Food Junkies Podcast

In this compassionate and insightful episode, Clarissa and Molly dive into the phenomenon of post-event collapse—the physical, emotional, and psychological crash that can follow highly stimulating or meaningful experiences. Whether it’s a vacation, a major life event, a group share, or even just navigating a family gathering, many in food addiction recovery find themselves disoriented and vulnerable in the days that follow. They unpack the biology (hello dopamine crash), psychology (emotional contrast effects), and the nervous system’s role (freeze/dorsal vagal responses), and they offer gentle, practical strategies for reentry and recovery. This episode is both validating and empowering—for listeners in recovery and for clinicians supporting them. 💡 Key Takeaways: What Is Post-Event Collapse? A drop in energy, motivation, or mood after a highly stimulating or stressful event. Often triggered by dopamine depletion, nervous system overload, and loss of structure. Symptoms include: fatigue, cravings, irritability, sadness, restlessness, shame spirals, and “vulnerability hangovers.” 🧠 The Science Behind It:  The brain shifts from an activated, goal-directed state (dopamine high) to a depleted, low-stimulation state. This emotional contrast can feel like going from technicolor to gray. For those with trauma, neurodivergence, or attachment wounds, this crash may be even more intense. 💬 Common Scenarios That Trigger Collapse: Vacations (especially with family) Funerals, weddings, or big work events Emotional vulnerability (group shares, therapy sessions) Changes in routine or environment 🛠️ Coping Tools & Recovery Strategies: Plan for reentry as much as the event itself. Create a 72-hour buffer. Return rituals: Soft structure for meals, movement, hydration, rest, and reconnection. Freeze meals or stock Factor meals for post-travel ease. Anchor with connection: Reach out to your “seen and safe” people. Use micro grounding tools during events (walking, nature, breath, touch points). Practice self-compassion: Validate the guilt and exhaustion without judgment. Communicate proactively with family to soften expectations post-return. 🧰 For Clinicians & Coaches: Normalize post-event collapse as part of the healing arc. Support clients in building after-care plans (not just event plans). Teach co-regulation skills and help clients ride the emotional wave. Watch for perfectionism in recovery and help clients practice grace. Encourage gentle transitions, especially for those navigating early recovery. 🔄 Favorite Quotes: “This is the slow after the fast. It’s not failure—it’s your nervous system recalibrating.” – Clarissa “You don’t have to avoid the guilt. You can rest and feel guilt. Guilt won’t kill us—but burnout just might.” – Clarissa “This isn’t recurrence—it’s biology. Let’s name it, normalize it, and meet it with compassion.” – Molly “Have a post-event plan like you’d pack a suitcase—soft landing included.” – Molly 🎁 Bonus Tips: Live like a tourist: Bring the wonder of vacation into everyday life. Use group support to “bookend” your events: check-in before, share after. Teach your clients to identify their own 72-hour needs. There’s no one-size-fits-all. 💌 Questions or Comments? Email us at: foodjunkiespodcast@gmail.com We’d love to hear from you—let us know what you want us to cover next!

Dr. Diana Hill, PhD is a clinical psychologist and internationally recognized expert in Acceptance and Commitment Therapy (ACT) and compassion-based approaches to well-being. She is the host of the Wise Effort podcast and author of The Self-Compassion Daily Journal, ACT Daily Journal, and the forthcoming Wise Effort. Diana teaches individuals and organizations how to build psychological flexibility so they can live more aligned, courageous, and meaningful lives. I first discovered Diana and the transformative power of ACT through her course on using Acceptance and Commitment Therapy for eating and body image concerns. Her work opened a new doorway in my own recovery and professional practice, helping me integrate compassion, values, and embodiment into the healing process. Blending over twenty years of yoga and meditation practice with cutting-edge psychology, Diana brings a unique and deeply personal approach to well-being that is both science-based and spiritually grounded. Her insights have been featured in The Wall Street Journal, NPR, Woman’s Day, Real Simple, and Mindful.org, and she’s a regular contributor to Insight Timer and Psychology Today. When she's not walking and talking with therapy clients, Diana is likely tending to her garden, caring for her bees, or swimming in the ocean at sunrise with her two boys. Key Takeaways: 1. Movement ≠ Punishment • Diana shares how our relationship with movement is often shaped by shame, rules, and diet culture. • ACT invites us to reconnect with intrinsic values—like joy, connection, or vitality—rather than "shoulds."   2. From Motivation to Meaning • Dr. Hill outlines the three types of motivation: • Pleasure-seeking • Pain-avoidance • Values-based • Relying only on feeling “motivated” often backfires. Lasting behavior change is values-driven, not vibe-dependent.   3. Urge Surfing 101 • Urges feel like waves—we think they’ll pull us under, but they always pass. • Practicing presence, noticing without acting, and riding the wave can build powerful inner trust over time.   4. Body Shame Needs Light + Air • Shame tells us to hide. ACT helps us bring curiosity and compassion to the parts we feel we “can’t show.” • The antidote to shame is not “fixing” the body—it’s learning to see it differently.   5. Phones, Dopamine & Distraction • Screen scrolling can become both a dopamine hit and an escape from discomfort. • Awareness + micro-boundaries with tech can gently shift us back toward the life we actually want to live.   6. Values Are Felt, Not Just Picked • Instead of just selecting values off a worksheet, ask: • When did I feel most alive yesterday? • When did I feel regret? These moments hold the clues to your deepest values.   7. Recovery is a Process of Discovery • Movement and food freedom are journeys of returning to self—not performance. • Progress is nonlinear and personalized. Flexibility, not perfection, is the goal.   🔧 Tools & Practices Mentioned: • Urge Surfing – a mindfulness tool to ride out cravings without reacting. • Rick Hanson’s Savoring Practice – linger in positive moments to rewire the brain. • "Wise Effort" – a Buddhist and ACT-informed lens on energy expenditure and sustainable change. • Body Image Flexibility – showing up in life with your body, even when discomfort is present.   📚 Featured Resources: • 🧘‍♀️ Book: I Know I Should Exercise But... by Diana Hill & Katy Bowman • 📘 Upcoming: Wise Effort (Fall Release 2025) • 🎧 Podcast: Wise Effort with Dr. Diana Hill • 📩 Newsletter & Trainings: drdianahill.com   💬 Favorite Quote: “You don’t have to like your body or love your body—but you can bring it with you. Let in some light, some air, and over time, maybe even appreciation.” – Dr. Diana Hill   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.    

Dr. David Kessler is a renowned pediatrician, lawyer, public health advocate, and former Commissioner of the U.S. Food and Drug Administration (FDA). A graduate of Amherst College, the University of Chicago Law School, and Harvard Medical School, Dr. Kessler has spent his career at the intersection of science, policy, and consumer protection. He served as Dean of the Yale School of Medicine and the University of California, San Francisco Medical School, and most recently held the role of Chief Science Officer for the White House COVID-19 Response Team. Dr. Kessler is the acclaimed author of several influential books including the New York Times bestseller The End of Overeating, Fast Carbs, Slow Carbs, and his latest work, Diet, Drugs & Dopamine: The New Science on Achieving a Healthy Weight. His writing and research have been pivotal in shifting the public health conversation from willpower to biological understanding—especially regarding food addiction, the manipulation of hyper-palatable foods, and the role of dopamine in modern eating behaviors. A true trailblazer in the field, Dr. Kessler has dedicated decades to unraveling the powerful science behind why we eat the way we do—and how we can reclaim our health in a world of ultra-processed foods. Dr. Kessler shares his personal journey with weight regain and the "aha moment" that led him to call it what it is—addiction. He explores the role of GLP-1 medications, the dark side of food addiction, and how we must move beyond willpower to tackle this epidemic with compassion, science, and actionable tools. 🗝️ Key Takeaways 🔥 Addiction, Not Just Overeating In The End of Overeating (2009), Kessler avoided the term "addiction." Now, in Diet, Drugs & Dopamine, he boldly names it. Cue-induced wanting, craving, and relapse are the neurobiological hallmarks of addiction—and they're present in our relationships with ultra-processed food. ⚖️ GLP-1 Medications: One Tool, Not a Cure GLP-1s (like Ozempic, Wegovy) tamp down cravings by delaying gastric emptying and triggering aversive circuits (feelings of fullness, even nausea). They work only while you’re on them—and can change your relationship with food—but they are not a magic bullet. The real value? These drugs prove this is biology, not a moral failing or lack of willpower. 💥 Addiction Is in the Brain—And It’s Working Too Well Food addiction isn't a sign of dysfunction—it’s our reward circuits doing exactly what they were designed to do in a world of hyper-palatable foods. The issue lies in environmental mismatch—evolution designed us for scarcity, but we now live in abundance. 🧬 It’s Not About Weight—It’s About Health Kessler emphasizes toxic visceral fat as the real danger, not body size. This fat is metabolically active and causal in diseases like heart disease, diabetes, cancer, and neurodegenerative conditions. 🔄 Weight Regain = Relapse Most people regain lost weight not because of laziness, but due to metabolic adaptations and craving relapse. Recovery must focus on sustainable behavior change and addressing addictive circuits. 🤝 Bridging the Gap Between Food Addiction & Eating Disorder Communities Kessler supports the inclusion of Ultra-Processed Food Use Disorder in the DSM and ICD. Compassion and shared understanding are key to breaking down stigma and offering effective, united treatment approaches. 🧰 Lifestyle Management & Long-Term Tools GLP-1s may be a biological bridge, but long-term success requires: Nutrition education Emotional regulation and distress tolerance Culinary skills and food sovereignty Community, support, and behavior change strategies 💡 Final Wisdom from Dr. Kessler “Once you lose the weight, that’s when the real work begins.” “There’s no shame in using the tools that work. But we need to use them wisely, and not in isolation.” Follow Dr. Kessler: Twitter @DavidAKesslerMD The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern. 

In this insightful and compassionate episode, Clarissa and Molly take a deep dive into post-acute withdrawal syndrome (PAWS)—an often overlooked but critical phase in ultra-processed food addiction recovery. While well-known in substance use disorder recovery, PAWS is rarely discussed in the context of food addiction, yet it shows up in significant ways. Clarissa and Molly break down what PAWS is, why it happens, and how it can show up months or even years into recovery. They share real client experiences, neurobiological explanations, and clinical insights—plus, they normalize what can feel like a confusing and distressing time. They also offer practical strategies for clients and clinicians alike, always with compassion, humor, and a forward-thinking, growth-focused perspective. 💡 Key Takeaways: ✅ What is PAWS? Post-acute withdrawal syndrome describes the emotional, psychological, and physical withdrawal symptoms that can persist or reappear months or years after quitting a substance (including ultra-processed foods). It’s a normal part of recovery, not a failure or a sign that you’re “doing it wrong.” ✅ When it shows up: Typically around the 3-, 6-, and 12-month marks, but can happen later—Molly shared an example of it showing up at 22 months! Can be a surprise to those who believed the cravings and struggles were only short-term. ✅ What it feels like: Physical symptoms: low energy, sleep issues, fatigue, and “meh” motivation. Emotional symptoms: irritability, anxiety, low mood, feeling “flat” or joyless (anhedonia). Cognitive symptoms: brain fog, intrusive food thoughts, and the return of “food dreams.” A heightened sensitivity to emotional triggers and stress, feeling like everything is a “zing” or too much. ✅ It’s actually a sign of healing. The brain is rewiring—dopamine pathways are adapting and recalibrating. It’s part of long-term recovery, a sign that deeper healing is taking place. ✅ Common client fears: “I thought I had this figured out—why am I struggling again?” “My coping skills don’t work anymore—what’s wrong with me?” Clarissa and Molly reframe this as an invitation to deepen your recovery work and adapt new strategies. ✅ What helps? Revisit the basics: simple structure with food, movement, sleep, and stress reduction. Connection and support: peer groups, Sweet Sobriety, or other safe spaces. Meaningful, non-food dopamine boosts: nature, creativity, connection, movement. Supplements: like omega-3s or l-glutamine (check with your provider!). Clinician support: not pushing but holding space with compassion and curiosity. ✅ For clinicians: Learn about PAWS from the substance use disorder literature—it’s crucial for validating and normalizing the client experience. Support clients without imposing your own fears about relapse—meet them with presence and empathy. Be mindful of co-occurring issues (trauma, chronic illness, medications) that can amplify PAWS. Don’t pathologize or shame—this is part of the healing arc! This conversation is a powerful reminder that healing is not linear. PAWS can feel like a step backward, but it’s actually a sign of forward movement. As Clarissa and Molly beautifully put it: “You’re not broken—you’re healing.” When PAWS shows up, it’s a call to pause, reset, and give yourself the same compassion and patience you’d offer anyone else in deep healing. Want to connect? Reach out to the team at: 📧 foodjunkiespodcast@gmail.com Get Mollys PAWs Presentation here: https://www.sweetsobriety.ca The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern. 

In this illuminating episode we speak with Dr. Filippa Juul. An epidemiologist and leading researcher on the impact of ultra-processed foods (UPFs) on human health. Together, we unpack what ultra-processed really means, why it's not just about calories or macros, and how these foods are stealthily contributing to the global rise in obesity, chronic illness, and food addiction. Dr. Juul  is Assistant professor at the School of Public Health at SUNY Downstate Health Sciences University. She earned her PhD in Epidemiology from NYU GPH in 2020, following a MSc in Public Health Nutrition from the Karolinska Institute in Stockholm, Sweden, and a BA in Nutrition and Dietetics from Universidad Autónoma de Madrid in Spain. Dr. Juul's research focuses on improving cardiometabolic health outcomes at the population level, with a particular interest in the role of ultra-processed foods (UPFs) in diet quality, obesity, and cardiovascular disease. She utilizes large U.S. population studies to examine these associations and is also exploring the biological mechanisms underlying the impact of UPFs on cardiometabolic health.  Dr. Juul explains the NOVA classification system, dives into recent groundbreaking studies, and offers insights into why UPFs are so difficult to resist—and what we can do about it, both individually and at the policy level. Key Takeaways  🧠 It's About the Processing Ultra-processed foods (UPFs) are engineered for convenience and hyper-palatability—not nourishment. Processing changes how the body absorbs and responds to food, often leading to overeating and poor metabolic health. 📚 NOVA System in a Nutshell Group 1: Whole/minimally processed (e.g., fruit, eggs, plain yogurt) Group 2: Cooking ingredients (e.g., oil, sugar, salt) Group 3: Processed foods (e.g., canned veggies, artisanal cheese) Group 4: Ultra-processed (e.g., nuggets, soda, protein bars) 🍟 Why We Overeat UPFs Soft, fast-eating textures bypass satiety signals High energy density = more calories, less fullness Hyper-palatable combos (fat + sugar/salt) trigger cravings Rapid absorption causes blood sugar spikes and crashes 🧬 Health Risks & Mechanisms Linked to inflammation, gut imbalance, and poor glycemic control Some additives may be harmful or addictive Genetic factors may influence vulnerability to UPF addiction 🚸 Policy & Public Health UPFs make up 60–70% of the modern diet Strong links to obesity, heart disease, diabetes, and poor mental health Regulation on marketing, school meals, and additives is critical Teaching cooking skills and nutrition literacy is essential ❤️ Rethinking Nourishment Nourishment means satisfying, whole-food meals—not restriction True recovery is about reclaiming joy, not giving up pleasure 💬 Quotes: “We regulate food by volume, not calories—and UPFs pack a punch.” “Nourishment is key to living a healthy, happy life.” “UPFs don’t just harm—they replace what heals: real food and connection.” 📣 To Policymakers: The obesity crisis is urgent. Make whole, nourishing foods affordable and accessible. Regulate what’s sold and marketed—especially to children. Follow Dr. Juuls Research: https://www.researchgate.net/scientific-contributions/Filippa-Juul-2070176684/publications/3 The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern. 

Dr. Cynthia Bulik is a clinical psychologist and one of the world's leading experts on eating disorders. She is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders and also the founder director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Dr. Bulik is Distinguished Professor of Eating Disorders in the Department of Psychiatry at UNC, Professor of Nutrition in the Gillings School of Global Public Health, and Professor of Medical Epidemiology and Biostatistics at Karolinska Institute.  Dr Bulik has received numerous awards for her pioneering work, including Lifetime Achievement Awards from the National Eating Disorders Association, the Academy for Eating Disorders, and the International Society of Psychiatric Genetics. She has written over 750 scientific papers, and several books aimed at educating the public about eating disorders.  Currently, Dr. Bulik's focus  is in the reconceptualization of eating disorders as being a metabo-psychiatric diseases. Food Junkies is keen to explore this interest in how metabolic disease plays a role in disordered eating: can this construct be the  common ground to start to understand the muddy waters  between eating disorders and food addiction?  In This Episode, You’ll Learn: 💡 The Myth of Choice: Why anorexia, bulimia, and binge eating are not willful acts, but biologically driven conditions with strong genetic roots. 🧬 The Metabo-Psychiatric Model: Dr. Bulik's innovative framework showing how genetic and metabolic pathways interact to shape eating disorder vulnerability. ⚖️ The Energy Balance Switch: Why people with anorexia feel better in a state of starvation—and how this paradox rewrites what we thought we knew. 📈 New Genetic Discoveries: How genome-wide association studies (GWAS) are uncovering shared and distinct risk factors for anorexia, bulimia, binge eating disorder—and possibly food addiction. 🔄 The Overlap with Addiction: Where eating disorders and food addiction intersect—and why treatment needs to consider both psychological and nutritional healing. 🧠 Recovery Isn’t Just Psychological: Why intuitive eating and one-size-fits-all treatment plans may not work for everyone—and what truly individualized care could look like. 🧭 Hope Through Science: How understanding the biology behind disordered eating can reduce shame, validate lived experience, and open new doors for healing. 🔗 Topics Touched: Why abstinence-based recovery may be life-saving for some—and harmful for others The risk of relapse tied to negative energy balance and undernourishment What we can learn from addiction recovery in developing dual-diagnosis programs The danger of renourishing with ultra-processed foods ARFID, orthorexia, and the need for diagnostic nuance The promise of personalized treatment using genetic risk profiles 💬 A Quote to Remember: “Recovery from an eating disorder is an uphill battle against your biology. It’s not a lack of willpower—it’s a metabolic and psychiatric legacy that deserves compassion and understanding.” Be a part of Cynthia's Research: https://edgi2.org/ Follow Cynthia: https://www.cynthiabulik.com   🌱 Sensory Modulating Strategies for Binge Eating & Food Addiction Saturday, May 31, 2025 8:30–10 AM PDT | 11:30–1 PM EDT | 4:30–6 PM UK   $15USD --> Learn more and/or REGISTER HERE The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Dr. Alexandra Sowa, MD is a board-certified physician specializing in internal medicine and obesity medicine. A graduate of Johns Hopkins University, NYU School of Medicine, and Yale University, Dr. Sowa combines top-tier medical training with a deeply compassionate, evidence-based approach to metabolic health. She is the founder and CEO of SoWell Health, a telehealth and clinical service dedicated to treating metabolic dysfunction with personalized nutrition, lifestyle interventions, and medication when appropriate—including the use of GLP-1 receptor agonists like Ozempic. Dr. Sowa is the author of The Ozempic Revolution, where she brings clinical insights and practical tools to the forefront of the obesity and food addiction conversation. Her work emphasizes sustainable habit change, patient-centered care, and bridging the gap between medical treatment and behavioral health. Formerly collaborating with low-carb pioneer Dr. Eric Westman, Dr. Sowa continues to advocate for integrating dietary strategies with hormonal and pharmaceutical interventions for a holistic approach to weight and health. Dr. Sowa is a nationally recognized voice in the field, regularly featured in publications such as The New York Times, Forbes, and CNN Health. She is passionate about helping patients reclaim their health and reframe their relationship with food through science, empathy, and empowerment. 💊 What are GLP-1s really doing to “food noise”? 📉 Why do some lose weight and others don’t? 🥼 What role should lifestyle, nutrition, and yes—food addiction support—play in treatment? 💬 How do we deal with the emotional grief of losing food as a comfort? 💪 And how can obesity doctors and food addiction counselors work together for real, lasting healing? Whether you're a clinician, someone using GLP-1s, or navigating food addiction recovery—this is the conversation you don’t want to miss. Follow Dr. Sowa: https://alexandrasowamd.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

In this compelling episode, Dr. Vera Tarman interviews Dr. Thomas Seyfried, a pioneer in the field of cancer metabolism. Dr. Seyfried challenges the mainstream view of cancer as a genetic disease and presents strong evidence that cancer is fundamentally a mitochondrial metabolic disorder. Dr. Thomas N. Seyfried is a distinguished American biologist and professor at Boston College, renowned for his pioneering work in cancer metabolism. With a Ph.D. in Genetics and Biochemistry from the University of Illinois, Urbana, and postdoctoral training in neurochemistry at Yale University School of Medicine, Dr. Seyfried has dedicated his career to exploring the metabolic underpinnings of cancer and other neurological diseases. Dr. Seyfried is best known for his groundbreaking book, Cancer as a Metabolic Disease: On the Origin, Management, and Prevention of Cancer (2012), where he presents compelling evidence that cancer is primarily a mitochondrial metabolic disorder rather than a genetic one. This perspective builds upon the early 20th-century findings of Otto Warburg, who observed that cancer cells rely heavily on fermentation for energy production, even in the presence of oxygen—a phenomenon known as the Warburg effect. Dr. Seyfried's research suggests that targeting cancer's metabolic dependencies, such as glucose and glutamine, through dietary interventions like the ketogenic diet, could offer non-toxic therapeutic strategies. We explore: How cancer cells fuel themselves differently from healthy cells The connection between sugar, ultra-processed foods (UPFs), and cancer growth The Warburg Effect and the roles of glucose and glutamine in tumor development Whether refined sugar is carcinogenic like tobacco Why Dr. Seyfried believes ketogenic diets and caloric restriction can be powerful cancer therapies How his views align with metabolic psychiatry (Dr. Chris Palmer’s Brain Energy) The controversial yet promising approach of "press-pulse" therapy The potential for preventing cancer through dietary change Follow: https://www.bc.edu/bc-web/schools/morrissey/departments/biology/people/faculty-directory/thomas-seyfried.html https://tomseyfried.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

In this thought-provoking Clinician’s Corner episode, Clarissa Kennedy and Molly Painschab dive deep into the ever-popular term “self-sabotage” — and why they believe it’s not only inaccurate but potentially harmful in the context of food addiction recovery.   Together, they explore how behaviors often labeled as self-sabotage are actually maladaptive coping strategies, formed through years of survival. These are not signs of brokenness, but evidence of brilliance in navigating pain, trauma, and unmet needs. The duo discusses how using shame-based language like “chronic relapser” or “self-sabotage” can derail healing, and instead, offer curiosity, compassion, and nervous system awareness as more empowering alternatives.   This episode is packed with insight, real client stories, and powerful reframes that will resonate with anyone navigating food addiction, emotional eating, or recovery setbacks.   Key Takeaways: • 🔁 “Self-sabotage” often reflects nervous system dysregulation, not moral failure — these behaviors were once adaptive strategies that worked to protect you. • 🧠 Your brain prioritizes the familiar over the functional — even if the familiar thing hurts, it still feels safer than the unknown. • ⛔ Terms like “chronic relapser” can shut down curiosity and growth — replacing them with language like “chronic ambivalence” invites exploration and self-kindness. • 🌪️ Recovery often feels like pressing the gas and the brake at the same time — you want to grow, but fear, beliefs, or unprocessed grief can hold you back. • 🛠️ Even "maladaptive" behaviors are skills — they were practiced over time. With intention and compassion, new habits can be learned the same way. • 🔍 Behaviors like bingeing after a win, or striving for perfection, are clues — not failures. Ask, “What is this trying to tell me?” • 👥 Connection is key — community and co-regulation help us see progress we can’t always witness in ourselves.   Clinician Gems: • “There’s no such thing as self-sabotage — only unmet needs and unprocessed fear.” • “Recovery takes courage, not perfection.” • “We don’t erase progress with a slip. Practice doesn’t disappear.” • “The goal isn’t a perfect streak — it’s the pattern of returning.”   We Want to Hear From You! What landed for you in this episode? Do you resonate with the term self-sabotage — or are you ready to retire it too? Send your feedback, topic suggestions, or stories to: foodjunkiespodcast@gmail.com   Transform Within Workshop: https://sweetsobriety.newzenler.com/courses/transform-within   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Hosts Clarissa Kennedy and Molly Painschab explore the critical theme of belonging in recovery. They discuss the concept of "othering"—feeling unseen, unheard, or misunderstood—and its deep impact on individuals in their healing journeys. The episode is framed around a powerful quote from George Orwell about the loneliness of being misunderstood, setting the stage for a rich discussion on attachment, connection, and the need for belonging. Clarissa and Molly share personal experiences of feeling different, whether in family dynamics, social settings, or recovery groups. They examine how attachment styles—secure, avoidant, anxious, and disorganized—shape our ability to connect with others. Understanding these patterns can help individuals navigate relationships and cultivate deeper connections. They also highlight the essential role of nervous system regulation in recovery, emphasizing the power of co-regulation—where we find safety and grounding in connection with others. The discussion broadens into various forms of belonging, including interpersonal relationships, collective experiences, casual encounters, symbolic bonds, esteem-building, and contemplative practices. The episode concludes with encouragement for those feeling isolated in their recovery journey. The hosts remind listeners that belonging is cultivated over time and that finding one’s community may take patience and effort. They stress the importance of honoring one’s truth, setting boundaries, and staying open to new connections. Key Takeaways: The Pain of "Othering" – Feeling unseen and misunderstood can be isolating, but it’s a common experience, especially in recovery. Attachment Styles Impact Belonging – Secure attachment fosters deep connection, while avoidant or anxious styles can make relationships challenging. Nervous System Regulation Through Connection – Belonging and co-regulation with others help soothe the nervous system and support healing.  Six Ways to Cultivate Belonging: Interpersonal Relationships – Quality connections with family, friends, and recovery groups. Collective Experiences – Participating in group activities or shared traditions. Casual Encounters – Everyday interactions that remind us of our place in the world. Symbolic Bonds – Connecting through shared identities, cultures, or symbols. Esteem-Building – Feeling valued through contributions and recognition. Contemplative Practices – Finding connection through nature, mindfulness, and self-reflection. Vulnerability and Authenticity Foster True Belonging – Sharing personal stories and being open can create deep connections. Belonging is Not About Fitting In – It’s about being seen and accepted as you are, not changing yourself to match others’ expectations. Recovery Requires Courage to Stand Alone at Times – Not everyone will understand your journey, but staying true to yourself is essential. Finding Your People Takes Time – Your community is out there. Keep showing up, being authentic, and honoring your truth. Connect With Us: Have thoughts on this topic? Email us at foodjunkiespodcast@gmail.com. We’d love to hear your experiences and suggestions for future episodes! Closing Thoughts: Your journey is valid. You are worthy of belonging exactly as you are. Keep searching for your community—they exist, and they will welcome you with open arms. If you enjoyed this episode, please rate and review us on your favorite podcast platform. Thanks for listening! The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Today, we are thrilled to have Dr. Marty Lerner return to the podcast. Dr. Lerner is the Executive Director of the Milestones in Recovery Eating Disorders Program and a licensed, board-certified clinical psychologist. He has been a pioneering voice in understanding the complex overlap between eating disorders, food addiction, and the emerging use of GLP-1 receptor agonists. His insights have been featured in professional journals, major newspapers like USA Today and The Wall Street Journal, and national television programs including 20/20, NPR Report, and Nightline. He is also the author of A Guide to Eating Disorder Recovery, available as a free eBook on the Milestones program website. In this episode, Dr. Lerner shares his expert perspective on the evolving conversation around eating disorders, food addiction, and the growing use of GLP-1 medications. We explore their mechanisms, clinical implications, and the ethical considerations surrounding their use in treatment. What We Cover in This Episode: State of the Field: Changes in the Last Three Years • How has the intersection of eating disorders and food addiction evolved? • Has there been more collaboration between these fields?   GLP-1 Receptor Agonists: A Game-Changer or a Concern? • Dr. Lerner's initial reaction to GLP-1s and whether his perspective has shifted. • Understanding their mechanisms: insulin sensitivity, delayed gastric emptying, weight loss, and craving reduction.   How GLP-1s Impact Cravings and Satiety • How do GLP-1 receptor agonists manage cravings and reduce binge-eating behaviors? • How do they influence hunger and satiety signals in the brain?   Clinical Insights and Considerations • What major changes has Dr. Lerner witnessed in his clients using GLP-1s? • Who benefits most from these medications? Who should avoid them? • Are GLP-1s safe for individuals with eating disorders? • Can they be used safely for food addiction? • Are there contraindications for individuals with underlying mental health conditions like anxiety and depression? • Do these medications address emotional/psychological components of food addiction?   Potential Side Effects and Long-Term Considerations • What are the most concerning side effects? • How do they affect thyroid function, sex hormones, and overall hormonal balance? • Is there evidence of metabolic downregulation or tolerance with prolonged use? • How has the widespread use of these medications changed Dr. Lerner’s therapeutic practice?   Advice for Clinicians and Patients • What should clinicians consider when prescribing or recommending GLP-1s? • What should patients know before deciding to use them?   Looking Ahead: Hopes and Concerns • What are Dr. Lerner’s hopes for the future of GLP-1s in treatment? • What concerns does he have about their long-term impact? • His ongoing work and research in the field. • His advice to his younger self about GLP-1 medications.   Thank You for Listening! We’re grateful to have you on this journey. Remember: Recovery is about progress, perseverance, and connection. You’ve got this! 💪 The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.    

This week on Clinicians Corner, Molly and Clarissa are diving into one of the most challenging times of the year for anyone in food addiction recovery: the holidays. With family pressures, social obligations, travel stress, and tempting food everywhere, it can feel overwhelming. But don't worry, we've got strategies to help you thrive this season!   🎧 Catch Key Takeaways: • Boundary Scripts: Learn how to redirect tricky conversations with ease. Example: "I'd rather not talk about politics today—how about your travel plans this year?" • Pre-Event Planning: Show up prepared! Eat a satiating meal beforehand and bring your own recovery-friendly options if needed. • Exit Strategies: Permission to leave early? Granted. Have a plan for when enough is enough. • Combatting Social Pressure: Flip the narrative! Share the positive benefits of your recovery instead of focusing on restrictions. Example: “Eating this way has given me so much energy and clarity—I feel amazing!” • Self-Care and Community: Recharge with solo rituals, mindful walks, or virtual support gatherings. Connection doesn’t have to be in-person to be meaningful. • Navigating Travel: Pack your recovery toolkit with snacks, know your options, and keep expectations realistic. Travel doesn’t have to derail your progress.   🎁 Bonus Resource: We've created a FREE 23-page Holiday Guide packed with strategies, scripts, and science-backed tools to help you navigate the season with confidence. Sign up at Sweet Sobriety to access it!   Sign Up for Sweet Sobriety Free Resources: https://www.sweetsobriety.ca/register   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Dr. Neal D. Barnard, MD, FACC, is an adjunct professor of medicine at the George Washington University School of Medicine and president of the Physicians Committee for Responsible Medicine (PCRM). He has led numerous research studies investigating the effects of diet on diabetes, body weight, and chronic pain, including a groundbreaking study of dietary interventions in type 2 diabetes, funded by the National Institutes of Health, that paved the way for viewing type 2 diabetes as a potentially reversible condition for many patients.   Dr. Barnard has authored more than 100 scientific publications and 20 books for medical and lay readers, and is the editor-in-chief of the Nutrition Guide for Clinicians, a textbook made available to all U.S. medical students. As president of PCRM, he leads programs advocating for preventive medicine, good nutrition, and higher ethical standards in research. His research contributed to the acceptance of plant-based diets in the Dietary Guidelines for Americans. In 2015, he was named a Fellow of the American College of Cardiology. In 2016, he founded the Barnard Medical Center in Washington, D.C., as a model for making nutrition a routine part of all medical care.   Originally from Fargo, North Dakota, Dr. Barnard received his M.D. degree at the George Washington University School of Medicine and completed his residency at the same institution. He practiced at St. Vincent’s Hospital in New York before returning to Washington to found PCRM. Dr. Barnard has hosted four PBS television programs on nutrition and health and is frequently called on by news programs to discuss issues related to nutrition and research. 

Shelly-Anne McKay Shelly-Anne McKay is a Master Certified Coach and Food Addiction Specialist with over 30 years of experience in coaching and recovery. After overcoming addictions to substances and ultra-processed foods, she founded Soul Sisters United, a global recovery platform, and developed a certification program for food addiction coaches. Passionate about empowering individuals and training professionals, Shelly-Anne is a leader in the food addiction recovery field, dedicated to promoting healing and resilience. Elena Garcia Elena Garcia is a Food Addiction Specialist who transformed her own struggles with emotional eating into a mission to help others. After overcoming work burnout, losing 155 pounds, and earning a degree in Psychology, she now empowers clients to heal their relationship with food. Elena creates compassionate, safe spaces for individuals to address unhealthy habits and build strategies for a thriving, joyful, and balanced life. Key Takeaways: Understanding Food Addiction as a Coping Mechanism: Elena shares her personal story of using food to self-soothe during tough times, from growing up in a family that used food to cope with stress to facing burnout and turning to food for comfort. Shelly-Anne highlights how her own recovery from substance abuse uncovered her ultra-processed food addiction and how this realization inspired her work. The Role of Mental Health in Recovery: Elena's decision to study psychology led her to explore the deep connection between thoughts, emotions, and behaviors, influencing her compassionate approach to food addiction recovery. Both women emphasize the importance of addressing the emotional roots of addiction rather than focusing solely on dieting or weight loss. Compassion in Recovery: Shelly-Anne stresses the value of self-compassion, especially after setbacks like binges, offering practical advice on breaking the binge cycle. Both guests advocate for creating safe spaces where individuals feel supported and understood throughout their healing journey. Professional Training for Food Addiction Recovery: Shelly-Anne discusses her Professional Food Addiction Coach Certification program, which equips wellness professionals with tools to support clients effectively. She highlights why choosing the right coach or professional is crucial for recovery. Recognizing Emotional Triggers: Elena and Shelly-Anne share strategies to help people identify when they’re eating due to emotional triggers rather than physical hunger, a critical step in developing a healthier relationship with food. Empathy and Innovation in Food Addiction Coaching: Shelly-Anne explains how empathy is at the heart of her coaching philosophy and how she instills this value in the professionals she trains. Looking ahead, they both share insights on the evolving landscape of food addiction treatment, including innovative modalities and broader awareness. Advice for Those Feeling Stuck: Practical tips and words of encouragement for anyone struggling with ultra-processed food addiction, emphasizing small steps, self-forgiveness, and finding the right support. PROFESSIONAL FOOD ADDICTION COACH (PFAC) CERTIFICATION: https://www.shellyannemckay.com/foodaddictioncourse Food Addiction Support Group: https://www.soulsistersunited.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.      

Dr. Olivardia is a clinical psychologist, lecturer in the Department of Psychiatry at Harvard Medical School and Clinical Associate at McLean Hospital. He maintains a private practice in Lexington, MA, where he specializes in the treatment of ADHD, executive functioning issues, and issues that face students with learning differences. He is a recognized expert in the treatment of body dysmorphic disorder (BDD), eating disorders and obsessive-compulsive disorder (OCD). He is on the Professional Advisory Boards for Children and Adults with ADHD (CHADD) and The Attention Deficit Disorder Association (ADDA), as well as sits on the Scientific Advisory Board for ADDitude and the Expert Network for Understood. He is co-author of The Adonis Complex, a book which details the various manifestations of body image problems in males. He has appeared in publications such as Time, GQ, and Rolling Stone, and has been featured on Good Morning America, Extra, CBS This Morning, CNN, and VH1. He has spoken on numerous radio and webinar shows and presents at many talks and conferences around the country. He also has lived experience as someone with ADHD and learning differences and a parent of two teenagers with ADHD and Dyslexia. Key Takeaways: 1. ADHD and Eating Disorders: ADHD impacts all life domains, with symptoms like impulsivity, executive dysfunction, and high sensory needs that influence eating behaviors. For many with ADHD, eating is driven by sensory-seeking, and the brain’s need for stimulation can lead to unhealthy eating patterns. ADHD is often associated with binge eating and food impulsivity, influenced by genetic and neurological factors, such as dopamine dysregulation and low levels of GABA, the neurotransmitter related to inhibition.   2. Genetics, Food Culture, and Neurobiology: Dr. Olivardia shares how his family’s love for food shaped his relationship with eating and sensory stimulation. ADHD brains often experience high stimulation from ultra-processed foods, which can drive cravings and overeating due to dopamine’s role in the brain’s reward system.   3. Executive Function Challenges in Meal Planning: ADHD can make meal planning, shopping, and cooking overwhelming. Structured lists, simple recipes, and single-pot meals can help manage mealtime more effectively for those with ADHD. Regular, scheduled meals prevent intense late-night eating often seen in ADHD.   4. Medication and Treatment Options: Stimulant medications, like Vyvanse (FDA-approved for binge eating disorder), help some individuals with ADHD manage impulsivity around food by improving focus and reducing cravings. Proper medication can significantly enhance treatment outcomes for ADHD-related eating challenges. For individuals who don’t respond to medication, behavioral strategies such as maintaining regular sleep schedules, exercising, and using music for grounding can be effective.   5. Binge Eating and Addiction Risks:  Dr. Olivardia highlights the link between ADHD and addiction, including food addiction. ADHD brains metabolize glucose differently, leading to cravings for high-sugar foods. Education on how ADHD brains work can alleviate feelings of weakness or shame in managing eating behaviors.   6. Self-Acceptance and Neurodiversity: Dr. Olivardia encourages embracing ADHD and neurodiversity, emphasizing that people with ADHD often excel in creative and mission-driven fields. ADHD challenges can become strengths, leading to fulfilling, meaningful work and connections.   Resources: • CHADD (Children and Adults with Attention-Deficit/Hyperactivity Disorder) – A leading organization for ADHD support and resources: https://chadd.org   • Attitude Magazine – A resource for ADHD insights and content: https://www.additudemag.com   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.