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Care","2026-02-05T17:47:56.012Z","2026-04-26T15:52:54.116Z","2026-04-26T15:52:54.139Z",141820215401904,"b1c918c5-8185-4e08-abe9-e6d56add9ebc",{"_uid":219,"body":220,"file":577,"type":579,"topic":580,"author":581,"authors":582,"sources":609,"summary":612,"audience":613,"component":614,"conditions":615,"meta_title":14,"reviewed_by":616,"spanish_file":644,"updated_date":14,"featured_image":646,"treatment_types":650,"meta_description":14,"listing_thumbnail":651,"special_populations":653,"clinically_reviewed_date":14},"7db9623f-f3df-4de0-b996-c721e45572f1",{"type":62,"content":221},[222,227,232,237,242,249,262,275,294,302,307,314,319,324,329,334,339,350,355,362,367,441,446,451,456,461,466,471,478,505,518,525,543,548],{"type":65,"attrs":223,"content":224},{"textAlign":67},[225],{"text":226,"type":71},"In a post-op appointment, a nurse who had been working with me for 40 minutes apologized for taking so long.",{"type":65,"attrs":228,"content":229},{"textAlign":67},[230],{"text":231,"type":71},"What was fascinating to me is that my immediate thought before she made that comment was, “Wow, it's so nice that somebody is spending this much time with me.”",{"type":65,"attrs":233,"content":234},{"textAlign":67},[235],{"text":236,"type":71},"As a person in a larger body, it is a gift to spend time with a medical provider. 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We're unraveling assumptions. We're unraveling decades, if not centuries, of assuming what a body can do and what a body needs just by its appearance, rather than looking at the internal parts of it and what's going on for people.",{"type":65,"attrs":276,"content":277},{"textAlign":67},[278,284,286,292],{"text":279,"type":71,"marks":280},"Elizabeth Wassenaar, MS, MD, CEDS-S",[281],{"type":104,"attrs":282},{"href":283,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F8001",{"text":285,"type":71},", regional medical director at Eating Recovery Center, and ",{"text":287,"type":71,"marks":288},"Kaila Peak-Rishel, LCSW, LMFT, CEDS-S",[289],{"type":104,"attrs":290},{"href":291,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F14816",{"text":293,"type":71},", clinical director of binge eating disorders at Eating Recovery and Pathlight At Home, recently connected to talk about weight-inclusive care and what it means for providers and patients. Dr. Wassenaar shares:",{"type":295,"content":296},"blockquote",[297],{"type":65,"attrs":298,"content":299},{"textAlign":67},[300],{"text":301,"type":71},"“Everyone should feel safe to seek health care, everyone should expect that their concerns will not be dismissed or minimized. And everyone should expect that the main treatment suggestion for any health care or consumer concern should not be weight loss. The goal is to really take care of the entire person in front of us and not make assumptions and not miss things, major diagnoses, myths, things that impact people's experience of living their best life.”",{"type":65,"attrs":303,"content":304},{"textAlign":67},[305],{"text":306,"type":71},"Right now, according to Dr. Wassenaar, we have a healthcare system that is focused on a weight-normative approach.",{"type":295,"content":308},[309],{"type":65,"attrs":310,"content":311},{"textAlign":67},[312],{"text":313,"type":71},"“What that means is that it focuses on the idea that there is a linear relationship between size and disease. Therefore, in a disease-based model, when we have a disease, we need to have treatment interventions. So, when we have a person who is in a larger body who has this disease of the larger body, then the advice is to not be in a larger body.”",{"type":65,"attrs":315,"content":316},{"textAlign":67},[317],{"text":318,"type":71},"Dr. Wassenaar explains that when patients ask for help with an ailment, from an ear infection to a sprained ankle, a treatment suggestion is provided. When people in large bodies ask for help for an ailment, the treatment suggestion is often to change the size of their body.",{"type":243,"attrs":320,"content":321},{"level":245,"textAlign":67},[322],{"text":323,"type":71},"Weight stigma in health care",{"type":65,"attrs":325,"content":326},{"textAlign":67},[327],{"text":328,"type":71},"Heartbreakingly, we're seeing more national guidelines coming out advising health care providers, especially physicians, on how they should intervene for people with larger bodies. This includes collecting weight data and then making assumptions about that data as it relates to disease state -- either present or potential future disease state -- and interventions related to weight loss.",{"type":65,"attrs":330,"content":331},{"textAlign":67},[332],{"text":333,"type":71},"We know that when any one of us seeks care in a stigmatized environment, we can then internalize that stigma. That internalized weight stigma causes both body shame and appearance monitoring, and we know that internalized weight stigma impacts psychological and physical health.",{"type":243,"attrs":335,"content":336},{"level":245,"textAlign":67},[337],{"text":338,"type":71},"Internalized weight stigma",{"type":65,"attrs":340,"content":341},{"textAlign":67},[342,348],{"text":343,"type":71,"marks":344},"Weight stigma",[345],{"type":104,"attrs":346},{"href":347,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F12321",{"text":349,"type":71}," increases the experience of feeling that your health concern is dismissed by your provider. It is a stressor that activates the nervous system and triggers counterproductive health behaviors, including lower physical activity, maladaptive eating patterns and delays in seeking health care.",{"type":65,"attrs":351,"content":352},{"textAlign":67},[353],{"text":354,"type":71},"Weight stigma increases the odds of experiencing blood pressure issues, glucose issues, thyroid issues, arthritis and other pain concerns, infertility and self-stigma. Shares Dr. Wassenaar:",{"type":295,"content":356},[357],{"type":65,"attrs":358,"content":359},{"textAlign":67},[360],{"text":361,"type":71},"“If your treatment environment is not size inclusive, you're sending a message that patients in larger bodies are not welcome, or will not be accommodated, reinforcing the narrative that they cannot receive care. So I think it's very important that we take a really hard look around our spaces.”",{"type":65,"attrs":363,"content":364},{"textAlign":67},[365],{"text":366,"type":71},"To address weight stigma and foster weight-inclusive care, health care providers can consider these questions:",{"type":368,"content":369},"bullet_list",[370,378,385,392,399,406,413,420,427,434],{"type":371,"content":372},"list_item",[373],{"type":65,"attrs":374,"content":375},{"textAlign":67},[376],{"text":377,"type":71},"Does my space communicate that all patients and all bodies will be met without shame or discrimination?",{"type":371,"content":379},[380],{"type":65,"attrs":381,"content":382},{"textAlign":67},[383],{"text":384,"type":71},"Is my space accessible?",{"type":371,"content":386},[387],{"type":65,"attrs":388,"content":389},{"textAlign":67},[390],{"text":391,"type":71},"Does my furniture fit all patients?",{"type":371,"content":393},[394],{"type":65,"attrs":395,"content":396},{"textAlign":67},[397],{"text":398,"type":71},"Is weighing done automatically, regardless of the reason the person has come in? And does it need to be?",{"type":371,"content":400},[401],{"type":65,"attrs":402,"content":403},{"textAlign":67},[404],{"text":405,"type":71},"When is weighing necessary?",{"type":371,"content":407},[408],{"type":65,"attrs":409,"content":410},{"textAlign":67},[411],{"text":412,"type":71},"If weighing is necessary, can it be done in a private and supportive way?",{"type":371,"content":414},[415],{"type":65,"attrs":416,"content":417},{"textAlign":67},[418],{"text":419,"type":71},"Do I respect that my patient might not need or want to see that number?",{"type":371,"content":421},[422],{"type":65,"attrs":423,"content":424},{"textAlign":67},[425],{"text":426,"type":71},"Have I addressed weight stigma with my staff?",{"type":371,"content":428},[429],{"type":65,"attrs":430,"content":431},{"textAlign":67},[432],{"text":433,"type":71},"Can my staff encourage each other to be as open and weight inclusive as possible?",{"type":371,"content":435},[436],{"type":65,"attrs":437,"content":438},{"textAlign":67},[439],{"text":440,"type":71},"Will I accept feedback from my patients on weight biases, experience and stigma from my practice?",{"type":243,"attrs":442,"content":443},{"level":245,"textAlign":67},[444],{"text":445,"type":71},"Creating a weight-inclusive health care space",{"type":65,"attrs":447,"content":448},{"textAlign":67},[449],{"text":450,"type":71},"Peak-Rishel echoes the need to have weight-inclusive health care spaces, as typically “the world is not set up for people in larger bodies.”",{"type":65,"attrs":452,"content":453},{"textAlign":67},[454],{"text":455,"type":71},"So that means having examination tables, gowns, chairs, blood pressure cuffs and more to accommodate folks in larger bodies.",{"type":65,"attrs":457,"content":458},{"textAlign":67},[459],{"text":460,"type":71},"Peak-Rishel says that in a weight-inclusive care environment it is important to focus on behaviors over body weight. What are the barriers to wellness? Is the person getting enough sleep? What is their socioeconomic situation? How are they functioning at work? What’s important, she explains, is to take a holistic view of each person.",{"type":65,"attrs":462,"content":463},{"textAlign":67},[464],{"text":465,"type":71},"“We’re focusing more on the context and the story of the person than that one data point. There's so much politics right now around our bodies, and it's different for each person.”",{"type":65,"attrs":467,"content":468},{"textAlign":67},[469],{"text":470,"type":71},"This is such an important topic because weight-inclusive care means better care for folks in diverse bodies. If health practitioners are so focused on the number on the scale, they may miss issues and diagnoses. Says Peak-Rishel:",{"type":295,"content":472},[473],{"type":65,"attrs":474,"content":475},{"textAlign":67},[476],{"text":477,"type":71},"“I’ve heard so many horror stories of patients being told, you just need to lose weight and your pain or this issue can go away.”",{"type":65,"attrs":479,"content":480},{"textAlign":67},[481,483,495,497,503],{"text":482,"type":71},"Weight stigma can even spill into ",{"text":484,"type":71,"marks":485},"eating disorder treatment",[486],{"type":104,"attrs":487},{"href":488,"uuid":489,"anchor":67,"target":27,"linktype":31,"story":490},"\u002Fwhat-we-treat\u002Feating-disorders\u002F","be2ca5b8-6af2-4401-866b-e4340246ef7b",{"name":491,"id":492,"uuid":489,"slug":493,"url":494,"full_slug":494,"_stopResolving":35},"Eating Disorders",145653010838098,"eating-disorders","what-we-treat\u002Feating-disorders\u002F",{"text":496,"type":71},". 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She continues:",{"type":295,"content":519},[520],{"type":65,"attrs":521,"content":522},{"textAlign":67},[523],{"text":524,"type":71},"“There’s a delicate balance of education and validating the shame and trauma.”",{"type":65,"attrs":526,"content":527},{"textAlign":67},[528,530,541],{"text":529,"type":71},"In the group setting of folks with eating disorders, such as ",{"text":531,"type":71,"marks":532},"Eating Recovery At Home’s virtual intensive outpatient programs",[533],{"type":104,"attrs":534},{"href":535,"uuid":536,"anchor":67,"target":27,"linktype":31,"story":537},"\u002Fat-home","95402fb7-bdd8-4ce3-9584-50a2893ee9e0",{"name":538,"id":539,"uuid":536,"slug":540,"url":540,"full_slug":540,"_stopResolving":35},"At Home",105997763247766,"at-home",{"text":542,"type":71},", individuals learn this is all too common of an experience and they aren’t the only ones.",{"type":65,"attrs":544,"content":545},{"textAlign":67},[546],{"text":547,"type":71},"In treatment, folks are supported by a multidisciplinary team to build resilience and skills in their everyday lives. For example, they practice communication and emotion regulation skills so that they feel empowered to advocate for themselves when they seek care in the future.",{"type":65,"attrs":549,"content":550},{"textAlign":67},[551,556,563,567,573],{"text":552,"type":71,"marks":553},"To hear more from Dr. Wassenaar and Peak-Rishel on weight-inclusive care, use ",[554],{"type":555},"italic",{"text":557,"type":71,"marks":558},"this link",[559,562],{"type":104,"attrs":560},{"href":561,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fcontinuingeducationercpathlight.litmos.com\u002Fself-signup\u002F",{"type":555},{"text":564,"type":71,"marks":565}," and code ",[566],{"type":555},{"text":568,"type":71,"marks":569},"WeightInclusivity",[570,572],{"type":571},"bold",{"type":555},{"text":574,"type":71,"marks":575}," to access their full webinar. If this is your first time using our portal, you will receive a confirmation email from ERC Pathlight Continuing Education Events with a link to log in. 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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":2859,"body":2860,"authors":2878,"excerpt":14,"summary":2880,"component":2349,"categories":2881,"article_type":2351,"external_link":2882,"featured_image":2883,"external_link_text":2888,"listing_thumbnail_image":2889},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2861,"content":2862},{"backgroundColor":67},[2863,2868,2873],{"type":65,"attrs":2864,"content":2865},{"textAlign":67},[2866],{"text":2867,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2869,"content":2870},{"textAlign":67},[2871],{"text":2872,"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":2874,"content":2875},{"textAlign":67},[2876],{"text":2877,"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.",[2879],"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. 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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":2930,"content":2931},{"textAlign":67},[2932],{"text":2933,"type":71},"Slaven advises parents to pay attention to clues.",[2935],"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. 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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":2972,"content":2973},{"textAlign":67},[2974],{"text":2975,"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":2977,"content":2978},{"textAlign":67},[2979],{"text":2980,"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.",[2982],"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":2987,"alt":2988,"name":14,"focus":2989,"title":14,"source":14,"filename":2990,"copyright":14,"fieldtype":175,"meta_data":2991,"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":2988,"title":14,"source":14,"copyright":14},{"id":2987,"alt":2988,"name":14,"focus":2993,"title":14,"source":14,"filename":2990,"copyright":14,"fieldtype":175,"meta_data":2994,"is_external_url":177},"1017x1667:1018x1668",{"alt":2988,"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":3003,"created_at":3004,"published_at":3005,"updated_at":3006,"id":3007,"uuid":3008,"content":3009,"slug":3055,"full_slug":3056,"sort_by_date":67,"position":3057,"tag_list":3058,"is_startpage":177,"parent_id":2367,"meta_data":67,"group_id":3059,"first_published_at":3060,"release_id":67,"lang":201,"path":67,"alternates":3061,"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":3010,"body":3011,"authors":3043,"excerpt":14,"summary":3044,"component":2349,"categories":3045,"article_type":2351,"external_link":3046,"featured_image":3047,"external_link_text":2359,"listing_thumbnail_image":3053},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":3012},[3013,3018,3023,3028,3033,3038],{"type":65,"attrs":3014,"content":3015},{"textAlign":67},[3016],{"text":3017,"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":3019,"content":3020},{"textAlign":67},[3021],{"text":3022,"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":3024,"content":3025},{"textAlign":67},[3026],{"text":3027,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":3029,"content":3030},{"textAlign":67},[3031],{"text":3032,"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":3034,"content":3035},{"textAlign":67},[3036],{"text":3037,"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":3039,"content":3040},{"textAlign":67},[3041],{"text":3042,"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":3048,"alt":3049,"name":14,"focus":14,"title":14,"source":3046,"filename":3050,"copyright":3051,"fieldtype":175,"meta_data":3052,"is_external_url":177},195311399484593,"Mercer Island High School student Sophie Perrenoud hosts her “Dear Body, Dear Mind” podcast. 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