How Perfectionism Holds You Back

I am a recovering perfectionist.

I don’t know where I learned the idea that I needed to be perfect (not from my parents) but I really embraced this idea sometime in my teens and went whole hog on it by my 20s. I suspect it was a way to relieve anxiety about not being good enough in the world, but it eventually became an anxiety all on its own – and it never propelled me to where I wanted to go.

By the time I reached my late 30s and was back in school full-time, I was putting that perfectionism to use with great study habits and turning out amazing school work, but I was also wasting time, energy and stress because probably 90% of what I was doing didn’t need to be perfect. I have since learned when good enough is acceptable, and when to pull out that perfectionist streak (less often than you think).

I notice that my clients are often perfectionists, too. It’s my belief that anyone who has been on a diet for any amount of time is a perfectionist – even if they feel they “failed” the diet. Diets come with rules that you have to follow perfectly for “success” (except we know that failure is built-in to diets no matter how perfectly you follow them). When we begin to do the messy, ambiguous work of learning to honor body cues and appetite, perfection is not only needed, but it can hinder the process.

I was happy to talk about this subject with my wonderful colleague Laura Westmoreland, LMFT on the Dietitians Unplugged podcast. Laura, who is a certified Body Trust provider, talks about aiming for C level work when we’re learning how to trust our bodies. We don’t need to be perfect as we stumble towards compassionate connection with our bodies and ourselves, and in fact, expecting perfect work can even hold us back.

If you are a perfectionist and feeling anxious about not doing this work of learning to trust and respect your body “right”, then this episode is especially for you.

Episode 66 – Embracing Imperfect Eating with Laura Westmoreland

Show Notes:

Learn more about Laura:

Follow Laura on Instagram 

Listen on:

What you Should Know About Weight Loss Surgery

I want to be as transparent as possible about my feelings on this topic, so here goes.

I am not a fan of weight loss surgery.

I was not a fan of it when I first started to know people who were getting it, 20 years ago, even as I was steeped in diet culture. Twenty years later, I do not feel any better about it, based on the (scant) available evidence around the long-term outcomes, and on the personal evidence I have seen in my own life (weight regain, multiple surgeries, pain from surgery, and, sadly, even death). I don’t think the medical community does enough to prepare people for this surgery and the physical and psychological after-effects, and I don’t think it properly addresses possible underlying disordered eating which can continue even after surgery.

So that’s me. But I can’t make anyone’s decision for them. And I won’t judge anyone for choosing this surgery, especially in the fat-phobic culture we live in. What I can do is hold space for this kind of decision-making, and provide important information to help a person make a fully informed decision. (I, of course, prefer the path of radical body acceptance and Health at Every Size, but again, I can’t make that decision for others)

This Dietitians Unplugged podcast episode is part of providing that information. We talked to the wonderful, fierce HAES advocate Lisa DuBreuil, LICSW, who frequently works with clients who are considering or have undergone weight loss surgery. In this episode, we discuss the erroneous idea of “weight loss surgery as panacea”, how the medical community doesn’t do enough to prepare people before making this decision, and the possible medical and psychological consequences of having bariatric surgery.

Listen on:

Apple Podcasts

Episode 65 – What you Should Know About Weight Loss Surgery with Lisa DuBreuil

Lisa’s website

Lisa on Twitter

Will I Ever Stop Gaining Weight?

I hear this from my clients a lot: “I’m afraid I’ll never stop gaining weight!” Thanks to societal weight stigma, I understand why anyone would have this fear. Large bodies have long been stigmatized and no one wants to put themselves in the way of stigma.

At the same time, how do we control our weight as we go through the normalization process with food? The answer: we really can’t. After all, wasn’t it trying to control our weight, over and over, that got us in this mess of weight cycling and food struggles in the first place?

And yet – the pain of weight gain is real. We want to be relaxed, happy eaters, but when it comes with weight gain, the whole process can feel confusing and discouraging.

So in this Dietitians Unplugged podcast, Aaron and I talk about that fear, and also about caring for your body as it is now.

Listen on:

Apple Podcasts

Episode 64 – Will I Ever Stop Gaining Weight?

Listen on:

Show notes:

Undersummers Slip Shorts

Other anti-chafing solutions:

Coach Cinder Ernst offers Plus Size Knee Pain Solutions

Challenging Negative Body Beliefs with Kristina Bruce

Ep 63 - Kristina BruceAaron and I welcomed Kristina Bruce to the Dietitians Unplugged podcast to help our listeners learn to challenge negative, unhelpful beliefs about themselves and their bodies.

Kristina is a certified Integrative Life Coach, Body Acceptance Coach and Certified Body Trust® Provider and a strong advocate for Health at Every Size®. She employs Byron Katie’s method, The Work, to help clients question beliefs that cause them stress and to help see those beliefs for what they are — thoughts, not reality. During this interview, we were so grateful to Kristina for sharing an important tool to help do this work and this episode will be pivotal for anyone hoping to get free from the negative beliefs they feel about their body.

BONUS! We had a sponsor for this episode with a special deal on free shipping for plus size clothing — go to the show page for the details and the special link you can use until the end of August! We included our experiences with this product during this episode if you want to know more.

Episode 63 – Challenging Unhelpful Beliefs with Kristina Bruce

Visit Kristina Bruce at her website

Kristina’s Instagram

Kristina’s YouTube Channel

Finding Peace with Food through Mindfulness

Add a subheadingWe welcomed Jenna Hollenstein, MS, RDN, CDN, author of the book Eat to Love: A Mindful Guide to Transforming your Relationship with Food, Body, and Life, to the podcast to talk about her framework, which is based in Buddhism, for healing disordered eating.

In this episode, she explains the six Paramitas (generosity, discipline, patience, exertion, meditation and wisdom) and how we can apply them in approaching intuitive eating. Her compassion-based framework asks us to see ourselves as a beloved other in learning how to listen to our inner wisdom and bring about sustainable, positive self-care.


Episode 62_ A Buddhist Framework for Eating Recovery with Jenna HollensteinEpisode 62 – A Buddhist Framework for Eating Recovery with Jenna Hollenstein



Show Notes:

Find Jenna Hollenstein:

Instagram @jennahollenstein


Moving toward Body Liberation with Jes Baker

Photo courtesy of

The Dietitians Unplugged podcast was excited and honored to host Jes Baker, aka The Militant Baker, author of the books Landwhale and Things No One Will Tell Fat Girls: A Handbook for Unapologetic Living to talk about what body liberation means and how it can change our lives for the better.

Jes is a positive, progressive, and magnificently irreverent force to be reckoned with in the realm of self-love advocacy and mental health. She is internationally known for preaching the importance of body liberation, hard conversations, strong coffee, and even stronger language. Jes burst onto the body image scene when she created her own ads mocking Abercrombie & Fitch for discriminating against all body types – a move that landed her on the Today Show and garnered a loyal following for her raw, honest, and attitude-filled blog missives.

In this fantastic episode, she tells us about her revelation that she hadn’t been a fat child, turning insults into cool nicknames, and how talking about mental health can be healing.

Episode 58 - Jes BakerEpisode 58 – This is Body Liberation with Jes Baker

Show notes:

Learn more about Jes Baker

Read Jes’ writing at The Militant Baker

Check out Jes’ books Landwhale and Things No One Will Tell Fat Girls

Nike’s Plus Size Mannequin Backlash

Nike recently unveiled a new plus-size line of athletic clothing and with it, a plus-size mannequin on which to display the clothing. Makes sense, right? A plus-size mannequin to display plus-size clothing.

One journalist, however, railed against this move as “promoting obesity.” In this Dietitians Unplugged episode, Aaron and I talk about the reaction to the mannequin, both good and bad, how promoting obesity is not actually “a thing”, and the role that internalized weight stigma may have played in this reaction.

Episode 60 – Nike Plus-Size Mannequin Does NOT Promote Obesity

Show notes:

I’m not linking to the original article because it’s pretty mean, and you can search the Tanya Gold/Nike article if you want to read it (it’s pretty easy to find). Instead, here are some great articles clapping back.

Telegraph’s Fatphobic Take On Nike’s Plus-Size Mannequins Receives Backlash

Nike’s plus-sized mannequins don’t ‘promote’ obesity – they reflect reality. Why on earth is that an issue?

The Real Issue With Nike’s Plus Size Mannequins

Dances with Fat: Nike’s Plus Size Mannequins Uncover the Truth About Weight Stigma

Study showing lower mortality in “overweight” category (referenced)

You are already sick enough with Dr. Jennifer Gaudiani


In this episode of the Dietitians Unplugged podcast, we were thrilled to talk to Dr. Jennifer Gaudiani of the Gaudiani Clinic in Denver, CO which provides in-person and telehealth care to people with current or a history of eating disorders.

Dr. G is the author of the book Sick Enough, a Guide to the Medical Complications of Eating Disorders. She talked to us about her journey to becoming a HAES-aligned doctor, and how she realized that HAES is the only ethical way to treat patients, especially those in larger bodies. She explains her “house on fire” analogy which helps those who struggle to understand that they are already sick enough with their eating disorder and don’t need to delay treatment any longer. We think everyone will benefit from listening to this podcast – patients and doctors alike.

Listen now:

Ep 56 Jennifer Gaudiani
Episode 56 – Sick Enough with Dr. Jennifer Gaudiani

Show notes:

Gaudiani Clinic

Sick Enough, a Guide to the Medical Complications of Eating Disorders

The Rise of Fat TV: the Good, the Bad, and the Meh

tv-2213140_1280I’m a long-time TV fan but as I get older, my time is precious. I want to watch things that I find really entertaining. And with the rise of more fat representation on TV, there are more things for me to think about watching. But just because something includes a fat person doesn’t necessarily mean it will be a great show.

So in this episode, Aaron and I discussed the viewing options presented over the past year (thanks to streaming!) and offered up some criticism to help you in deciding what to watch. And it is summer after all, which, if you’re old enough, you remember as the time of summer reruns and trying to figure out what’s on that’s good (apparently this is no longer a problem, but nostalgia dies hard in my home).

In this episode, we talked about the TV show Dietland, based on the book of the same name by Sarai Walker, that aired last year on AMC and now streams on Hulu, and Shrill, which debuted this spring and runs on Hulu as well. We also mention a few shows with dubious fat representation that we have not and will not be watching (return of The Biggest Loser, Insatiable) for a variety of reasons.

Cover2Episode 59 – Fat TV Reviewed: Shrill, Dietland



Getting Back into Your Body

Stock Photo: Hands Holding Hydrangea Flower
Photo courtesy of Representation Matters

Our bodies tell so much of the story of ourselves. In an ideal world, we’d be good friends with our bodies, appreciate them for what they allow us to experience of the world, and be in tune with what they tell us about those experiences. But because we don’t live in a perfect world, we can lose touch with the wisdom of our bodies. Or, because of past trauma, our bodies have become a scary place for us to be.

Getting back into our bodies can be a challenge, so we asked Tracy Brown, RDN, LD/N, a somatic nutrition therapist, how she helps people do just that. She talked about the effects of trauma on the body, how “feeling fat” isn’t really about body size at all, how the fight/flight/freeze reflex can keep us trapped in the diet cycle and how reconnecting with the body can help end the cycle.

And if you want to see body disconnection in action, I provided a spectacular example during this episode (you’ll probably know it when you hear it!). Last year was great professionally, but tough and also way too busy. I spent too much time working and growing, and not enough relaxing and regenerating. And I am someone that needs a fair amount of relaxation in order to function optimally for the long run. When we recorded this episode, I was experiencing the late effects of total body breakdown: exhaustion, headaches, and a real difficulty with concentration. It’s been a hard lesson in knowing my limits and learning to respect my body, but life is always a work in progress!

Cover2Episode 55 – Getting Back to Our Bodies with Tracy Brown, RDN



HAES Care for Diabetes

Rebecca Scritchfield and I are working hard on a new, expanded offering of our weight-inclusive diabetes groups. Make sure to sign up on this page to be one of the first to find out when it launches.