Avsnitt
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Your mindset can make or break your healing journey.
With 60,000 plus thoughts per day swirling through your mind and many being repetitive, you can see the power of your thoughts to potentially affect your mood and behaviour. Repetitive thoughts can become entrenched beliefs, which create habits, which ultimately shape your life.
As Lao Tzu aptly said: -
‘Watch your thoughts, they become your words; watch your words, they become your actions; watch your actions, they become your habits; watch your habits, they become your character; watch your character, it becomes your destiny’.
Your thoughts can be hugely impactful in your eating disorder recovery.
In this episode, I explore practical tips to support you on your journey. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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As a recovered bulimic, I am deeply fascinated by the psychology of this eating disorder.
The interest goes way beyond the surface symptoms and food focus.
Although I stopped binge eating and purging over twenty years ago, it has been an ongoing healing journey to work on the deeper psychology which plays out in relationships, self-worth and emotional regulation.
As eating disorder recovery is a holistic healing process. It’s not just about food.
Symptom removal is an invaluable step in the right direction, but true healing runs far deeper.
When I think about bulimic behaviours, these are not only restricted to people who binge and purge through vomiting.
The following patterns are also relevant:
Normal eating and purging.
Chewing and spitting.
Binge eating and over-exercising.
Binge eating and restriction.
Any pattern is relevant that follows the ingestion and expulsion cycle.
If you are neurodiverse, particularly if you have ADHD, you may find that the themes I talk about are even more amplified for you.
Before, I dive in, as always, I am generalising here, and your experience may not fit neatly into my observations. Always value your own truth and take what is helpful and ignore that which does not resonate with you).
I hope that you find it helpful.
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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Saknas det avsnitt?
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How do you know if you have a healthy relationship with food and your body?
This is an acutely challenging question to answer, as the culture normalises extreme eating practices and body image preoccupation as the norm.
Maybe you feel that you don’t have a full-blown eating disorder or you’re not thin enough to properly struggle with food?
I would argue that is your eating is causing you distress, it may be worth taking a closer look at it.
In this podcast, I’m going to explore different disordered eating behaviours and then suggest some thoughts about what a healthy relationship with food might look like. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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This is a bonus episode where Dr. Marianne Miller is guesting to talk all about ARFID. I hope that you find it helpful.
Dr Marianne's ARFID course:https://www.drmariannemiller.com/arfid$100 off with code HARRIETHarriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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Intermittent fasting (IF) is wellness cool again.
Its benefits are celebrated widely on many a credible health podcast and it consistently trends on social media, described as an elixir to youth and offering benefits such as improved memory, blood sugar control, cardiovascular health, fat loss and autophagy. What’s not to love?
IF involves eating during specific time windows and there are various ways to practice this. The less-intense approach involves a 12-hour fast and 12-hour eating window, whereas, more hardened fasters might restrict their eating, to only 8, 6 or even 4 hours.
Alternatively, you may also have heard of the 5:2 diet, popularised by the late Dr. Michael Mosley, where fasters eat ‘normally’ for five days of the week, whilst fasting on the remaining two (limiting calories to less than 800 on the fasting days).
Like most wellness practices, fasting is a tool. For some people it is life enhancing and for others not so.
In this episode, I explore IF as a tool and how it can interlink with eating disorders and disordered eating. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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It can be a very lonely experience suffering from an eating disorder. In this episode, I explore common themes that I experience daily inside the therapy room. It will help you feel less alone. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I explore the difference between orthorexia and healthy eating, this sparked by Gwyneth's recent sharing on her goop podcast about relaxing some of her food rules. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I explore the challenges and benefits I have encountered in overcoming people pleasing. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I explore navigating weight change in recovery and addressing fears around this. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I explore 5 secrets from inside the eating disorder therapy room. I highlight the fact that eating disorders don't have a look and there are a lot of hidden parts beneath the surface. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In today's episode, I do a deep dive into attachment styles and eating disorders. I hope that you find it helpful.
Useful resource: https://www.attachmentproject.com/blog/attachment-theory-and-eating-disorders/
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I offer an alternative approach to getting beach body ready, which focuses on mental health and wellbeing. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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If you’re recovering from an eating disorder, you might well desire to eat all the foods that you have been depriving yourself of, as a rebellion against the restriction or dieting fatigue. You may have an all or nothing relationship with food.
You’re either being super-healthy and good, or chaotic and devouring everything in sight. Maybe you binge on ‘bad foods’ that you would normally forbid yourself. In recovery, it’s helpful to move towards permitting all these foods into your eating plan. This doesn’t mean eating donuts for breakfast, lunch and dinner. Or throwing health goals out of the window.
It’s about embracing food neutrality and taking food off the pedestal of maximal pleasure. It’s possible to achieve healthy eating (not orthorexic eating!), whilst honouring taste, satisfaction and pleasure. Understandably, you might not know where to start. This podcast episode will give your practical steps to make this possible. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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Binge eating is not simply scoffing an extra biscuit, with your morning coffee break. Instead, it involves eating fast, an extremely large amount of food (more than you would eat for lunch or dinner), and usually in secret. It can feel like a dissociative or ‘out of body’ experience. You are fully present and grounded on earth, but it feels as if demon has swept over you and taken all rational decision making away. Binge eating can fleetingly be euphoric and pleasurable. This is short-lived before guilt, shame and self-loathing descend like a dark cloud. Plus, the physical consequences of feeling over-full are deeply unpleasant and sometimes painful.
Binge eating can happen across the different eating disorders and within disordered eating. You might have anorexia nervosa, bulimia nervosa, binge eating disorder or OSFED (Other Specified Feeding and Eating Disorder). Or you may not fit neatly into a diagnostic box. Fundamentally, if you are bingeing and your symptoms are causing you distress, you are worthy of support and help.
In this episode, I discuss 5 emotions that drive binge eating and how to cope differently.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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Therapy has the potential to transform your life in immeasurable ways. It can offer a wonderful container for much change and personal growth. Your therapist’s competency and skills are a hugely important part in this process. But therapy is not a passive process. You can influence your experience and outcomes greatly. By taking responsibility and being an active participant in the journey, you have much to gain. Here I share some thoughts about how to squeeze the maximum juice and value from your therapy experience.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I explore embodying the inspiration of role models in recovery. I hope that you enjoy it.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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In this episode, I share my experiences of working as a therapist in an NHS adult eating disorder inpatient service for anorexia nervosa. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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How to actually love yourself?
If you’re on the body image healing road, you’ve probably been told multiple times, by multiple people that you simply need to love yourself.
That your desire for thinness is a marker of not feeling good enough and that you’re seeking scraps of worthiness through conforming towards the ‘body ideal’.
When I was in the dreary depths of bulimia, wise people would often dispense this advice to me with noble intentions.
I would placatingly nod my head, whilst secretly rolling my eyes and having zero understanding of how to do this.
It felt like some ephemeral, nice-to-have fluffy concept.
Self-love is sadly not a quick fix pill, rather a life-long journey that needs regular cultivation and attention.
And it’s an important journey to take. Otherwise, the miserable alternative is neurotic self-preoccupation and judgement.
It can’t be firmly rooted with a luxury bubble bath or spa visit, although these delights might be sprinkles on the top, of a cup filled fully.
A truly self-loving relationship offers an internal fortitude of peace and contentment. It vastly improves your relationships, romantic and otherwise. It allows the possible fulfilment and deep appreciation of work and hobbies. It allows you to form a haven inside of yourself.
In this episode, I explore how to navigate this self-love process with some practical steps for change. If you’re stuck in the dreary depths of self-loathing and compare-and-despair, then this podcast might be just what you need.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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Compulsive exercise is not joyful.
It has become a weary, punishing ‘should’ to endure despite injury and bone-weary exhaustion.
You cannot stop. Your sanity depends on completing the next workout and achieving your step count.
It’s rigid and time robbing of precious life moments.
You rely on exercise to earn your meals and to give you permission to eat.
It is a distraction from difficult emotions.
It’s intricately linked to weight control and body image.
It’s more than psychological.
When you are restricting your food intake, the brain chemical, leptin is significantly reduced. This drives the urge to be active and move.
It’s a survival mechanism in human beings which would have kept us alive in scarce times gone by.
Activity can be happening in different forms.
You may be openly and deliberately engaging in activities such as gym sessions or swimming.
Or you may have become secretive in increasing your exercise through additional pacing around the house, when no-one is there.
Or standing for long periods rather than comfortably sitting down.
Or you may have joined more than one gym so you can do extra sessions without prompting concern from staff.
You may feel confused about the healthiness of your exercise.
In a world that praises constant movement and screams forcefully about the fear of eating too much, you may well be validated for your extreme regime, viewed as ‘the fit person’, as others do not understand your internal torture and compulsion.
In this episode, I explore signs that your relationship with movement may be unhealthy with practical steps for change. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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An episode all about learning to self-soothe and developing self-compassion. I hope that you find it helpful.
Harriet's Substack: https://substack.com/@theeatingdisordertherapist
Harriet Frew's current offers: -
Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html
Online Breaking Free from Bulimia
https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html
Eating Disorders Training for Professionals
https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html
Body Image Training for Professionals
https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
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