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Suspect: What Role does Temperament Play in the Development of a Mental Health Disorder?","2026-02-02T12:26:20.046Z","2026-03-10T16:32:25.727Z","2026-03-10T16:32:28.987Z",140679495914159,"d38ecd69-59b9-4abb-b210-1699fc20d9f7",{"_uid":2225,"body":2226,"type":2227,"topic":2228,"author":2229,"authors":2230,"sources":2258,"summary":2259,"audience":2260,"component":1563,"conditions":2261,"meta_title":2263,"featured_image":2264,"meta_description":2259},"50565a2d-f893-40aa-b0fe-460d23484384","\u003Cp>Our genetic make-up contributes 50% of our particular personality or temperament. This means that, when it comes to eating, mood, anxiety, and even post-traumatic stress disorders, half of the reason that these disorders develop is due to our genetic predisposition.\u003Csup>[1]\u003C\u002Fsup>\u003C\u002Fp>\u003Cp>If 50% of the reason why we have the disorder that we do is due to temperament, is there something we can do about the other 50%?\u003C\u002Fp>\u003Cp>\u003Cstrong>Does temperament affect mental health disorders?\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Current research is beginning to show that temperament, the unusual suspect, is playing a major role in the development of psychopathology.\u003Csup>[2]\u003C\u002Fsup> Temperament is composed of our thoughts, emotions, physical sensations and, most importantly, our responses to the internal and external world inside and around us.\u003C\u002Fp>\u003Cp>The Polyvagal Theory does an excellent job of explaining how temperament plays a part in the development of psychopathology. The theory specifies etiological mechanisms through which distinct patterns of psychopathology emerge giving us more insight into temperament and emotional dysregulation — both being related to particular psychopathology development.\u003Csup>[3]\u003C\u002Fsup>\u003C\u002Fp>\u003Cp>Polyvagal theory helps us understand how our neurosensory systems play a huge part in our emotions, thoughts, physical sensations, and responses. We are inherently wired, and our life experiences mold us to respond to the world as either open and safe or dangerous and threatening.\u003C\u002Fp>\u003Cp>\u003Cstrong>Overcontrolled vs under controlled temperaments\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Dr. Tom Lynch used the Polyvagal theory to develop \u003Ca href=\"https:\u002F\u002Fwww.radicallyopen.net\u002F\">Radically Open Dialectical Behavior Therapy (RO-DBT)\u003C\u002Fa> — helping the clinician and patient understand more about one’s temperament and the role it plays in the development of certain psychopathologies.\u003C\u002Fp>\u003Cp>Dr. Lynch describes temperament as a spectrum, with \u003Cem>overcontrolled\u003C\u002Fem> vs \u003Cem>under controlled\u003C\u002Fem> personality types.\u003Csup>[4]\u003C\u002Fsup> He uses the metaphor of a rose garden to help explain the difference between the two temperaments. When it comes to overcontrolled (OC) and under controlled (UC) temperaments, the OC temperament metaphorically sees the thorns before the roses while the UC temperament may only see the roses and not mind the thorns. All of us tend towards one side of this continuum and, like a bell curve, the majority of us will fall within the window of being \u003Cem>flexibly\u003C\u002Fem> controlled.\u003C\u002Fp>\u003Cp>Here’s a real-life example: I watch my daughter eat the caramel M&M she received for going potty. She carefully bites off the candy coating and then licks the chocolate. Also, she puts the M&M down from time to time to ensure it lasts. This is the art of delayed gratification at its finest. Child development psychologists find that children with more overcontrolled tendencies have the inherent ability to emotionally regulate impulsively eating the M&M.\u003Csup>[5]\u003C\u002Fsup>\u003C\u002Fp>\u003Cp>If you are more OC, you will want more order, safety through certainty, and have sensitivity to chaos and disorder. This is related to anxiety, OCD, and other disorders related to control, etc.\u003C\u002Fp>\u003Cp>If you are more UC, you will be drawn to more excitement, intrigue, emotion, possibility, a higher level of emotion and more of an intense response. This is related to impulsiveness, substance abuse, mood lability, bipolar, borderline personality disorder, disorders related to emotional intensity and lability, etc.\u003C\u002Fp>\u003Cp>As I mentioned above, the way we experience the world around us: our reactions, emotions, thoughts, and physical sensations are impacted by our inherent temperament. One of these qualities is our inherent tendency to be over, under, or flexibly controlled as listed below.\u003Csup>[6]\u003C\u002Fsup>\u003C\u002Fp>\u003Cp>\u003Cstrong>Overcontrolled (OC)\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli>Get minimal sense of reward from most things, even things one really wants\u003C\u002Fli>\u003Cli>Highly focused on details\u003C\u002Fli>\u003Cli>Cautious or sensitive to threat and avoid when possible\u003C\u002Fli>\u003Cli>Inhibited\u003C\u002Fli>\u003Cli>Holds true emotions close to self; more constricted and may express opposite of way one feels\u003C\u002Fli>\u003Cli>Can be highly rigid, planned, and perfectionistic\u003C\u002Fli>\u003Cli>Behaviors are determined by perceived rules and beliefs about what is right\u003C\u002Fli>\u003Cli>Tend to avoid new experiences, sensations or risks\u003C\u002Fli>\u003Cli>Want to be appreciated for self-sacrifice, achievements, and hard work\u003C\u002Fli>\u003C\u002Ful>\u003Cp>\u003Cstrong>Under controlled (UC)\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli>High sensitivity to reward\u003C\u002Fli>\u003Cli>Often don't attend much to smaller details\u003C\u002Fli>\u003Cli>Less cautious or sensitive to threat and sometimes disregard threat in service of seeking reward\u003C\u002Fli>\u003Cli>Uninhibited\u003C\u002Fli>\u003Cli>Emotionally expressive; dramatic\u003C\u002Fli>\u003Cli>Less rigid, more spontaneous and impulsive\u003C\u002Fli>\u003Cli>Behaviors are often mood dependent\u003C\u002Fli>\u003Cli>Actively seek new experiences, sensations and more risk-taking\u003C\u002Fli>\u003Cli>Want to be understood\u003C\u002Fli>\u003C\u002Ful>\u003Cp>\u003Cstrong>Flexibly controlled\u003C\u002Fstrong>\u003C\u002Fp>\u003Cul>\u003Cli>Adaptable\u003C\u002Fli>\u003Cli>Open to critical feedback\u003C\u002Fli>\u003Cli>Reflective\u003C\u002Fli>\u003Cli>Willing to be wrong\u003C\u002Fli>\u003Cli>Identifying what change may be needed\u003C\u002Fli>\u003Cli>Purposeful self-inquiry\u003C\u002Fli>\u003Cli>Balance of disinhibition and inhibition\u003C\u002Fli>\u003Cli>Discoverer\u003C\u002Fli>\u003Cli>Curiosity\u003C\u002Fli>\u003Cli>Compassion\u003C\u002Fli>\u003Cli>Beginner vs. Master\u003C\u002Fli>\u003Cli>Learning stance\u003C\u002Fli>\u003C\u002Ful>\u003Cp>In treatment, we ask participants to take a series of self-assessments created by Dr. Lynch to determine their temperament. From there, we begin to design their clinical interventions based on what they have identified as maladaptive behavior or patterns that have caused them pain and suffering.\u003C\u002Fp>\u003Cp>\u003Cstrong>Flexibly controlled\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>If you are like me, when I first read the descriptions of the overcontrolled vs. under controlled temperaments, I wanted to place a value on them and identify one temperament as being better than the other. However, neither one has such a value. Rather, we need both temperaments in the world. And both temperaments must work equally hard to find flexible control.\u003C\u002Fp>\u003Cp>In order to be flexibly controlled, one must observe and build awareness of both temperaments and how they play a part in one’s behavior and life. Both sides of the spectrum have their pros and cons. We all strive for balance and safety — however, it is challenging to find and to stay there.\u003C\u002Fp>\u003Cp>Being flexibly controlled is one of the three ingredients to psychological health, as listed below:\u003C\u002Fp>\u003Col>\u003Cli>\u003Cstrong>Receptivity & Openness — \u003C\u002Fstrong>to new experience and disconfirming feedback in order to learn\u003C\u002Fli>\u003Cli>\u003Cstrong>Flexible-Control — \u003C\u002Fstrong>in order to adapt to changing environmental conditions\u003C\u002Fli>\u003Cli>\u003Cstrong>Intimacy & Connectedness with at least one other person —\u003C\u002Fstrong> species survival depends on our ability to form long-lasting bonds and work together in tribes or groups\u003Csup>[7]\u003C\u002Fsup>\u003C\u002Fli>\u003C\u002Fol>\u003Cp>Psychological health is about taking chances, taking in feedback, and adapting to the ever-changing environment and relationships around us. It was once believed that we needed to change our thoughts, emotions, and physical sensations. Now we know that is not effective or possible. We cannot control the thoughts, emotions, and physical sensations that arise in our mind and body. Rather the only control we have is over our \u003Cem>response\u003C\u002Fem> to our emotions, thoughts, and physical sensations.\u003C\u002Fp>\u003Cp>The more we understand our temperament, the more we can take control of the other 50%. A diagnosis is a beginning to understand so much more about who we are and our make-up, and what we can do about it.\u003C\u002Fp>\u003Cp>\u003Cstrong>Join me in San Francisco!\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>During my talk at our \u003Ca href=\"https:\u002F\u002Fwww.eventbrite.com\u002Fe\u002Fnew-treatment-strategies-for-complex-cases-ca-symposium-registration-61437136128?aff=Eventscalendar\">5 CME\u002FCE San Francisco Professional Symposium: New Treatment Strategies for Complex Cases\u003C\u002Fa> on September 20, 2019, I will talk more in-depth about temperament and how it relates to the development of mood, anxiety, traumatic stress, and eating disorders. Join us in person or via livestream.\u003C\u002Fp>\u003Cp>\u003Ca href=\"https:\u002F\u002Fwww.eventbrite.com\u002Fe\u002Fnew-treatment-strategies-for-complex-cases-ca-symposium-registration-61437136128?aff=Eventscalendar#tickets\">\u003Cstrong>Register for the event here\u003C\u002Fstrong>\u003C\u002Fa>.\u003C\u002Fp>\u003Cp>I hope to see you there!\u003C\u002Fp>","Blog","Treatment","Lara Schuster Effland",{"name":2229,"created_at":2231,"published_at":2232,"updated_at":2233,"id":2234,"uuid":2235,"content":2236,"slug":2250,"full_slug":2251,"sort_by_date":67,"position":2252,"tag_list":2253,"is_startpage":177,"parent_id":2254,"meta_data":67,"group_id":2255,"first_published_at":2256,"release_id":67,"lang":201,"path":67,"alternates":2257,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"2026-03-02T07:26:20.160Z","2026-04-07T14:18:56.086Z","2026-04-07T14:18:56.130Z",150514811571612,"75af493a-62bf-4938-891d-c5baa7410b73",{"bio":2237,"_uid":2238,"status":2239,"component":2240,"categories":2241,"credentials":2242,"designation":2243,"person_type":2244,"featured_image":2246,"meta_description":2249},"\u003Cp>Ms. Effland has been working in the field of eating disorders for 13 years in multiple levels of care throughout the country. Ms. Effland received her Bachelor’s degree in Psychology from Oberlin College and her Master’s degree in Social Work from Loyola University of Chicago with a concentration in clinical practice. Ms. Effland specializes in co-occurring eating, mood, anxiety, and traumatic stress disorders, with a focus primarily on mindfulness and evidenced based behavioral interventions, such as Dialectical Behavior Therapy, Cognitive Behavior Therapy, Prolonged Exposure Therapy, and mindfulness meditation and theory.\u003C\u002Fp>\u003Cp>Ms. Effland became the Regional Managing Clinical Director of Eating Recovery Center’s and Pathlight Mood & Anxiety Center's Washington site in March of 2017. Her experience in co-occurring disorders complements the exemplary eating disorders care at Eating Recovery Center of Washington. Ms. Effland regularly speaks and trains nationally on the topic of eating, mood, anxiety, and traumatic stress disorders.\u003C\u002Fp>","7232c58d-00cc-48f3-8fe3-5038d2a37e8e","Terminated","staff",[],"LICSW","Clinical Lead, West",[2245],"Center Leadership",{"id":2247,"alt":67,"focus":67,"title":67,"filename":2248,"copyright":67,"fieldtype":175,"is_private":177},150514800296552,"https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F600x800\u002Ff2f78428e6\u002Flara-effland_crop.jpg","Lara Schuster Effland, LICSW is Regional Clinical Director, West at Eating Recovery Center and Pathlight Mood & Anxiety Center","lara-schuster-effland","profile\u002Flara-schuster-effland",-190,[],148823052330811,"c5ca2889-a0de-4909-be1e-14f06a983a3a","2026-03-02T07:26:20.255Z",[],"\u003Col>\u003Cli>\u003Ca href=\"#_ftnref1\" title=\"\" name=\"_ftn1\">Levinson, 2005\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref2\" title=\"\" name=\"_ftn2\">Lynch, 2017\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref3\" title=\"\" name=\"_ftn3\">Beauchaine, et. al, 2006\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref4\" title=\"\" name=\"_ftn4\">Lynch, 2017\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref5\" title=\"\" name=\"_ftn5\">Mischel & Ebbesen, 1970\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref6\" title=\"\" name=\"_ftn6\">RO-DBT, Lynch, 2017\u003C\u002Fa>\u003C\u002Fli>\u003Cli>\u003Ca href=\"#_ftnref7\" title=\"\" name=\"_ftn7\">Lynch, 2017\u003C\u002Fa>\u003C\u002Fli>\u003C\u002Fol>","Mental health professionals may wonder how much of a role temperament plays in the development of mental health issues. Lara Schuster Effland discusses temperament, Radically Open Dialectical Behavior Therapy and Polyvagal Theory and how to apply these theories to clinical practice.",{"0":1450},{"0":2262},"Mood and Anxiety Disorders","Does Temperament Affect Mental Health Disorders? – Lara Schuster Effland | Pathlight Behavioral Health",{"id":2265,"filename":2266,"fieldtype":175,"is_private":1974},"140679480783500","https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x1333\u002Fd10bc20983\u002F5q8a4926.jpg","temperament-mental-health-development","resources\u002Ftemperament-mental-health-development",-2200,[2271,2272,2228],"Mental Health","Therapy",109705324666269,"66453265-4c6a-4be0-a017-1d1b198053e7","2019-08-14T19:22:41.000Z",[],[],[],{"age":2280,"cache-control":2281,"connection":2282,"content-encoding":2283,"content-type":2284,"date":2285,"etag":2286,"referrer-policy":2287,"sb-be-version":2288,"server":2289,"strict-transport-security":2290,"transfer-encoding":2291,"vary":2292,"via":2293,"x-amz-cf-id":2294,"x-amz-cf-pop":2295,"x-cache":2296,"x-content-type-options":2297,"x-frame-options":2298,"x-permitted-cross-domain-policies":2299,"x-request-id":2300,"x-runtime":2301,"x-xss-protection":1974},"3","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Mon, 26 Oct 2026 17:25:28 GMT","W\u002F\"ee1e29576b41236b9e21aa3ec2c2ed34\"","strict-origin-when-cross-origin","5.996.4","nginx","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 b6d3c8159ae3de02f9219eb71093bbe2.cloudfront.net (CloudFront)","-GbWqhxMSv69Oim8DjQlLpzC7u3_YsGjewMNZrAz5Z_6O5umviXR6A==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","e0da325c-5783-4aec-b023-44abfd093435","0.043239",{"data":2303,"headers":2518,"perPage":2528,"total":2529},{"stories":2304,"cv":203,"rels":2516,"links":2517},[2305,2351,2409,2456],{"name":2306,"created_at":2307,"published_at":2308,"updated_at":2309,"id":2310,"uuid":2311,"content":2312,"slug":2345,"full_slug":2346,"sort_by_date":67,"position":2347,"tag_list":2348,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2349,"first_published_at":2308,"release_id":67,"lang":201,"path":67,"alternates":2350,"default_full_slug":67,"translated_slugs":67},"Her 12-year-old had an eating disorder. Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2313,"body":2314,"authors":2332,"excerpt":14,"summary":2334,"component":1878,"categories":2335,"article_type":1880,"external_link":2336,"featured_image":2337,"external_link_text":2342,"listing_thumbnail_image":2343},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2315,"content":2316},{"backgroundColor":67},[2317,2322,2327],{"type":65,"attrs":2318,"content":2319},{"textAlign":67},[2320],{"text":2321,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2323,"content":2324},{"textAlign":67},[2325],{"text":2326,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2328,"content":2329},{"textAlign":67},[2330],{"text":2331,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2333],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":2338,"alt":2339,"name":14,"focus":14,"title":14,"source":14,"filename":2340,"copyright":14,"fieldtype":175,"meta_data":2341,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":2339,"title":14,"source":14,"copyright":14},"Read more",{"id":2338,"alt":2339,"name":14,"focus":14,"title":14,"source":14,"filename":2340,"copyright":14,"fieldtype":175,"meta_data":2344,"is_external_url":177},{"alt":2339,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":2352,"created_at":2353,"published_at":2354,"updated_at":2355,"id":2356,"uuid":2357,"content":2358,"slug":2403,"full_slug":2404,"sort_by_date":67,"position":2405,"tag_list":2406,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2407,"first_published_at":2354,"release_id":67,"lang":201,"path":67,"alternates":2408,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":2359,"body":2360,"authors":2388,"excerpt":14,"summary":2390,"component":1878,"categories":2391,"article_type":1914,"external_link":2392,"featured_image":2393,"external_link_text":2342,"listing_thumbnail_image":2400},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":2361,"content":2362},{"backgroundColor":67},[2363,2368,2373,2378,2383],{"type":65,"attrs":2364,"content":2365},{"textAlign":67},[2366],{"text":2367,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":2369,"content":2370},{"textAlign":67},[2371],{"text":2372,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":2374,"content":2375},{"textAlign":67},[2376],{"text":2377,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":2379,"content":2380},{"textAlign":67},[2381],{"text":2382,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2384,"content":2385},{"textAlign":67},[2386],{"text":2387,"type":71},"Slaven advises parents to pay attention to clues.",[2389],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. In this segment, Dr. Slaven discusses how these problematic chatbots work; what signs caregivers should watch for; and understanding how to access help.",[],"https:\u002F\u002Fwww.wbaltv.com\u002Farticle\u002Fai-chatbots-disordered-eating-baltimore\u002F73172472",{"id":2394,"alt":2395,"name":14,"focus":2396,"title":14,"source":14,"filename":2397,"copyright":14,"fieldtype":175,"meta_data":2398,"is_external_url":177},215397905808365,"Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots on eating disorders","659x220:660x221","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x556\u002Faff736e1fd\u002Fkaitlins-slaven-wbaltv-11-nbc.png",{"alt":2395,"size":2399,"title":14,"source":14,"copyright":14},"900x556",{"id":2394,"alt":2395,"name":14,"focus":2401,"title":14,"source":14,"filename":2397,"copyright":14,"fieldtype":175,"meta_data":2402,"is_external_url":177},"672x206:673x207",{"alt":2395,"size":2399,"title":14,"source":14,"copyright":14},"ai-chatbots-disordered-eating-baltimore","news\u002Fai-chatbots-disordered-eating-baltimore",-4890,[],"732a7f18-be5e-46bc-a614-40b1b1581381",[],{"name":2410,"created_at":2411,"published_at":2412,"updated_at":2413,"id":2414,"uuid":2415,"content":2416,"slug":2449,"full_slug":2450,"sort_by_date":67,"position":2451,"tag_list":2452,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2453,"first_published_at":2454,"release_id":67,"lang":201,"path":67,"alternates":2455,"default_full_slug":67,"translated_slugs":67},"How Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders","2026-07-21T15:48:16.535Z","2026-07-21T17:03:19.688Z","2026-07-21T17:03:19.702Z",200537278646480,"5706d1c2-e959-483d-a367-4cd9303ea539",{"_uid":2417,"body":2418,"authors":2435,"excerpt":14,"summary":2437,"component":1878,"categories":2438,"article_type":1880,"external_link":2439,"featured_image":2440,"external_link_text":1888,"listing_thumbnail_image":2446},"ee1c11df-b5af-40c5-91c2-8155e14bacbe",{"type":62,"content":2419},[2420,2425,2430],{"type":65,"attrs":2421,"content":2422},{"textAlign":67},[2423],{"text":2424,"type":71},"Ads for weight loss medication are everywhere. For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2426,"content":2427},{"textAlign":67},[2428],{"text":2429,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2431,"content":2432},{"textAlign":67},[2433],{"text":2434,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[2436],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":2441,"alt":2442,"name":14,"focus":2443,"title":14,"source":14,"filename":2444,"copyright":14,"fieldtype":175,"meta_data":2445,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":2442,"title":14,"source":14,"copyright":14},{"id":2441,"alt":2442,"name":14,"focus":2447,"title":14,"source":14,"filename":2444,"copyright":14,"fieldtype":175,"meta_data":2448,"is_external_url":177},"1017x1667:1018x1668",{"alt":2442,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":2457,"created_at":2458,"published_at":2459,"updated_at":2460,"id":2461,"uuid":2462,"content":2463,"slug":2509,"full_slug":2510,"sort_by_date":67,"position":2511,"tag_list":2512,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2513,"first_published_at":2514,"release_id":67,"lang":201,"path":67,"alternates":2515,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":2464,"body":2465,"authors":2497,"excerpt":14,"summary":2498,"component":1878,"categories":2499,"article_type":1880,"external_link":2500,"featured_image":2501,"external_link_text":1888,"listing_thumbnail_image":2507},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":2466},[2467,2472,2477,2482,2487,2492],{"type":65,"attrs":2468,"content":2469},{"textAlign":67},[2470],{"text":2471,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":2473,"content":2474},{"textAlign":67},[2475],{"text":2476,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":2478,"content":2479},{"textAlign":67},[2480],{"text":2481,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":2483,"content":2484},{"textAlign":67},[2485],{"text":2486,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":2488,"content":2489},{"textAlign":67},[2490],{"text":2491,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":2493,"content":2494},{"textAlign":67},[2495],{"text":2496,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. But for me, I was almost scared that I was going to be losing that part of my identity,” said Perrenoud, noting that her brother first noticed there was something wrong and then she eventually went to the doctor with her concerned mother.",[],"Eating Recovery Center alumna Sophie Perrenoud is featured in this Mercer Island Reporter article as she shares how she turned her recovery journey into an opportunity to give back and educate others about eating disorders through the creation of her non-profit Letters of Light and podcast \"Dear Body, Dear Mind.\"\n",[],"https:\u002F\u002Fwww.mi-reporter.com\u002F2026\u002F07\u002F02\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit\u002F",{"id":2502,"alt":2503,"name":14,"focus":14,"title":14,"source":2500,"filename":2504,"copyright":2505,"fieldtype":175,"meta_data":2506,"is_external_url":177},195311399484593,"Mercer Island High School student Sophie Perrenoud hosts her “Dear Body, Dear Mind” podcast. 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