370: Refeeding Syndrome Explained

It's easy to get hooked by our thoughts, even when they are unhelpful and pull us away from the kind of life we want to lead. This episode gives you five practical tools to help remind you that thoughts are just thoughts.

What if recovery makes your life worse? This week, I explore why this fear can feel so convincing, what the eating disorder’s predictions leave out, and how to move forward without waiting to feel certain.

In this episode, I explore how eating disorders use comparison around food, bodies, achievement and recovery progress to keep you feeling inadequate and questioning your needs. I also share a practical process for dealing with comparison in real time so you can continue choosing actions that support your recovery.

In this episode, I speak with my client Shannon about living for 20 years with an eating disorder shaped by under-eating, over-exercise and an identity built around movement, despite appearing highly functional from the outside. She shares what it took to stop exercising, eat enough and face the physical and emotional discomfort of recovery, and how doing so transformed her health, relationships and sense of self.

Pamela St Clair shares how she achieved full recovery after living with an eating disorder for decades. We explore what finally helped her recover, why it is never too late and how her experience led her to become an eating disorder recovery coach.

In this episode, I explain what refeeding syndrome is, who may be at risk, the warning signs and monitoring that matter, and how nutrition can be increased safely. I also explore how unnecessary fear can reinforce restriction and delay the nourishment needed for recovery.

This week on the show I speak with Dr. Brad Smith, the chief medical officer for Rogers Behavioural Health. We talk about the co-occurence of many conditions with eating disorders: OCD, anxiety, depression, and addiction. We also cover ERP (Exposure and Response Prevention) - what it is, how it works and how it can be used for different aspects of recovery.

Virgie Tovar joins the podcast to examine how GLP-1 weight-loss drugs are reshaping diet culture, from the medicalisation of restriction to the marketing of weight stigma as compassion. We discuss the impact on eating disorder recovery, the psychological cost of weight cycling, and what it takes to choose body acceptance in a culture still determined to sell thinness.

One of the most common mistakes I see people making is to go slow in recovery. As part of this episode I look at the common reason why people take this approach and why it doesn't help.

Nutritional rehabilitation receives a huge amount of attention, and rightly so. But considerably less attention is given to what comes next: learning how to build a life in which you no longer need the eating disorder.