to find Yaffi Lvova?
Resources Mentioned:
- Baby Bloom YouTube Channel
- Baby Bloom Website
- Yaffi’s Instagram Page
- Yaffi’s Book: Beyond a Bite
- @kid.food.explorers
Tweetable Quotes
“Society is not an alarm clock with cogs. We can be different shapes, we can be different sizes and we were meant to be.” - Yaffi Lvova
“The more we focus on our food, the less we end up being actually healthy.” - Yaffi Lvova
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You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
In today’s episode, Stephanie and I chat about running. We cover what a healthy relationship with running looks like and how to tell if that may be a problem for you. We talk about what may be behind your running and what function it may be serving you. Stay tuned until the end when we share tips on what you can actually do if your running is complicated for you.
Stephanie Roth-Goldberg, LCSW, CEDS-S is a psychotherapist/psychoanalyst in New York City. She operates a small group practice focusing on treating eating disorders through an anti-diet, HAES lens. Stephanie’s niche is working within the intersection of eating disorders and sports, particularly with folks who participate in endurance sports. Stephanie herself is a runner and triathlete and is passionate about incorporating movement into eating disorder treatment to help folks feel empowered and connected to their bodies. Stephanie teaches on the subject of eating disorders and exercise at the William Alanson White Institute in NYC. When Stephanie is not working, she can be found running around with her two small children, or her running group.
[0:01-3:24] Introductions
- Introducing our guest speaker
[3:25- 11:44] A Healthy Relationship of the Body, Movement, and Food
- Differentiating a healthy vs. unhealthy relationship between exercise and food
- What is excessive exercising?
- Understanding why excessive exercising as a means of mood regulation is unhealthy
- How one’s perception of a runner’s body scares them to pursue running
- How can you tell between pain and discomfort?
[11:45- 23:22] Drawing the Line Between Disconnect and Dissociation
- Defining physical dissociation and disconnection
- Untangling the “mind over matter” belief in connection to emotional, physical, or mental aspects of life.
- Benefits of having a therapist walk you through the holistic integration of movement and well-balanced nutrition.
- Examples of a balanced combination of movement and food that will result in body acceptance
[23:23-35:32] When to Take a Pause Especially on Structured Exercise?
- Conditions where a pause is necessary
- Breaking down a person’s sense of self to understand the attachment to movement and relationship with food
- Understanding the “whys” behind a person’s movement and how listing your goals can help
[35:33–36:42] Outro
- Where to find Stephanie?
Resources Mentioned:
- Intuitive Psychotherapy Website
- Stephanie's Instagram
Tweetable Quotes
“A runner’s body can be anybody. You don’t need to look a certain way.” – Stephanie Roth-Goldberg
“If your identify is made of slices of pie, it should be a pumpkin pie not a blueberry pie.“– Stephanie Roth-Goldberg
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You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Glenys Oyston, RDN is a Texas-based Certified Intuitive Eating Counselor and body image coach who helps recover from eating and body image issues created by toxic diet culture through the non-diet approach. She was the co-host of the Dietitians Unplugged Podcast and is a co-creator of the Haes-aligned online program, Self-Care for Diabetes. You can find Glenys at daretonotdiet.com.
[0:01-3:50] Introductions
- Introducing our guest
[3:51- 15:26] Understanding Diabetes and its Effect on the Body
- Differentiating type 1 diabetes and type 2 diabetes
- Identifying other types of diabetes
- How does type 2 diabetes occur?
- Trying to understand the correlation between diabetes and weight gain
- The “pre-diabetes” category
[15:27 - 43:44] Debunking the Myth of Weight Loss to Resolve Diabetes
- Debunking the myth that weight loss is the ultimate solution for diabetes
- Emphasizing the importance of values to guide movement
- Examples of exercises for an active lifestyle
- How sleep helps the body regulate sugar levels
- Stress, anxiety, trauma, and other areas that you can work on to improve the overall health
[33:46 -] Managing and Eliminating Diabetes Diagnosis Shame
- Breaking down the stigma of diabetes diagnosis
- Is there such a thing as reversing diabetes diagnosis?
- Explaining the tragic yet common cycle of starvation to keep blood sugar levels low
- How non-diet restriction works best for people with diabetes
- Eliminating the fear of medication to mitigate effects of diabetes
[43:45 – 45:40] Outro
- Where can you find Glenys Oyston?
Resources Mentioned:
- Glenys Oyston's Website
- Glenys Oyston's Facebook Page
- Self Care For Diabetes
- Self Care For Diabetes Free Guide
Tweetable Quotes:
“People get to pick how they take care of themselves.” - Glenys Oyston
“The truth is, diabetes is a progressive condition, you will probably need more medication as times go by.” - Glenys Oyston
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You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com
Dr Lara Zibarras is a psychologist and food freedom coach. She helps women create a healthy and happy relationship with food, without guilt or emotional eating. She is the founder of the Health Mindset Matters program which helps women discover the science and psychology behind their eating struggles and binges. She teaches women how to tune into their bodies and rediscover how to eat for both nourishment and enjoyment - creating a mindset for sustainable health.
[0:01-1:46 ] Intro
- Introducing our guest for today.
[1:47-12:29] Dr. Lara’s Journey with Food
- Dr. Lara shares her story from struggling with an eating disorder to food freedom
- How images in media can have an affect on you and your body
- How did she get sucked into the wellness culture?
- Sharing her struggles with Orthorexia
- Training as a health coach introduced her to intuitive eating and Health to Every Size
[12:30-17:08] What was her experience as a health coach?
- She learned how to neutralize food and practiced different approaches that helped her in her recovery
- When she got immersed in the wellness culture, she began eating less and less food
- Talking about the Health to Every Size and Intuitive Eating
[17:09-21:11] Her Take on The Wellness Diet
- Wellness Culture has become more palatable to consumers because of its good marketing strategy but that’s not necessarily a good thing
- If you don’t dig below the surface of diet culture, you could get pulled in
- There’s always this underlying assumption that to be healthy, you must look a certain way and be a particular shape
[21:12-27:34] How Could People Notice That There’s Something Wrong in The Wellness-Diet Culture Industry?
- How the Wellness-Diet Culture is Promoting Disordered Eating
- When immersed in wellness culture, you don’t see it as disordered eating because their marketing strategy is fooling you so well.
- Wellness Culture is so sneaky, and it makes you feel like you’re doing the right thing for your health, but it’s the opposite
- Why does society continue to normalize something disordered?
[27:35-37:33] Laura’s Tips in Starting to Work Towards Food Freedom
- Labeling your food as healthy or unhealthy is harmful
- Permit yourself to enjoy all sorts of foods
- Learn the difference between food rules and food preferences.
- Think about food as more than just fuel; it goes beyond that.
- Stop following accounts that demonize food.
[37:34-] Outro
- Where to follow Dr. Lara?
Resources Mentioned:
- Dr. Lara Zibbaras’ Instagram
- Dr. Lara’s YouTube
- Dr. Lara’s Website
- Anti Diet by Christi Harrison
Tweetable Quotes
“People don’t need to follow such extreme rigid rules to their health because they continue down that route. It would probably have a massive impact on their mental health.” - Dr. Laura Zibarras
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You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Today’s talk will revolve around research. Yes, I know it may sound boring, but trust me, you’ll learn things that you haven’t heard before (come back and thank me later). Sitting with us today is Molly Fennig, an author and clinical psychology student dedicated to eating disorder research. Her book entitled Starvation has received multiple recognition and has inspired many. Molly is always one step ahead in impacting the world by using quantitative and qualitative strategies to back up her interest in eating disorder treatments. She’s now pursuing her Ph.D. at Washington University in St. Louis. And has done multiple studies in the eating disorder field.
In this episode, we’ll be on the lookout for interesting topics like incorporating evidence-based research, fact-checking studies, interpreting subjective research, and the fundamentals of how we become better critical thinkers when we hear the famous term “research shows.” Tune in to this episode and discover more.
[0:01 -1:35] Intro
[1:36- 9:23] What is Evidence-Based Research?
- Molly works with evidence-based treatments for eating disorders and utilizes digital technology to increase the efficacy
- What is implied when we say “research shows”?
- How to make sure that your research is accurate?
- Looking into Qualitative and Quantitative studies
[9:24-15:04] Interpreting subjective research
- Going over validated measures to back up your research
- Looking at the research limitations
- When looking at research you need to think critically
[15:05-28:06] The Idea of Weight Loss vs. Anti Diet Culture Studies
- It’s important to have research that you’re passionate about and is something applicable to modern day world
- What are some eating disorder research projects that she’s working on?
[28:07-29:05] Outro
- Where to find Molly?
Resources Mentioned:
- NEDA
- Starvation by Molly Fennig
- Molly’s Website
Tweetable Quotes
“Learning to read research is a skill that you have to learn with practice.” - Molly Fennig
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Jessica Setnick has worked in the eating disorder field for nearly 25 years, as well as her own eating disorder recovery. She envisions a world where no one is ashamed to talk about their eating issues, and everyone who wants it has access to help. She works toward these goals by educating health professionals and the public, especially through her training workshop, Eating Disorders Boot Camp, and her Eating Disorders Pocket Guides. She started a professional organization for eating disorder dietitians through which she advocates for legislation to improve access to care.
Anyway, about the title. I know what you’re thinking, “Um, eating disorders are definitely a problem,” and you’re not incorrect. This chat will highlight why eating disorders have come about because they were solutions to a larger problem. Solving that problem will enable you to get rid of ED for good. Solving just the problem of ED will leave you with the roots untouched. That’s when your body, psyche, whatever will find another solution to the larger problem.
Also, we talk about how anger can get the best of us and how we can approach conflict in a way that helps us learn more. Obviously not easy 🙄.
[0:01-2:08] Introduction
[2:09-12:35] What is Jessica's background, and how did she get into this field?
- She is a dietitian who specializes in eating disorders.
- Her undergraduate degree was in Anthropology.
- She eventually closed her practice and became the spokesperson for a chain of eating disorder hospitals.
- She became an advocate for eating disorders, publishing articles and surveys on the subject.
[12:36–18:15] Eating Disorders Bootcamp course and lecture content
- Her primary audience consists of primary care professionals.
- What problem is this eating behavior addressing for the patient, and what are the appropriate solutions?
- It is erroneous to believe that there is only one path to eating disorders.
- Compassion is a critical component that is lacking in the eating disorder field.
[8:16-28:40] She discusses Countertransference
- Teaching professionals how to navigate countertransference.
- The key is taking a step back and allowing our curiosity to take over about why this person is reaction to us this way.
- As a professional, it is your responsibility to create a non-judgmental environment for your clients.
- It is critical to assist patients in reducing their anxiety and distress.
[28:41-41:45] The Origins of Your Food Relationship
- Understanding the cause of an eating disorder is critical to resolving it.
- Implementing crisis management
- Eating disorders can be caused by both physiological and psychological factors.
- Addictions and eating disorders can have a connection.
- There are numerous paths that can lead to eating disorders.
- Eating behavior is the end result; it is the method by which a person solves a problem.
[41:46-53:28] Research Information
- There is a lot of bias in the eating disorder field.
- With biased research comes biased education and biased professionals, who then perform biased diagnoses because they only see eating disorders in a confined box.
- Some things to think about when looking into eating disorder research
[53:29-54:25] Outro
- Where to find Jessica?
Resources Mentioned:
- Jessica’s Website
- Eating Disorder Bootcamp
Tweetable Quotes:
"The best way to help someone is to put them on a path that leads to long-term solutions." - Jessica Setnick
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
After sobbing in her boss’s office 15 years ago, Julie Duffy Dillon, registered dietitian and PCOS expert, taught her last diet. Once she saw the anti-fat bias, she couldn't unsee it. Now Julie helps people with PCOS confidently tackle health concerns moving forward without shame and blame. She teaches them how to burn their PCOS diet books while bringing clarity into their relationship with food and body.
Listen as we debunk common “weight gain” misconceptions together and break down the intricacies of how diets could bring risk to someone diagnosed with PCOS. Julie will guide us through finding the exact tools that could give us relief when dealing with these hormonal shifts. Add more value to this episode by paying it forward to someone who needs it. ❤️
[0:01-1:42] Intro
- Introducing our guest speaker
[1:43-9:05] Navigating the Depths of PCOS
- What is PCOS?
- The Rotterdam Criteria: Absent Periods, Higher Endocrine Levels, Evidence on UltraSound
- How does one get diagnosed with PCOS?
- Distinguishing PCOS and Hypothalamic Amenorrhea
- Eating enough food will help you distinguish between the two (PCOS/Hypothalamic Amenorrhea)
- People with PCOS often will not ovulate.
[9:06-17:28] Does PCOS cause weight gain?
- People can now go on medications to help them have a stronger egg.
- You can have PCOS of any size; it’s a condition passed down through the family.
- For some people, weight gain happens as their PCOS progresses.
- The result of an endocrine disorder.
[17:29-22:36] PCOS and Eating Disorders
- Dealing with hormonal shifts that makes intense cravings
- How could diets harm someone who has PCOS?
- Inflammation predicts disease
- Long term dieting can make insulin and inflammation worse
[22:37-35:44] How can you treat PCOS?
- Finding the right tools (whether it’s food or medication) that could help you lower insulin levels
- The side effects of birth control pills
- Make sure that you eat enough food
- In terms of food, add more in that helps you feel more energized and better.
- Working with your PCOS cravings.
- Sleep is a big issue in PCOS
- Self-care is a tool that could help you relieve PCOS symptoms
[35:45-37:03] Outro
- Where to find Julie?
Resources Mentioned:
- Julie’s Website
- Find Your Food Voice Podcast
- Julie’s Instagram
- PCOS Roadmap
Tweetable Quotes:
“Always listen to your own in-person health care provider.” - Julie Duffy Dillon
“Instead of taking things away, experiment on what you can add in eating that could help you.”-Julie Duffy Dillon
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
In this episode, we will be unpacking Alexis’s Diet Free Revolution. We talk about incorporating mindfulness (insert eyeball if you feel like it, we’ll talk directly to you soon) and compassion and why they are so important. We’ll talk about some major problems with diet culture, society’s obsession with wellness and thinness, and how you can break free from the ridiculous standards.
Alexis Conason, PsyD, CEDS-S, is a clinical psychologist and certified eating disorder specialist in private practice in New York City. She is the owner of Conason Psychological Services, a Health At Every Size ®-informed group therapy practice specializing in the treatment of binge eating disorder, disordered eating, and body image. She is the founder of The Anti-Diet Plan, a weight-inclusive online mindful eating program and is the author of The Diet-Free Revolution: 10 Steps to Free Yourself from the Diet-Cycle with Mindful Eating and Radical Self-Acceptance (North Atlantic Books, 2021). She was previously a research associate at the New York Nutrition Obesity Research Center in affiliation with Columbia University. Her research has been published in peer-reviewed journals, she is a frequent speaker at conferences, and she has been featured widely as an expert on the topics of mindful eating, body image, and diet culture in the media.
0:01-2:38 Intro
- Introducing to you our guest speaker
2:39- 7:02 Why Diets Don’t Work?
- Talks about her book and how she wrote
- Why don’t diets work?
- Research that backs up the idea on why diets don’t work
- Our bodies go into crisis mode when we try to restrict ourselves
- Diets are the way to get healthy, and sometimes it’s hard to shift gears
7:03-11:40 If Diets Don’t Work, How Do You Get Healthy?
- Start disentangle weight from health
- Internalized weight bias can add increased risk for metabolic syndrome
- We can impact our health by making changes that are entirely independent of losing weight and dieting
- When we think of health, we often narrow it to diet, exercise, and losing weight which is entirely false because health goes beyond that
- Health includes physical, emotional and mental well-being
- Some healthy steps that work that are not related to weight loss
11:41- 22:10 What Determines Our Health?
- Factors in determining our health
- Why do genetics and wealth impact our health?
- How could mindfulness help have a healthier lifestyle?
- Mindfulness can sometimes happen in the context of chaos, and that’s okay
- Meditation practice is linked to mindfulness
- What is Hunger-Fullness physiologically, and how do we respond to it to better our relationship with food?
22:11- 36:41 Communicating and Listening to Our Bodies Through Food
- Why do we feel disconnected from our bodies?
- We can use mindfulness to tune in with our bodies more
- The use of hunger and fullness scale to connect more to your body
- Your body has cues for some reason
- The trends in nutrition change overtime
- Tuning in to our body is more reliable
- Enjoying your food and connecting to it in a more profound way
- Emotional eating isn’t necessarily a bad thing
- Food isn’t a one size fit solution for our emotional needs
- Recognizing our emotions instead of using food as a coping mechanism
36:42-42:50 Body Positivity and Body Acceptance
- Judgment vs. Observation
- Acceptance is a core piece of mindfulness
- Accepting our body and recognizing how messed up the world around us is, and changing the systems of weight biased
- Body positivity is an outgrowth of the body acceptance movement
- Our body is an instrument, not an ornament
42:51-43:49 Outro
- Connect with Dr. Conason
Resources Mentioned:
- The Diet-Free Revolution: 10 Steps to Free Yourself from the Diet Cycle with Mindful Eating and Radical Self-AcceptanceBook by Alexis Conason, Psy.D.
- The Anti Diet Plan Website
- Dr. Alexis Conason’s Website
- Conason Psychological Services Website
- Dr. Alexis Conason on Instagram
Tweetable Quotes:
“ I think the way that we connect emotionally is through stories. And stories about people.” -Dr. Alexis Conason
“Our bodies were designed to stay alive and survive; part of that is keeping a stable body weight.” - Dr. Alexis Conason
“If you care about people’s health, let’s work at changing capitalism.” - Dr. Alexis Conason
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Dr. Danielle Novack is a pioneer in the world of psychoanalysis and eating disorders. She’s the one who writes the papers I use for myself. She has a profound way of understanding one’s relationship with food and is sharing some of that with us here.
If you’re into unconscious processes, this is your episode. Danielle talks about the topic of dissociation, how it happens, why it happens, and how it comes out throughout our lives. We break down how we see the mind-body disconnect in various ED symptoms. And most importantly, we identify how in the world a person can work through it.
A bit more about her: Dr. Danielle Novack is a clinical psychologist in private practice in Manhattan. She has over 20 years of experience working with eating disorders and concerns related to food, weight and body image. She has written scholarly articles and chapters on the psychoanalytic treatment of eating disorders, and she serves as a clinical supervisor for psychology doctoral students. Dr. Novack is currently completing her psychoanalytic training at the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis.
[0:01-1:54] Introductions
- Introducing our guest speaker
[1:55- 12:44] The Mind and Body Connection: Conceptualizing Eating Disorders
- Eating disorders develop as a mean of protection and also maintain a sense of protection
- Dissociation and how does it happen?
- What is trauma?
- Eating disorder behaviors are often stagnant feelings that cannot be felt as feelings
- Eating disorder symptoms can be used to dissociate from feelings
[12:45- 19:07] Eating Disorder and Restrictions
- How some people discover that restricting allows them to feel less
- Dissociation in the binge-purge cycle
- Temporary relief is not necessarily addressing the problem
- Other ways to address bingeing
- Inserting a pause between the urge and act
- Slowing the cycle down and giving yourself a moment to reflect
[19:08-25:44] Ability to Tolerate Emotional Experiences
- Often people don’t learn how to regulate emotions
- Becoming aware of your emotional experience
- Shifting consciousness and losing yourself in the process
- What happens when a person continues to engage in dissociation and why is it harmful?
[25:45- 41:34] Challenges in addressing dissociation and disconnect
- What causes the dissociation to develop at the first place?
- It’s the symptoms that will bring the person into treatment
- Address the symptoms first
- How do we begin the healing process?
- Be aware of the symptoms and reflect where it’s coming
- The symptoms can also be a substitute for meaningful relationships
- Building relationships with your therapist and team is part of the treatment process
- Get to the root of the problem and the underlying issues
[41:35-42:25] Outro
- Where to find Dr. Danielle Novack?
Resources Mentioned:
- Dr. Danielle’s Website
Tweetable Quotes:
“I see eating disorders as failed attempts to self-regulate.” - Dr. Danielle Novack
“Not knowing what’s going on in our body, we can’t possibly create connections” -Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.co
Welcome to another episode of the Understanding Disordered Eating podcast. Today we are talking to Dawn Lundin, MS, RD, CNSC. She is a registered dietitian, endurance athlete, and full-time mom. She also runs a virtual private practice focusing on eating disorders and sports nutrition. She aims to help clients achieve nutrition and athletic-related goals and shift their mindset into a happier and healthier manner.
Join us in today’s discussion as we dig deeper into how you can manage your relationship with exercise so that it serves you. Dawn also shares some first-hand insights on how one can reframe their thoughts and break food/movement bondage. We break down how athletes and non-athletes are different yet similar. Feeling chaotic in your relationship with movement? Feeling anxious about not working out? This one is for you.
[0:01-3:38] Introduction
- Dawn’s background
- She got into athletics and an active lifestyle
- Worked w/ clients with ED and Sports Nutrition
[3:39- 10:07] Relationship with Exercise
- Overriding your body’s intuition is detrimental
- Working out to lose weight and with rules attached
- Equating movement with health
- Finding balance with life and workout
- There are a lot of identities wrapped around a movement that isn’t always a good thing
[10:08-16:24] What does movement look like for athletes and non-athletes?
- Handling athletic clients in their Eating Disorder
- Equating eating less and movement to a healthy lifestyle is a false mindset
- Social media influence health and body image
- Honoring our body’s hunger fullness cues
- Honoring movements that we enjoy
- As control increases, enjoyment in food and movement decreases
- Using food and exercise as a coping mechanism
[16:25- 25:33] Using Exercise and Diet As An Escape to Your Emotional Baggage and How it Affects Your Lifestyle
- Binge-purge cycle in exercise
- Exercising as a form of self-harm
- Running away from our feelings through movement
- Movement and Managing Anxiety
- Making a positive impact on your eating disorder recovery
- Dangers of using excessive exercise and diet culture
[23:34-42:03] Calculating Your Workout and Food Intake Might not Be the Best Solution
- The calculations circulating throughout media may be underestimating one’s nutritional needs
- Misinformation can lead to an unsustainable relationship with food and exercise
- Unrealistic expectations take away the ability of our bodies to heal
- Finding appropriate movement
- Red flags to look out for when exercising
- The pursuit of strength
- How prevalent are eating disorders in athletes?
[42:04-42:45] Outro
- Where to reach Dawn?
Resources Mentioned:
- Dawn’s Instagram
- Dawn’s Website
Tweetable Quotes:
“Just because you could, doesn’t mean you should.”-Dawn Lundin
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.co
Welcome to another episode of Understanding Disordered Eating. I am so excited for this session because with me is Courtney Dowdell. Courtney is a Licensed Creative Arts Therapist and Certified Eating Disorder Creative Arts Therapist in Midtown, Manhattan, concentrating on depression, anxiety, trauma, disordered eating, and body image challenges. She aims to bridge healing and therapy with theatre and arts. She has substantial experience working with other treatment professionals to set up a personalized treatment plan to support recovery.
Courtney brings warmth, compassion, and insight, offering clients an avenue to examine their thoughts and feelings in a nonjudgmental space. And it’s been a privilege to talk with her in this episode as we go over the idea of metaphors and how we can use arts and drama therapy to incorporate them into our food healing mission.
[0:01-4:13] Intro
- I introduced you to our guest
- I met Courtney when I was in higher level of care
- Courtney’s background
- Licensed creative arts therapists, specifically drama therapy in NYU
[4:14- 7:22] What does drama therapy actually look like?
- Drama therapy brings a very embodied approach
- How individuals can build trust in themselves , in their own bodies and be able to really listen and tune in to their physical and emotional internal cues
- Eating disorders often cause individuals to fluctuate between rigidity and chaos
- Role Theory Approach in Drama Therapy
- Drama therapy in groups
- Attuning to the bodies of other people
- Building apathy and seeing different perspectives
[7:23- 15:38] The Idea of Metaphors
- Decoding behaviors by using metaphors
- Being able to create reflections on the things in your life
- Movements and intentions
- Divide your energy and bring more joy
- Embracing compassion to where you’re at right now
- What are the things that are coming in our way?
- Nourishing meal plans on a metaphorical level
- The process of not enough or too much (and finding that middle space)
[15:39- 24:40] Hunger Fullness Internal Cues , Building Security, Body Image and How to Approach These Aspects Metaphorically?
- Developing cues as time goes by
- Addressing the psychodynamics underneath the issues
- Wanting certain aspects of the eating disorder
- The freedom of not engaging with eating disorder thoughts
- Finding ways to build safety in yourself
- How to embrace the unknown?
- Body Image: Everybody is Unique
- Embracing diversity and individuality
[24:41- 35:10] Using Our Voice and Encourage Diversity
- Allowing your body to be what it is
- The Set Point Theory
- Living in a Standardized Diet Culture
- Unlearning negative experiences
- Wherever you’re at is valid
- Utilizing creative approaches
[35:11-36:11] Outro
- Where to find Courtney?
Resources Mentioned:
- Courtney’s Instagram
- Courtney’s Website
Tweetable Quotes:
“Our relationship with food our symptoms is an encoding of basically all the pain, all our experiences and memories in behavior form” - Rachelle Heinemann
“The groupie becomes a holding container to be seen and for individuals to be able to contain their emotions” - Courtney Dowdell
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of Understanding Disordered Eating. In this episode, we’re talking to Courtney Vickery. Courtney is a licensed dietitian, part-time Nutritional Science instructor at The University of Georgia, and a certified intuitive eating counselor. She is also the founder and owner of Vickery Wellness, where its primary goal is to help clients break free from the bondage of fad diets and eating disorders. In addition, she also works with young adults and college students who yearn to achieve eating disorder recovery.
Today, Courtney and I will be discussing everything you need to know about the prevalence of eating disorders in college students and how important it is to get the support that they need—proving to the students that there is more to life than counting calories and carbs. What are you waiting for? Let’s jump right in and deep dive under the surface.
[0:01-2:53] Intro
- I introduced you to our guest for this episode
- Works a lot with college students
- She works with adults and college students who struggles with eating disorders and people who are interested in intuitive eating
- What brought her to this world?
[2:54-6:04] Getting into college with an eating disorder
- From political science to certified dietitian
- The prevalence of eating disorder in college students
- Going to college and jumping off a new start can be scary
- When you’re 18 and things are unraveling
[6:05- 8:20] Breaking down things: What happens and What is particularly stressful when you’re in college?
- Moving away from home to go to college
- There is no perfect balance
- Finding time to eat and nourish their bodies while doing college duties
- How do college students find meal times that work for them?
[8:21 -12:08] Food accessibility for college students
- How could they make a meal that fits the financial situation that they’re in?
- Which foods can they eat, what recipes to make and materials that they have access to when meal prepping
- College activities can hinder them from having meals
- Everyday is different and taking that into account has become more challenging for college students
- Food and financial choices
[12:09-16:21] Peer Pressure and Pressure to Fit In
- Undertones and Comparing yourself to others
- Judging each others food choices can be detrimental
- What works for them might not work for you
- Fad diet effects
- Toxic Environments
- Having a support system is key
[16:22- 22:03] Bodily Changes and Other Factors
- Freshman 15
- Accepting the changes in your body
- Intense Spiral Downs
- Family Cultures
- Commenting on body figures
- Drinking and Drugs
- Restrictive Habits
- 4 to 10% men suffer from college eating disorder and 10 to 20% of women in college
[22:04 -30:50] Eating Disorders Happen to Everyone
- Intention behind things and your relationship with food
- Reading self help books
- Getting some help from an Anti-Diet Dietitian
- What parents should do to support their child’s recovery
- Finding the right treatment centers
- Life is not a timeline
[30: 51-33:59] Outro
- Where to find Courtney
Resources Mentioned:
- National Eating Disorder Association
- National Eating Disorder Parent Toolkit
- How to Nourish Your Child Through an Eating Disorder
- Rebuilding Healthy Relationships with Food
- When Your Teen Has an Eating Disorder: Practical Strategies to Help Your Teen Recover from Anorexia, Bulimia and Binge Eating
- Courtney Vickery’s Website
- Signup for monthly newsletter!
- Courtney’s Instagram
- Courtney on Facebook
- Courtney on Pinterest
Tweetable Quotes:
- “The idea that time management has to be “perfect” but that’s not possible” -Courtney Vickery
- “Be careful of the words that we use because we don’t know what people are struggling with” -Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Jeffrey DeSarbo, D.O. is a physician, psychiatrist and Medical Director of ED-180 Eating Disorder Treatment Programs in Garden City, N.Y., one of the largest private treatment centers in the country. His personal practice manages about 400 patients with eating disorders and related conditions. Dr. DeSarbo is an IAEDP certified supervisor overseeing the specialized training of other clinicians in the eating disorder field. He is the host of the podcast Translating ED and the producer of the free YouTube series The Brain and Neurobiology of Eating Disorders.
Join us in this episode to discuss important topics such as the relationship between eating disorders and neurobiology, biological predisposition, and the science behind irregular eating patterns. If you’ve ever thought “I just have to rewire my brain”, this episode is definitely for you!
[0:01-5:06] Introductions
- I introduced our guest speaker for today
- His background and why he got into the medical field
[5:07-14:48] Neurobiology and Genetics in Eating Disorders
- Understanding the physiological-biological process specifically the neurological aspects of the brain
- How does electrochemical energy manufacture a thought or a feeling?
- Eating disorders caused by genetics
- A person cannot develop an eating disorder if they are not really prone to it
[14:49-32:59] Biological Predisposition for Eating Disorders
- The ability of the brain to change itself
- Addictive eating patterns
- Rewiring your brain
- What restriction looks like neurobiologically
- Why is intelligence affected less when you have an eating disorder?
- Common trait of anorexia is perfectionism
- Bulimia nervosa: self induced vomiting
[33:00 -49:39] Neurobiological Changes: Understanding the Nature of Eating Disorders
- Most people feel invincible when they suffer from eating disorders
- Compulsive exercise and its neurobiological component
- Body image distortion and distress
- Repairing the brain’s central nervous system
- How do these changes affect recovery?
- Confronting your biggest fears
[49:41-51:12] Closing Segments
- Where to find Dr.DeSarbo?
Resources Mentioned:
- ED180
- The Brain and Neurobiology of Eating Disorders
- Translating ED
- Nora Volkaw
Tweetable Quotes:
“Eating disorder is not a choice, it's something that happens” -Dr. DeSarbo
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of Understanding Disordered Eating. Today I am happy to welcome Jennifer McGurk to the show. Jennifer is the CEO of Pursuing Private Practice, which empowers dietitians to integrate nutrition counseling skills and business education. She is also the owner of Eat With Knowledge, a group private practice in New York. On top of that, Jennifer is a Registered Dietitian Nutritionist with a heart. Her mission is to aid every client to be one with food, help them in their eating disorder recovery, and as well as to get support and accountability in building a business.
In this episode, we will be navigating the relationship between success, business, wellness, and diet culture. Tune in to today’s session and find out more.
[0:01-2:53] Opening Segment
- I introduced the guest for this episode
[2:54-5:15] Why non-diet dietitian?
- Her journey towards becoming a nutritionist
- How Jennifer work through her own treatment and build business
- Eating disorder recovery and business coaching
[5:14-9:25] Parallels with food and relationship with money
- How does an eating disorder show up in business culture?
- Biggest lessons that she learned as she grows her business
- Putting her insights into practice
- Healing from an eating disorder is not linear
- Everyone’s process is different
[9:26-14:49] Behaviors with Food and Business
- Food restrictions and binge eating in business
- Actions are reflective of our mindset
- Scarcity mentality
- Laying boundaries in your business
- Grow a business that prioritizes self-care.
[14:50-23:38] Impostor Syndrome in Business
- In uncomfortable moments, business growth happens
- If you stay in your comfort zone there is no possibility for change
- Everyone’s definition of success is different
[23:39-29:52] Working in your zone of genius
- Leaning to people in recovery and in business
- Getting support from others
- Heal from the inside out
- Spending money and investing in resources for your own recovery is key
- Using given privileges to take care of ourselves and prioritize self-care
[29:53-42:52] Investing in yourself
- The more we invest in ourselves the more that we can focus on the things that matter in business
- Not everything has to get done at once
- The more value that you add the bigger your network
- Book recommendations
[42:53-43:58] Closing Remarks
- Where to find Jennifer?
Resources Mentioned:
- Pursuing Private Practice Podcast
- Pursuing Private Practice
- Jennifer McGurk on Instagram
- It’s the Manager
- We should all be Millionaires
Tweetable Quotes:
“Don't be afraid to do challenging things. your journey is gonna be full of twists and turns and ups and downs. you have every right to pivot if something is not working for you.” - Jennifer McGurk
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. I am so grateful that you are here with me as together, we welcome another year. Today we will be retrospecting as we look back to our journey towards food freedom in the course of 2021 . I will also walk you through what to consider putting in your new year’s resolution, should you decide to make some. Join me, and let’s all reflect on our accomplishments, mistakes, progress, and focus on our goals for the next upcoming chapter of our food journey.
[0:01-1:07] Intro
- Saying Thanks
[1:08- 2:26 ] New Year’s Resolution
- Taking down memory lane
- Looking back to 2021
- Wishing for a better version of ourselves
[2:27- 5:03] Achieving Goals
- Focus on consistency, not inspiration
- We need to do whatever we need to do to accomplish our goals
- Diet culture and Wellness culture
- Don’t dwell on empty promises
[5:04-7:11] Living a better and happier life
- The restrictive diet have unsustainable goals for you
- Physical and Psychological restriction makes it impossible to maintain long term
- How to make a difference
- Working on your relationship with food
- Tackling disordered eating
- Reframe what we want from this year in a way that it gets you what you need
- How to create goals?
[7:12-14:16] SMART GOALS
- Specific goals: specific behaviors with your relationship with food
- Measurable: checking off your list of goals
- Achievable: Be realistic with your food goals
- Relevant: what are the goals that make sense in your life?
- Time-bound: time-sensitive
[14:17-14:40] Closing Segments
Tweetable Quotes:
“What does work is slow and steady consistent work, the hard work, the work toward recovery, the work towards actually understanding what’s going on with you, never hurt.” - Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. In this segment, I happened to speak with Sumner Brooks, a registered dietitian (RDN), mom, and eating disorder specialist who spent 15 years working in nutrition. Her involvement includes providing nutrition therapy for adolescents and adults, public speaking, and pursuing advanced training in trauma-informed, weight-inclusive healthcare.
Today, Sumner shares her knowledge working with clients at all levels of the eating disorder spectrum. Which includes the following: Why she decided to divert into intuitive eating, the journey of writing her book, as well as some tips on how to create a supportive environment that helps support children with their food relationships. I hope that this episode will shed light on your food journey.
[00:01-5:30] Opening Segments
- Introducing our guest speaker
- Sumner shares her experience with her first job
- Why did she become interested in intuitive eating?
- Why did she decide to specialize in eating disorders?
[5:31-11:46] Raising Intuitive Eaters
- Co-writing a book and raising awareness
- How did they structure their book?
- Her take on weight stigma
- Risks and consequences of eating disorders
- Understanding the food problems within the status quo
[11:47-16:00] Creating a Supportive Environment that Supports Children
- Helping kids fall in their natural ability
- Supporting children as they follow their internal body cues
- Allowing children to give opportunity to act out to their internally driven biology
[16:01-27:01] Consistent Feeding Structure
- How do parents deal when their child is a picky eater?
- Associating eating time that is calm and safe
- Opinion on nutrition classes in schools
[27:02-35:36] How important is it to focus on your relationship with food?
- Sumner’s take on public health and food accessibility
- How important is it to educate parents on how to deal with their child’s eating habits?
- Dealing with fat phobia as a parent
- Pathological dieting
[35:37-42:30] Parenting styles that will help their kids find their place and development
- Helping parents to think critically
- Parents-children communication
- There’s always opportunity for repair and healing
- Encouraging parents to ask food inputs to their children
- Giving children choice and opinion
[42:31-43-26] Outro
- Where to find Sumner?
Resources Mentioned:
- Sumner on Instagram
- Amee on Instagram
- How to Raise an Intuitive Eater
- Division of Responsibility
Tweetable Quotes
“There’s not a right way to feed a child, everyone is coming from their own cultural heritage, their own traditions, their own preferences and differences due to economic situations.” - Sumner Brooks
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today we are joined with Rachel Goodman, a registered dietitian, nutritionist, entrepreneur, public speaker, and a full-time mom. Who aims to empower women by helping them to stop their binge eating habits, diet restrictions and have a guilt/stress-free relationship with food.
Today Rachel will navigate the realms of intuitive eating. She is walking us through the guidelines that will help us untangle the chains of food restrictions and false diet culture. She also highlights the importance of eating consistently, recognizing hunger fullness cues, and redefining one’s health to achieve a happier lifestyle. Tune in to this new episode and find out more!
[0:01-8:28] Opening Segment
- I introduced the guest speaker for this episode
- Rachel’s background on achieving food freedom and where she’s at
- Her struggles with food
- Personal experiences that led her into becoming a dietitian
[8:29-19:05] From focusing on weight loss to intuitive eating
- Shifting careers
- Making peace with food
- Why is dieting detrimental to your happiness?
- A framework in intuitive eating
- FAQs for intuitive eating
[19:06-40:46] How do you know you’re eating enough?
- Bingeing vs. Restricting
- Body diversity
- Hunger fullness cues
- Logic and self-care
- Honoring your hunger
- Redefining your health
[40:47-42:24] Outro
- Where to find Rachel?
Resources Mentioned:
- Rachel’s Instagram
- Rachel Goodman
- 3 Steps to Stop Feeling Out of Control with Food
- More Than What You Eat Podcast
- Intuitive Eating Book
Tweetable Quotes
“What people really want is happiness and they believe that focusing on weight loss and losing weight and being on a diet is gonna give them happiness. When they really take a moment to assess their life and do an inventory of how the food rules , the restrictions and the overthinking, this whole obsession around food and body size, how is that making you happy?” - Rachel Goodman
“A lot of the struggle between binge eating, food rules or body image happened because we don’t understand why they happened and then we blame ourselves for them.” -Rachel Goodman
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today I teamed up with Catherine Silver, a licensed clinical social worker in private practice who specializes in depression, anxiety, eating disorders, and body image concerns. She was also the previous Senior Team Leader at one of the nation's leading eating disorder treatment centers.
Join the conversation as we talk about higher levels of care. Catherine shares her insight on diet culture, the different care levels, recovery process, eating disorder red flags to consider, and more. Catherine has a knack for breaking ideas down to be really easy to listen to and understand, I hope you will learn from this episode!
[00:01-3:24] Introductions
- The backstory of how we met.
- Her background in psychotherapy.
- How do you recognize your relationship with food and eating disorders?
- Hallmarks to assess that a person needs guidance in their eating habits.
- The diet culture.
[3:25-8:07] Different Levels of Care
- Out-patient care
- IOP/ Intensive out-patient
- PHP/Partial hospitalization program
- Residential
- In-patient care
[8:09-11:15] Breaking Down: What is the eating disorder recovery process?
- Having an established eating disorder treatment team.
- Why out-patient provide a lot of flexibility?
- Make sure that everyone in the team is an eating disorder specialist.
- IOP: group, meal, group process.
[11:14-13:37] Prioritizing safety
- The importance of asking for help
- Why you need to seek an eating disorder therapist or center for assessment.
- Symptom swamping
[13:38-22:46] Overcoming fears and putting yourself first.
- Eating disorders are built on shame.
- Taking time off and seeking treatment.
- What’s the line between supporting and enabling clients?
- You are not alone.
[22:47-27:07] Closing Segment
- How to seek help amidst financial issues
- Free mentorship programs
- Catherine’s field experience and reflections
Resources Mentioned
- Catherine Silver
- National Eating Disorder Association
- Project HEAL
Tweetable Quotes:
“Just because somebody might not “hit” the eating disorder mark, it doesn’t mean that they don’t deserve help or that they shouldn’t get help. It just depends on what level it is appropriate for each person.” – Catherine Silver
“Even if someone is medically stable, they can still have an eating disorder. And I’ve seen that constantly. Sometimes it’s just one piece of the puzzle. “ – Catherine Silver
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today, I have the honor to speak with the OG Intuitive Eating Author, Elyse Resch. Elyse is a nutrition therapist in private practice in Beverly Hills, California, with thirty-nine years of experience, specializing in eating disorders, Intuitive Eating, and Health at Every Size. She is the coauthor of Intuitive Eating, now in its 4th edition, The Intuitive Eating Workbook, and The Intuitive Eating Card Deck—50 Bite-Sized Ways to Make Peace with Food (upcoming, 2021).
In this episode, Elyse walks us through how she was able to overcome her own eating disorder when she was younger without enough resources about intuitive eating. She also shares with us her definition of intuitive eating, the importance of honoring our autonomous wisdom, and how deprivation causes all diets to fail. I had such a fun chat with her, I hope you’ll learn and enjoy this conversation as much as I did. Let’s dive in!
[00:01 - 12:59] Opening Segment
- I introduce our guest for this episode
- Elyse Resch shares about the idea of intuitive eating
- Having an inkling that there was something off with diet culture and nutrition science
- Started to look into the psychology aspect of dieting
- Letting go the orthorexia she had led to her healing from eating disorder
[13:00 - 42:48] Understanding Intuitive Eating
- Defining Intuitive eating
- The dynamic interplay of instinct, emotion, and thought
- Addressing the emotions and use the cognitive part of our mind to calm our emotions
- How we are intuitively driven to survive and can zoom into the intuitive signals that each of us has
- The importance of helping people who have not been nourishing themselves
- Helping them understand that they can't trust their hunger signals
- The underlying foundation of intuitive eating is our quest for autonomy as healthy psychologically healthy individuals
- Autonomy is the bases of intuitive eating
- Honoring each one’s autonomous wisdom
[42:49 - 51:41] Closing Segment
- Words of wisdom from Elyse
- Connect with Elyse through the links below
- Final words
- Share this episode to those who might need to hear it!
- Connect with me through the links below
Resources Mentioned:
- Intuitive Eating
- Research Studies
- Within Health
- Anti Diet
Tweetable Quotes:
“Deprivation is one of the major psychological principles behind why diets don't work or any kind of deprivation doesn't work.” - Elyse Resch
“Feed yourself enough today. And the more nourished you are, the more you're going to be able to do some of the other things.” - Elyse Resch
Connect with Elyse through Instagram or checkout her website at www.elyseresch.com/.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today, we will be sitting down with Dr. Mark Kirshenbaum who is a board certified pediatrician based in Brooklyn, New York with over 10 years of experience. He graduated from Tourocom, which is Touro colleges medical school, and sees all types of pediatric pathologies, which includes babies from day zero through adulthood throughout their development. He is also your go-to guy for any mental health concerns.
In this episode, we will dive right into how pediatricians deal with eating disorders, how parents can foster healthy relationships and environments for their children, and the importance of consulting a primary care doctor. Let’s dive in!
[00:01 - 08:17] Opening Segment
- I introduce our guest for this episode
- Dr. Mark talk about his background
- How a pediatrician got into eating disorders
-
- Dealing with mental health
- Dealing with more eating disorders
[08:18 - 24:40] Fostering Healthy Relationship Between Food and Children
- Being aware of the teenager’s attitude and behavior
- Communicate and get to the nuances of the relationships
- Establish a judgement-free environment
- Don’t shut the kids down
- Establish an environment where people can speak freely
- Check ourselves as parents
- Role modeling to your kids
- Younger siblings look up to older siblings
- Things to lookout for as red flags
- Different red flags in different communities
- The way we define “unhealthy” is defined by social norms
- Utilize the professionals in schools like teachers, counselors, older friend
[24:41 - 42:15] Experience with Specialists and Hospital
- Regular adult nutritionists will do at times significant damage
- Working with someone whose specialty is weight loss will not be the person that's going to help somebody who's struggling with their relationship with food
- Knowing the end goal
- Importance of conducting a risk assessment
- Exhaust other options before going to the hospital
[27:29 - 51:41] Closing Segment
- Final words
- Share this episode to those who might need to hear it!
- Connect with me through the links below
Tweetable Quotes:
“As a doctor, I'd say the one of the biggest knots that we get as a don't sit down, and listen, we just talk so much. And it makes it hard for parents to feel like their concerns are being addressed.” - Dr. Mark Kirschenbaum
“Never try to shut down a kid who's opening themselves up to you for guidance.” Dr. Mark Kirschenbaum
“When you talk about laying the groundwork for mental health and eating disorders, in particular, it's about open lines of communication and modeling for your kids.” - Dr. Mark Kirschenbaum
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today, we will be chatting with Gila Glassberg who is a registered dietitian, certified intuitive eating counselor, and podcast host of Get into it with Gila. Gila is very passionate about building a healthy relationship between her body and food, and today she helps other women reclaim the joy in eating and learn to respect and appreciate their bodies.
With Thanksgiving and Hanukkah just around the corner, we thought about having a conversation about food and family during the holidays. Because while this could be refreshing to most people, to some it can be very stressful. So make sure to stay tuned until the end because we will be diving right in into how you can navigate the holidays!
[00:01 - 06:53] Opening Segment
- I introduce our guest for this episode
- Gila talks about the challenges that come with the holidays
-
- Tendency to consume more fried food on holidays
- Troubleshooting the things that you can anticipate
- Being a gracious host or guest to ensure that there’s food for you to eat
[06:54 - 30:36] Navigating The Holidays
- Challenging yourself
- Having food that you are comfortable eating
- Can your family be part of your recovery?
- What to do when you’re overwhelmed with food
- The overwhelm of cooking
- Importance of eating regularly and informing the host
- Having a positive experience with friends and family
- Knowing your satisfaction factor
- Developing boundaries and knowing that you don't need to go
[30:37 - 39:31] Closing Segment
- Making sense of intuitive eating
- Exercising as an enjoyable practice
- Connect with Gila through the links below
- Final words
Tweetable Quotes:
“Just make sure that you're taking care of yourself, first and foremost, because you will not have a good time if you don't have food.” - Gila Glassberg
“And think like, you know, I shouldn't be stressed out about my food, you really shouldn't do that.” - Gila Glassberg
Connect with Gila through her website at www.gilaglassberg.com or send her an email at gilaglassberg18@gmail.com.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today we will be chatting with Linda Watts. Linda is a licensed social worker and a CASAC, which means that she works with substance abuse and alcoholism. She has been practicing for over 25 years where she specializes in eating disorders, addiction, substance abuse, and she also provides individual, couple, and family therapy.
In this episode, we dive right in about her background in Gestalt therapy and Internal Family Systems or IFS, and we also talk about her personal experience and how that has led her to her professional experience and where she is today. So make sure to stay tuned until the end because we will be talking about what true recovery actually looks like and how to get there.
[00:01 - 06:03] Opening Segment
- I introduce our guest for this episode
- Linda talks about her recovery journey
-
- Started with “growth groups”
- Learned how to train while in recovery
[06:04 - 23:20] Recovering While Helping Other People Recover
- Learning that the struggle can help other people
- Having humility to admit that she does not know some aspects
- Importance of self disclosing
- The 12-Step Method
- Experience with Gestalt therapy
- Holistic and very relaxed
- About going inside and being present
- Having chair work
- Being self-led and going into the intuitive part
- Having the decision
- Connecting with your wisdom
- Moving towards lifelong recovery
-
- Healing and going to the root
- Experienced it through IFS
[23:21 - 28:44] Closing Segment
- Replacing exile with joy, courage, connectedness, freedom, peace, and love
- Love heals
- Connect with Linda through the links below
- Final words
Resources:
Transcending TraumaGestalt and IFS
Tweetable Quotes:
“I believe that you can just go so far with therapy, and then everything else is more of a spiritual recovery.” - Linda Watts
“It all is about that when you have no agenda, you're there and you witness, and being self led in the parts, we can work with them.” - Linda Watts
Connect with Linda through her website at https://lindatwatts.com/ or send her an email at ltwcsw@comcast.net. You can also reach her through her phone number at 347-256-6242.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today we will be chatting with Allie Landry, the owner of Make Life Peachy. She is a non-diet dietitian, and she's the owner of her virtual private practice which is where the Make Life Peachy comes in. Her mission is to help women stop obsessing over food, become confident in their skin, and make healthy eating easy so they can stop dieting and start living their dream life.
In this episode, Allie talks about the idea that a healthy lifestyle doesn't have to be restrictive or complicated and she is also going to share with us her 4-step framework to being an intuitive eater. You’re going to love her can-do attitude and positivity, and her passion for helping women find freedom in food. Let's dive right in!
[00:01 - 06:56] Opening Segment
- I introduce our guest for this episode
- Allie talks about her dieting experience
- Learned to count calories in school
- Focusing on intuitive eating
- Eating without tracking calories
- How meeting a dietician inspired her to be a dietician
[06:57 - 12:30] Food and Grief
- Emotional eating and grief
- Emotional eating is normal
- Food as part of the grieving process
- Mindless emotional eating can lead to feeling guilt
- Eating as a coping tool and mindfully eating food
- Your body still needs energy
- Eat at least 3x a day even if you don’t have appetite
[12:31 - 21:35] 4-Steps to Being an Intuitive Eater
- Ditching Diet
- Letting go of the dieting mindset
- first step towards food freedom
- Food Freedom
- Encompasses multiple of the principles of intuitive eating
- Approaching nutrition from a place of gentleness and flexibility
- Gentle Nutrition
- Having permission to eat all foods
- Learning how to eat in a way that feels really good
- Body Love/Body Respect
- Focusing on body image body acceptance
- Improving your body thoughts
- Incorporating movement from a place of body respect
- How Allie works with her clients
- A lot of mindset reframing
- Misconceptions about intuitive eating
- Redefining health
[21:36 - 28:44] Closing Segment
- Process of working toward body respect
- The hardest part of the journey
- Challenging these thoughts
- Digging deep into the eating/dieting belief
- How to navigate the world of losing weight
- Having compassion
- Connect with Allie through the links below
- Final words
Tweetable Quotes:
“What I would emphasize is, food can be a coping tool. We don't want it to be our only coping tool. and we also want to make it a mindful experience that actually helps our feelings rather than makes it feel worse.” - Allie Landry
“What if being healthy meant focusing on what to add and removing the good and bad labels?” - Allie Landry
“A lot of people feel like eating whatever you want can't be healthy. But that's often because they might be in a dieting mindset where they feel out of control around whole foods.” - Allie Landry
Connect with Allie through her Instagram, Twitter, and Tiktok! You can also checkout her website at www.makelifepeachy.com!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating Podcast. Today we sit down with Harriet Frew, who I met as a mutual podcaster. She is the host of the Eating Disorder Therapist podcast, and is a really experienced counselor in the UK. Besides offering individual therapy and her podcast, Harriet has online courses, trainings, and break through days, which we'll talk a little bit about in our conversation. Harriet specializes in the treatment of bulimia binge eating disorder, and OSFED (other specified category), and she really focuses on the psychology of disordered eating or eating disorders. Harriet is a BACP accredited counselor and eating disorder practitioner and has worked on adult eating disorders since 2003.
In this episode, Harriet brings a ton of experience and knowledge and I'm really excited to share our conversation. Let's dive right in!
[00:01 - 05:31] Opening Segment
- I introduce our guest for this episode
- Harriet talks about specializing in bulimia
- Experiencing bulimia firsthand
- Triggered by different stresses
- Importance of having support
[05:32 - 23:55] Let’s Talk About Bulimia
- What is bulimia?
- Symptoms are usually not obvious
- Binge eating, losing control, keeping it a secret, being ashamed
- Binge cycles, restrictive cycles, and the purge
- Relationship of exercise and the binge
- Feels like a compulsive thing after the binge
- “Compensating” for the eating episode
- No longer a joyful experience
- Simple dieting vs. Eating disorder
- Treatment and recovery process
- Breaking the cycle of binging and purging
- Understanding the triggers and why it was developed
- Part of a larger picture
- Examples of somebody with these underlying issues
- Having a lot of inner conflict
- A small part is genetics
[23:56 - 32:23] Closing Segment
- What is a breakthrough day
- Giving people more time for reflection
- Not a quick fix
- How body image plays into eating disorders
- Connect with Harriet through the links below
- Final words
Tweetable Quotes:
“Every sort of struggle, no matter how small or large or whatever it looks like, should all be taken seriously.” - Rachelle Heinemann
Connect with Harriet through her Instagram and checkout her website at www.theeatingdisordertherapist.co.uk!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of Understanding Disordered Eating Podcast. Today, we will be sitting down with one of my dear friends and one of New York City's best therapists, named by New York Magazine, Jennifer Glass. Jennifer did her master's in social work for her post grad training in psychodynamic psychotherapy, and has her private practice all in the city.
In this episode, we will dive right into how our curiosity can bring us awareness, and how this then provides us with intentional choice. Let’s dive in!
[00:01 - 05:56] Opening Segment
- Thank you for listening to the podcast
- Click the link below and leave a review!
- I introduce our guest for this episode
- Jennifer talks about being seen, heard, and loved
- Knowing what these mean
- Importance of being vulnerable in our relationships
[05:57 - 37:08] Looking at the Process of Healing
- Compassionate inquiry
- Being compassionate is central to therapy
- Being willing to question something
- Allowing ourselves to be curious
- The dangers of comparison
- Feeling small and positioning ourselves as losers
- Knowing when to step back
- Relationship we have with ourselves
- Most impactful
- Tuning our dialogues with ourselves
- How to strengthen relationship with self
- There should be intent
- Recognize that you have a choice
- Rewriting the narrative
[37:09 - 47:44] Closing Segment
- Talking about feelings
- Cultivating compassion and kindness to ourselves
- Connect with Jennifer through the links below
- Final words
Tweetable Quotes:
“When we put space between something that affects us and our response to it, we allow for the possibility of curiosity, right?” - Jennifer Glass
“There’s a lot of governance that happens. There’s a lot of empowerment that happens when we actually recognize the truth, that we have a choice as to how we see ourselves and feel about ourselves.” - Jennifer Glass
Connect with Jennifer through this Link!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
In today’s episode of the Understanding Disordered Eating Podcast, we will be sitting down with Rachel Tuchman, LMHC. Rachel is a licensed mental health counselor with over 10 years of experience. She has worked with many diverse populations, and now is in private practice in New York. She works with kids, teens, adults, and most importantly for our conversation is a HAES-aligned clinician. So it stands for Health at Every Size, and she dedicates a lot of her time to educating parents and kids on the importance of body respect, and the behaviors that truly honor our health. Rachel does a ton of speaking for schools and various community organizations, and is very active about this topic on social media.
In this episode, Rachel tells us what health actually means and how it differs for each person. She also educates us about the anti-diet and body positivity culture, and shares how society has contributed to having poor body image and disordered eating.
[00:01 - 20:02] Opening Segment
- I introduce our guest for this episode
- Rachel talks about her practice
- What health actually means
- mental health, financial health, relationships, quality of living, access to medical care, jobs, spiritual connection
- focusing on two tiny factors that contribute to health: what we eat and how we move
- healthy is different for every person
- Defining “anti-diet”
- pro-health
- take the focus off of food, recalibrate and focus on living and taking care of your health
- about healing the relationship with food
- Defining “body positivity”
- Movement started by black, queer, and Jewish women
- Challenge how society views the body
- About respect for everyone
[20:03 - 46:31] Society’s Contribution to Poor Body Image Disordered Eating
- Society dictates what is beautiful
- Misery in keeping the standard
- Huge influence from celebrities and social media
- We are led to believe that there is a beauty standard
- Diversify your feed
- Getting out of the black and white mindset
- Check in with yourself
- How Instagram is toxic for teen girls
- Check out the link to the article below
- The importance of learning about diet culture especially for parents
- Encouraging people to learn more about it together
- Rachel’s reference recommendations
- Check out the links below
- Importance to listen and understand people with bigger bodies
- Importance of being willing to learn
[46:32 - 47:44] Closing Segment
- Connect with Rachel through the links below
- Final words
Resources Mentioned:
- Wall Street journal article
- Intuitive Eating Book
- HAES and Body Respect by Lindo Bacon
- Anti Diet by Christy Harrison
- Food Isn't Medicine by Joshua Wolrich
- What We Don’t Talk About When We Talk About Fat
Tweetable Quotes:
“I would love for people to free up that mental energy, that physical energy, that emotional energy, for other things that could bring them real joy, and that could really make them happy and healthy.” - Rachel Tuchman
“So when people talk about health, they're really focusing on two tiny factors that contribute to health, what we eat, and how we move.” - Rachel Tuchman
Connect with Rachel Tuchman on Facebook, Instagram, or LInkedIn. You can also check out her website at www.racheltuchman.com.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating podcast. In this episode, I wanted to share with you six tips if you suspect a loved one is struggling with an eating disorder. These tips will help us be more educated and be better support for our friends or family who might be experiencing an eating disorder.
Make sure to tune in until the end and check out the links below for more resources. Hope you’ll learn something from this episode and I hope these tips will help!
[00:01 - 01:35] Opening Segment
- I introduce our topic for this episode
- Helping our friends/family who might have an eating disorder
- Identify the kind of relationship you have with this person
[01:36 - 11:51] 6 Tips
- First: Ask them, talk to them
- Tell them what you see but not in a judgemental way
- Be specific and reassure that you are supporting them
- Second: Ask them if are open to getting more help
- Ask them how you can help in the process of finding a provider
- See resources in the links below
- Feel free to reach out to me through the links below
- Third: Be the support system
- Fourth: You are not the treatment team
- Being upfront if there are concerns
- Stay as their friend
- Fifth: Do your own research
- Sixth: Practice what you preach
[11:52 - 12:32] Closing Segment
- Reach out to me if you have questions
- Check out links below
- Final words
Resources mentioned:
- NEDA hotline https://www.nationaleatingdisorders.org/help-support/contact-helpline
- Alliance for Eating Disorder Awareness findedhelp.com
- Relief Resources https://www.reliefhelp.org
- Psychology today https://www.psychologytoday.com/us
- Project heal https://www.theprojectheal.org/treatment-access
Tweetable Quotes:
“The main point is that we want to help the person struggling and not make them feel uncomfortable or defensive. So we have to do this kind of strategically.” - Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of the Understanding Disordered Eating podcast. In this episode, we will be diving deeper into the Minnesota Starvation Experiment or the Minnesota Semi Starvation Experiment. This study was conducted by Ancel Keys, who was a professor of Physiology at the University of Minnesota. During World War II, he was a consultant to the War Department, and wanted to study the effects of starvation most significantly for those who were in the war, and how to provide post-war rehabilitation.
Though this study is being cited all the time, it is important to note that it only had a total of 32 participants. And while it has a very small sample size, the information that we learn from the study is still significant and important.
[00:01 - 2:17] Opening Segment
- I introduce our topic for this episode
- Let’s talk about the Minnesota Starvation Experiment
[02:18 - 14:33] The Minnesota Starvation Experiment
- The stages of the experiment
- Initial stage - 3 months
- Semi starvation period - 6 months
- Rehabilitation period - 3 months
- Participates talked about their experience
- Effects of the semi starvation period
- Physical change
- Psychological change
- Social changes
- Behaviors related to food
- Re-feeding period
- Participants are put in 1 of 4 categories
- Did not feel relief
[14:34 - 19:38] Implications of the Study
- A lot of this sounds familiar for those with disordered eating
- Re-feeding process must be done really carefully
- Biological pressure to look for food
- Final words
Tweetable Quotes:
“By learning about the effects of starvation, we can avoid attributing all of these symptoms to some other causes that aren't connected to just a significant calorie deficit.” - Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of Understanding Disordered Eating podcast. Today we're talking to Marissa Sappho, who is the founder and clinical director of Aurora Center in New York City which is an outpatient mental health clinic specializing in the treatment of eating disorders. Marissa is a Board Certified psychoanalyst, a certified eating disorder specialist, and supervisor. She is part of the faculty, supervisor, and member of the board at the Center for Study of Anorexia Bulimia in New York City, the oldest nonprofit training and treatment center for eating disorders in that country. She has also presented on eating disorders nationally and internationally at major conferences, and is the co-chair of the special interest group, Psychodynamic Psychotherapy through the Academy for Eating Disorders.
In this episode, Marissa helps us further understand the importance of setting boundaries and how we can effectively assert ourselves to help improve our relationship with people and food.
[00:01 - 5:11] Opening Segment
- I introduce our guest for this episode
- The importance of setting boundaries
- Physical boundaries
- Emotional boundaries
- Time boundaries
- Sexual boundaries
- Intellectual boundaries
- Material boundaries
- So many more types of boundaries
[05:12 - 48:14] The Importance of Asserting Your Own Boundaries
- Setting a separation between people
- Setting limits and avoiding people taking advantage of us
- Asserting your own needs is not mean
- Difficulty of parents tolerating feelings
- Parents must have a good sense of self
- Must learn when to separate from their child
- Most parents have intolerance for separateness and different opinions
- Sometimes results to disengaged families, emeshe families
- Overly rigid boundaries vs. not having boundaries
- The importance of being self aware in setting boundaries
- Boundaries are correlated with the level of trust
- Self esteem is part of your sense of self
- The concept of Stonewalling
- Communicate that you need space
- Do not shut people out
- Find a way to communicate your frustration
- Do not threaten the relationship
[48:15 - 49:12] Closing Segment
- Connect with Marissa through the links below
- Final words
Resources Mentioned
www.gottman.com
Tweetable Quotes:
“Without those boundaries, we have no idea where we start and stop; where the other person starts and stuff. And then this contributes to a whole host of problems.” - Marissa Sappho
“What I find a lot of times with folks with eating disorders, is they experience that in a hyper vigilant way, and in a way filled and loaded with guilt and responsibility that they have to constantly be attuning themselves to the other person to make sure that that person's okay.” - Marissa Sappho
“People have a really hard time being tasked to be their own gatekeepers of their emotional space and emotional time.” - Marissa Sappho
Watch the Mother's Day video in appreciation for mothers.
Connect with Marissa Sappho on Twitter and Instagram, or check out her website at www.auroracenternyc.com
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
In today’s episode of the Understanding Disordered Eating Podcast, we will be sitting down with Jill Lewis. Jill is a licensed clinical social worker and is a certified eating disorder specialist, supervisor, and a certified group psychotherapist. She has a group practice in Atlanta, and they specialize in eating disorders and some other things like anxiety, depression, borderline personality disorder, family dynamics, etc. Jill works relationally, and offers individual couples family and group therapy. She also supervises other clinicians, is an active member of the American Group Psychotherapy Association where she serves as the private practice co-chair. She is also involved in the Atlanta Group Psychotherapy Society, where she is the social chair and is an active member of the International Association of Eating Disorder Professionals.
In this episode, Jill is going to dive deep into working with her clients relationally, how it looks like, how it works, and how a person can form an interpersonal working group.
[00:01 - 8:40] Opening Segment
- I introduce our guest for this episode
- Jill explains the meaning of psycho relational
- cognize that the therapeutic relationship is a parallel process to relationships outside
- discussing the emotional experience that comes up
- What transference looks like vs countertransference
- Transference: the feelings of the client and their reactions toward the therapist
- Countertransference: how the therapist feels towards the clients
[08:41 - 33:52] What you Need to Know Interpersonal Working Groups
- How people with eating disorders have relationships that got fractured
- They tend to withdraw in their relationship when they’re more entrenched in their eating disorder
- Avoidance of the world and connection
- interpersonal process groups and the interpersonal relational helps clients connect
- Helping clients show up as themselves
- How an interpersonal working group can help
- It's all about how we connect through relationships
- group work is the primary modality that tends to help even more so than individual
- Working with clients in group or in individual therapies
- How having different energy from clients that aren't your own can help
- What usually happens in a process group
- Requirements to join a process group
- Must show up for 3 months
- Informing the group if you cannot join the group
- Roles of the therapist in the group
- Helping bridge between the individual sharing
- Subgrouping, linking people together
- Steps to join a group
- Check out American Group Psychotherapy Association
- Ask the advice of dieticians
- Have 10-minute phone conversation to assess if the group is the right fit
- Schedule a consultation
- Therapist who want to incorporate process groups in their practice
- Join trainings and webinars
[33:53 - 43:34] The Importance of Supervision for Therapists
- How Jill approaches supervision and group therapy
- Shoutout to Morgan
- Connect with Jill through the links below
- Final words
Tweetable Quotes:
“Most of the experiences that clients are struggling with when it comes to disordered eating and eating disorders is avoidance of the world, and avoidance of connection.” - Jill Lewis
“I don't think [people with disordered eating] can probably heal in the way they need to, without getting to some sort of relational work.” - Jill Lewis
Connect with Jill Lewis on Facebook, Instagram, or send her an email at jill@jlewistherapy.com. You can also check out her website at www.jlewistherapy.com.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to another episode of Understanding Disordered Eating Podcast! Today, we are sitting down with Kimberly Meehan, an ANCC board certified psychiatric nurse practitioner. She has a private practice in New York City, and works with adults who experience anxiety, depression, ADHD, sleep issues, eating disorders and OCD. Kim works with an integrative and holistic approach, offering lifestyle changes meditation, mindfulness and psychotherapy. In addition to medication management. Kim also coaches solopreneurs who are feeling stuck and also advises several mental health startups. Right now, she is working to launch a social media page, focusing on bringing more balance to your life in pursuing the life of your dreams. She loves spending time at the beach and is currently busy training for the 2021 NYC marathon.
In this episode, Kim shares about the medication’s role in a person’s treatment, the importance of finding the right fit between the person and the medication, and the common misconceptions about it. Let’s dive in!
[00:01 - 7:37] Opening Segment
- I introduce our guest for this episode
- Kim talks more about her training and her journey
- How she was exposed to therapy
- How her experience developed her mission to treat clients in a certain way
[7:38 - 33:52] Using Medication as Part of Someone’s Treatment Approach
- Medication’s role in treatment
- Treating eating disorders along with its comorbidity
- Being educated about nourishing our bodies the right way
- Things to consider in assessing for medication
- Prescribing as an art and a science
- Knowing the person’s needs
- Finding the right fit between the person and the medication
- Right combination of medications
- Right dosage
- How genetic testing can provide helpful information
- Types of medications
- Sleep issues being tied up with eating disorders
- The mechanisms of these medicines
- Dopamine vs. Serotonin
[33:53 - 43:49] Understanding Eating Disorders on a Neurobiological Level
- MRI vs. FMRI
- Understanding the parts of the brain that light up during mealtime vs. when restricting
- Connection between reward and value of food
- Decision-making is impacted when a person is malnourished
- Effectiveness of the medications
- How long before medication works
- Recommendation to stay on the medicines for at least 9 - 12 months
- Lessen chance of relapse
- Being on medication during pregnancy
- Medications to avoid when a person has bulimia or anorexia
- Weight gain as a side effect of the medication
- Misconceptions about medication
- Connect with Kim through the links below
- Final words
Tweetable Quotes:
“In a nutshell, the choice to start a medication is really the severity, functionality, and the extent of the symptoms that are impacting their life.” - Kimberly Meehan
“It’s not going to be the quick fix. It can help you feel more functional, it can help you get back on your feet and turn down the volume of some of the symptoms you might be experiencing.” - Kimberly Meehan
“While these medications are not happy pills, they are medications that can help you use other tools of like more effectively and see more benefit from.” - Kimberly Meehan
Connect with Kimberly Meehan on Instagram or send her an email at kimberly@kimberlymeehannp.com. You can also check out her website at http://kimberlymeehannp.com.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
In today’s episode of Understanding Disordered Eating, we will be sitting down with the one and only Melainie Rogers. Melainie is a certified eating disorder registered dietitian and supervisor and is accredited by the International Association of Eating Disorder Professionals as a clinical supervisor in the treatment of eating disorders. She is the founder and CEO of Balance Eating Disorder Treatment Center™ and Melainie Rogers Nutrition, LLC in New York City. She is also the co-founder and former president of the New York City chapter of the International Association of Eating Disorder Professionals or IAEDP, advisory board member at the Center for the Study of Anorexia Bulimia or CSAB in New York City, and the co-chair of the Nutrition Special Interest Group with the Academy of Eating Disorders. On top of all that, she is also an active member of several dietetic associations, an author, and a professor.
Make sure to tune in until the end because we will be diving deep in to the misconceptions and the correlations between weight and health.
[00:01 - 9:11] Opening Segment
- I introduce our guest for this episode
- The importance of having a conversation about disordered eating
- Melainie talks about the brief history of the BMI and how it is being used at present
- BMI as a misleading tool to measure health
[9:12 - 35:01] Improving Health Without Weight Loss
- Obesity as a risk factor of COVID
- An offensive and lazy way of categorizing people
- The stress from obesity discrimination poses a higher risk than the weight
- Differentiating between correlation and causation
- Dangers of recommending weight loss to improve biomarkers
- Improved biomarkers can be achieved without weight loss
- Being in a respectful environment without pressure to lose weight
- The importance of having healthy relationship with food and your body
- Educating the people about the bad effects of unhealthy dieting
- Losing muscle mass
- Increase in hunger
- Binge eating
- Messing up your natural metabolic rate
- Aesthetics vs. Actual Health
- It’s not about how much fat, but where the fat is located
- Be more careful about visceral fat
- The importance of looking at health at every size
-
- Incorporating joyful movement
- Improving sleep
- Weight is not only the indicator of good health
[29:07 - 43:49] Other Tools to Treat Eating Disorders
- Bariatric surgery as a necessary tool for some individuals
- Must have a lot of understanding in the procedure’s pros and cons
- Important to bring more knowledge about food and health to the general public
- Neutralizing relationship with food
- Understanding intuitive eating
- Tuning eat with what your body feels
- Replenishing your body with food that it wants and needs
- Will make you feel more in control of your relationship with food
- Connect with Melainie through the links below
- Quick information about Balance Eating Disorder Treatment Center™
- Final words
Tweetable Quotes:
“We know from a health perspective, that pure weight doesn't really tell us much about someone's health. It may suggest, but it doesn't tell us definitively.” - Melainie Rogers
"I think the problem with our healthcare system and with how society has been told, is that society has been told to believe that weight is the number one indicator of health and it is absolutely simply not true.” - Melainie Rogers
“What we want to look at then is health at every size, which is no matter what our body shape and size and weight, we can be healthier from that point.” - Melainie Rogers
Connect with Melainie Rogers on LinkedIn, Instagram, Facebook, and Twitter. You can also check out her website at www.balancedtx.com or call them at 212-645-6903.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome back to another episode of Understanding Disordered Eating. Today’s episode is going to be different from the last 2 episodes because today we’re going to be sitting down with Kate, and try to learn from her story. Let’s dive in!
[00:01 - 2:48] Opening Segment
- I introduce the topic for this episode
- Importance of storytelling
- Ask yourself “why”
[2:48 - 16:39] The Story of Kate
- I describe Kate
- Kate is very self conscious
- Kate feel empty
- Has poor body image
- Feels the need to change her body to get attention
- Treats food as something to earn
- She was emotionally abandoned
[16:40 - 17:33] Closing Segment
- Thoughts about Kate’s life
- Final words
Tweetable Quotes:
“By exploring how our past is driving the present and working through what we haven’t wanted to look at, we regain control and get into our own driver seat.” - Rachelle Heinemann
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome back to another episode of Understanding Disordered Eating. Today, we’re sitting down with Meredith Glidden who is a licensed creative arts therapist and psychoanalyst. She is a psychotherapist with a private practice in New York City, and works with adolescents and adults with a specialty in substance use. She has presented on intersections of psychoanalysis and creative arts therapy and she’s currently a board member of the Institute for Expressive Analysis where she also serves as their Director of Admissions.
Meredith is going to walk us through the meaning and impact of a psychoanalysis and let us in on the definitions of the important terminologies in relation to the psychotherapy. Make sure to stay tuned ‘til the end because she will also touch on the idea of attachment. Let’s dive in!
[00:01 - 7:01] Opening Segment
- I introduce the topic for this episode
- Meredith further defines Psychoanalysis
- Going in and going deeper
- A vulnerable commitment to yourself
- Understanding the why instead of changing it
[7:02 - 35:01] Defining Psychotherapy, Psychodynamics, and other Terminologies
- Psychoanalytic work happens more frequently compared to psychodynamic therapy
- Breaking the stigma of psychotherapy
- Defining the unconscious mind
- Drives our behaviors
- Driver seat metaphor
- Defining free association
- Verbalizing thoughts that come to mind
- Not a linear thought pattern
- What it means when we say “defenses”
- Something that safeguards our mind that would cause anxiety
- Meredith talks about examples of defenses
- Significance of Dreams
- Taking note of the images and story lines of our dreams
- Understanding transference
- Helps recognize patterns
[35:02 - 39:44] Understanding the idea of Attachment
- How we interact and connect with people
- Final words
Tweetable Quotes:
“I believe that it’s really the relationship that heals. It’s the relationship that is the repetitive experience.” - Meredith Glidden
“It is such an incredible gift to yourself to think more deeply about your own mind.” - Meredith Glidden
Connect with Meredith Glidden on Psychology Today!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to the first episode of Understanding Disordered Eating. Today, we’re sitting down with certified eating disorder registered dietitian and supervisor, Dina Cohen. She is a nutrition therapist who specializes in the treatment of eating disorders, chronic dieting, women’s health, and pediatric nutrition. She is also the founder of Eat Well Soon, a nutrition counseling practice in Lakewood, New Jersey where she’s dedicated to helping individuals and families develop lifelong healthy habits and a positive relationship with food.
In this episode, Dina helps us understand the definition of eating disorders, the importance of prevention, and why we should be careful in trying to achieve an "ideal body image." Let’s dive in!
[00:01 - 7:01] Opening Segment
- Welcome to the first episode of Understanding Disordered Eating
- Dina defines what a eating disorder is
- Mix-up of food and feelings
- Causes an individual so much distress
- Affects an individual’s physical and mental health
- Characterized by anxiety
- Severe disturbance to a person’s eating behavior
- Disordered Eating vs Eating Disorder
[7:02 - 11:38] The Importance of Preventing Eating Disorder
- Causes of eating disorders
- Biopsychosocial
- Clarifying the definitions of eating disorder concepts
- Weight change as a symptom
- Restriction results to binge eating
- Dina talks about the eating disorder categories
[28:06 - 33:59] Achieving the Ideal Body Image
- Weight loss as social currency
- Follow us in our social media pages and give us a review
- See links below
- Final words
Tweetable Quotes:
“Just because it’s normal doesn’t mean that it’s ok. But it [eating disorders] is getting normalized because it’s so common.” - Dina Cohen
“We want to see the weight as a consequence of a healthy lifestyle.” - Dina Cohen
Check Dina's website at www.eatwellsoonrd.com. You can also send her questions through this email eatwellsoon@gmail.com.
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.
Welcome to the Understanding Disordered Eating Podcast! I am your host, Rachelle Heinemann, a licensed mental health counselour, eating disorder expert, and deep work therapist.
In this podcast, we will talk about how we can uncover the secrets that are encoded in your relationship with food so you can move toward health, healing, and growth
Each week, we will be talking to experts in the field of eating disorders and psychoanalysis to explore all of these mysteries. We’ll be talking to analysts, therapists, dietitians, doctors and lots of others to help you get to the root of your fears, patterns, ways of thinking, and emotions.
If this resonates with you, I invite you to get listening so we can get on this journey together!
You can connect with me, Rachelle Heinemann on Instagram, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com.