029 - Rethinking Eating Disorder Care in a Larger Body: What Caregivers Need to Know (with Shira Rosenbluth)

From The Other Side Of The Plate · 36:02

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Episode 029Rethinking Eating Disorder Care in a Larger Body: What Caregivers Need to Know (with Shira Rosenbluth)In this episode, Jenni Gaines and Laura Cohen talk with Shira Rosenbluth, a licensed clinical social worker who brings both lived experience of eating disorder recovery and years of clinical work to the conversation. Shira describes how being in a larger body delayed her own diagnosis by four years and shaped the care she received, from restrictive meal plans in programs that called themselves weight neutral to being handed a "kiddie scoop" during an ice cream challenge. She explains what weight-neutral and Health at Every Size care means, the red flags to look for in providers and treatment centers, and why a second voice on the treatment team can carry some of the advocacy load. Caregivers will hear practical ways to examine their own weight bias, why restricting foods tends to backfire, and why telling a child that their body is not the problem matters so much.00:00 Introduction and Disclaimer01:43 Guest Introduction: Shira Rosenbluth03:28 Shira's Recovery Story: Four Years Before Anyone Intervened06:34 Relapse as a Therapist and a "Weight-Neutral" Treatment Center08:18 The Kiddie Scoop: Weight Stigma Inside Treatment09:15 "You Didn't Have a Chance"10:18 Creative Outpatient Care and Helping Clients Advocate12:01 Higher Level of Care Isn't Always Better13:31 Advocating When Doctors Dismiss or Praise Weight Loss15:15 What Weight Neutral and HAES Really Mean17:01 Red Flags in Treatment Centers: Meal Plans, Equipment, and Chairs17:58 Using Your Voice in Medical Offices20:13 When Peers in Treatment Talk About Bodies22:15 Weight-Inclusive Support at Home23:23 Caregivers Working on Their Own Bias25:52 When a Caregiver Is Entrenched in Diet Culture27:21 Why Restricting Foods Backfires29:11 Books, Unlearning, and GLP-1s30:16 What Shira Wishes Every Caregiver Knew32:12 Your Body Is Not the Problem33:40 Avoiding Burnout While Fighting the System34:30 Closing ThoughtsSUPPORT & RESOURCES- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -FEAST website:https://feast-ed.org/FEAST flyer:https://feast-ed.org/programs-and-services/FEAST blog post:https://feast-ed.org/weight-stigma-and-eating-disorders/FEAST podcast episode - Weight, GLP-1 Use, and Body Image in Children & Adolescents (with Dr. Lauren Hartman)https://player.captivate.fm/episode/c426bd55-a939-4cc8-bce2-ab4ad632df41Learn more about Shira's therapy practice:ShiraRosenbluthLCSW.comFollow Shira on Instagram:@theshiraroseGuest Bio:Shira Rosenbluth, LCSW, is a licensed clinical social worker providing therapy to clients in New York and California. She specializes in eating disorders, disordered eating, and body image concerns through a weight-neutral approach. Her expertise has been featured in The New York Times, Insider, The Cut, The Everygirl, InStyle, and Healthline. She also shares insights on body image, weight stigma, eating disorders, and diet culture on Instagram at @theshirarose.

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