Just last year, The American Academy of Pediatrics put out (terrible) guidelines, that in a nutshell, give the “go-ahead” to evaluate children for weight loss medication and/or surgery. Weight loss surgery is completely irreversible. So why is it being recommended? There are many challenges that individuals will face when deciding to undergo weight loss surgery. Not only the painful physical challenges but the mental and emotional ones as well.

Everyone seems to have an opinion, you've probably encountered unsolicited advice and opinions from well-meaning (or not-so-well-meaning) friends or family. But here's the thing – You are not on a mission to help them see the world the way that you do. You are not on a mission to help them understand intuitive eating and eating disorder recovery.

But the question is, why is this a controversial topic? MAID is not a new construct. It has been utilized around the world with different controversies for many years as a way of ethically, compassionately, and humanely allowing people to have a dignified way of dying. In modern-day science or modern psychology, we don’t have a way to alleviate the suffering of someone who is battling a severe mental health condition. While I acknowledge that different medications serve their purposes, the question remains: why is there a difference between “mental illnesses” and “physical illnesses”? Is there even a difference?

I'm sure many of you have experienced this, especially after spending time with family during the holidays. Whether it's a recent struggle or an ongoing issue, the key question is why you don't want to eat. Yes, it might sound cliché, and you probably saw it coming from me, but it's crucial because your answer guides the approach.

What comes to mind when you hear the term “body positivity”? First off, it’s become a mainstream concept. Body neutrality, all foods fit, and body positivity are all terms to describe a phase of coming to terms with your body. However, we have to recognize that this approach may not resonate with everyone seeking help. While we shift towards inclusivity, we also inadvertently exclude individuals who may not be ready or comfortable with these concepts. These individuals hear these terms and think “Nope, I want nothing to do with this” and run from treatment. 

There is a cultural shift within the Orthodox Jewish community due to the internet, where appearance ideals have become pervasive, challenging the community's perceived protective measures. The learning curve lies in recognizing these changes and understanding that even with a more insular lifestyle, the community is not immune to the impact of societal influences on body image and eating habits.

When someone firmly establishes a boundary, that’s part of what we’d call being assertive. These qualities go hand in hand. For a lot of folks, it’s the hardest thing to do and we practice doing so in recovery. In contrast, there are totally those who don’t have a problem with voicing their opinions and clearly stating their boundaries but it can come across as pretty aggressive. I don’t consider the “aggressive” way of interacting assertive. In fact, it’s the other side of the same issue as not speaking up enough. That’s why I say 100% of people struggle with assertiveness because it comes from one side or another.

Let’s first acknowledge that there is no fixed framework for the therapeutic relationship. We know that each person's experience is unique. How close we get to the edges of this metaphorical frame varies from person to person and might change over time. But ultimately, most sessions follow a set of “rules”.

Ever wondered why some dreams stick around while others vanish like morning mist? Jennifer shares that dreams we remember are like neon signs from our unconscious, emphasizing an underlying conflict. It turns out, that the more significant the conflict, the greater the unconscious's push to deliver the message through vivid dreams.

While diagnostic criteria, such as those outlined in the DSM (Diagnostic and Statistical Manual of Mental Disorders), exist for binge eating disorders, it's crucial to prioritize the individual's subjective experience. There is a limitation when it comes to these medicalized classifications and it’s important to recognize the subjective nature of these issues.

There is no doubt that I disagree with diet culture. But recently I’ve been noticing that a lot of these things that frustrate me with this culture are starting to show up in the anti-diet culture as well. Between the judging, the internal shaming, and the “cult behaviors”, the lines are starting to blur and the cycle we were trying to break has begun to repeat itself.

Feeling stuck isn't exclusive to one area of life; it can strike at any moment. Whether you're battling with your career, your relationships, or, as is often the case, your relationship with food, that suffocating feeling can be all too familiar. If you've ever grappled with issues related to your relationship with food or have felt trapped in various aspects of life, this discussion is going to be a game-changer for you.

This first question revolves around the decision-making process regarding various levels of care for eating disorder treatment. Many individuals with eating disorders receive outpatient treatment, but some may consider stepping up to higher levels of care like intensive outpatient programs, partial hospitalization, or even residential treatment. The challenge is figuring out which level of care is best for them. The answer is not one-size-fits-all.

In our journey to understand the distinction between CBT and psychodynamic therapy, it's essential to understand the intricacies underlying the medical model and its limitations when applied to mental health. Unlike physical ailments, mental health conditions aren't as straightforward to diagnose, with no blood tests or scans to conclusively pinpoint their existence.

In a world where intuitive eating has become a buzzword, it's crucial to sift through the chatter and truly understand what it means. We're not here to entertain misconceptions or misinterpretations of intuitive eating—those are a whole different story. Instead, we're bringing you a discussion that revolves around the insightful critiques of intuitive eating from individuals who genuinely respect and comprehend its principles.

In a world driven by absolutes and quick fixes, where opinions often seem black or white, it's time to stop for a minute and just think about how complex the situation really is. Let’s embrace the nuance in our decision-making, whether it pertains to nutrition, relationships, or any other aspect of life.

As I sat down with Dr. Gaudiani, she wasted no time in emphasizing the personalized and intricate nature of eating disorders. These conditions are shaped by a complex interplay of genetics and an array of factors still shrouded in mystery. Dr. Gaudiani made it clear that the web of complexities surrounding eating disorders extends far beyond our current comprehension, revealing the need for a bespoke approach to treatment.

As clinicians, our role goes beyond that of typical interpersonal relationships. We are healers, listeners, and guides to our clients, offering them a safe space to explore their emotions and experiences. When a client becomes upset or frustrated, it becomes a unique opportunity for us to understand their inner world better.

What do we do with the limitations in nutrition science? Much of the conversation among nutrition scientists, outside the realm of eating disorders, revolves around various fad diets or approaches involving highly processed foods, intermittent fasting, and keto diets, among other trends. But the majority of this evidence may lack comprehensive scientific support.

Since 2020, online therapy platforms like BetterHelp have become very popular, mainly because of their convenience and affordability. With a subscription-based model, easy therapist switching, and 24/7 accessibility, they promise an accessible and hassle-free mental health solution. But are these platforms really a replacement for traditional therapy? Are these platforms providing true therapeutic value?