Podcasts about anorexia

In this episode, I explore why failure is not something to hide, but something to study, share, and even celebrate. Drawing inspiration from the “Flops” exhibition at the Musée des Arts et Métiers, I look at how psychology, religion, science, and art all reveal the same truth: my mistakes are often the very things that shape my character, deepen my relationships, and point me toward a more meaningful life.Why failed products like BIC for Her and New Coke can teach us about resilienceThe psychology of growth mindset, self-compassion, and learning from mistakesHow traditions like Kintsugi and teshuvah honor repair over perfectionStories of famous failures from Thomas Edison to J.K. RowlingBooks, movies, songs, and poems that remind us to “fail better”Reflection questions to help me turn every flop into wisdom and purposeThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Sarah Rzemieniak is a Carolyn Costin Institute Certified eating disorder recovery coach. Since 2018, she has provided one-on-one recovery coaching to individuals worldwide, working alongside her small team of other CCI-certified coaches in private practice. Before this, Sarah worked as an eating disorder dietitian until she realized that her true passion was in the coaching and counselling aspect of the work.Sarah has her own lived experience of an eating disorder and considers herself fully recovered from anorexia nervosa. She lives on Vancouver Island in British Columbia, Canada with her husband and their two young sons.My main website: https://sarahrzemieniak.com/My bi-weekly blog: https://sarahrzemieniak.com/blog/My free recovery practices, to help ritualize the recovery journey in an inspiring way:  https://sarahrzemieniak.com/free-eating-disorder-resources/Recorded at ROC Vox Recording & Production Studios, Rochester, NY  rocvox.com

Nesta Consulta Aberta, Margarida Graça Santos traz uma uma convidada muito especial. Chama-se Bárbara Miranda Lencastre, é advogada, apaixonada por tecnologia, desporto, música, cinema, leitura, viagens e tantas outras coisas que fazem parte de quem é. Mas, nos últimos anos, houve uma parte da sua vida que acabou por ocupar demasiado espaço: a anorexia nervosa. Neste episódio, vamos conversar sobre como é viver com uma perturbação do comportamento alimentar. O que é que as pessoas de fora nem sempre entendem? O que ajuda e o que pode magoar quando queremos apoiar alguém? E porque é que recuperar muitas vezes custa muito mais do que voltar a comer? A conversa pode ficar explícita, se o deixar desconfortável ou se achar que não é o momento certo, deixe para mais tarde.See omnystudio.com/listener for privacy information.

When a hard drive crashes, people will spend thousands—or even hundreds of thousands—of dollars to recover what they thought was lost. In this episode, I explore what data recovery can teach us about resilience, meaning, and suicide prevention.In this episode, I discuss:Why we often don't realize the value of something until it's goneHow our bodies, relationships, and memories are more fragile than we thinkThe surprising parallels between data recovery specialists and suicide hotline counselorsHow a single grain of dust—or a single thought—can cause outsized damageWhy emotional crises are often about imbalance rather than total failureThe idea that the story we create from loss may be more valuable than what we lostArticle referenced: https://www.newyorker.com/magazine/2026/04/27/when-your-digital-life-vanishesThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

This is a powerful conversation on reclaiming your relationship with your body.

In my first Episode of 2022, I interview my special guest, Ellen Mongan. Ellen is the Founder of Little Pink Dress Ministry, Christian writer, motivational speaker, and host of the WOW podcast show. She is a wife, Mom of seven children, a baby in Heaven and thirteen grandchildren. In our authentic conversation, we talk about her faith and life experiences as a young teen, wife, Mother and Grandmother. She also shares her Anorexia story and how God showed up in her life to help her with her health and self image struggle as a young woman. Enjoy listening to this powerful God story!

Typically, when we vent, it causes more harm than good. How do we vent our emotions in a healthy way?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Last year, I received an email from a lovely individual inquiring about coaching opportunities. I asked if she could briefly share her story and some of her goals for coaching. In true autistic style, she replied with what she described as “a novel to explain herself, lol.” I loved reading this “novel” because, as with most emails I receive, I resonated with so much of her lived experience. In her email, this individual shared how she had struggled with disordered eating for most of her life. At age 46, she was diagnosed with autism, which she said was “life-changing in ways I can't even begin to describe.” Over the years, she'd tried countless “treatments” for her eating challenges – but as I'm sure you can already guess, these attempts had not only failed, but led to feelings of hopelessness. The reason I reflect on this correspondence is because there was one sentence in her email that I immediately thought of after I recorded today's podcast episode. She wrote that she'd been scouring the internet for links between autism and overeating, but ended up finding very little that resonated. “It's all about ARFID and beige food and anorexia,” she wrote. And she's right; there is very little out there on the connection between autism and binge eating, which is why I am BEYOND excited to be diving into this conversation with my good friend Kory Andreas on the podcast today! After we talk about the lost generation of autistic relatives and how our grandmas are basically the same person, Kory opens up about her MCAS (Mast Cell Activation Syndrome) which is super common in neurodivergent people. Kory also talks about her experience with binge eating, learning that it was rooted in being neurodivergent, and how starting ADHD medication practically made all her binge urges disappear overnight. This was such a high energy conversation (I mean, just put two neurodivergent people in a room together, right?) so I can't wait for you to listen!

Anorexia nervosa has one of the highest mortality rates of any psychiatric illness, yet effective biological treatments remain limited. For many people living with the condition, even after successful weight normalization, persistent psychological symptoms, including obsessive thoughts about food, shape, and weight, continue to drive relapse.In this conversation, Dr. Bret Scher sits down with Dr. Guido Frank, Professor of Psychiatry at UC San Diego with over 25 years of experience in eating disorder treatment, to discuss results from the first-ever clinical trial of ketogenic therapy in anorexia nervosa.This 14-week supervised feasibility trial enrolled 22 individuals with weight-normalized anorexia nervosa. Among the 18 study completers:✅ 72% scored in the recovered range on eating disorder assessments, no longer meeting the criteria for an anorexia nervosa diagnosis✅ 100% of study completers saw improvements in depression symptoms, with 72% scoring within the normal range.✅ Participants did not experience significant weight change throughout the studyIn this conversation, Dr. Frank also discusses:What led a self-described skeptic to investigate ketogenic therapy for anorexia nervosaHow the study was structured, who it enrolled, and what the weekly supervision looked likeWhat participants experienced as symptoms improved, including reports of mental clarity and reliefHow weight remained stable throughout the ketogenic interventionThe pushback from colleagues and how to engage with the skepticismWhat comes next, including ongoing brain imaging research and plans for a randomized controlled trialEarly observations in bulimia nervosa and what they may suggest about metabolic factors in eating disordersThis trial demonstrated that ketogenic therapy is well tolerated by this population. Larger, controlled studies are needed to better evaluate efficacy.This intervention was conducted under close supervision by a licensed eating disorder specialist, with weekly check-ins, ketone monitoring, and regular psychiatric assessments. Anyone interested in exploring this approach should do so under close medical supervision and in partnership with their care team. If you or someone you care for is living with anorexia nervosa, please speak with your healthcare provider before making any changes.

Most people aren't struggling with food, their weight, or habits because they lack willpower or nutrition knowledge.  They're struggling because years of dieting, weight stigma, body shame, and chronic stress have created a nervous system that no longer feels safe around food. True healing requires more than changing what you eat — it requires changing your relationship with food, your body, and how you talk to yourself.  Today's episode addresses the connection between GLP-1 use and eating disorders, why it's happening to some but not all, and how GLP-1's might actually help you HEAL parts of your diet trauma.  Keep listening to learn more.  And when you're ready to explore a customized approach to not just losing weight, but keeping it off long term, I'd love to explore if my 4-part process is right for you.  Schedule your free consultation at www.bodyyoucrave.com/schedule.  Is your metabolism traumatized?  If you've experienced emotional, verbal, or spiritual abuse, the answer is likely 'yes.' This is a critical piece when it comes to weight loss, especially when you're 40+, because abuse triggers a cascade of repercussions in the body.  Learn more with my all new, free workshop: Your Metabolism Isn't Broken — It's Traumatized.  Get all the details here: https://calendly.com/jillian-2/trauma Chapters (00:00:02) - Hungry for Love(00:00:24) - GLP1s and Anorexia(00:07:45) - Weight Loss on a GLP1 peptide(00:15:26) - Binge Eating and Relationship Cycle

"Eat the apple. Plant the seeds." How does this quote pertain to suicide prevention?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Have you ever thought you've spent too long ill with an eating disorder, that there's just no way you can recover from an eating disorder? If that's you, this episode is for you.This week on the Full of Beans Podcast, I'm joined by Andrea Stroud, mum to Joshua, Jacob and Tommy who has lived with anorexia, in secret, for over 40 years. Andrea hopes that by sharing her story and the reality of living with an eating disorder and its impact on family life, she can give others hope that it's never too late to recover.We also talk about years of missed red flags from medical professionals, the moment Andrea said "I am actually quite unwell," and what has made eating disorder recovery feel different this time around.In this episode, we explore:How growing up in a weight-focused family left Andrea feeling different from everyone around herHow gymnastics, dance and athletics brought an early focus on appearance and comparisonThe missed red flags across years of medical appointments, from gynaecology to gastroenterologyHow dismissal by healthcare professionals reinforced the belief of not being sick enoughThe study day that finally gave Andrea permission to say she was actually quite unwellHow Andrea opened up to her son Josh after 40 years of silent struggles Going back into treatment, and why this time felt different Why rigid meal plans can work against the very thing eating disorder recovery needs What mental hunger is and how it can be misunderstood in treatment Opposite actions as a practical tool for challenging eating disorder thoughtsWhy food is about more than fuel, it is connection, presence and belongingWhy Andrea's word for long-term anorexia recovery is connectionConnect with Us:Subscribe to the Full of Beans PodcastFollow Full of Beans on InstagramCheck out our websiteListen on YouTubeConnect with Andrea on Instagram (@andreainrecovery), as well as her son Joshua (@joshuahillsnutrition)⚠️ Content Note: This episode includes discussion of eating disorders, anorexia and disordered eating. Please look after yourself as you listen.If you enjoyed this episode, don't forget to subscribe, rate, and share to help us spread awareness.Sending positive beans your way, Han

In her third feature (Saccharine, in theaters now and on Shudder in July), Natalie Erika James tackles themes of obsession, disordered eating, and queerness. And while the two movies are VERY different (one a psychological horror, the other a quiet, BAFTA-winning drama), those are all themes Saccharine shares with My Summer of Love, Pawel Pawlikowski's 2004 film that introduced the world to Emily Blunt. Then, Jordan has one quick thing about Jane Schoenbrun's upcoming Teenage Sex and Death at Camp Miasma, which just premiered at Cannes. If you or someone you care about is struggling with an Eating Disorder, you can get help by calling the National Alliance for Eating Disorders Hotline at 1-866-662-1235 for advice and emotional support. Help support this show and unlock bonus content! Become a member at https://maximumfun.org/joinfeelingseen Feeling Seen is hosted by Jordan Crucchiola and is a production of Maximum Fun. You can watch video editions of our new episodes on our YouTube Channel!Need more Feeling Seen? Keep up with the show on Instagram and Bluesky.

What happens when eating disorder recovery starts colliding with nervous system overwhelm? In this episode of the Dr. Marianne-Land podcast, Dr. Marianne Miller explores one of the most confusing parts of restrictive eating disorder recovery: learning how to tell the difference between genuine nervous system dysregulation and eating disorder avoidance disguised as self-protection. Many people with anorexia, ARFID, orthorexia, chronic dieting histories, OCD, autism, ADHD, trauma, or sensory processing challenges struggle to know when they truly need accommodations and support versus when the eating disorder is quietly shrinking their world through avoidance. This episode explores why restrictive eating disorders often borrow the language of nervous system regulation, why food anxiety does not always mean danger, and why recovery sometimes requires gentle exposure to discomfort instead of waiting to feel completely “safe” before eating. When “Listening to Your Body” Gets Complicated in Eating Disorder Recovery Social media often promotes messages about protecting your peace, avoiding discomfort, and never forcing yourself into situations that feel activating. But what happens when restrictive eating disorders begin using that language to reinforce food fear, rigidity, and avoidance? In this episode, Dr. Marianne talks about: Anxiety Around Eating and Restrictive Eating Disorders Why anxiety during meals does not automatically mean you are unsafe. How starvation and undernourishment intensify emotional dysregulation, obsessive thinking, rigidity, panic, sensory sensitivity, and distress tolerance difficulties. Why many people get trapped waiting to feel calm enough to eat while restriction continues worsening nervous system symptoms. ARFID, Autism, ADHD, and Sensory Food Struggles Why neurodivergent people often need both accommodations and recovery support at the same time. How sensory overwhelm, executive functioning challenges, contamination fears, and burnout can complicate restrictive eating disorder recovery. Why recovery does not need to become harsh or punishing in order to challenge avoidance patterns. Restrictive Eating Disorders and the “Shrinking Life” Pattern How anorexia, ARFID, and restrictive eating disorders gradually narrow food choices, social experiences, spontaneity, travel, and daily functioning. Why temporary anxiety relief from food avoidance can increase long-term nervous system sensitivity. How to begin recognizing when the eating disorder is quietly gaining more control over your life. Neurodivergent-Affirming Support for ARFID and Selective Eating Dr. Marianne also shares more about her ARFID and selective eating course, which explores restrictive eating through a neurodivergent-affirming lens. The course addresses sensory sensitivities, executive functioning challenges, nervous system regulation, autonomy needs, accommodations, and gentle food expansion without shame-based recovery approaches. Related Episodes Fear of Uncertainty in Eating Disorder Recovery: Why It Feels So Terrifying + 5 Practical Skills That Help on Apple and Spotify. An Open Letter to the Body: Listening to the Part That Fears Getting Better on Apple and Spotify. Eating Disorders as Safety Systems: Why Letting Go Can Trigger Fear on Apple and Spotify. If Recovery Feels Unsafe Right Now: A Guided Moment for Eating Disorder Recovery Fear on Apple and Spotify. About Dr. Marianne Miller Dr. Marianne Miller, LMFT is a fat eating disorder therapist, podcast host, and educator specializing in ARFID, binge eating disorder, anorexia, neurodivergence, OCD, and restrictive eating disorders. She provides eating disorder therapy and coaching for people across California, Washington, D.C., Texas, and globally through coaching services. Dr. Marianne is especially passionate about neurodivergent-affirming eating disorder care for autistic clients and ADHDers navigating complex relationships with food, sensory overwhelm, and body image distress. Check out her website at drmariannemiller.com. Listen and Subscribe to the Dr. Marianne-Land Podcast If this episode resonated with you, please subscribe, leave a review, and share this episode with someone navigating restrictive eating recovery, ARFID, anorexia, food anxiety, or nervous system dysregulation.

I'm always asking questions.  The fun begins when you start researching for answers. Such as…   Is there such a thing as borderline anorexia?  Plus…a manifesto versus a daily journal…is it becoming easier for govt figures to stop us from writing what we feel?   I'm Arroe…  I am a daily writer.  A silent wolf.  I stand on the sidelines and do nothing but watch, listen study then activate.  I call it The Daily Mess.  A chronological walk through an everyday world.  Yes, it's my morning writing.  As a receiver of thoughts and ideas, we as people tend to throw it to the side and deal with it later.  When a subject arrives, I dig in.  It's still keeping a journal!  By doing the research the picture becomes clearer.  This is the Daily Mess…    Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-unplugged-totally-uncut--994165/support.

I'm always asking questions.  The fun begins when you start researching for answers. Such as…   Is there such a thing as borderline anorexia?  Plus…a manifesto versus a daily journal…is it becoming easier for govt figures to stop us from writing what we feel?   I'm Arroe…  I am a daily writer.  A silent wolf.  I stand on the sidelines and do nothing but watch, listen study then activate.  I call it The Daily Mess.  A chronological walk through an everyday world.  Yes, it's my morning writing.  As a receiver of thoughts and ideas, we as people tend to throw it to the side and deal with it later.  When a subject arrives, I dig in.  It's still keeping a journal!  By doing the research the picture becomes clearer.  This is the Daily Mess…    Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-like-it-s-live--4113802/support.

In this episode of the Mind the Kids, Clara Faria speaks with Professor Nathalie Auger and Professor Howard Steiger about new research exploring how maternal anorexia nervosa may influence children's mental health and neurodevelopment.Using a large population-based cohort, the study examines links between maternal eating disorders and outcomes such as anorexia nervosa, attentional difficulties, and other psychiatric risks in offspring. The discussion highlights the role of genetic vulnerability, environmental exposure, and epigenetic mechanisms, offering a nuanced understanding of how risk is transmitted across generations.The episode also considers important clinical implications, including the benefits of early treatment, the importance of reducing stigma, and how supporting maternal mental health can improve outcomes for future generations.A must-listen for professionals in child and adolescent mental health, psychiatry, psychology, and anyone interested in eating disorders and developmental research.Read the CAMH journal paper ‘Maternal anorexia nervosa and risk of mental and neurodevelopmental morbidity in offspring'Sam Amar, Gabriel Côté-Corriveau, Mimi Israël, Howard Steiger, Nancy Low, Nicholas Chadi, Émilie Brousseau, Nahantara Lafleur, Nathalie AugerFirst published: 02 December 2025 https://doi.org/10.1111/camh.70051Get a free CPD/CME certificate for listening to this podcast by registering for a FREE ACAMH Learn account at https://bit.ly/4fF4BBWVisit https://www.acamh.orgFacebook and LinkedIn search / ACAMHInstagram https://www.instagram.com/assoc.camhBluesky https://bsky.app/profile/acamh.bsky.socialX https://x.com/acamh

What do you do when your mind feels like the Drake Passage—violent, unpredictable, and overwhelming? In this episode, we break down what it actually takes to survive extreme conditions, both at sea and in your mental health.This isn't about powering through. It's about learning how to stay on the ship.What We Cover:Why the Drake Passage is so brutal—and why no one is surprised by itThe myth of “toughing it out” vs. adjusting to real conditionsHow tools like meclizine and scopolamine parallel mental health supportThe “stay low and hold on” strategy for emotional survivalBreaking overwhelming time into manageable momentsWhy asking for help isn't weakness—it's survivalThe core mindset shift: you don't have to control the waves, just don't go overboardThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Anorexia isn't just about food, weight, or body image. In this next thought clip, I revisit a conversation with Sophie Anderson about the deeper reality behind eating disorders, trauma, control, anxiety, family dynamics, and the hidden emotional pain that so often sits underneath them. My guest speaks with remarkable honesty about living with anorexia, the dopamine cycle of restriction, the terror around food, and the complicated comfort the illness can create. This is a conversation about survival, coping mechanisms, and what recovery really asks of someone when the illness has become part of how they navigate the world.We also explore the connection between anorexia and addiction, why eating disorders are often misunderstood, and how social media can influence vulnerability without being the full explanation. There's a powerful discussion around emotional neglect, safety, codependency, hospitalisation, and the way trauma can quietly shape behaviour long before anyone notices the symptoms. Rather than reducing anorexia to vanity or “control issues”, this episode looks at the complexity behind the condition and why simplistic narratives can stop people from truly understanding it.If you or someone you love has struggled with anorexia, bulimia, binge eating, addiction, anxiety, or mental health challenges, this conversation offers insight, compassion, and a perspective rarely heard in mainstream discussions around eating disorders.Listen or watch THE FULL EPISODEYouTube - https://bit.ly/4jbvZdoSpotify - https://bit.ly/4air4TLApple - https://apple.co/3PajZvQAbout the “THOUGHT” series -Every other Monday at 5 PM, I'll bring you a quick ‘thought'—a powerful moment from previous episodes designed to kickstart your week with insight, motivation, and connection. These shorter clips help us stay connected as a community, while every other Tuesday delivers a full, brand-new episode with fresh stories and lessons. Sophie received support from:Eating Matters (Norwich), Cruise Bereavement (National) & The Bridge (Bristol).Oliver is an ambassadors for Alcohol Change UK and you can access support here - https://tinyurl.com/5dt5773ePodcasting is an expensive passion. To help me keep going, I'd really appreciate it if you could buy me a coffee, thank you!https://buymeacoffee.com/olivermason1Or via PayPal - https://www.paypal.me/olivermason1paypalFollow SophieInstagram - https://www.instagram.com/sophiee.andersonFollow Oliver Instagram - https://tinyurl.com/2vt29sjvFacebook - https://tinyurl.com/34cwz59rTikTok - https://tinyurl.com/ujw4vxn9LinkedIn - https://tinyurl.com/yuemhnd7Threads - https://tinyurl.com/yk7vdeahX - https://tinyurl.com/3u5mnpds#AnorexiaRecovery #MentalHealthAwareness #EatingDisordersHelp

Why do so many people with anorexia go undiagnosed simply because of their body size? In this episode of the Dr. Marianne-Land podcast, eating disorder therapist Dr. Marianne Miller explores anorexia in higher-weight bodies, restrictive eating disorders, weight bias in healthcare, and the dangerous myths surrounding “atypical anorexia.” This conversation unpacks how restrictive eating can become normalized, praised, or completely overlooked when someone does not fit the stereotype of anorexia. What Is Atypical Anorexia? Dr. Marianne explains why the term “atypical anorexia” can be misleading and why anorexia is not defined by weight alone. She explores how food restriction, fear around eating, compulsive control, and intense preoccupation with food can occur in bodies of all sizes. The episode also examines why so many people struggle to recognize their own eating disorder symptoms when culture continually tells them they are “healthy” or “doing well.” Restrictive Eating Disorders in Higher-Weight Bodies This episode takes a deeper look at hidden restriction, chronic dieting, skipped meals, rigid food rules, and the restrictive eating spectrum. Dr. Marianne discusses how eating disorders in larger bodies are frequently missed by healthcare providers, loved ones, and even the individuals experiencing them. She also explores how praise for weight loss can reinforce dangerous patterns and delay support. Medical Risks of Anorexia in Larger Bodies Anorexia in higher-weight bodies carries real psychological and medical risks. Dr. Marianne explains how undernourishment affects the body regardless of size, including impacts on heart rate, hormones, cognition, bone health, anxiety, and nervous system functioning. This episode challenges the harmful assumption that someone must appear underweight before restriction becomes medically serious. Weight Bias, Misdiagnosis, & Eating Disorder Stigma Weight stigma and anti-fat bias continue to shape eating disorder treatment and diagnosis. Dr. Marianne explores how medical gaslighting, diet culture, and stereotypes about anorexia contribute to delayed diagnosis and inadequate care. She also discusses how intersectionality, neurodivergence, disability, race, and gender identity can further complicate recognition and access to support. Neurodivergence, Restriction, & Eating Disorders This episode also examines how sensory sensitivities, executive functioning differences, autism, ADHD, and nervous system regulation can influence eating patterns and restrictive behaviors. Dr. Marianne discusses why neurodivergent people may experience eating disorders differently and why individualized, affirming care matters. Eating Disorder Recovery Without Stereotypes Recovery begins with recognizing that eating disorders do not have one look. This conversation encourages listeners to move away from appearance-based assumptions and toward a more nuanced understanding of anorexia, restrictive eating, and body diversity. Dr. Marianne also shares why support matters before symptoms escalate and why people in higher-weight bodies deserve compassionate, specialized eating disorder care. Related Episodes Anorexia in Higher-Weight Bodies: Rethinking “Atypical Anorexia” & the Restrictive Eating Spectrum With Dr. Jennifer Gaudiani, MD @gaudianiclinic on Apple & Spotify. Atypical Anorexia Explained: Why Restriction Happens at Every Body Size on Apple or Spotify. Atypical Anorexia: Mental & Physical Health Risks, Plus How the Term is Controversial on Apple or Spotify. Work With Dr. Marianne Miller Dr. Marianne Miller is a Licensed Marriage and Family Therapist (LMFT) specializing in eating disorders, ARFID, binge eating disorder, anorexia, bulimia, OCD, and neurodivergent-affirming care. She offers eating disorder therapy and coaching for adults in California, Washington, D.C., and globally through coaching services. Visit Dr. Marianne's website to learn more about therapy, coaching, ARFID support, and eating disorder recovery resources.

Don Blackwell is a trial attorney in Miami, Florida. He is and, for the past 20 years, has been an outspoken advocate on mental health issues within and outside the legal profession, which has made him a sought after speaker, and a regular contributor on webinars and podcasts tackling this increasingly critical subject matter.Don has written and spoken extensively on the need for a heightened degree of civility among lawyers, which he has dubbed “Compassionate Professionalism,” and, more generally, on the need for greater understanding, vulnerability, and empathy in our day-to-day interactions with one another.Don's daughter, Ashley, courageously fought and won a decade long battle with anorexia, a battle that inspired Don to become a tireless advocate and spokesperson in the eating disorder community. In 2020, Don organized the Legacy of Hope Summit with two dozen of the leading eating disorder experts in the world.A year later that Summit resulted in the publication of the first consensus-based Report and Recommendations on eating disorders in the half-century marked by Karen Carpenter's death in 1982 – a report that garnered the endorsement of more than 120 eating disorder practitioners and persons with lived experience across the country.Don also is the author of “Dear Ashley ...” - A Father's Reflections and Letters to His Daughter on Life, Love and Hope (2013), and, more recently, of Retune Your Heart – Finding the ‘”Extra” in the Ordinariness of Everyday Life, and its companion journal, The Playbook of Your Childhood Heart (2025).LinkedIn subscribers likely also know Don for his #MondayMusings and #ToDoListFridays.Don.Blackwell@bowmanandbrooke.com www.retuneyourheart.comwww.donblackwell.wordpress.comhttps://www.linkedin.com/in/don-blackwell-bb6361b/ on LinkedIn@retuneyourheart on InstagramRecorded at ROC Vox Recording & Production Studios, Rochester, NY  rocvox.com

What do you do when depression and burnout disconnect you from the very things that once made you feel alive? In this episode, I explore why progress alone isn't enough—we need rest, play, and purpose to reconnect with ourselves and remember what makes life worth living.Key Takeaways:Depression often shows up as anhedonia—the inability to feel pleasure from things you still care about.Like my dog Mila, we can keep “walking” through life but still need play to avoid becoming restless and emotionally depleted.Action often comes before motivation; reconnecting starts with small acts of contact.A sustainable life requires a balance of rest, play, and purpose.Hope can sound as simple as: “I want to be here long enough to find out.”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this moving episode of Behind the Bite, Dr. Cristina Castagnini sits down with Katie Kiliszewsk to explore a deeply personal journey through the shadows of anorexia and substance abuse. Katie opens up about the childhood roots of her eating disorder—from being teased by neighborhood kids to the damaging influence of a sports coach—and the sixteen-year battle that followed. They discuss the "all-in" mentality required for true healing, the difficult transition from using exercise as an escape to using it as a source of joy, and how motherhood became the ultimate catalyst for her recovery. This episode is a powerful testament to the fact that no matter how long the struggle lasts, there is always light on the other side. SHOW NOTES: Click here Follow me on Instagram @behind_the_bite_podcast Visit the website: www.behindthebitepodcast.com   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this moving episode of Behind the Bite, Dr. Cristina Castagnini sits down with Katie Kiliszewsk to explore a deeply personal journey through the shadows of anorexia and substance abuse. Katie opens up about the childhood roots of her eating disorder—from being teased by neighborhood kids to the damaging influence of a sports coach—and the sixteen-year battle that followed. They discuss the "all-in" mentality required for true healing, the difficult transition from using exercise as an escape to using it as a source of joy, and how motherhood became the ultimate catalyst for her recovery. This episode is a powerful testament to the fact that no matter how long the struggle lasts, there is always light on the other side. SHOW NOTES: Click here Follow me on Instagram @behind_the_bite_podcast Visit the website: www.behindthebitepodcast.com   Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode, I use The Devil Wears Prada and its sequel to explore the mental health costs of ambition, the hidden support systems that help us succeed, and how to pursue excellence without sacrificing our relationships, identity, and sense of self.Visionary vs. vendorAmbition and burnoutWants vs. needsThe cost of successHidden mentors (“Nigels”)Mixed motives and self-honestyPrint vs. digital attentionSuccess without losing yourselfThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

We give, give, and give some more. How do we give back to ourselves?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

James Greenblatt, MD, is a dual board-certified psychiatrist and internationally recognized pioneer in functional and integrative psychiatry. Widely regarded as the leading expert on the clinical application of low-dose lithium for mental health. Dr. Greenblatt has spent more than 30 years advancing precision-based approached that move beyond symptom management to address the root causes of mental illness. After earning his medical degree at George Washington University, Dr. Greenblatt completed his psychiatry residency there and a fellowship in Child and Adolescent Psychiatry at Johns Hopkins Medical School. He currently serves as an Assistant Clinical Professor of Psychiatry at Tufts University School of Medicine and Dartmouth College's Geisel School of Medicine.  A prolific author, Dr. Greenblatt has written nine books, including his newest book, Finally Hopeful (released January 2026) and the bestsellers Finally Focused: The Breakthrough Natural Treatment Plan for ADHD, Answers to Anorexia (updated edition, 2021), Functional & Integrative Medicine for Antidepressant Withdrawal, and Nutritional Lithium: The Untold Tale of a Mineral That Transforms Lives and Heals the Brain—the definitive guide to lithium's role in psychiatry. In 2019, he founded Psychiatry Redefined, a leading educational platform for training clinicians worldwide in functional and integrative psychiatry. A sought-after international speaker, Dr. Greenblatt regularly lectures on nutritional psychiatry and the transformative role of functional medicine in mental health. Dr. Greenblatt was a featured panelist at Harvard's 1st Inaugural Seminar on Nutritional Lifestyle & Metabolic Psychiatry in October 2025. His book, Finally Hopeful: The Personalized, Whole-Body Plan to Find and Fix the Root Causes of Your Depression makes the whole-body approach available to everyone, delivering real hope and real relief. This transformative guide reimagines mental health care by blending cutting-edge psychiatry with nutritional science, holistic medicine, and personalized healing strategies. Rooted in evidence, it emphasizes biochemical individuality and the foundational role of nutrition in mental health. Finally Hopeful integrates physical, emotional, and behavioral dimensions of healing. Rather than rejecting conventional medicine, it offers a nuanced framework for using antidepressants wisely, including a step-by-step deprescribing plan. Finally Hopeful is a new framework for mental health care that's proactive, personalized, and built for thriving, not just surviving. Please visit him at PsychiatryRedefined.org orJamesGreenblattMD.com, for more information. Finally, personalized mental healthcare that looks deeper.For ADHD. Depression. Anxiety. And more importantly—you.We go beyond symptom management to understand what's really driving your mental health—so your care is personalized, precise, and built around your whole story.At Finally Living Now, we combine the best of conventional psychiatry with whole-person, functional mental healthcare to understand you fully. Our team takes the time to listen, learn, and test — exploring the biological, nutritional, metabolic, and lifestyle factors that shape mental health.Together, our physicians, psychiatric nurse practitioners, and nutrition specialists create a personalized plan designed for real healing and lasting change.https://finallylivingnow.com/

There's something seductive about starting over. Blowing our lives up seems like a great way to do it. How do we resist that urge?Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

In this powerful episode, Dr. Cristina Castagnini sits down with Heidi McLachlan to discuss the devastating impact of being labeled "chronic" by the very experts meant to provide hope. Heidi shares her two-decade-long journey with anorexia, which began as a search for identity and quickly became a "safety net" that trapped her in a cycle of hospitalizations and despair. After years of being told that full recovery was impossible and that she simply had to "manage" her symptoms, Heidi reached a breaking point during her journey through motherhood. By shifting her perspective from being a "broken patient" to an empowered individual, and utilizing nervous system regulation and somatic work, Heidi finally found the sustainable recovery she was told would never happen. This episode is a must-listen for anyone who has been told they are a "lost cause" and is seeking proof that healing is always possible. SHOW NOTES: Click here Follow me on Instagram @behind_the_bite_podcast Visit the website: www.behindthebitepodcast.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this powerful episode, Dr. Cristina Castagnini sits down with Heidi McLachlan to discuss the devastating impact of being labeled "chronic" by the very experts meant to provide hope. Heidi shares her two-decade-long journey with anorexia, which began as a search for identity and quickly became a "safety net" that trapped her in a cycle of hospitalizations and despair. After years of being told that full recovery was impossible and that she simply had to "manage" her symptoms, Heidi reached a breaking point during her journey through motherhood. By shifting her perspective from being a "broken patient" to an empowered individual, and utilizing nervous system regulation and somatic work, Heidi finally found the sustainable recovery she was told would never happen. This episode is a must-listen for anyone who has been told they are a "lost cause" and is seeking proof that healing is always possible. SHOW NOTES: Click here Follow me on Instagram @behind_the_bite_podcast Visit the website: www.behindthebitepodcast.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

If your autistic child's eating feels more complex than anyone seems to understand, this episode may put words to what you've been seeing. Because when ARFID and anorexia overlap in autistic kids, the signs often get missed, misunderstood, or explained away in ways that don't actually help. And when that happens, families can feel stuck, blamed, or pushed into approaches that increase distress instead of creating safety. In this episode, I'm breaking down what it really looks like when ARFID and anorexia coexist, why this overlap is so often misdiagnosed, and what to do next if you're trying to support your child in a way that actually fits how their brain and body work. If you've been told it's “just sensory” or “just anorexia” and neither explanation fully makes sense, this conversation will help you understand why. What ARFID and Anorexia Look Like in Autistic Children ARFID and anorexia are often treated as completely separate diagnoses, but in autistic kids, the reality is frequently more nuanced. ARFID is commonly rooted in sensory differences, predictability, and nervous system safety, while anorexia can involve restriction tied to fear, control, or distress around the body. When these experiences overlap, eating patterns can shift in ways that don't fit neatly into one category, making it harder for providers to recognize what's really happening. We explore how long-standing sensory-based food restriction can evolve, how new food rules or avoidance patterns may emerge, and why autistic children may not express body-related concerns in expected ways. Understanding this distinction is critical for getting the right kind of support. Why Misdiagnosis Happens So Often Many autistic children fall through the cracks when it comes to eating disorder diagnosis. Some are labeled as having ARFID only, which can minimize medical and psychological risk when anorexia is also present. Others are diagnosed with anorexia without consideration for sensory needs, interoception, or nervous system regulation, which can lead to treatment approaches that feel overwhelming or unsustainable. In this episode, I explain why common eating disorder frameworks often miss autistic presentations, how masking and communication differences play a role, and why a one-size-fits-all approach to treatment can backfire. When Autistic Traits Look Like Anorexia Not all restrictive eating in autistic children is driven by anorexia. Some behaviors that appear concerning from the outside are actually rooted in autistic traits. Repetitive eating patterns, strong preferences for sameness, difficulty with transitions, and distress around internal body sensations can all influence how a child eats. We unpack how these patterns can be misinterpreted, why it matters to differentiate them, and how misunderstanding these behaviors can lead to increased pressure instead of meaningful support. Understanding ARFID Plus You may have heard the term ARFID Plus, which is sometimes used to describe when ARFID co-occurs with another eating disorder, often anorexia. In autistic children, this can look like long-standing sensory-based restriction layered with additional fears, rules, or patterns that extend beyond sensory needs alone. I walk through what ARFID Plus can look like in real life, why it is often overlooked, and how recognizing this overlap can change the way you approach support and care. Why Agency and Autonomy Matter in Eating Support One of the most important shifts in supporting autistic children with eating challenges is moving away from compliance-based approaches and toward collaboration. When eating becomes something that is done to a child instead of with them, the nervous system can respond with protection, which may look like shutdown, refusal, or increased rigidity. In this episode, I explain why facilitating agency and autonomy is not optional but essential. You'll learn how supporting choice, predictability, and collaboration can help create the conditions where eating is actually possible, and why pushing too hard can reinforce both ARFID patterns and anorexia-related restriction. What to Do Next If you are recognizing your child in this episode, the next step is not to force a single explanation or diagnosis. It is to step back and look at the full picture. Sensory needs, interoception, nervous system regulation, autistic traits, and eating disorder patterns can all exist at the same time. And support needs to reflect that complexity. In this episode, I offer a framework for thinking about eating in a more integrated way, so you can move toward approaches that prioritize safety, trust, and sustainability instead of urgency and control. Related Episodes Can ARFID and Anorexia Co-Exist? on Apple and Spotify. ARFID in Adults vs ARFID in Children on Apple and Spotify. Work With Dr. Marianne If you're looking for support that understands the overlap between autism, ARFID, and anorexia, I work with neurodivergent individuals and families navigating exactly this kind of complexity. I offer therapy in California and coaching more broadly, with a focus on neurodivergent-affirming, collaborative care that meets you and your child where you are. You can learn more about working with me by visiting my website, drmariannemiller.com.

Today we talk to Madeline Vosch, author of "Undead: A Memoir of My Suicide." We discuss: complicated truths of surviving a suiciderethinking concept of suicide preventionhow access to basic needs keeps people aliveThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

The term "self-harm" is an umbrella term, encompassing a broad range of behaviors, under which is included substance abuse and misuse, suicide, nonsuicidal self-injury (NSSI), and even eating disorders. In this episode, Dr. Katie Gordon, a Licensed Clinical Psychologist in Fargo, North Dakota, discusses the prevalence of self-injury among individuals with eating disorders and the prevalence of eating disorders among those who self-injure. She explains the relationship between the two behaviors, including common risk factors.  You can purchase Dr. Gordon's book The Suicidal Thoughts Workbook: CBT Skills to Reduce Emotional Pain, Increase Hope, and Prevent Suicide on Amazon here.  Below are links to some of Dr. Gordon's research as well as resources referenced in this episode: Kiekens, G., & Claes, L. (2020). Non-suicidal self-injury and eating disordered behaviors: An update on what we do and do not know. Current Psychiatry Reports, 22(68). Fox, K. R., Wang, S. B., Boccagno, C., Haynos, A. F., Kleiman, E., & Hooley, J. M. (2019). Comparing self-harming intentions underlying eating disordered behaviors and NSSI: Evidence that distinctions are less clear than assumed. International Journal of Eating Disorders, 52(5), 564-575. Smith, A. R., et al. (2013). Exercise caution: Over-exercise is associated with suicidality among individuals with disordered eating. Psychiatry Research, 206(2-3), 246-255. Gordon, K. H., Perez, M., & Joiner, T. E. (2002). The impact of racial stereotypes on eating disorder recognition. International Journal of Eating Disorders, 32(2), 219-224. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."

In this episode, I welcome back Mia Hughes — director of Genspect Canada, senior fellow at the Macdonald-Laurier Institute, and one of the sharpest writers on the gender scandal — to dig into the framework she calls "trans as an extreme overvalued belief." Mia walks us through the history of the overvalued idea, from Carl Wernicke in 1892 to Paul McHugh's post-9/11 application of the concept to ideologically driven violence, and explains why this psychiatric category — sitting between delusion and obsession — finally makes sense of the trans phenomenon in a way no other diagnosis ever has.We trace the Dutch origins of medical transition in the 1970s, the moment psychiatry "gave up" on these patients, and how WPATH's 2010 de-psychopathologization statement re-engineered a mental illness into a celebrated identity — triggering, in Mia's view, the social contagion that followed. I bring my clinical lens to the conversation, exploring transference and countertransference, neuroplasticity, the hijacking of dopamine through "gender euphoria," and why so many therapists get this wrong in both directions. We close on Mia's anorexia parallel and what it teaches us about loosening the grip of a pathological belief — gently, indirectly, and without the parent in the line of fire.Mia Hughes specializes in researching pediatric gender medicine, psychiatric epidemics, social contagion and the intersection of trans rights and women's rights. She is the author of The WPATH Files, a senior fellow at the Macdonald-Laurier Institute and director of Genspect Canada. She co-hosts the Beyond Gender podcast with Stella O'Malley and Bret Alderman, available on Apple, Spotify, and YouTube. Follow her on X @_CryMiaRiver. Follow her Substack @CryMiaRiver. Mia first appeared on this podcast in episode 107. Exposing Gender Malpractice: Mia Hughes on the WPATH Files, Medical Ethics, & Informed Consent. Books mentioned in this episode:• The Extreme Overvalued Belief by Tahir Rahman• Good Girls: A Study and Story of Anorexia by Hadley Freeman[00:00:00] Start[00:02:13] Trans as an Extreme Overvalued Belief[00:07:13] From 9/11 to Anders Breivik[00:11:13] Neuroplasticity and Adolescent Meaning-Making[00:18:52] Defining the Trans Overvalued Belief[00:22:52] The Dutch 1970s: When Psychiatry Gave Up[00:31:00] Countertransference and the Therapist's Role[00:38:35] WPATH's Fortress and the True Believer[00:43:20] Re-Psychopathologization Campaign[00:45:45] How HBIGDA Became WPATH[00:50:13] DSM-5, ICD-11 and the Sleight of Hand[01:02:08] Hacking Dopamine and Gender Euphoria[01:06:27] The Anorexia Parallel[01:13:13] What Therapists Get Wrong[01:28:45] Putting Cracks in the Belief[01:35:26] Helping the Part That Wants OutROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Now featuring 24/7 personalized AI support implementing the tools with RepairBot! Use code SOMETHERAPIST2026 to take 50% off your first month.PODCOURSES: use code SOMETHERAPIST at LisaMustard.com/PodCoursesPRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission. ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! Members get to ask questions I will respond to in exclusive, members-only livestreams, post questions for upcoming guests to answer, plus other perks TBD. ★ Support this podcast on Patreon ★

Many parents come to me seeking support for their autistic child struggling with an eating disorder only to discover they're part of the lost generation of autistic parents! In today's episode, I chat with Felicity, a mum of two who's passionate about all things art, movement, and creativity. Felicity shares how she began questioning her own neurodivergence when she joined my Autistically ED-Free Academy, how she's rebuilding trust with her daughter after the trauma of traditional ED treatment, and the importance of going on your own discovery journey as a caregiver.

What if the reason you're struggling with your mood, your memory, or your mental health has nothing to do with a chemical imbalance, but rather your body running low on specific nutrients? A board-certified psychiatrist with over 35 years of clinical experience says the answer is almost always hiding in simple lab tests. In this episode, Dr. James Greenblatt, a pioneer in functional and integrative psychiatry and author of Finally Hopeful and the upcoming book The Lithium Revolution, shares the nutrient deficiencies, genetic factors, and overlooked minerals that are quietly driving depression, cognitive decline, and mood disorders, and what you can do about it. Listen now and start giving your brain what it needs to thrive! For show notes, visit https://fivejourneys.com/podcasts/what-your-brain-is-missing-for-better-mood-and-memory/  Follow us on Instagram at https://www.instagram.com/feelfreakingamazing/  Related Episodes Recognize, Prevent, and Recover from Anorexia and Other Eating Disorders, with James Greenblatt, MD Achieve Optimal Mental Health, with Dr. Miles Nichols Beyond Serotonin: Debunking SSRIs for Depression and Mental Health, with Dr. Miles Nichols Why Your Antidepressants Aren't Working (And How to Address The Root Cause), with Dr. Will Van Derveer Reverse Depression-like Symptoms, with Dr. Achina Stein

Long-term anorexia and restrictive eating are often missed, misunderstood, or minimized—especially when they don't match the stereotype. Anorexia can occur in all body sizes, yet many people in larger or mid-sized bodies go undiagnosed or unsupported for years. If restriction has been part of your life for a long time, this episode offers a different path forward—one that centers harm reduction, flexibility, and real-life support instead of all-or-nothing recovery. What Is Long-Term Anorexia and Restrictive Eating? Long-term anorexia, sometimes referred to as chronic anorexia, involves persistent patterns of restrictive eating that can last for years or decades. These patterns may ebb and flow over time, often influenced by stress, life transitions, health changes, and systemic pressures. Restrictive eating disorders do not always look extreme or obvious, and they are not defined by body size. People in all bodies can experience serious restriction, even when others fail to recognize it. Anorexia Exists in All Body Sizes Weight stigma continues to shape how anorexia is diagnosed and treated. Individuals in smaller bodies are more likely to receive early intervention, while those in larger bodies are often overlooked or even praised for restrictive behaviors. This creates significant barriers to care. Restrictive eating in any body is valid, serious, and deserving of support. The body does not become protected from the effects of restriction based on size. Why a Harm Reduction Approach Matters in Eating Disorder Recovery Harm reduction is a powerful and often underutilized approach for long-term anorexia and restrictive eating. Instead of focusing only on complete symptom elimination, harm reduction prioritizes reducing risk, increasing nourishment, and improving quality of life. This approach is especially important for people who feel stuck in all-or-nothing cycles or who have not found traditional recovery models accessible or sustainable. Strategy 1: Shift From Cure to Harm Reduction Recovery does not have to be all-or-nothing. Shifting from a cure mindset to a harm reduction mindset allows for meaningful progress without perfection. This might include eating something instead of nothing, shortening long gaps between meals, or building in one consistent eating time each day. These changes reduce risk and support stability over time. Strategy 2: Use Mechanical Eating to Support Consistency Mechanical eating is a structured approach to nourishment that does not rely on hunger cues. Long-term restriction can disrupt hunger and fullness signals, making intuitive eating difficult or inaccessible. Eating at regular intervals can support metabolic stability, reduce restriction cycles, and provide a foundation for more consistent nourishment. Strategy 3: Expand What “Enough” Means Restrictive eating often comes with rigid rules about portion sizes, food types, and timing. Expanding what “enough” looks like can happen gradually. Increasing portions, adding foods, or building on safe meals can support progress without overwhelming the nervous system. “Enough” is flexible and can evolve over time. Strategy 4: Support the Nervous System Around Eating Eating is not just behavioral—it is sensory, emotional, and neurological. For many people, especially those who are neurodivergent, food experiences can feel overwhelming or unpredictable. Supporting the nervous system may include creating a consistent eating environment, reducing sensory input, or pairing meals with regulating activities. When the body feels safer, eating becomes more accessible. Strategy 5: Challenge Weight Stigma in Eating Disorder Care Weight stigma plays a major role in delayed diagnosis and inadequate treatment for long-term anorexia. Recognizing that anorexia exists in all bodies is essential for effective care. Challenging these biases—both internally and within systems—can open the door to more accurate support and validation. The Reality of Long-Term Eating Disorder Recovery Long-term anorexia and restrictive eating often involve periods of improvement and periods of increased struggle. These shifts are part of the process and do not mean failure. A harm reduction approach allows for flexibility and adaptation as life circumstances change, supporting ongoing care instead of restarting from scratch. Related Episodes Beyond Anorexia: The Truth About Long-Term Restrictive Eating on Apple and Spotify. Understanding Harm Reduction: Why "Full Recovery" May Not Be the Goal for Lifelong Eating Disorders on Apple and Spotify. Why Eating Still Breaks Down for Neurodivergent People With Long-Term Eating Disorders on Apple and Spotify. Navigating a Long-Term Eating Disorder on Apple & Spotify. When an Eating Disorder Becomes Chronic: Recovery Tools for Persistent Anorexia & Bulimia on Apple and Spotify. Work With Dr. Marianne If you are navigating long-term anorexia, restrictive eating, ARFID, or another eating disorder, you do not have to do this alone. Dr. Marianne Miller, LMFT, offers neurodivergent-affirming, liberation-oriented therapy and coaching for eating disorder recovery in California, Washington, D.C., and globally. Learn more about working together to build a sustainable, supportive approach to eating. Go to my website drmariannemiller.com for more information.

In this week's episode of Full of Beans, I'm joined by Joshua Hills, a nutritionist, sports therapist, and author of You Can Eat That, whose work challenges diet culture and helps people feel calmer, more flexible, and more themselves around food.Joshua shares how growing up alongside his mum's experience of anorexia shaped the way he understands food, connection, and recovery.In this episode, we discuss:Joshua's experience of growing up with a parent with anorexiaHow his mum's relationship with food shaped his interest in nutritionWhy food is about more than nutrients, and also about connection and enjoymentThe difference between helpful nutrition habits and more disordered patternsWhy the same behaviour can feel supportive for one person, but unhelpful for anotherEmotional eating, and why it is not always something to fearBuilding an “emotional toolbox” rather than relying on one coping strategyHow to start making changes around food without going all-or-nothingWhy balance looks different for everyoneJoshua's new book, You Can Eat ThatConnect with Us:Subscribe to the Full of Beans PodcastFollow Full of Beans on InstagramCheck out our websiteListen on YouTubeConnect with Joshua via Instagram or email info@joshuahills.com⚠️ Content Note: This episode includes discussion of eating disorders, anorexia and disordered eating. Please look after yourself as you listen.If you enjoyed this episode, don't forget to subscribe, rate, and share to help us spread awareness.Sending positive beans your way, Han

A real-time look at what it feels like when everyday costs jump overnight—and how I keep my footing when the math stops working.Key Points:Prices rising faster than paychecks creates emotional, not just financial, strainThe difference between failing and being squeezed by the systemShifting from convenience to control (small, practical swaps)Stabilizing mindset: survive first, optimize laterSeparating self-worth from financial pressureFinding leverage: negotiate, share, and speak upThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

It is increasingly understood that our brain health is dependent on our having healthy nutrient levels. But how do nutrients actually impact our neurotransmitters.We might assume that certain nutrient levels would cause certain symptoms or conditions. Instead, what we find are biotypes - one condition is often associated with a small handful of imbalances. For example, the biotypes of depression from the Walsh Research Institute, included undermethylation, overmethylation, pyrrole disorder, copper overload and metal toxicity. And reversely, one nutrient imbalance can contribute to a range of brain symptoms. Copper overload, for example, can be a factor in ADHD for one person, but for another contribute to panic or insomnia and still another rage or tantrums. There are some conditions, however, that have a very strong associations with specific nutrient imbalances. In this newsletter, I will address:* 5 Ways Nutrients Impact Neurotransmitter Functioning* Psychiatric Conditions That Can Almost Predict a Specific Nutrient ImbalanceThe data comes from the Walsh Research Institute. Nutrient Imbalances Can Be Due to Too Much or Too LittleI use the term nutrient imbalances, because it's not just about deficiencies of certain nutrients. Specific nutrient overloads can impact brain health as well. This biochemical diversity means we don't all have the same needs when it comes to diet and supplementation. Some of us, for example, can benefit from folate, but for others with excess folate, supplementation could worsen depression and anxiety. Those with copper overload can similarly have worsening of symptoms with copper supplementation, while others will have a need for copper.What Causes Nutrient ImbalancesWhile it might seem that this is all about our intake of nutrients, we can come by these imbalances genetically. We can also acquire deficiencies and even overloads through high oxidative stress. This is when our body (including our brain) is dealing with too many insults, resulting in a depletion of our inherent antioxidants leaving us vulnerable to DNA and thus cell damage, inflammation and their consequences). Copper zinc imbalances and elevated pyrroles, which results in relatively low zinc and B6, are signs of oxidative stress. Often an imbalance appears to have multiple causes. For example a woman with high copper causing high anxiety, could have a family history of high copper conditions (post partum depression, ADHD, angry outbursts) and thus have a likely genetic vulnerability. She may also, be taking a multivitamin with copper, eating a lot of chocolate (high in copper) dealing with high oxidative stress and not the least, be on an oral contraceptive (added estrogen can make copper go up).5 Ways Nutrients Can Impact Neurotransmitter FunctioningNutrients often function as co-factors, helping certain enzymes do their job. Specific nutrients are needed: * For production of neurotransmitters. Vitamin B6, for example is needed to make serotonin, dopamine and GABA. B6 can be low in pyrrole disorder and thus contribute to a range of symptoms.* To convert one neurotransmitter to another. Copper is needed to turn dopamine into norepinephrine (think adrenaline). If we are high in copper, we could have relatively low dopamine and high adrenaline states, which is what is seen in ADHD.* To support enzymes involved in the breakdown of neurotransmitters. For example MAOA is an enzyme that needs Vitamin B2 to do its job breaking down serotonin, dopamine and norepinephrine. If these aren't broken down, there could be problems with activation and anxiety.* To help receptors do their job. Receptors are what neurotransmitters bind to, resulting in a impulse being sent down the nerve cell. Zinc and magnesium help regulate the NMDA receptor. If not well regulated, there can be high activity, which can look like thoughts getting stuck - ruminations, obsessions in OCD, cravings in addiction, and even delusions in psychosis.* Regulate the expression of genes for serotonin reuptake receptors. Folate causes an increase in the expression of these genes (and thus production of these receptors). This results in more serotonin being picked up and less available between nerve cells. This could be a problem for someone who already has low serotonin symptoms. SAMe, on the other hand, does the opposite and it can function like an SSRI.Why One Diagnosis Isn't Always Associated With One Imbalance* Psychiatric conditions appear to have various causes. If someone comes to me with a diagnosis of depression, for example, that only tells me what type of symptoms they likely have. It doesn't tell me if those symptoms are related to high copper, a methylation imbalance, elevated pyrroles, candida, a misaligned upper cervical spine , mast cell activation, mold toxicity, metal toxicity, hormone imbalances or a combination of any of these…….or something else.* More often multiple factors appear to be aligning. It is not uncommon, for example, to have candida or mold causing high pyrroles causing low zinc, leading to high copper, and as an aside also be undermethylated.* One “root cause” can contribute to a range of conditions and symptoms. Some people with high copper are diagnosed with depression or anxiety and others with ADHD. Some people who are undermethylated have OCD, others depression and still other schizophrenia. Very often, people will be have multiple diagnoses fitting with an imbalance. “Comorbidities” in psychiatry are the norm, rather than the exception.Despite all of this, there are certain nutrient imbalances that occur so commonly in certain psychiatric conditions that they can almost be predicted . Data From Walsh Research InstituteSimply knowing someone has a mental health condition makes it more likely that they will have a methylation imbalance - more often undermethylation.The Walsh Research Institute has looked at the methylation status of 30,000 over 40 year and found that 70% of those with mental illness exhibit a methylation imbalance (undermethylation and overmethylation). This is relative to the general population, in which 30% had a methylation imbalance.Other Data From the Walsh Research Institute:* History of Postpartum Depression - 95% have copper overload* ADHD - 68% have a copper zinc imbalance* Autism Spectrum Disorder - 98% undermethylation, 98% low zinc* Antisocial Personality Disorder - 95% undermethylation, 95% pyrrole disorder, 95% low zinc* Oppositional Defiant Disorder - 85% undermethylation* Schizoaffective Disorder - 90% undermethylation* Anorexia - 82% undermethylation* Schizophrenia - 70% undermethylation* Violent behavior - 78% high copperEvaluation & Labs Are Still ImportantNone of these are 100%. And, again, there is rarely one contributing factor, so a comprehensive evaluation and lab testing are still important. Even if I am fairly confident that someone is low in zinc, I don't recommend starting zinc without checking zinc and copper levels. Starting zinc too rapidly can mobilize high copper and worsen symptoms. If copper is low, zinc can cause a further decrease.Also, there are occasions when it can be difficult to address an imbalance, without addressing another contributing issue first. For example, I see some patients who are unable to tolerate treatment of undermethylation until they begin treatment for candida or mold.There is always so much more data to share, when it comes to the Walsh Research Institute. I look forward to discussing biotypes of depression, ADHD and schizophrenia in a future episode.As always, I welcome your comments and questions.Until next time,CourtneyTo learn more about my discovery calls, non-patient consultations, and treatment practice, visit:CourtneySnyderMD.comMedical Disclaimer:This newsletter is for educational purposes and not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment for either yourself or others, including but not limited to patients that you are treating (if you are a practitioner). Consult your physician for any medical issues that you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

Jennifer L. Gaudiani, MD, CEDS-C, FAEDDr. Jen Gaudiani 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 in 2016. The Gaudiani Clinic offers specialized, trauma-informed outpatient medical care to individuals seeking support for eating disorders, undernourishment related to complex medical issues, and weight-inclusive primary care. The Gaudiani Clinic is based in Colorado with a satellite location in North Carolina and is licensed to practice in almost every US state via thoughtful telemedicine. The fully updated and significantly expanded second edition of Dr. Gaudiani's bestselling book, Sick Enough: A Guide to the Medical Complications of Eating Disorders and Undernutrition is now available wherever books are sold.Gaudiani Clinic website: https://www.gaudianiclinic.com/Sick Enough Amazon link: https://www.amazon.com/Sick-Enough-Jennifer-L-Gaudiani/dp/0815382456Instagram, Facebook, X, YouTube: @gaudianiclinicRecorded at ROC Vox Recording & Production Studios, Rochester, NY  rocvox.com

Hadley Freeman is a U.K.-based journalist, Sunday Times columnist, and the author of Good Girls: A Story and Study of Anorexia. She joins the podcast this week to discuss what she calls the "thinness arms race" in the era of GLP-1 weight-loss drugs. She and Meghan talk about why extreme thinness is once again being rewarded—if not demanded—of female celebrities, how the current aesthetic differs from 90s heroin chic, and why the language of body positivity is often used to shut down obvious observations. They also talk about the physical and psychological realities of severe undernourishment, the role of status and self-denial in shaping beauty standards, and the broader "cartoonification" of the human body in a culture increasingly mediated by filters, pornography, and screens. Before the episode begins, Meghan has a quick but important message about her April Fool's Day episode with "guest" Amanda Gertz-Hurdy.  Guest Bio: Hadley Freeman is a staff writer at The Sunday Times. Her latest book, Good Girls: A Story and Study of Anorexia, was published in 2023.

This episode explores the difference between interrupting thoughts and suppressing emotions—and how trying to control what we feel can quietly keep us stuck. I share how I've learned to stop feeding the mental loop while still allowing emotions to move, instead of shutting them down.Why interrupting thoughts can accidentally suppress emotionsThe hidden ways we avoid feeling (and why they backfire)How to let emotions exist without making them biggerA simple, real-time process for breaking ruminationThe shift from controlling feelings → allowing them to moveThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Nearly one in five men report body shame every year. Almost half say it's affecting their mental health. And almost nobody is talking about it.Emmy Award-winning TV producer Kyle Ridley spent over a decade booking eating disorder segments for national TV — and every spokesperson he received was a woman. He also spent most of his twenties hiding a serious eating disorder of his own, graduating summa cum laude and rising up the corporate ladder while doing it.Kyle, Jon, and Will break open the conversation around where men's body image issues actually come from, what disordered eating and gym obsession look like in a man's real life, why the medical system structurally excluded men from this diagnosis for decades, and what recovery actually requires — starting with one honest conversation with one person you trust.IN THIS EPISODE, YOU'LL LEARN:Why body image disorder is a men's issue — and why silence makes it worseThe clear line between gym dedication and disordered obsessionPrivacy vs. secrecy — and why secrecy is always shame-drivenKyle's bulimia recovery story: what worked after years of failed attemptsWhy Jon signed up for a physique competition out of insecurity — and what it revealedWhy the first step is telling one person one true thingTOP 3 SIMILAR EPISODES FROM MTM:Ep. 79 — How to Overcome Negative Body ImageEp. 109 — Unmasking the Silent Struggle: Fathers and Depression with Travis GoodmanEp. 37 — Physical Fitness with Dr. Theresa LarsonFOLLOW KYLE RIDLEY:Website: https://kyleridley.com/Podcast: https://podcasts.apple.com/us/podcast/the-tangle-with-kyle-ridley/id1816034951Washington Blade article: https://www.washingtonblade.com/2026/02/09/gay-man-details-secret-struggle-with-bulimia/SUBSCRIBE — Thursday Three Things or Text MTM to 33777: newsletter.focusnowtraining.comFREE Training Content — FNT YouTube: focusnowtraining.comCorporate Workshops & Training: focusnowtraining.comFOLLOW the show, leave a rating and review, and share it with one man who needs it.Episodes & Resources: mentalkingmindfulness.comCo-produced by Robert Lopez cratesaudio.comHosted on Ausha. See ausha.co/privacy-policy for more information.

Not all eating disorders follow a short or linear recovery path. For many people, anorexia and bulimia become long-term, shifting over time rather than disappearing. In this episode, Dr. Marianne explores why eating disorders become chronic, how symptoms can wax and wane across life stages, and what this means for recovery, support, and understanding your nervous system. This episode offers a deeper look at chronic eating disorders, including the roles of nervous system regulation, trauma, neurodivergence, and environmental stressors, while challenging the idea that long-term symptoms reflect failure. Why Do Eating Disorders Become Chronic? Many people search for answers to why anorexia and bulimia become long-term. This episode reframes that question by focusing on function rather than blame. Eating disorders often persist because they provide structure, predictability, and a way to regulate overwhelming internal states. Dr. Marianne explains how anorexia can create a sense of control and stability, while bulimia can help discharge emotional intensity and reduce distress. Over time, these patterns become deeply learned and reinforced, making them more automatic, especially during periods of stress or uncertainty. Chronic Eating Disorders Change Over Time A key theme in this episode is that chronic eating disorders are not static. Symptoms often wax and wane depending on life circumstances, developmental stages, and stress levels. Periods of stability may bring some quieting of symptoms, while transitions, uncertainty, or increased demands can lead to intensification. Dr. Marianne explores how both micro-stressors, such as daily overwhelm, and systemic stressors, such as financial strain or societal pressures, can influence the presence and intensity of eating disorder behaviors. This perspective helps reframe symptom shifts as a nervous system response, rather than a personal setback. The Role of the Nervous System in Long-Term Eating Disorders Chronic anorexia and bulimia are deeply connected to nervous system regulation. Eating disorder behaviors can shift emotional states, reduce overwhelm, and create a sense of safety when other forms of support are not accessible. This episode explains why behavior-focused approaches alone are often not enough. Without alternative ways to support regulation, the body will often return to familiar patterns that have provided relief in the past. Understanding this connection is essential for long-term change. Trauma, Neurodivergence, and Chronic Eating Disorders This episode explores how trauma and neurodivergence intersect with long-term eating disorders. Eating disorder behaviors can help manage trauma-related distress by creating distance from overwhelming emotions or offering a sense of agency. For neurodivergent individuals, including those who are autistic or ADHD, eating patterns may also be shaped by sensory needs, routine, and predictability. What is often labeled as rigidity can be understood as an adaptive response that helps maintain equilibrium in an overstimulating or unpredictable world. Why Eating Disorder Treatment May Not Stick Many people with long-term anorexia or bulimia have engaged in treatment multiple times. When symptoms return, it can lead to frustration or self-blame. This episode offers a different perspective by highlighting how treatment may not always address the underlying functions of eating disorder behaviors. Dr. Marianne discusses how approaches that focus only on symptom change, without addressing nervous system needs, lived experience, and environmental context, may not lead to sustainable shifts. This insight helps explain why eating disorders can persist even when someone is deeply committed to recovery. Rethinking Recovery for Chronic Eating Disorders Recovery from chronic eating disorders does not have to follow a rigid or time-limited model. This episode introduces a more flexible framework that centers on understanding function, increasing support, and expanding options over time. Dr. Marianne explores how recovery can include harm reduction, gradual change, and nonlinear progress, while still being meaningful and valid. This approach allows for a more compassionate and sustainable path forward for individuals living with long-term anorexia or bulimia. Related Episodes Chronic Eating Disorders in 2026: What Hope Can Actually Look Like on Apple and Spotify. Why Some Eating Disorders Don't Resolve: Understanding Chronic Patterns & What Actually Supports Change on Apple and Spotify. When an Eating Disorder Becomes Chronic: Recovery Tools for Persistent Anorexia & Bulimia on Apple and Spotify. Work With Dr. Marianne If this episode resonated and you are looking for support with chronic eating disorders, long-term anorexia, or bulimia, you can work with Dr. Marianne through therapy or coaching. Dr. Marianne offers neurodivergent-affirming, liberation-focused eating disorder support that integrates nervous system regulation, sensory needs, and individualized care. She also uses a harm-reduction approach for those with long-term eating disorders. Services are available for clients in California, Texas, Washington, D.C., and globally through coaching. Learn more about working together: https://www.drmariannemiller.com

In this episode, I break down the difference between comparing and studying — and why one leads to despair while the other leads to growth. We're going to talk about how comparison quietly attacks your identity, and how to shift into a mindset that builds strategy instead of shame.In this episode:Why “comparison leads to despair” is psychologically trueThe difference between ranking yourself and studying patternsHow comparison turns into identity damageWhy studying others builds skill without shrinking your self-worthA simple mindset shift you can use immediatelyStop asking, “Where do I rank?” Start asking, “What can I learn?”Thrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Send us Fan MailDoctors are prescribing eating disorders to fat patients — not by accident, not in spite of the guidelines, but because of them. In this episode, I bring the clinical evidence to back up what the fat community has known for years: that severe dieting causes eating disorders, that eating disorders look nothing like the stereotype, and that fat people with eating disorders are being failed at every stage — dismissed, gaslit, and denied treatment. If you've been told to lose weight by a healthcare professional, you have the right to ask them why they're willing to put you at risk. This is the data. These are the receipts. A selection of studies to start you off:Peebles, Rebecka et al. “Are diagnostic criteria for eating disorders markers of medical severity?.” Pediatrics vol. 125,5 (2010): e1193-201. doi:10.1542/peds.2008-1777Sawyer, Susan M et al. “Physical and Psychological Morbidity in Adolescents With Atypical Anorexia Nervosa.” Pediatrics vol. 137,4 (2016): e20154080. doi:10.1542/peds.2015-4080Moskowitz, L., & Weiselberg, E. (2017). "Anorexia nervosa/atypical anorexia nervosa." Current Problems in Pediatric and Adolescent Health Care, 47(4), 70-84.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

In this episode, I reflect on my time leading a cottage at a group home and how stepping into a leadership role challenged my identity, anxiety, and desire to just be the “fun guy.” I unpack the psychological shift from being liked to being responsible, and how consistent structure reduced chaos, stress, and mental overload — ultimately allowing me to lead with both authority and warmth.Why I initially hated being in charge despite caring deeply about the kids and staffThe internal conflict between being the fun, relational leader vs. enforcing rules and boundariesHow anxiety, rumination, and self-doubt intensify in leadership rolesThe realization that structure (being “the law”) creates the conditions for fun and connectionHow consistency and staff alignment helped the environment run itself over timeWhy silence, avoidance, and unclear expectations increase stress for everyoneA key reframe: you may not hate leadership — you may hate unstructured chaosPractical takeaway: clarity, consistency, and support reduce mental load and make leadership sustainableThrive With Leo Coaching: If you want to reduce your psychological pain, regain your purpose and forge your own path, go to www.thrivewithleo.com to begin your journey.If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help:In the US: Crisis Text Line: Text CRISIS to 741741 for free, confidential crisis counseling. The National Suicide Prevention Lifeline: 1-800-273-8255 or 988The Trevor Project: 1-866-488-7386Outside the US:International Association for Suicide Prevention lists a number of suicide hotlines by country. Click here to find them.

Despite the popularity, there is an ugly side to GLP-1’s. Dr. Dubrow and Dr. Schwartz are back with a buyer beware message for GLP-1 users. Hear how it may be linked to an eating disorder, and an FYI about your BMI you have to hear!See omnystudio.com/listener for privacy information.

New to the show? Start Here: https://breakingupwithbingeeating.transistor.fm/start-herePick the listening path that fits what you're dealing with right now.Episode summaryRecovery doesn't only happen in therapy—it happens in the moments in between. In this episode, Georgie talks with Mehek Mohan, cofounder of Kahani, an app designed to offer personalized, on-demand support for eating disorder recovery, and Elena, who uses the app in her own recovery and helps guide its development.You'll hear how Kahani aims to lower cognitive load on hard days through check-ins and tailored activities, why a nonjudgmental space can help when shame is loud, and how the app navigates the common “weight loss vs. binge/restrict” trap without turning into diet culture in disguise.In this episode, we talk about:Why urges can spike during transitions and at night—and what “in-the-moment” support can look likeThe relief of having somewhere to “get it out” without feeling like a burdenElena's take on shame and silence—and why repeated disclosure to loved ones can sometimes backfireHow Kahani's check-ins and personalized activities are designed to reduce cognitive loadWhat makes the app feel more “recovery-literate” (ED-specific language + that “quasi recovery” middle space)The “I want to lose weight but I'm stuck in binge/restrict” dilemma—plus an example of how the app respondsGuardrails: why Kahani isn't a replacement for treatment, and how it's meant to augment supportMehek's personal “why” for building this, and how they're iterating based on user feedbackLinks & resourcesLearn more about Kahani: https://getkahani.com/georgieImportant noteThis episode is educational and supportive, not medical advice. Kahani is a support tool and is not a substitute for professional treatment.