Behind The Bite

Ep. 245 The CBT Rewrite We’ve Been Waiting For: A Weight-Inclusive Path to Eating Disorder Recovery

Episode Summary

The CBT Rewrite We’ve Been Waiting For: A Weight-Inclusive Path to Eating Disorder Recovery, featuring Drs. Lauren Muhlheim, Jen Averyt, and Shannon Patterson—three psychologists reshaping how we treat eating disorders through a radically inclusive new CBT workbook. This episode of Behind the Bite, hosted by Dr. Cristina Castagnini, examines the evolution and shortcomings of traditional Cognitive Behavioral Therapy (CBT) for eating disorders, and unveils a newly developed, radically weight-inclusive CBT workbook. Joined by three expert psychologists—Dr. Lauren Muhlheim, Dr. Jen Averitt, and Dr. Shannon Patterson—the conversation provides insight into how culture, weight stigma, and inclusivity must reshape how clinicians and individuals approach eating disorder recovery. SHOW NOTES: Click here Follow me on Instagram: https://www.instagram.com/behind_the_bite

Episode Notes

The CBT Rewrite We’ve Been Waiting For: A Weight-Inclusive Path to Eating Disorder Recovery, featuring Drs. Lauren Muhlheim, Jen Averyt, and Shannon Patterson—three psychologists reshaping how we treat eating disorders through a radically inclusive new CBT workbook.

This episode of Behind the Bite, hosted by Dr. Cristina Castagnini, examines the evolution and shortcomings of traditional Cognitive Behavioral Therapy (CBT) for eating disorders, and unveils a newly developed, radically weight-inclusive CBT workbook. Joined by three expert psychologists—Dr. Lauren Muhlheim, Dr. Jen Averitt, and Dr. Shannon Patterson—the conversation provides insight into how culture, weight stigma, and inclusivity must reshape how clinicians and individuals approach eating disorder recovery.

SHOW NOTES: Click here

Follow me on Instagram: https://www.instagram.com/behind_the_bite

Episode Transcription

 Welcome to Behind the Bite, where we delve deep into the real life struggles and triumph surrounding food, body, and weight. I'm Dr. Cristina Castagnini, a psychologist and certified eating disorder specialist, bringing you a unique blend of personal experience as a recovered individual with over 25 years of professional expertise.

In each episode, we'll share the courageous journeys of individuals who have faced these challenges firsthand. Alongside insights from dedicated professionals in the field, whether you're seeking healing, inspiration, or simply a deeper understanding, this podcast is here to empower you on your own path to a better life.

Join us as we explore stories of resilience, discuss the latest insights, and strive to foster a community of support and growth. Together we can break down barriers, challenge stigma, and pave the way towards healing and living authentically.

Hello everybody and welcome to today's show. You know what? I wanna be honest. Treatment. It doesn't always work. And if you've ever tried CBT for an eating disorder and felt like maybe it missed the mark. Maybe you sat in therapy wondering why it doesn't feel like maybe it's made for you. You're not alone.

Sometimes traditional approaches to eating disorder treatment can feel rigid or outdated, and maybe you don't feel like it's for you. And you know what? That's okay. It does work for some people. And that's why I wanna talk about what's in this episode. It's really important. Today I am joined by three incredible psychologists, doctors, Lauren Muhlheim, Jen ett, and Shannon Pat Patterson.

They are rewriting what CBT for eating disorders can look like. Their new workbook is radically inclusive. Weight neutral, trauma-informed, and honestly long overdue. This conversation is a powerful look at what happens when clinicians actually listen to what's not working and decide to do something about it.

So if you or someone you love has ever felt invisible in recovery, this might just change everything.

All right. I have three amazing guests here today with me. I wanna welcome you all to the show. And so if you guys wanna go around maybe and introduce yourselves really quick, and then we can jump on into talking more about your work and this wonderful workbook that's gonna be coming out soon. Yeah, so I'm Lauren Muhlheim.

I'm a psychologist based in Los Angeles, and I run a group practice called Eating Disorder Therapy la and we have eight therapists and we all specialize in eating disorders. And I'm Jen Averitt. I am a clinical health psychologist based in Phoenix, Arizona, and I have a private practice, Phoenix Health Psychology, and I also work at the Phoenix VA in the eating disorder program.

And I'm Shannon Patterson. I'm a licensed psychologist in Madison, Wisconsin, and I do clinical instruction for a virtual telehealth company and I own my own private practice locally in Madison where I specialize in health psychology and eating disorder treatment. Fantastic. Thank you. So how did you all meet each other?

Just curious the background with that. Yeah. I guess I can start. Shannon and I met at the Phoenix VA and we were working together in the evening disorder program. First when Shannon was a trainee and then a staff member. And we quickly learned that we both had interests in cognitive behavioral therapy for eating disorders, but wanted to make some of the same modifications to the treatment, and did a lot of work together on that along with our other teammates.

And then in seeking additional consultation on that topic, we both met learn. Okay. Yeah. And we, I think we're equally passionate about the modifications we were making to CBT. And so then we decided to join forces and create this workbook. So for people who don't know much about CBT for eating disorder treatment, can you just give the overall overview?

'cause I always assume people listening. Some people may know a lot about treatment, some people know nothing. 'Cause sometimes we get listeners who are especially like parents or loved ones who are saying, oh, or even people who are seeking treatment, but they have no idea what they might be getting into.

And then I wanna really talk about what is different about your workbook that's coming out soon. Yeah, so CBT is an evidence-based treatment for anxiety, depression, and eating disorders. And it's theory driven that thoughts, behaviors and feelings all influence each other. And CBT for eating disorders was really developed back in the 1990s.

And a treatment manual was written then and. Not really much has been updated in the manuals since then. The great thing about CBT for eating disorders is it's trans diagnostic, so it's meant to be delivered for all types of eating disorders and. So our workbook really highlights the main core mechanisms of many eating disorders, which is like over evaluation of weight and shape or body image disturbances attention to people's dietary rules and maybe dichotomizing foods into good foods and bad foods.

Taking a look at things like events and moods that are influencing people's eating patterns. Including restriction. So I think Jen, Lauren, and I all really agreed that there was just this huge emphasis on binge eating. But not a lot of emphasis on the restriction within the model. And so one of the things that we really tried to do in our workbook is to really, I think, emphasize the role of restriction for people in all body sizes.

And so I think a lot of people don't necessarily see themselves reflected in a lot of the workbooks or a lot of the current literature that's out there with CBT. Eating disorders. And so we really wanted to aim to shift things a little bit, in addition to creating a space for people to understand the role of outside factors.

So things like culture, diet, culture, and weight stigma. So one of the coolest things I think when Lauren, Jen and I got together is that we all conceptualize those things really similarly. And one of the key things that you can do in CBT is to create a diagram of your symptoms. So to help the patient, just to help the person really see what's keeping it going.

And so traditional models really include internal factors, so things that are inherently like characteristic of the person rather than to. Rather than to really focus on what's in our culture that's contributing to these things. I think all three of us were really aligned in trying to locate the problem outside the person rather than over pathologizing.

Which I think a lot of those traditional books, didn't mean to, but I think we really wanted to highlight the role of culture in that development. Diet culture specifically. No, I think that sounds amazing because, I think there, there is so much more now with. Social media and especially like I have teenagers and my daughter's always saying, there's so much on TikTok and so much of that talk that, when I was growing up, it was a lot of the magazines, but it just seems like they're bombarding people now with all the messaging.

So to not address that, I think that's wonderful you're doing that. And so I'm wondering how do you address that in the workbook in terms of discussing the internal factors, like maybe some of the internal self-talk or their individual triggers versus the culture at large and some of the weight bias and things like that.

Yeah, I think that was one of the things we did was, labeling what's coming from outside the culture as diet culture and building that into the cognitive model so it doesn't all emanate within the person. And of course it makes sense that you feel like you need to lose weight. Or, change your body given all these things going on in the culture.

And I think we've included that really early on in the workbook so that it's there from the start and can help people to understand how their eating related concerns may have developed in the context of that kind of focus and stigma and how it might be contributing to their ongoing symptoms as well.

So when you're talking about the culture at large, are you talking. About things like in the medical field as well, or is it more in terms of the media or. External, even like with family, peers, things like that. Are you touching on based on everything? Yeah, I think all of the above. Okay. I think because of particularly, I know for Shannon and I having experience working in big healthcare systems, we did wanna pay special attention to stigma and bias that can come up in healthcare settings.

Because personally for me, that's where I've seen a need for this. Adaptation of CBTE to be able to address that and acknowledge you may be getting pressure from other healthcare providers to lose weight and this is how you might be able to navigate that while going through this type of treatment.

Yeah. Jen, I'm so glad you brought up medical weight bias and Cristina as well. I think it's really worth exploring, I think with patients, the role that's had on their desire to lose weight, their drive to lose weight, their. The development of their disordered eating. And I think traditional CBT really didn't include any advocacy discussion and any specific like psychoeducation related to those aspects of their experience.

And so we really just felt like adding to that, adding that to the treatment would be really helpful and eye-opening for a lot of folks. And in the process of healing. So just a lot of, not just internal work, even ourselves as psychologists and therapists being able to do the work of advocacy outside of the therapy room and helping our clients to maybe see the role that could play in their life as well.

Yeah. I'm glad you brought that up. I too worked it, I worked at Kaiser for 15 years, so I saw that oh my goodness. That's near and dear to my heart, so I'm so glad to hear that's in there because yeah, I don't think we talk about it enough. And I'm wondering too, is this workbook also to help you have that psychoeducational part?

Is that, is this workbook also geared to. Maybe giving information to medical providers or people in the field so that they can maybe learn more about how they might be perpetuating some of this themselves. I think that's something that we would love to do more with in the future. So we do have a, part of the workbook that'll be available for clinicians that will have resources and tools and some additional information about how this treatment is tailored. But I know a personal interest of mine is providing education on weight stigma and strategies to. Weight stigma within healthcare settings.

And I think there's a lot of opportunity to provide more of that education, especially in the world that we're living in now with GLP one agonists and more attention. Focused on weight. I think it's a good time to have more of that education available. So I think the three of us would love to do more with that in the future, from more of the provider education side and we hope that's a, this is a step in the direction, right?

Because there are so many people practicing CBT for eating disorders, and a core part of CBT for eating disorders is psychoeducation and in. Fairburn, who was the creator of cbts manual, he recommends his book be the piece of Psychoeducation. So to the extent that people can start using our workbook, CB twi, I think, hopefully it will bring along more practitioners with it to this kind of newer way of thinking.

If people were to look at. The original Fair Bone versus yours is that the big differentiating. I think is the talk about weight bias and inclusion and what, like if a clinician is out there who's maybe an eating disorder specialist what would you say is like the biggest difference for if they were to implement this into their practice?

I think some other broad changes that we tried to implement throughout was trying to update some of the clinical examples and, some of the psychoeducation to make sure it was more inclusive. And maybe speaking to a more diverse population. Some of the original materials we know were developed with young college aged women, and maybe the examples wouldn't fit for everyone.

So we've tried to make it more inclusive in that sense. And also to include. More focus on factors like neurodivergence and how that can overlap with eating disorder symptoms and food insecurity as well. We talked about that within social determinants of health, but also try to weave that throughout the workbook because we see that come up so frequently.

We felt it was important to address. Yeah, and we removed the weekly weighing require requirements because we had a lot of concerns about that just being forced upon people and what they were getting from that. We felt really strongly about having an option that didn't require the weekly weighing.

I could say a lot, we could say a lot about the weight requirements. Yeah. Yeah, definitely. I think too, one of the things, one of the critiques we often hear about CBTE or at least some, sometimes feedback we get is like the rigidity of self-monitoring and how, it has to be done a certain way and people have to record absolutely everything that you drink, and there's just zero flexibility with that.

One of the things we also really wanted to do is allow people to reflect on any difficulties with that and give more flexibility from a trauma informed way. Again, similar to what Lauren had said about the weighing and having that being forced upon people, really allowing people to reflect a little bit on what they need and where they're at with that and examining that a little bit more and having some flexibility for that.

I think other things that we saw a need for is really the inclusion of self-compassion. There were a lot of, I think. Interventions that work geared toward unintentionally maybe restricting food like bird surfing. And some of the things we wanted to do is to be able to offer some more wide variety of strategies for different eating behaviors outside of just binge eating.

And so to allow people to be able to reflect on not only what is contributing to their binge eating, but what's contributing to their restriction and to be able to give them a wider set of tools to be a little bit more. Inclusive of the support that we could give people there in stage three. Jenna, Lauren, feel free to chime in too, but we've also seen a need within the body image framework to have a lot more support with just the factors that we talked about on different levels of people's lives.

Having that awareness of, the personal factors that they've experienced throughout their life, but also the role of oppression. Of stigma and to be able to reflect a little bit on different influencers of the body. So I think traditional CBT is a bit more focused on very cognitive interventions.

And so we really just wanted to open that up and give people a space for a little bit more like higher systems level thinking. In that regard too. Yeah, we definitely modified some of the interventions. Like the traditional CBT is, go out and, wear a bathing suit and, make no one, no one will respond to you.

When you do have a client in a larger body, they may go out and someone may make a comment to them. So there's a lot more kind of thought about. Designing exposures and we encourage values-based exposure and justice-based exposures, which are a newer way of addressing stigma.

Within disorders, you could talk a long time too about feeling fat and that intervention and, even just within the field, there's still, I think, addressing different ways that's handled, but being able to help support clients in examining that word and what does that word mean, and rather than to cast those an experience everybody's having and everyone is labeling it in that way.

Getting more curious about how body image distress shows up and without necessarily acting or using that as a. I think like basically a different word for a negative experience. So rather than to perpetuate weight stigma, we really wanted to question that intervention and be able to offer some additional or actually alternative tools for that in particular as well.

And also trying to reframe some of that and to body discomfort for people who may be experiencing. Different types of discomfort in their body and to name that within the workbook, but also provide resources in the online materials to address concerns in that area. Again, just for the overall inclusiveness of the workbook, we felt that would be important as well.

It sounds like you guys hit on so many things and really updated. CBT for all the things going on right now. And I'm actually curious, 'cause you brought up the, the quote unquote weight loss drugs. Did you touch on that too, or did you leave that out? We do mention it briefly in a couple of places.

I think one area where that can come up a lot is with the way that we've explained regular eating and making sure to work towards getting enough in terms of volume and variety of foods. And we felt like it would be important to. Mentioned that for people receiving certain types of medical treatments, whether that's weight loss medications or diabetes treatment, or being post-bariatric surgery, we wanted to still be inclusive of that and recognize that can impact appetite and fullness and may lead to additional challenges.

So we did include mention of it there. We didn't go into a lot of detail, but we thought it was important. And do you guys touch, does the work touch on exercise at all in any part of this? Yeah, there is a section on excessive exercise, which I think may have been moved to the online supplement the larger section on excessive exercise, but how to address it.

And we definitely define it as an eating disorder symptom to be addressed. We, refer to the variety of compensatory behaviors and discuss, why they're a problem and. Encourage people to look at their behaviors. We've also included some resources for rethinking movement as well and incorporating enjoyable types of movement, and we've provided some resources.

In those areas too for people who may be looking for alternatives or things that can help them to feel good in their body or maybe address other health related goals that they have. And again, some of that might be in the online resources, but we do have that included in a couple of places in the workbook.

Nice. So I'm hearing like there's online. Resources. And so in the workbook, are there sections and then it, there's like a, like some comment about, oh, go online to get more about this topic, or do you Yeah. Is it required to go to the online to get the most out of the workbook? We exceeded our word count, so we had to move certain sections online. So that's, and we tried to pull the things that were not as common to everyone and put those sections online. So I'd say the key interventions are gonna be still in the workbook, but there will be a different additional kind of modules online that people can do further work in, as well as many other resources that we've added online.

Nice. Okay. So is this workbook something that people can use on their own, or would you advocate that they work on it with a therapist? Just curious how, what the thought pattern is there. Yeah, it's designed to be done either way. I think there's certainly some really helpful work that can be done with the therapist.

But we also wanted to create the workbook because we know access to mental health treatment is an issue, remains an issue for a lot of folks. And so it can really be done either way. No, I think that's a great thing to bring up is the access to care. Definitely the lacking people, even therapists that are.

Like knowledgeable about eating disorders as well, so I could see how that could be even helpful For therapists who maybe don't know that much about eating disorders, it could be very useful for therapy if you can't find a specialist to integrate that. That's amazing resource. Okay. Yeah, and that's, there's some really good research on guided self-help for eating disorders that, even when the therapist is not specifically trained in eating disorders, helping a client work through a self-help program like that can be super helpful.

So again, that's one of our hopes is that clinicians who are not trained will, will pick up the book and support clients as well. I think the three of us are lucky to get to work as a part of a multidisciplinary team most of the time, but that's another access issue. We know for a lot of people out there who may not be able to meet with a dietician or a medical provider with expertise in these areas, but we've tried to provide some guidance within the workbook of when to seek help and some directories and resources for finding.

That specialized help if needed. But again, it can be done without that in case people don't have access to those resources. That brings a question. So a lot of people ask, oh, how do I know if I have an eating disorder? Would I even need this workbook? So I'm wondering if, does this workbook help people maybe identify if they do have.

An eating disorder. And if so, if they do need treatment beyond the workbook? Yes, indeed it does address that. We worked hard to be able to help assess that ahead of time for folks. And obviously, like Jen said, there's indicators, obviously eating disorders are very, they could be really deadly illnesses and clearly it's, and folks that might be in need of higher levels of care or at least medical treatment. But, so we try to give that guidance to folks to, to support them in that decision and that journey. But also really wanna be able to give them the tools to better understand what is an eating disorder and to be able to bust some of the myths out there that eating disorders just affect one type of person and to be able to.

Hopefully, as Jen had highlighted in some of the examples in the book, be able to help different people see themselves reflected in those examples where maybe they haven't had that opportunity to do that in the past. No it's it sounds like it's really useful too because I think there is a lot of confusion out there about.

What it is, disorder eating, what is an eating disorder? Or people, a lot of people think, oh, I'm just doing what the influencers are doing. I'm not, I don't have an eating disorder. And so I think that's so needed right now for people to have some kind of resource, something they can read, something they can do maybe by themselves to help them identify oh wait, maybe I am really in need of some help.

I'm glad you did that and provided more of a context. 'cause I still hear the myth out there. Oh no, I can't have one. I'm a male or I'm older, or whatever it is. And so breaking those myths is really important. Yeah, for sure. And right, we know that. People who are not in the tradit, the types of bodies that are traditionally associated with having eating disorders are, much later to, get diagnosed and treated.

And of course that impacts treatment outcomes. So that was really important to us to make sure that, the book could address as many types of people as it could. So do you touch on atypical anorexia as well? We do a lot of talking about weight suppression and that weight suppression can apply to people on any size body and that.

We really hammer home the, are you eating enough? We had that in there so many times and we kept coming back to it and it's but we all see that so much in our practice, right? That we get people who, they think they're binge eating and. Really they're just restricting and with maybe, occasional like small subjective binges.

And that's what I find myself doing almost all day long, every day is telling people how little they're eating. And people are really surprised to hear that message. So we tried to really overemphasize it in the book. Oh, wonderful. No, yes, I hear that all the time as well. People are like, you need to eat.

How much, like it's it's scary to think, to me it is scary to hear how little people think is too much. I don't know. I'd love to hear your thoughts on like why you think that is. Why people think like whatever their number is, I don't like to talk the number, but why they think that is too much when it's it's not enough at all.

It's almost starvation level. I think unfortunately sometimes that feedback can come from medical providers. Eh. As a part of recommendations for weight loss to address different health conditions. At least that's a lot of what I hear in my practice and that people have been given specific numbers and again, not to.

Get into the numbers themselves, but I think a lot of times people hear something and it sticks with them, and sometimes that goes back to previous life experiences. So working with a lot of veterans. I often hear of people needing to make weight at different times in their military career and being told to follow a certain diet to, to make weight, and that sticks with them, and that's a number in their mind that they feel like they need to come back to.

So I, I think the workbook tries to address that. And as Lauren said, we really try to emphasize the, are you eating enough part to maybe help people think of that in a different way. Yeah. I really, in the same vein as Jen, really see a lot, hear a lot of people who are advised to lose weight by.

Usually powerful people in their lives, like medical providers with this thought that it will improve their health conditions. And so I work with a lot of folks who do have chronic health conditions co-occurring with their eating disorders. And so it's really hard to undo some of that messaging.

And so I think a lot of the assumption is the less I eat, the better. And just. If I'm losing weight, that means I'm doing the right thing. That means I am healthy. And so I just think there's a lot of misconceptions out there about. Weight and health, and it's hard, obviously, as Lauren said, we only have so much room in a workbook to get into all of that.

But to be able to really help people to understand and help define for themself what does health really look like to them. And to help not only to see that there's the biological component of health, but there's also social components of health and psychological aspects of health.

And to be able to offer some compassion. For a lot of messages that they've been given over the years by different people. But a lot of times I do see it as driven by just a desire to pursue health in different ways. That's a big message in our culture. Yeah, that's definitely true. And just as you were talking, it got me thinking about all these things I keep hearing because saying, oh, I'm so much healthier when I follow X Diet or this, that, whatever.

It's not. Necessarily for weight loss. When you hear about things like, I'll just bring up like intermittent fasting, I get debated with all the time. Oh, it's so healthy. It so this, so that my head spins, but I'm wondering, do you guys address any of those kinds of diets or talk about specific things like that?

Not so directly. We don't. Take down every variation of diet. But I think we really try to lead people towards more regular eating. Eating, by the clock, not relying on hunger too early. And being more inclusive of variety. But like you, I, I saw something today in the news about extreme intermittent fasting, and I won't even say how many hours they said between meals because it was terrifying.

Yeah. I think even though we don't directly eat, dispel every diet myth out there, I think we also just emphasize on what really is working for you and how can we really understand. What works for you, not necessarily what works for, allegedly a social influencer. Who puts up what they eat in a day, but really understanding and helping the person to do some experimentation with that and to be able to challenge food rules.

Obviously that's a big part of CBT and to help people to understand how those. Rules are driving their eating disorder and keeping it going. So I think in the book we do, in addition to regular eating and variety, volume and variety, talk a lot about helping people to challenge that and to allow themselves to to experiment about what works for them and for their bodies and particular also just psychoeducation about all of the click bait out there in terms of nutrition advice and allowing people to reflect a little bit on.

The nature of the information they're getting to make sure that's really coming from a reputable source, which is really challenging these days. Oh yeah.

I think that was another way we tr were trying more generally to update things, to have these nods to things you might see online or in social media. Because you mentioned magazines earlier, Cristina and I do think of that as where a lot of people did get a lot of these ideas for like calories or restriction or diets in the past.

And are I think are still having an influence, but now there's all this online content as well, so we tried to include some information about that as well. Yeah, no, there's a lot of noise out there for sure. It blows my mind. I'll just spend five minutes and I'm like, one thing says one thing and then the other thing says contradicts it.

And I don't know. It, my head spins. I just can't. If somebody was actually looking for, to your point Shannon, like nutrition advice or what to eat, how do you even make sense of any of it? It's really challenging to do and obviously we're not dieticians, I think we can really help people to understand their needs and what is working for them and helping them to see and just to try different.

Try to eat regularly and to try to be able to see what is and isn't working. But it's definitely a process. And when we encourage people to seek out a dietician or medical provider we did try to include. As many directories as we could that might connect people with those kind of anti-D diet, non-diet practitioners who could support them in that.

And I'd like to, that you added in the self-compassion piece. 'cause as we're all talking, I'm just hearing how hard it is to navigate all of this and to make sense of all of this. So if nothing else, maybe just. Putting that out there that this is hard, this is really difficult.

And so I'm glad you added that self-compassion piece in there. 'cause I think, people who have eating disorders tend to be very hard on themselves anyway. So it was like, they're failing, they're not doing this good enough, and for anyone listening, I hope that is coming across too.

This is difficult. This is hard to make sense of. Yeah, we're asking people to heal in a culture that's pretty disordered itself, and that's so challenging. Yeah. It sounds like your workbook's gonna hopefully make this easier for people too. I'm actually curious, so you said it's coming out next February, is that correct?

That's correct, yeah. Okay. And then how, where is it going to be available? Is it to be online? Is it in bookstores? Like how can people access. The workbook it will be available online. The publisher is New Harbinger. It's already available on pre-order through Amazon. And then I'm presuming, other bookstores will have it as well.

I don't know how many. In in the store? There will be, but I'm hoping apparently we're already trending, so we're excited and I don't know if we've said the title, but it's the Weight Inclusive CBT workbook for eating disorders Tools to reject diet culture, heal body shame, and promote recovery.

No. I saw your post and I was like, oh, I got so excited. So that's why I reached out. I was like, I wanna have you on to talk about it. You know what little you put on there? I got excited. I'm hoping that, people listening can get excited and, go pre-order it.

That's great that they can do that already. Yeah. Wondering if there's any resources you have for people now who are going, I can't wait till February. Is there any resources you individually have that they can go to, or can they, how can they find each of you if they wanna work with you?

We do have an Instagram handle for the book, which is CBTW. And I'm slowly starting to put some stuff on that so they can find each of us listed on there. Yes. And my contact information is eating disorder therapy LA so I can be found on my website and I'll let Jen share hers. Yeah, you can find me at my website, which is.

Phoenix health psychology.com and Lauren, I think your blog on your website is a great resource too, 'cause I know you have a lot of wonderful topics related to what we have on the, in the workbook on there. So that might be a good way for people to get started till the workbook comes out.

Yeah, and I'll say I really wanna support Lauren's Heim's website. There's just a wealth of information blogs and different topics. So Harris is a great starting spot. I'm in full disclosure. My website is under construction at the moment. I'm updating it, but I'm looking forward to expanding my practice locally in Madison, Wisconsin.

But I'm available through Psychology Today directory. And, also via LinkedIn if anyone wants to connect. Wonderful. I appreciate all of you like coordinating, being here together. It's so rare to get people on the same schedule and to be able to do this. Just curious before we end, if anyone has any last final thoughts for anyone listening who might be struggling or thinking about, if they wanna get into treatment?

Yeah, I just. Hope that folks are aware that, if they've had some challenging experiences in the past to keep looking, I think sometimes it doesn't you don't find the right fit the first time. And to be able to keep trying and our hope to is that our book will be able to offer some additional support for maybe people who have struggled to be seen in the past and to give them some resources to know where to go.

Yeah, I think especially if people have had maybe some form of CBT in the past and it didn't feel like a great fit or they had concerns about it I think we have recognized some of the limitations of previous versions and we're hoping this workbook addresses some of those for people who wanna give this another try.

We do feel like it can be such a great fit for people who want to improve these symptoms if they're experiencing those. Yeah, and just to add to what Shannon and Jen said and there's, a lot of research behind the core CBT interventions, and so we're really hoping that people will give this a try.

Wonderful. I wanna thank you all for your time. I appreciate it and really looking forward to when the workbook comes out. So everyone, all that will information will be in the show notes. Thank you again and congratulations on completing your workbook. I know that must have been a really a big process.

So thank you so much. Yeah. Thanks so much for having us. Thank you so much. Yeah, thank you.

Thank you so much for listening today. Behind The Bite Podcast is created by me, Dr. Cristina Castagnini, as part of the Los Angeles Tribune podcast Network and produced by the Tweaky Tales. I love hearing from my listeners, so if you like the show, please rate and subscribe to it on whatever platform you're on.

And for anyone who wants to understand their relationship with food better or who might be wondering if they have an eating disorder, I have a free nine week e-course at my website. Just go to www behind the bite podcast.com to get your free e-course today. Please note this podcast is designed to provide accurate and authoritative information in regard to the subject matter covered.

It is given with the understanding that neither host, the publisher, or the guests are rendering legal, clinical, or other professional information. If you want or need a professional, you should find one to work with who can address your individual needs and situation. Thank you.