Avsnitt
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We’re continuing our summer throwback series with a powerful episode that’s simply too important to leave behind. While we’re taking a short break this summer, we’ll be resurfacing some of our most impactful conversations — the ones that made us think, challenged the status quo, and sparked meaningful dialogue. Today’s rerun is one of those episodes.
Originally aired as Episode 72, this conversation with Jessica Setnick dives headfirst into the controversial 2023 guidelines issued by the American Academy of Pediatrics (AAP). These guidelines made headlines — and not in a good way. Recommending behavioral interventions and even weight loss medications and surgery for children as young as 2, 12, and 13, respectively, the AAP ignited a firestorm of concern within the eating disorder treatment community.
Jessica, a fierce advocate and long-time voice in the eating disorder field, joins me to unpack what these guidelines really say, why they’re so troubling, and how they reflect a deeper cultural problem rooted in weight stigma. We question authority, untangle complex motivations (hello, pharma profits), and explore what weight-inclusive, ethical pediatric care should actually look like.
In this episode, we’re talking about:
Why the AAP’s new guidelines on pediatric weight management are sparking outrage in the eating disorder community.
The alarming recommendations to introduce weight loss medications by age 12 and surgery by 13.
The pervasive weight stigma built into these guidelines, including the problematic use of BMI as a screening tool.
How profit motives, particularly from big pharma, may be influencing the creation of these “medical” guidelines.
The real consequences of these interventions: malnutrition, stunted growth, cognitive impacts, and the risk of lifelong eating disorders.
The false logic that shrinking a child's body will reduce weight stigma and why that belief is not just wrong, but dangerous.
The importance of separating weight from health, and why any medical concerns should be treated based on symptoms, not size.
How weight changes can be relevant when viewed contextually, but should never be the sole focus of medical intervention.
Why trusting your gut and challenging medical advice is not only okay, but it might be necessary for protecting your child’s wellbeing.
Where to find weight-inclusive providers and what to ask when choosing a new pediatrician.
Tweetable Quotes“Anyone who works in the eating disorder field at all – and probably many humans – knows multiple people, if not themselves, who have had failed weight loss interventions when they were children that then resulted in bigger problems.” – Jessica Setnick
“The key is not to just single out the big kids. Any kid with an eating disorder should be evaluated. Any kid with a medical condition should be evaluated.” – Jessica Setnick
“Shrinking children does not change their medical conditions.” – Jessica Setnick
“‘Does my child have a medical condition, or are you saying my child is too big? Because if it’s a medical condition, we’d like to get treatment independent of his size. But if you’re saying his size is a problem, that’s not a conversation I’m willing to have.’” – Jessica Setnick
ResourcesAAP Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity
News release for the AAP new guidelines
Understanding Disordered Eating, Ep. 30: Eating Disorders are the Solution Not the Problem with Jessica Setnick, MS, RD, CEDRD-S
Jessica on Facebook
Jessica on Instagram
Jessica Setnick: Understanding Nutrition
Jessica’s Website
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Accepting new clients in July - Find out if we're a good fit!
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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We’re kicking off our summer throwback series with an episode that’s just too good not to share again. While we take a little summer break, we’ll be rereleasing some of our most powerful and thought-provoking conversations—and this one tops the list.
Originally aired as Episode 73, this conversation with Dr. Judith Brisman is one of those rich, soul-stirring interviews that stay with you long after it ends. Dr. Brisman is an icon in the eating disorder treatment world. With over 35 years in the field and deep roots in psychoanalytic thought, she brings both clinical depth and human compassion to the most complex questions about food, desire, and emotion.
In this conversation, we explore why we turn to food to manage our feelings, how disordered eating often becomes the language of our unmet emotional needs, and what happens within family systems when an eating disorder is present. Dr. Brisman helps us understand not just the "what" but the "why" behind it all, offering a compassionate and grounded approach to recovery that emphasizes self-discovery, choice, and relational repair.
In this episode, we’re talking about:
How Dr. Judith Brisman became a pioneer in the treatment of eating disorders by blending behavioral work with psychoanalysis.
How food becomes symbolic for desire and the complex ways we try to manage our wants and needs through eating behaviors.
The link between emotional regulation and disordered eating, including compelling patient stories that bring theory to life.
The role of family dynamics in shaping (and healing) disordered eating patterns.
How feelings like anger, helplessness, and fear often get hidden behind food behaviors—and how therapy can bring these to light.
Why recovery is not just about stopping behaviors, but about uncovering the inner voices and desires we’ve been afraid to face.
What family-based treatment looks like and how parental roles and patterns can both support and hinder recovery.
How to use moments of emotional overwhelm—like the urge to binge or restrict—as doorways into deeper self-understanding.
How simple questions like “What do you want to eat?” can begin the process of helping someone find their voice again.
Tweetable Quotes
“Families all get into patterns, some of which work, some of which don’t work. An eating disorder in the family is an opportunity to say, okay, what might need to be changed right now? What might need to be inspected?” – Dr. Judith Brisman
“We don’t just see a parent in their role, and a child in their role; we see everybody in their roles, and how the dynamics come together.” – Rachelle Heinemann
“Knowing [your emotions and patterns] allows for choice.” – Dr. Judith Brisman
“It’s not so important to identify the cause of the eating disorder… maybe it’s interesting, but that's not going to end all or be the key… It’s more about what’s happening today, the identification, and what choice that provides.” – Rachelle Heinemann
ResourcesDr. Judith Brisman’s Website
Surviving an Eating Disorder: Strategies for Families and Friends
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Accepting new clients in July - Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Saknas det avsnitt?
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Let’s be honest—most of us would love to be the kind of person who “lives in the moment.” You know, one of those magical unicorns who wakes up excited for the day, mindfully savors every bite of their avocado toast, and breathes through stress like it’s non-existent. But instead, we’re over here eating lunch in front of our inbox, wondering why we feel like a disembodied ghost hovering somewhere between a meeting and a meltdown.
Tweetable Quotes"I just don't wanna feel like I am dissociating my entire life." - Rachelle Heinemann
"Food is inherently soothing, and it works because it's distracting and soothing at the same time." - Rachelle Heinemann
"Without practicing in very neutral low-stakes moments, it's gonna be almost impossible for us to notice when we're triggered." - Rachelle Heinemann
"We really have to think about all of this in the context of our specific lives and what we need so that we can work toward a version of ourselves that lives in however much of the present moment we actually want to live in." - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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If imposter syndrome were a person, most of us would be in a very toxic, on-again-off-again relationship with it. And just like any clingy ex, it loves to show up at the worst possible time—like, say, the first day of a new job, or every single time we try to feel confident about our bodies. Fun, right?
*Quick reminder that next week will be our last episode until September. Stay tuned for the re-release of some oldies but goodies to get you through the summer!
Tweetable Quotes“By not talking about it, by not owning it, we sort of imply our own shame.” - Rachelle Heinemann
“If we start opening up and at least being open to the fact that other people can help us through some of the imposter syndrome... we at least give ourselves a chance to find some sort of self-acceptance there.” - Rachelle Heinemann
“Ultimately, what we're telling ourselves is ‘I can handle a little bit of human vulnerability’, which is the exact opposite of imposter syndrome.” - Rachelle Heinemann
“Working through imposter syndrome requires a lot of courage and alot of work.” - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Today, we’re diving back into the murky waters of secrets with none other than the incredible Dr. Katheryn Zerbe. If you’ve been around the UDE fam for a while, you’ll remember her from our earlier episode on secrets and eating disorders (if not, press pause and go listen to that one first—we’ll wait). This time around, we're exploring what secrets do to our bodies, why we keep them, and how they might just be fueling more than your midnight snack cravings.
Kathryn Zerbe, MD, FAED, FABP, is a psychiatrist, psychoanalyst, and author of over 150 clinical papers, book chapters, reviews, and 4 books. Her publications include the landmark volumes: The Body Betrayed: Women, Eating Disorders, and Treatment (1993) and Integrated Treatment of Eating Disorders: Beyond the Body Betrayed (2008).
Tweetable Quotes"Your secrets tell us who we are, but too many secrets with huge content areas that we keep out." - Dr. Kathryn Zerbe
"Eating disorders are often hidden in plain view." - Dr. Kathryn Zerbe
"Secrets may be the greatest problem of all. We don't look at the toll they take on the mind or the body." - Dr. Kathryn Zerbe
"Secrets also make us very aware of where our boundary lies." - Dr. Kathryn Zerbe
“ Transparency and sharing the content of a secret or information that might be private is not the point here. It's not about the content. It's not about people knowing. It's about what happens to you and your internal state and your relationships when the secret happens.” - Rachelle Heinemann
"We all need somebody to talk to." - Dr. Kathryn Zerbe
ResourcesLearn More About Dr. Kathryn Zerbe Here!
Get access to Dr. Zerbe’s newest book: Secrets in Psychotherapy: Stories that Inform Clinical Work. Use code 25AFLY1 for 20% off!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
**We will be taking a summer break at the beginning of June! Stick around for the next few episodes before we're off for a couple months!
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This episode is all about what happens when you combine years of working with people navigating eating disorders, a healthy dose of sarcasm, and way too many personal run-ins with perfectionism. I’m unpacking the idea I’m calling The Perfectionist Paradox—where striving for perfection actually gets in the way of the thing you’re trying to do well in the first place. Neat trick, right?
Tweetable Quotes“Thinking about what you're afraid of can help us open the door to what is driving your perfectionism.” - Rachelle Heinemann
“The perfectionism target is always moving, which means that you will never be able to attain it, and that’s kind of frustrating.” - Rachelle Heinemann
“The idea of striving for perfection in some ways is trying to avoid imperfection, and that any sort of mistakes or flaws are just unacceptable.” - Rachelle Heinemann
“One of the most important parts to understand about perfectionism is the illusion of control.” - Rachelle Heinemann
“We are too busy focusing on how our body ends up looking... that we don’t focus on what it is like to actually get there.” - Rachelle Heinemann
“Vulnerability is not only about sharing deep, dark secrets.” - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Forget everything you think you know about eating disorders—this episode goes way beyond the old myths about "willpower" and "control." Today, we're digging into the real, science-backed roots of eating disorders with Dr. Erin Knopf: pediatrician, psychiatrist, Certified Eating Disorder Specialist, and co-founder and chief medical officer of Very, a virtual outpatient treatment center delivering high-level care straight to your laptop.
Dr. Erin Knopf is a board-certified pediatrician, adult psychiatrist, and child/adolescent psychiatrist as well as an IAEDP Certified Eating Disorder Specialist. Dr. Knopf completed residency training at the University of Kentucky in a combined residency program, the Triple Board program. She previously worked at The Eating Recovery Center and ACUTE Center for Eating Disorders. She is co-founder and Chief Medical Officer of VERY | Virtual Eating Recovery for You, an outpatient virtual treatment option dedicated to individualized care and grounded in weight-inclusive, trauma-informed, and gender-affirming principles.
Tweetable Quotes“Binge eating is not just about being undisciplined or impulse control issues. It is actually based in restriction.” - Dr. Erin Knopf
“You have to be intentional and really look for ways to create balance.” - Dr. Erin Knopf
“It's[SSRIs] not necessarily causing any damage or harm, but it’s certainly not going to give them the benefit that they are waiting for.” - Dr. Erin Knopf
“There is no medication I can give to make the “nutritional restoration process”, weight gain happen with just a pill. There's no such thing.” - Dr. Erin Knopf
“Health biometrics are so much better looked at from a vitals perspective, lab perspective, functionality perspective, quality of life too.” - Dr. Erin Knopf
“ There's so many questions when it comes to medications and eating disorders, especially because there isn't a clear cut answer. It’s just not that simple.” - Rachelle Heinemann
ResourcesConnect with Dr. Erin Knopf here!
Connect with Dr. Erin Knopf on Instagram!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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In this episode, I’m diving into the messy and complicated cycle of restriction and bingeing—not just with food, but with all the things we tell ourselves we shouldn’t need. Why do we do this? How does it backfire every time? And more importantly, how do we break free?
Tweetable Quotes"You can't just ignore your needs and wants forever. That's when this moment of lapse of judgment, the binge, whether it's money, food, sex, anything under the sun, comes in." - Rachelle Heinemann
"Food is inherently soothing." - Rachelle Heinemann
"How did it come to be that the only way that you know how to deal with your emotional pain is with food?" - Rachelle Heinemann
"There’s something about acknowledging, “yeah, I actually do need this”, which is the hardest part of it, but also the thing that allows us to actually have it and feel good about it eventually." - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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In this episode, I sit down with therapist and author Ilene Fishman to explore what it really takes to achieve lasting recovery. We dive into the complex, sometimes uncomfortable truths about healing from an eating disorder, the importance of self-compassion, and why true freedom goes beyond simply “eating normally.”
Ilene V. Fishman, LCSW, ACSW, FAED, has maintained a general psychotherapy practice specializing in the treatment of eating disorders for more than 40 years in both Montclair, NJ and New York City. Ilene helped found NEDA, serving on its Board of Directors for over a decade. She then served on the board of ProjectHEAL. Ilene speaks widely as an expert on the subject of eating disorders and is the author of the book, THE DEEPER FIX.
Note: The podcast is off for the next two weeks! We will be back on April 22nd, with a new episode!
Tweetable Quotes"I don't wanna keep people comfortable. People will talk about, ‘Oh that therapist was so nice, she was such a nice person.’ But did you get better?” - Ilene Fishman
"If we avoid our pain. If we don't suffer constructively, productively, then we're blocking ourselves." - Ilene Fishman
"Tell your therapist everything. Try to find a therapist where you can say, 'I'm afraid to start therapy with you, and these are the reasons I'm afraid.' Let's talk about it." - Ilene Fishman
"It's about taking the risk and being afraid and not really knowing what's gonna be on the other side and doing it with somebody who's gonna, who's gonna hopefully catch you, but that you need to do it scared." - Rachelle Heinemann
"Good therapy should be growthful and empowering." - Ilene Fishman
"Recovery is so worth it." - Ilene Fishman
ResourcesConnect with Ilene Fishman Here!
Find Ilene Fishman on Instagram
Check out Ilene’s book: The Deeper Fix: For Your Growth and Empowerment
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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When it comes to exercise and movement, we believe it is this wonderfully balanced, healthy thing, right? But for a lot of us, it’s… complicated. Maybe you feel like you have to move or else your anxiety will skyrocket. Maybe you mentally calculate every bite of food and match it with a “required” workout. Or maybe you find yourself hitting the gym even when you're sick, exhausted, or, oh—I don’t know—literally injured. Sound familiar?
Tweetable Quotes“It wasn’t about enjoying movement—it was about earning my food, controlling my body, and never feeling like I was doing enough.” - Rachelle Heinemann
“At some point, I had to ask myself—am I moving because I love it, or because I’m afraid of what happens if I don’t?” - Rachelle Heinemann
“The truth is, over-exercising isn’t healthy. It’s just another way to punish yourself under the disguise of ‘discipline.’” - Rachelle Heinemann
“Recovery meant redefining movement—not as a requirement, but as something I get to do, not something I have to do.” - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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You know that feeling when you’d rather do literally anything than sit with your own emotions? Like, suddenly, cleaning out your junk drawer or reorganizing your spice rack sounds way more appealing than dealing with that uncomfortable feeling creeping in? Yeah, we’ve all been there.
The truth is, our brains are wired to avoid pain and chase comfort—it’s a survival thing. The more we run from discomfort, the stronger it gets. It’s like that pushy friend who won’t take a hint and just keeps showing up.
In this episode, I’m joined by Jenna Hollenstein for a second time! Jenna Hollenstein, MS, RDN, CDN, is an anti-diet dietitian-nutritionist, certified Intuitive Eating Counselor, speaker, meditation teacher, and author of five books, including Eat to Love and Intuitive Eating for Life. She blends Intuitive Eating with mindfulness to help people transform food and body shame into joyful eating and movement.
Tweetable Quotes"We are not machines that are going to operate exactly as we want to operate." - Rachelle Heinemann
"It takes a fair amount of mindfulness to say, I'm struggling right now. And I'm going to do my best to show up to what I had planned to do." - Jenna Hollenstein
"We have to build the muscle of being with discomfort, and part of how we do that is by allowing ourselves to experience discomfort." - Jenna Hollenstein
"Sitting with your emotions doesn’t mean you have to like them—it just means you stop running from them." - Jenna Hollenstein
"Your brain thinks it’s protecting you by avoiding discomfort, but all it’s really doing is delaying the inevitable." - Jenna Hollenstein
"Growth doesn’t come from feeling good all the time. It comes from learning to be okay when things aren’t easy." - Jenna Hollenstein
"If you never let yourself sit in discomfort, how will you ever build the resilience to handle hard things?" - Jenna Hollenstein
"Most of the time, the thing we’re avoiding isn’t actually as bad as we’ve built it up to be in our heads." - Jenna Hollenstein
ResourcesVisit Jenna’s Website Here!
Connect with Jenna on Instagram!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me ([email protected]), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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People like to say that OCD and eating disorders go together. They even sometimes like to use fancy words like “co-ocurring.” Then they talk about how OCD can explain the development of ED symptoms and sit back triumphantly as if they’ve solved the world's toughest rubik’s cube. Satisfying, right?
Meh, not really.. We’re setting the record straight and peeling back the layers on this so-called "connection" between eating disorders and OCD.
Tweetable Quotes"If something is making us anxious, we really need to think about what about this particular thing is making you anxious." - Rachelle Heinemann
"When we talk about eating disorders and OCD, there's so much overlap because the entire premise of most restrictive eating disorders that have to do with body image is, by nature, obsessive and compulsive." - Rachelle Heinemann
"One of the most important pieces that you can give somebody who's struggling with this particular experience or a version of this experience is some space to ask some questions." - Rachelle Heinemann
“Living in your head to the extent where you ruminate and obsess and are anxious 24/7, is incredibly distressing." - Rachelle Heinemann
"Ultimately, this is one big mess and it is an incredibly distressing mess." - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me ([email protected]), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Alright, let’s be real—working in the eating disorder field while navigating your own relationship with food? That’s messy. Like, “double-booked therapy sessions and forgot your coffee on the roof of your car” kind of messy. And yet, it’s something so many clinicians face but rarely talk about.
So, let’s talk about it.
Tweetable Quotes"There’s something particularly scary about being supported by someone who is really struggling." - Rachelle Heinemann
"The moral of the story is to be the best clinician you can and try to keep your client's needs forefront, but also not make too many assumptions about them." - Sarah Rzemieniak
"People with eating disorders have a radar that is so on point, they can tell." - Rachelle Heinemann
"We all have our blind spots, and we can only be as good as our ability to assess ourselves." - Sarah Rzemieniak
"We can’t do any good in this world if we don’t get the proper support." - Rachelle Heinemann
"It’s not about whether a clinician can have lived experience; it’s about whether they can show up and hold space for their clients." - Rachelle Heinemann
ResourcesConnect with Sarah Here!
Bergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me ([email protected]), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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If you’ve ever talked about eating disorders for more than five seconds, someone always drops the classic line: "It’s not about the food; it’s about control.” Boom. Case closed, right?
Well, not exactly. Because what does that even mean? Control over what? Your body? Your feelings? Your life? And why does control even matter so much? That’s where things get interesting.
So today, we’re getting into it. Not in some vague, theoretical, “let’s throw around big words” way, but in a way that actually helps us understand what’s happening—whether in our own relationships with food or in the work we do with others.
Tweetable Quotes"Eating disorders are not about the food. It's about something deeper." - Rachelle Heinemann
"Eating disorders are ways to moderate our emotions." - Rachelle Heinemann
"One of the biggest, most important questions to ask is, ‘I know which emotion I'm feeling now, am I allowed to [feel it]?’”- Rachelle Heinemann
"Building up your tolerance for experiencing parts of your emotional experience will actually help you bring up your tolerance overall of emotions." - Rachelle Heinemann
"There is a big difference between acting out anger and saying it in words. - Rachelle Heinemann
ResourcesBergen Mental Health Group Inc. is hiring! If you think you’d be a great fit, check it out!
Learn about our 6 week body image group! If you're interested, send an email to me ([email protected]), or you can book a call with Sydney to see if this would be a good fit!
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Alright, let’s talk about self-esteem.
Have you ever felt like you're just one awkward social interaction away from a full-blown identity crisis? Like, one unanswered text, one awkward pause in a conversation, or one unliked Instagram post, and suddenly you're spiraling into, "Does anyone even like me?”
Well, welcome to the club—it's a big one.
In this episode, I’m talking about self-esteem: what it really is, why so many of us struggle with it, and how it connects to our relationship with food and body image. Because let’s be honest, it's not about staring at yourself in the mirror and repeating affirmations until you magically feel worthy.
Tweetable Quotes"We all, every single person, need to be seen, heard, accepted, and supported." - Rachelle Heinemann
"In order to heal from an eating disorder and in order to develop some version of a healthy self-esteem, it's all the same idea—the acceptance that I am who I am." - Rachelle Heinemann
"I take up space. I do have lots of flaws. Not everyone's going to like me, but I have to take up space." - Rachelle Heinemann
"Self-esteem is about knowing the people who matter to you already, accept you and you know you're good enough the way you are without changing." - Rachelle Heinemann
ResourcesWe're hiring! If you think you could be a great fit, email your resume & cover letter to w.rachelleheinemann.com
Grab my Journal Prompts Here!
Looking for a speaker for an upcoming event? Let’s chat!
Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Have you ever felt that tiny bit of excitement about breaking a “food rule?” Like finally getting your hands on the “forbidden” chocolate cake, only to inhale half of it and immediately promise yourself you’ll “be good” tomorrow? Yeah, we’ve all been there. But what if that intense food drama could just… disappear? No guilt, no shame, no last-supper mentality—just food, doing what food is supposed to do: nourish and satisfy.
So, if you’ve ever felt trapped in food rules, if “cheat days” have ever dictated your weekend plans, or if you’re just curious what the next step in healing your relationship with food looks like—this episode is for you.
Elyse Resch, MS, RDN, CEDS-C, Fiaedp, FADA, FAND, is a nutrition therapist in private practice with forty-three years of experience, specializing in eating disorders, Intuitive Eating, and Health at Every Size. She is the co-author of Intuitive Eating, now in its 4th edition, the Intuitive Eating Workbook and The Intuitive Eating Card Deck—50 Bite-Sized Ways to Make Peace with Food.
Tweetable Quotes"Maybe for the beginning, you might eat more of something that you have previously restricted, but it takes its place because it's no longer forbidden." - Elyse Resch
"It's not like we're ruining the enjoyment of food, it's just that we don't have that charge anymore of, ‘I'm going to get my hands on this and I'm going to be so good tomorrow, I'll just eat it all right now.’" - Elyse Resch
"It's all about healing. I never talk about recovery. I talk about the healing process." - Elyse Resch
"So every one of us who makes a change in that kind of thinking [ weight stigmatization] is actually bettering the world." - Elyse Resch
"Children are listening. Be careful." - Elyse Resch
ResourcesVisit Elyse’s Website Here!
Learn More About Intuitive Eating
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Many often question whether they’re “sick enough” or feel like their struggles don’t fit into a neat little box. So let’s talk about it.
This week, we’re diving into why eating disorders are way more complex than the labels we slap on them—and why real recovery requires thinking outside the diagnosis.
Tweetable Quotes"It is impossible to focus on just symptom reduction and not the bigger picture of all the other things that contribute to someone's eating disorder." - Rachelle Heinemann
"The second someone's relationship with food or really anything out there bothers them, it's already an issue." - Rachelle Heinemann
"When we typically see one version of an infection in a hospital, we can sort of treat it the same way—but with mental health, it's not uniform at all." - Rachelle Heinemann
"You couldn't possibly treat someone based on a diagnosis because then you've missed most of the story." - Rachelle Heinemann
ResourcesGrab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
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Be sure to sign up for my weekly newsletter here!
You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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In this episode, we’re diving headfirst into practical tools to deal with dissociation —the kind of techniques that are handy to have when you feel like your brain and body feel like they’re speaking two different languages.
Tweetable Quotes"Dissociation is just sort of like what it sounds like: dissociated from whatever's going on." - Rachelle Heinemann
"Our bodies hold everything in that is important." - Rachelle Heinemann
"There has to be some wiggle room to be able to open yourselves up and try something new." - Rachelle Heinemann
"If you eye roll too much, or if you use sarcasm through all of this, then you completely cut off yourself from your internal somatic experience." - Rachelle Heinemann
"Your body will often have the answers way before your brain does." - Rachelle Heinemann
ResourcesGrab my Journal Prompts Here!
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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The media often portrays eating disorders as affecting ultra-thin, hospital-bed-bound college girls. While this happens, it’s not the majority of what we mean when we say someone struggles with an “eating disorder.”
In this episode, I’m talking about how the media’s (and beyond) portrayal is not only wildly inaccurate but also dangerously misleading. That “sick enough” myth? It’s real. And let’s be honest, it’s all kinds of messed up. I’m unraveling the reason why those 19-year-old, emaciated models aren’t the majority, and how most people don’t fit neatly into a category.
Tweetable Quotes"Eating disorders are when food and emotions are kind of messed up."- Rachelle Heinemann
"The emotions are the crux of it. They're the absolute foundation of it. And if we neglect to look at the emotions part of it, then we are neglecting basically the entirety of the eating disorder." - Rachelle Heinemann
"Just because somebody doesn't have any medical complications at all doesn't mean they don't have an eating disorder." - Rachelle Heinemann
"The largest percentage of people that we see with eating disorders... is the category for the people who don't fit in the categories." - Rachelle Heinemann
"It's important to talk about what eating disorders actually are: a complicated relationship with food, and we have this continuum of where the symptoms lie." - Rachelle Heinemann
ResourcesGrab my Journal Prompts Here!
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Now accepting new clients! Find out if we're a good fit!
LEAVE A REVIEW + help someone who may need this podcast by sharing this episode.
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
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Picture this: you’re 18, your body is one way. Then you blink, and suddenly you’re navigating a new shape, new rules, and oh, a closet that betrays you every step of the way. What gives?
Hormones give, my friend. And they’re running the show.
Today’s episode is the reality check you might be looking for.
In this episode, I’m joined by Dr. Esther Rollhous, She’s a reproductive psychiatrist who’s here to unpack the hormonal chaos—er, beautiful journey—we all endure. From the sneaky effects of estrogen on your brain to the “Oh, my hips just widened forever” postpartum revelation, she’s breaking it all down. Dr. Rollhous is bringing both science and empathy to help us reset those expectations and maybe—just maybe—make peace with our ever-evolving forms.
Tweetable Quotes"Your body is different. It will probably be bigger, maybe a different shape completely. And that is expected." - Rachelle Heinemann
"To expect to have the same or similar body to what we had when we were 18 or 19 years old is absolutely bonkers." - Rachelle Heinemann
"The reproductive system is not essential to survival. When the body is in a calorie deficit, it's going to prioritize living over reproducing." - Dr. Esther Rollhaus
"Pregnancy literally remodels your brain, with some changes lasting up to two years postpartum." - Dr. Esther Rollhaus
"Snapback is a really toxic expectation to have of women, not acknowledging the tremendous change their bodies and identities have undergone." - Dr. Esther Rollhaus
"Moms want to do everything they can for the baby, but sometimes this leads to disordered eating." - Dr. Esther Rollhaus
"The healthier the mom is, the healthier the baby and the pregnancy will be." - Dr. Esther Rollhaus
ResourcesDr. Esther Rollhaus’ website: https://www.childandfamilypsychiatry.com/
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You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at [email protected]
- Visa fler
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