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What is the Meaning of Nutrition Counseling?

Nutrition counseling is more than just advice on what to eat. It’s a collaborative process aimed at helping you develop a healthier, more balanced relationship with food, your body, and your overall well-being. At Nutritious Thoughts, we focus on creating a personalized experience that honors your unique needs, preferences, and goals. Our approach to nutrition counseling in Asheville, Hendersonville, Cary/Raleigh, NC, is rooted in the idea that food is more than fuel. It’s a reflection of your personal story, culture, and self-care practices. No matter whether you’re managing medical conditions, working through disordered eating, or simply looking for a better way to approach food, nutrition counseling can help you find a path toward sustainable, compassionate nourishment.

Through nutrition counseling, we work together to create a plan that supports both your physical health and emotional well-being. This might include exploring your relationship with food and understanding how your body responds to different foods. Or it could be building intuitive eating practices that help you reconnect with your body’s natural hunger and fullness cues. At its core, nutrition counseling is about helping you find balance and feel empowered in your choices. This way you can live a life that feels aligned with your values and needs.

Who Needs Nutrition Counseling?

The truth is, that anyone can benefit from nutrition counseling! While it’s often thought of as something for people managing specific medical conditions, nutrition counseling is just as important for those looking to improve their overall relationship with food and body. If you’ve been navigating a health condition like diabetes, gastrointestinal issues, heart disease, or food allergies, nutrition counseling can provide practical, tailored advice to help you manage your condition through your dietary choices. A dietitian can help you create plans that meet your nutritional needs while also working with your body’s requirements, ensuring you don’t feel restricted or deprived.

But nutrition counseling isn’t just for managing medical conditions. If you’ve ever felt overwhelmed by diet culture, struggled with body image, or experienced disordered eating patterns and compensatory behaviors, nutrition counseling can help you rebuild trust with food and your body. It’s especially helpful if you’ve been caught in the cycle of chronic dieting and rigid food rules or guilt have taken the joy out of eating. Nutrition counseling offers an opportunity to rediscover what it means to nourish yourself in a way that feels balanced, flexible, and enjoyable. Whether you’re looking to improve your body image, find a peaceful relationship with food, or simply explore how to better care for yourself, nutrition counseling is for you. A close up of a hand holding fresh raspberries. Our nutritional counseling in Raleigh, NC can help with chronic conditions, disordered eating & more. Get started with our registered dietitians today.

What is the Difference Between Nutritional Therapy and Nutritional Counseling?

While nutritional therapy and nutritional counseling both aim to improve your health through personalized dietary guidance, they have slightly different focuses. Nutritional therapy tends to take a more clinical approach. It’s often used in the treatment of medical conditions and involves a dietitian working closely with other healthcare professionals to provide Medical Nutrition Therapy (MNT). This means using evidence-based interventions to manage or treat specific conditions like diabetes, cardiovascular disease, or gastrointestinal disorders. Nutritional therapy focuses heavily on clinical outcomes, using food as part of your overall medical care plan.

On the other hand, nutritional counseling takes a broader, more holistic approach. While it also involves science-backed nutrition advice, nutritional counseling looks at the bigger picture of your relationship with food, body, and self-care. It’s about more than managing symptoms or achieving medical outcomes—it’s about exploring how food interacts with your life, emotions, and identity. Nutrition counseling often involves working on intuitive eating, mindful eating practices, and addressing any emotional or psychological connections you may have with food. At Nutritious Thoughts, we emphasize building a trusting, collaborative relationship between you and your dietitian, where we work together to uncover what nourishment means for you on a personal level.

How Long Does Nutritional Therapy Last?

The length of time you engage in nutritional therapy or counseling varies depending on your needs and goals. For some individuals, a few months of regular sessions might be enough to achieve their desired outcomes. Whether it’s learning new eating habits, managing a medical condition, or overcoming specific food challenges. Others may find that longer-term support is necessary, especially when navigating chronic health conditions or deeply ingrained disordered eating behaviors.

Typically, in the beginning, sessions are scheduled more frequently. They can be weekly or bi-weekly. This allows you to build momentum and create consistent changes. During these early sessions, we’ll gather important information about your medical history, eating habits, lifestyle, and health goals. All so we can create a tailored plan that fits your life. As you progress, the frequency of sessions may decrease, transitioning to monthly check-ins or even less frequent follow-ups once you feel more confident in your ability to sustain the changes you’ve made.

It’s Important to Remember that Nutrition Counseling is Not a One-Time Fix.

Just as your body and life evolve, so do your needs when it comes to nourishment. The beauty of nutritional counseling is that it adapts to support you throughout your journey, whether that’s for a few months or for ongoing, long-term care. At Nutritious Thoughts, we’re here for you as long as you need, offering continued guidance, support, and encouragement as your needs and goals shift.

What is the Goal of Nutrition Counseling?

The overarching goal of nutrition counseling is to help you find a way of nourishing your body that feels good, sustainable, and aligned with your personal health goals. But it goes beyond just managing food—it’s about helping you build a positive, compassionate relationship with food and your body. For some, the goal may be to manage a medical condition by making informed food choices that support physical health without feeling overly restricted. For others, the goal might be to break free from the diet culture mindset, rediscover the joy of eating, and learn to trust their body’s signals of hunger and fullness. It’s about moving away from rigid food rules and embracing a more flexible, intuitive approach to eating.

At Nutritious Thoughts, we believe that nourishment is not just about food—it’s about self-care, body respect, and finding balance. Nutrition counseling encourages self-compassion, reminding you that all bodies deserve nourishment and that health comes in many forms. Our goal is to help you make informed decisions that honor your body and reflect your values, creating a sense of peace and empowerment around food. By building a relationship with your dietitian, you gain the tools and support you need to develop habits that not only improve your physical health but also enhance your emotional and mental well-being. A young woman standing in front of an orange background hugging herself. Representing how nutritional counseling in Raleigh, NC can help enhance your self-care practices. Call now to begin working with a registered dietitian.

Embracing Nutritional Counseling in Asheville, Hendersonville, Raleigh/Cary, NC

Nutrition counseling is a dynamic, evolving process that adapts to your needs and supports you on your journey toward a healthier, more balanced relationship with food and body. Whether you’re managing a health condition, working through disordered eating, or simply seeking to feel more at ease with your eating habits, our team of compassionate dietitians at

Nutritious Thoughts is here to guide you every step of the way. With a focus on self-compassion, intuitive eating, and honoring your unique needs, we work together to help you discover what nourishment truly means for you. For more insights on nutritional counseling, check out our blogs “What is the purpose of nutritional counseling?” and “What can nutritional therapy help with?”

Experience Personalized Nutrition Counseling in Asheville & Throughout NC

At Nutritious Thoughts, we believe that nutrition counseling is more than just guidance—it’s a personalized journey to help you build a healthier relationship with food, your body, and self-care. Whether you’re managing a health condition, recovering from disordered eating, or simply looking to find balance in your eating habits, our compassionate team is here to support you every step of the way. We offer in-person sessions in Asheville, Hendersonville, and Raleigh/Cary , NC, as well as online options, to meet you wherever you are. Let’s work together to discover what true nourishment means for you and your well-being:

  • Contact us at (828) 333-0096 or email us at info@nutritious-thoughts.com
  • Tell us more about yourself
  • Find your path to a healthier, more compassionate relationship with food and your body!

Other Counseling Services at Nutritious Thoughts

At Nutritious Thoughts, we offer more than just individual counseling—we support whole communities through our Community Wellness & Education Services. We provide on-site or virtual nutrition counseling, workshops, and presentations for schools, workplaces, and recovery centers, bringing practical wellness tools to where they’re needed most. Reach out for details on our offerings and rates.

 

What is the Purpose of Nutritional Counseling?

Nutritional counseling is a journey of self-discovery, healing, and nourishment that goes far beyond meal plans and calorie counts. It’s about exploring your unique relationship with food, understanding the impact of nutrition on your physical and emotional well-being, and finding supportive ways to care for yourself. In this process, you build a partnership with a dietitian who provides guidance, compassion, and tools that honor your individuality—your body, your mind, your experiences, and your culture.

In this blog, we’ll dive into the purpose of nutritional counseling in Asheville, NC, and how it can empower you to connect more deeply with your health, whether you’re navigating chronic conditions, healing from disordered eating, or simply wanting to find balance in your day-to-day life.

What is Nutrition Counseling in the Treatment Of?

The heart of nutrition counseling lies in creating a therapeutic space to address various health concerns and build a healthier relationship with food. Whether you’re looking for support in managing a medical condition or seeking guidance on body positivity, nutrition counseling offers a personalized approach to many needs, such as:

Chronic Conditions and Disease Management

Nutritional counseling plays a significant role in managing conditions like diabetes, heart disease, digestive disorders, and more. Instead of focusing on restriction or rigid rules, a dietitian will help you explore what nourishment looks like for your body’s needs. Together, you can work on finding balanced and realistic nutrition strategies to support your health, without resorting to “all or nothing” thinking.

Eating Disorders & Disordered Eating

When struggling with eating disorders or disordered eating patterns like binge eating, compensatory behaviors, restriction, or chronic dieting, nutritional counseling offers a supportive path to recovery. Your dietitian works with you to unpack the emotions, beliefs, and fears around food, with the goal of fostering self-compassion and understanding. It’s not just about following a food plan—it’s about reconnecting with your body, learning how to nourish yourself in a way that feels safe and supportive, and working toward food freedom.

Emotional and Mental Wellness

How we nourish ourselves is closely tied to our mental and emotional well-being. From stress eating to loss of appetite in depression, our eating patterns reflect our inner experiences. Nutritional counseling helps you understand these patterns and develop self-care routines that honor your emotional needs. It’s about creating a nurturing relationship with food that reflects care for your mind, body, and soul.

General Wellness and Self-Care

You don’t need a medical diagnosis to seek support through nutritional counseling. If you’re interested in improving your eating habits, building a positive body image, or simply exploring how nutrition fits into your life, nutritional counseling is here to help. It’s about finding sustainable ways to nourish your body, focusing on well-being rather than adhering to unrealistic diet culture standards.

The beauty of nutrition counseling lies in its flexibility. It molds itself to your needs. Whether you’re aiming to manage a health condition, heal your relationship with food, or simply explore self-care in a supportive way. Rather than prescribing strict rules or a one-size-fits-all approach, it honors your personal experiences. It also honors the complex factors that shape how you nourish yourself. This collaborative process is not just about what you eat. It’s about understanding the “why” and “how.” Allowing you to move forward with confidence and compassion. Now, let’s look at a specific example of how nutrition therapy might work in practice.

A woman sitting down with a nutritional therapist. Nutritional counseling in Asheville, NC & surrounding areas can help you recover from disordered eating, trauma & more. Get started today!

What is an Example of Nutrition Therapy?

Consider someone living with digestive discomfort and uncertainty around what foods they can eat. Maybe they’ve tried cutting out certain foods, read online tips, or gone through frustrating trial-and-error. Now their relationship with eating has become increasingly stressful and filled with anxiety. This is where nutrition therapy can provide a safe, non-judgmental space to explore their needs. Working together, a dietitian will dive into the person’s medical history, daily eating habits, food preferences, and the emotional challenges they face around food.

Rather than a strict elimination diet, the dietitian might use an approach that encourages mindful eating. This focuses on foods that support digestion and help build a balanced, nourishing diet. The goal is to alleviate discomfort without feeling restrictive or punishing. This example highlights that nutrition therapy isn’t about telling you what you can or can’t eat. It’s about finding an approach that works for your body and life while respecting your needs, preferences, and feelings about food.

How is Nutrition Therapy Done?

Nutrition therapy and counseling are grounded in a partnership built on trust, connection, and individualized care. It’s not about fixing you. Rather, it’s about supporting you in understanding your body, your needs, and your health goals. Your dietitian takes a compassionate, whole-person approach. This means sessions might involve any combination of education, support, listening, and collaborative problem-solving. Nutrition counseling often begins with an initial session that allows your dietitian to understand your current eating habits, medical history, relationship with food, and lifestyle factors that affect your well-being.

From there, you both explore what “nourishment” means for you. Along with setting goals that align with your physical and emotional health. This is a collaborative process—your voice, your story, and your comfort are central. Nutritional counseling is about finding what feels supportive for you. It could mean working through emotional ties to food, finding new ways to manage a chronic condition, or simply exploring how to build a daily balance. And that means focusing not just on “what” you eat but also on “how” and “why” you eat.

What are the Steps Involved in a Nutrition Counseling Session?

Every nutrition counseling journey is as unique as the person embarking on it. However, there are some common steps that can help you know what to expect when beginning counseling:

Initial Assessment Session

Your journey begins with getting to know you—your hopes, challenges, medical background, lifestyle, relationship with food, and anything else you wish to share. This session usually lasts between 55 and 85 minutes, allowing your dietitian to gather the information needed to support you effectively. The tone is open and empathetic, with space to share as much or as little as you feel comfortable with.

Follow-Up Sessions

These sessions are where the work unfolds. Follow-up sessions are all about diving deeper into your needs and goals. During the first few visits, your dietitian might explore your desired health outcomes, provide practical nutrition education, or hold space for you as you reflect on your relationship with food. Your progress is a topic of discussion, but so are your barriers, emotions, and any shifts in your day-to-day life that may affect your eating patterns.

Building Relational Care

Over time, a strong therapeutic relationship is built between you and your dietitian. The sessions adapt to your needs each week, starting with a check-in to see how you’re feeling and what’s on your mind. From there, you might explore food behaviors, talk through challenges you’ve faced, or celebrate the progress you’ve made. Together, you can make attainable plans around self-care, whether that means finding practical strategies for meal planning or addressing any struggles with body image that come up. Your dietitian may also help you explore nutrition myths and misconceptions, offering evidence-based information to empower you in making informed choices.

Creating and Adjusting Goals

Goals set during nutrition counseling are not rigid. They’re meant to be supportive, realistic, and adaptable to your unique journey. Rather than creating strict or overwhelming targets, the focus is on finding what feels meaningful and manageable to you. Your dietitian will work with you to set intentions that align with your values and lifestyle. This could involve something as simple as trying out a new breakfast routine, learning to tune in to your body’s natural hunger cues, or finding new ways to incorporate nourishing foods into your day.

Goals can also go beyond just what you eat. You might explore body neutrality—learning to accept and respect your body for what it can do, rather than focusing on appearance. Or you may develop self-compassionate eating habits that allow you to honor your needs without judgment or guilt. As life changes and new challenges come up, your goals can be revisited and adjusted, ensuring they continue to support you in a way that feels right. Every step is taken at your own pace, with flexibility and self-compassion as guiding principles.

Every session in nutritional counseling is centered on your needs and what feels right in that moment. There’s truly no “wrong” way to engage. It’s all about finding the kind of support that honors your journey and feels meaningful to you. Remember that your process is unique, and growth will come in its own time and way. To help you make the most of your counseling experience, let’s explore some key “do’s” and “don’ts” that can guide you through this supportive process.

What are the Do’s and Don’ts of Nutrition Counseling?

Approaching nutrition counseling with an open heart and clear intentions can make a significant difference. Here are some key “do’s” and “don’ts” to consider:

Do’s:

  • Do practice self-kindness: Understand that change takes time and that perfection is not the goal—progress is.
  • Do come with curiosity: Be open to learning about yourself, your habits, and how they connect with your nourishment and well-being.
  • Do set small, meaningful goals: Celebrate each step forward, no matter how small, and honor what feels right for your body and lifestyle.
  • Do communicate openly: Your voice matters. Share your thoughts, challenges, and feedback with your dietitian.

Don’ts:

  • Don’t expect a “quick fix”: True nourishment and healing are gradual processes that honor your individuality. It’s not about dieting or drastic changes.
  • Don’t compare yourself to others: Your journey is unique. Focus on your goals, needs, and the pace that feels right for you.
  • Don’t feel pressure to achieve “perfection”: There’s no one “perfect” way to eat or nourish yourself. Embrace flexibility and honor your body’s cues and needs.

Types of Nutritional Counseling: Exploring Treatment Options at Nutritious Thoughts

At Nutritious Thoughts, whether you’re in Raleigh, Asheville, Hendersonville, Cary, or prefer online sessions, our registered dietitians are licensed across North Carolina and ready to meet your unique needs. Our approach offers a variety of nutritional counseling services designed to support you on your wellness journey, no matter where you are:

  • Disordered Eating Recovery and Body Image Support: For those struggling with eating disorders or body image, working with a dietitian experienced in this area can help you reconnect with food and body in a compassionate and healing way.
  • Medical Nutrition Therapy (MNT) for Chronic Conditions: If you are managing chronic conditions like diabetes, IBS, PCOS, or high cholesterol, dietitians provide support through MNT, offering guidance on how to nourish your body in a way that supports your medical needs.
  • Athletic and Performance Nutrition: Nutrition counseling for athletes focuses on fueling the body for performance, recovery, and overall well-being, tailoring recommendations based on training, competition, and individual preferences.
  • General Health and Wellness Coaching: If you’re looking to explore balanced eating, mindful self-care, or creating sustainable health habits, nutrition counseling for wellness offers a space to explore and build on these goals in a way that feels gentle and supportive.

A woman wearing a red shirt hugging herself while smiling. Our nutritional counseling in Asheville, Raleigh, & Boone, NC can help your healing journey. Call today to get started with a nutritionist.

Importance of Nutrition Counseling Across NC

In every office—from Raleigh to Asheville, Hendersonville to Cary, and even through online counseling—our nutrition counseling emphasizes holistic care that honors both your physical and emotional needs. It’s not about adhering to strict diets or chasing numbers on a scale, but rather about discovering what truly nourishes your body and fits into your life with balance and compassion.

Nutrition counseling uses a non-judgmental and inclusive approach to help you explore what self-care and nourishment mean for you personally. No matter if you’re working through the complexities of an eating disorder, managing a health condition, or simply seeking more balance in your daily life. It’s a process that meets you where you are. This relational approach helps you find a path to well-being that feels authentic to who you are.

How to Begin a Nutrition Counseling Session?

Starting your journey into nutrition counseling begins with reaching out to the Nutritious Thoughts admin team, who will schedule you with a dietitian who feels like a good fit for your needs, values, and approach. It’s essential to find someone who understands not just your goals but also your experiences, your background, and your relationship with food. Once you’ve found the right support, you’ll begin with an initial assessment session.

This is where you and your dietitian will start to build a connection, explore your needs, and create a collaborative path forward. As you prepare, consider what you hope to achieve and any questions or concerns you want to address. Remember that this is a space for you—designed to meet you where you are, honor your journey, and support you every step of the way.

Discover True Nourishment with Compassionate Nutrition Counseling in Asheville & Throughout NC

At Nutritious Thoughts, nutrition counseling is a personalized journey to support your relationship with food, body, and self-care. Whether you’re managing a health condition, recovering from disordered eating, or simply seeking balance, we’re here to guide you. Our compassionate team meets you where you are, with empathy and respect for your unique needs and experiences. With both in-person sessions in Asheville, Hendersonville, Cary, and Raleigh, NC, and online options, we’re ready to help you discover what true nourishment means for your well-being. So let’s start this journey toward a more nourished self:

  • Contact us at (828) 333-0096 or email us at info@nutritious-thoughts.com
  • Tell us more about yourself
  • Discover a balanced path to nourish your body and mind!

Other Counseling Services at Nutritious Thoughts

At Nutritious Thoughts, we offer more than just individual counseling—we support whole communities through our Community Wellness & Education Services. We provide on-site or virtual nutrition counseling, workshops, and presentations for schools, workplaces, and recovery centers, bringing practical wellness tools to where they’re needed most. Reach out for details on our offerings and rates.

If you’re a professional seeking to enhance your expertise, our Professional Development & Careers services are tailored to support your growth. Visit our Professional Development page to learn more about how we can help you advance your career in nutrition and wellness.

Resourcing Yourself

What does it mean to “be in your body”?

For many of us in recovery from an eating disorder or disordered eating, this question is one that we shy away from. Being in our bodies? Nah, not for us. However, being in our bodies (embodiment) may be a tool to help strengthen and expand recovery.

So, let’s ask again. What does it mean to be embodied?

Being embodied means to have the ability to listen. When we can attune to the messages our bodies are sending us, we then have the opportunity to meet our needs accordingly and to be in and with ourselves.

Becoming embodied is a process that can take a lifetime, as we are discouraged from listening to our bodies from a very young age. How do we begin this process? See the tools below that can be used to exercise the “listening muscle” and enhance our ability to sense our bodies and how they fit in the world around us.

5-4-3-2-1 Grounding Tool

  • This grounding technique helps us to orient to the world around us, which is the first step to being able to orient to the world within us (an embodied state).  Practice utilizing this tool linked above.

Body scanning

  • Body scanning is a type of meditation that invites us to notice sensations within our bodies. Practice body scanning to your comfort level using the video linked above.

Begin your journey to exploring embodiment by practicing the 5-4-3-2-1 and body scanning tools above. What do you notice about your thoughts, feelings, and sensations? What do you notice about your comfort level with yourself?

 

Stay tuned for more information about embodiment in recovery in our April blog post!

 

 

Repost: Some “What Ifs” For Dealing With Fatphobia In The New Year

This blog post was written by Ragen Chastain of Dances with Fat.

“The truth is that fatphobia should never happen, and we should never have to deal with it. If and when we do, we might have to take into account how much energy we have to fight, how much power the person engaged in bigotry has over us, or other factors – including and especially for people who are part of more than one marginalized community. So these what-ifs aren’t about deciding what we will do every time, but rather thinking about the possibilities

What if we didn’t put up with body shaming?

What if we interrupted body shaming whenever we heard it – not just about our own bodies, but about any body? You could say something like “My new year’s resolution is to stop participating in negative body talk.” (If this is happening before the new year, just add “and I’m starting early!”)

What if we didn’t allow a running commentary on our body/food choices/weight/etc.

People can think whatever they want about my body, but they can’t say it out loud if they want me to stick around. One of my favorite phrases for this is “I’m going to stop you there.” You can just leave it at that and change the subject, or you can add something like “I’m not interested in people’s opinions about my body/food/weight/etc. let’s talk about something else.”

What if we didn’t buy into the thinner=better/healthier/prettier paradigm

This is a place where I think all of us can probably use some self-work. Our culture is utterly saturated with this myth and it can create fatphobia that is directed at others and/or internalized. (Often we can identify areas for work by our “buts” and our “as long as’s” for example, if we think “it’s ok to be fat but…she shouldn’t be wearing that” or “it’s ok to be fat as long as you’re healthy”) Bodies come in lots of sizes for lots of reasons and thinner bodies are not inherently better in any way, and adding healthism to fatphobia does not improve the situation.

What if we loudly defended our bodies, fixed a plate, then flipped a table and walked out?

This may not be your style and that’s completely ok. But know that it’s ok to defend your body (maybe like you would defend someone you love.) We each get to choose what we are going to allow and sometimes those choices are out of your hands, but it’s worth brainstorming the solutions that are the most “out there” including table-flipping, and leaving (with a plate, of course!)

If we want to dismantle fatphobia we need to keep asking ‘what if…’.”

Repost: the HAES® files: How We Can Reframe Gaining Weight as an Act of Self-Care

BY HEALTH AT EVERY SIZE® BLOG

by McKenna Schueler

In this ASDAH blog post, McKenna Schueler offers a compassionate framing of weight gain to combat harmful cultural messaging that glorifies weight loss while vilifying weight gain as a ‘problem’ to be fixed. Within, McKenna proposes that allowing your body to gain weight can, in many cases, be protective and serve as an act of self-care and body kindness. 

Most people nowadays have some level of awareness of what it means to pursue or engage in some form of ‘self-care’. Unfortunately, this concept which was initially rooted in self-compassion has in recent years been commodified.

That is, if you look to magazines or social media influencers to figure out what self-care is, you’ll find the concept often linked to products and services promoted as one-size-fits-all cures for any number of mental and physical ailments. If you buy this cream, or that subscription box – there’s your self-care.

This proposed requisite of having to buy a product or service to take care of your physical or mental well-being is problematic, to say the least. And it also bleeds into the aesthetic values of diet culture, which glorifies pursuits of shaping, surveilling, and shrinking the body.

Thus, it has become in vogue to find creative ways to pursue weight loss under the guise of #selfcare.

In this way, self-care begins to resemble something closer to bodily harm than body kindness. As a result of whom this media messaging typically targets, this commodified picture of self-care disproportionately reaches women; and by way of medical and institutional bias, has its most nefarious effects on women of color, food insecure populations, disabled folx, and trans folx whose bodies exist beyond the bounds of what has traditionally been conceived of as the “picture of health.”

What isn’t often broached in discussions of self-care, however, is where weight gain can fit. As a young, cisgender woman with a decade-long history of disordered eating patterns, I have had the challenging – yet, perhaps ultimately rewarding – experience of unlearning and relearning what it means to treat my body and general self with kindness.

As a result of having an eating disorder and living in contemporary American society, I’ve had a considerable amount of time to be both drawn into the alluring conception of body-shaping and shrinking as the ultimate #wellnesshack – and fight against it.

As most people who are drawn to Health At Every Size® principles are probably aware, there are many harms and health risks that can occur as a result of disordered eating. People of all sizes who engage in severe patterns of disordered eating or weight-cycling are at risk for facing both medical and psychological consequences. These risks are not limited to people who are classified by the problematic BMI calculation as “underweight.”

Weight gain is commonly framed within media and by bias-holding medical professionals as a “problem to be fixed.” But what about when weight gain is protective, and the choices leading up to them acts of self-nurture? Additionally, why must weight gain (for any reason) be moralized at all? All bodies shift and change with time; it is simply our realities as embodied creatures.

In this post specifically, I will be focusing on weight gain that occurs in response to nourishing and caring for your body after a time of caloric restriction or scarcity. Among people with and without clinical eating disorders alike, it is common for weight gain to occur as a natural response to weight suppression or recent weight loss.

Weight suppression refers to the phenomenon of your weight being below your biological set-point and can happen as a result of:

  • having inadequate access to enough food
  • chronic dieting
  • eating disorders
  • medical conditions

Side effects of medications, or significant experiences of stress or sickness, can also cause weight loss in some instances – much to the body’s chagrin.

Within the context of eating disorder recovery, weight gain can be more complex than one’s reaction to seeing a higher number on the scale. Many people (with and without eating disorders) tie weight loss or a smaller body to their identity, their sense of safety, or their value as a person. Learning to re-nourish the body in eating disorder recovery can also be physically uncomfortable, or even painful at times as a result of how the body reacts to increasing or regulating food intake.

The challenges of accepting and embracing weight gain are even more significant for people who occupy a fat body, due to the compounding pressure of messaging coming out of diet culture, biases held by treatment providers, and size discrimination. I recognize that as a person with thin privilege, I am protected from many of these compounding forces of oppression.

Then there are our friends, our family, or whomever we encounter this way or that who take the time to bemoan recent bodily changes. They have also been fed messages about what is “healthy” or “unhealthy,” or how to treat a body that is not pictured as the totally achievable health ideal.

When I propose the idea of reframing weight gain as self-care, I am not proposing that this physical change is the most important part of the body kindness process. When I talked to someone about this angle recently, they said to me: Yes, weight gain can be important for eating disorder recovery [and arguably for many people without an eating disorder], but what else does this mean?

As I understand, what accepting weight gain as a form of body kindness really means is:

  • listening to and accepting your body’s needs
  • challenging the ways we are conditioned to critique our bodies and instances of weight gain
  • challenging fatphobia’s white supremacist, ableist, and xenophobic roots
  • embracing the HAES® principle of eating for well-being, and rejecting healthism

Often lost in the continual onslaught of complaints about weight gain are how it can often come as a result of properly nourishing ourselves following sickness, stress, or inadequate access to food.

Not every instance of weight gain is something that someone is actively pursuing, and it may be unexpected. But when we become so fixated on feeding into diet culture’s vilification of weight gain, we neglect how nurturing, and how tender an act it can be to adequately feed our bodies and let them change as they may, if and when we have the resources to do so.

For people who are recovering from an eating disorder or years of dieting, this can be particularly special. It’s not easy to ignore and challenge the mainstream obsession with weight loss or ‘fixing’ our bodies. But is is an act of kindness to ourselves.

The Take-Home Message

Nourishing ourselves doesn’t have to be careful, pretty, gentle, or always even grounded in mindfulness.

Reaching for whatever it is you have available – be it an apple, candy bar, or your favorite food – and feeding yourself sends a message to your body that I am taking care of you, you deserve nourishment, and that will never change no matter how you change or grow.

So, if you would like, I invite you to frame any past, recent, or future weight gain as self-care. I’m right here with you. 


McKenna Schueler (She/Her) is a freelance/contract writer with a Bachelors of Arts degree in English and a minor in psychology. McKenna was first introduced to Health at Every Size® and the body liberation movement through the works of fat activists and radical feminist voices online. She hopes to further her education in public health and use her knowledge to help increase federal, state, and community support for inclusive and culturally-competent mental health treatment interventions that respect patient agency. In the meantime, she strives to offer words of compassion and understanding for those who can come away from her writing feeling better informed and/or comforted.

Reclaiming Your Body After Abuse and Assault

Trigger Warning: Impact of abuse and assault on physical, mental, and emotional health. Reader discretion advised.

au·ton·o·my
/ôˈtänəmē/
noun

You may ask: Where does the voice of a registered dietitian treating eating disorders/disordered eating belong in a conversation about the impacts of abuse and assault?

Our answer: Front and center.

Experiencing a loss of body autonomy through traumatic events such as abuse and assault is a topic that is becoming more openly discussed in media and research. Finally! – a realm of experiences that many (most) of us can relate to on some level is no longer “hush-hush”. With the growing amount and variety of community support for survivors, where does the non-diet, body neutral dietitian fit in?

Trauma affects everything. Survivors often experience changes in their physical, mental, and emotional health (sometimes gradually, sometimes suddenly).* Many of these changes are intricately weaved with digestive health and eating behaviors. Cue the non-diet, body neutral dietitian!

It is our hope to help survivors of trauma move forward in their healing journeys by encouraging a reclamation of body autonomy and educating on the specific ways traumatic events can alter the how we feed ourselves. This. Takes. Time. All the time one may need. Some ways in which a dietitian at Nutritious Thoughts** may support you in reclaiming your body autonomy include the following:

  • Restoration of balanced and adequate nourishment
  • Rehabilitation from eating disorder/disordered eating behaviors
  • Attunement to bodily cues (hunger, fullness, other digestive and emotional cues related to eating)
  • Creating a self-care plan
  • Cultivating a space where your voice and experience is heard and respected

If you or someone you know needs support around the topics of abuse and/or assault, please consider reaching out to or providing them with the following resources:

  • National Domestic Violence Hotline – 1-800-799-7233
  • National Sexual Assault Hotline (RAINN) – 1-800-656-4673
  • Our Voice (local Western NC support!) – 828-255-7576
  • For crises, medical emergencies, etc. – Dial 911

*Details on these changes can be found via Dialogues of Clinical Neuroscience here: Traumatic stress: effects on the brain

**A registered dietitian is an important part of a treatment team for survivors with dis-regulated eating behaviors but they cannot be the entire team. Survivors deserve a team that involves multiple clinicians and at minimum, the addition of a therapist and physician.

Back to School!

We are a few weeks into the 2019-2020 school year.  With returning to school comes a set of new stressors, deadlines, and social activities.  How do we maintain recovery when taking on the role of “student”?  Eating Disorder Hope recently released an article on this topic exactly, and we couldn’t have written it any better ourselves.  Therefore, we’ve provided the article for you here in this blog post!  Keep reading for some top-notch tips on staying recovery-forward in the midst of transitioning back to school.

 

Best Practices for Returning to School

Here are the best practices for returning to school in eating disorder recovery:

Make time for recovery. Even with a busier schedule, it’s important to prioritize recovery. This includes continuing to attend appointments with your treatment team at a frequency that will continue to support your recovery. This also includes keeping your long-term health and wellness in mind in spite of the stressors that come with school.

Identify your triggers. Before returning to school, identify what may trigger disordered eating thoughts and behaviors. Triggers may be things like overhearing classmates talk about their bodies, eating with others in the lunchroom, or the amount of math homework you’ll be facing.

Have a go-to list of coping skills and self-care plans that will help you manage these triggers. This will help reduce any risk of relapse.

Develop a healthy daily structure. Finding a daily structure means finding balance. It’s having a routine that provides regular sleep and regular meals.

It’s a schedule that includes social activities that make it difficult to isolate, as well as things like making time for academic efforts to prevent school work from “building up.”

Self-care is an important part of the daily structure — as part of the best practices for returning to school, be sure to build in time each day to take care of yourself and manage daily stressors.

Get support. Know that when things get difficult, you don’t have to figure it out all on your own. Call in your support system — whether it be parents, friends, teachers, the school counselor, or a formal support group — for support around whatever is troubling you.

Many students in recovery need support around academic workload, time management, stress management, meal prep, and/or mealtime support.

Consult with your treatment team. Work closely with your treatment team to address any triggers or challenges that may arise. If you have any concerns, be sure to share them with your treatment team, as they will be able to support you and offer up individualized recommendations.

If you begin to feel like things are getting on top of you, like you’re not coping as well, or returning to old disordered eating thoughts or behaviors, it’s important that you reach out to your treatment team as soon as possible.

Special consideration for student-athletes. Work closely with your coach.

For students in recovery who are returning to athletics along with school, it’s important that your coach understands how to support you in your recovery.

Coaches should be aware of any recommendations being made by your treatment team and be willing to support you in following those recommendations.

This is important for both your short-term and long-term health and wellbeing.


About the Author:

Chelsea Fielder-JenksChelsea Fielder-Jenks is a Licensed Professional Counselor in private practice in Austin, Texas. Chelsea works with individuals, families, and groups primarily from a Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) framework.

She has extensive experience working with adolescents, families, and adults who struggle with eating, substance use, and various co-occurring mental health disorders. You can learn more about Chelsea and her private practice at ThriveCounselingAustin.com.

Summertime Scaries

The summer season produces many unique challenges for those recovering from an eating disorder, disordered eating, or body image concerns.  From family cookouts to bathing suits, the summer months can feel like one huge exposure assignment!  We’ve compiled some great reads that address many of the “summertime scaries” in recovery.  Check them out below!

 

What’s Love Got to Do with It?

En lieu of Valentine’s Day and with love on the mind, we thought to follow suite with February’s blog theme in a post about self love.

Except, we won’t be talking about self love.

Instead, we’re going to re-frame “self love” as “self acceptance.” Why? Hopefully the answer will be evident by the end of this blog post. In short: we don’t need to love every single thing about ourselves. That’d be unrealistic. A losing battle. Instead, making peace with our bodies through acceptance not only lifts a weight off our shoulders, but brings power through embracing uniqueness and diversity.

Merima Dervović is a public speaker and wheelchair user born with spina bifida. In her 2018 Ted Talk, Merima explains her body image difficulties and struggles with acceptance. She also shares her realization that while she doesn’t choose to love her condition, she chooses to embody her sexuality, her identity, her personality, etc. Merima identifies three steps in her path toward self acceptance. In this blog, we highlight, describe and expand on these steps.

Step 1: Acceptance means truth. And that’s a truth that society now needs more than ever. The majority of you are not in my position, but you don’t have to be in a wheelchair to inspire change in the world. You just have to get comfortable with your imperfections, wherever those imperfections may be.” In other words, acknowledgement. Acknowledge YOU, all parts that make you, YOU. This includes parts you may believe to be flawed, less-than, imperfect to a societal-imposed standard. This blog frames self acceptance from a body image perspective, but the message is also applicable with respect to mental and emotional parts of our character as well. The first step to awareness is to acknowledge your truths.

Step 2: Become shameless. This step involves taking your power back. Now that we’ve identified our ‘flaws’ in step 1, let’s own them. Being shameless means speaking your mind and allowing yourself to be [and feel] who you truly are – completely and fully. You have all the right in the world to not fit in and still feel good about yourself.

Be more shameless by using the art of ignoring things. Merima challenges us to: “Take all the shame imposed by others, look at it, and just let it go. What has helped me navigate the world is the art of ignoring things – glances and comments from others, etc. The truth is, people will hardly ever change. You will always encounter people that will judge you, stare at you, and make you feel like you won’t fit in. The good thing is that we can change the perceptions that we have about ourselves.

Step 3: Detach yourself with compassion. The key to this step is to switch the perspective that you have about yourself, focusing less about the things that you DON’T like about yourself, and instead emphasizing the things that you DO like.

“Acceptance is a process. You have to get comfortable with being uncomfortable. Every change is uneasy. But once you follow through with the process, you will find that most of your fears are inside of your head. They are not real. Commit to compassion day by day. Energy is put into compassion just as energy is put into self-loathing – choosing one over the other is the challenge.


Imperfection is the key to self-acceptance. You have to own your body from the roots of your hair to the toenails in your feet. You may not particularly like those hair roots or toenails (or other bodily feature in-between), but they are yours. Every flaw carries its own story, own uniqueness. They truly are what makes you, YOU! We don’t have to love our flaws, but simply acknowledging and accepting them allows our mind to feel content – and dare I say, empowered?

*This month’s blog post was developed and written by: Emma McVey, Dietetic Intern with University of Northern Colorado

Five Reasons Diet Culture is So Enticing

Diet culture is pervasive. The messages we internalize are often received inadvertently and yet, they sometimes gain immense power that can shift our mindset and behavior related to how we treat our bodies. How does this happen? Jamie Marchetti, Registered Dietitian and Author of the Wonderfully Well blog sheds some light on the ways diet culture can easily capture our attention and arrest us in our journey toward intuitive nourishment and insightful self care.