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When I studied psychology, I learned about psychoanalysis as the id, ego, and superego, the mind depicted as an iceberg, with the subconscious submerged beneath the surface. We covered psychosexual development and the Oedipus complex. Some of it seemed relevant, and other parts seemed overly speculative. Mostly, though, it was presented as part of the […]

Perhaps the single most charged issue in eating disorder recovery is intentional weight loss. In the general population, we know based on research that the long-term success rates of intentional weight loss diets are abysmally low. In the world of eating disorder recovery, not only are the success rates low, but so many people have

Many traditional approaches to eating disorder treatment focus primarily on behaviors such as meal plan compliance, and strategies that aim to support and reinforce these behaviors.  In higher levels of care, and some outpatient settings, the goal is to make eating disorder behaviors non-negotiable. This may be accomplished through contingency management, where access to certain

Food addiction: does it exist or not? Is it helpful or harmful? Does science support it or disprove it? These questions have become so polarizing, especially in the eating disorder and substance abuse communities, where people often take a hard yes or no stance. In this podcast, we look at it differently. The fact that

Does food addiction exist? This question is the topic of heated debate within the eating disorder recovery community. We know that binge eating and compulsive overeating can share some characteristics with substance use disorders, such as loss of control, repeated unsuccessful attempts to quit, and continued use despite negative consequences. However, the question is whether

In the West, medical treatment tends to be highly specialized. In eating disorder recovery, dietitians are typically responsible for specifying and monitoring clients’ food intake. Therapists are responsible for helping clients build coping skills and navigate their internal worlds. Psychiatrists or nurse practitioners are responsible for prescribing psychiatric medication and monitoring medical risk. And so

In the West, medical treatment tends to be highly specialized. In eating disorder recovery, dietitians are typically responsible for specifying and monitoring clients’ food intake. Therapists are responsible for helping clients build coping skills and navigate their internal worlds. Psychiatrists or nurse practitioners are responsible for prescribing psychiatric medication and monitoring medical risk. And so

GLP-1s, such as Ozempic, Wegovy, and Mounjaro, are a class of medications originally developed to treat type 2 diabetes. More recently, they’ve become a hot topic in the mainstream for their weight loss effects.  A quick Google search brought up the following headlines: “Weight loss is finally easy with a prescription to GLP-1 medication”  “Join

GLP-1s, such as Ozempic, Wegovy, and Mounjaro, are a class of medications originally developed to treat type 2 diabetes. More recently, they’ve become a hot topic in the mainstream for their weight loss effects.  A quick Google search brought up the following headlines: “Weight loss is finally easy with a prescription to GLP-1 medication”  “Join

The most fundamental question in treating eating disorders is “What works?” Eating disorders are so painful and can be so fatal; we want to use the treatment that has the best chance of giving our clients their lives back. We live in a time when empirical observation can be used to answer this question as