Many people have an all-or-nothing attitude toward exercise, believing they either have to commit fully to something they don’t enjoy or feel it’s not worth putting in any effort, explains Rachel Goldberg, LMFT, founder of Rachel Goldberg Therapy. 

Join Niki on Wellness For Life as she speaks with Rachel Goldberg, a therapist specializing in eating disorders and body image. Rachel explores the root causes behind disorders like anorexia, bulimia, and binge eating, highlights critical warning signs, and provides strategies for recovery.

The chatter, often referred to as ‘food noise,’ is something we frequently hear about, but what I have noticed is that other rumination-related behaviors also seem to take a back seat,” said psychotherapist Rachel Goldberg, LMFT, PMH-C.

“It can feel defeating—like all the progress and messaging around body acceptance is ultimately meaningless." - Rachel Goldberg, LMFT, PMH-C

"Thin people also often have to field uncomfortable remarks such as, 'Well, you wouldn’t know because you can wear anything,' or 'It must be nice to be able to eat that,'" adds Rachel Goldberg , LMFT, PMH-C, and eating disorders specialist.

Rachel Goldberg, a private psychotherapist in Los Angeles, says she tends to observe her clients feeling more positive and joyful after taking these weight-loss drugs. “I believe this is often because, without the ‘food noise’ that many struggle with, they have more mental space to enjoy other aspects of life,” she says.

Discussed is teen eating disorders, anorexia, bulimia, binge eating disorder. Body image and society.

“For someone already vulnerable to an eating disorder, further exposure to these communities could exacerbate their symptoms or accelerate the onset,” Goldberg says.

Dosage labels can come in different formats, leading to confusion for those unfamiliar with the process. Another issue arises when individuals dose themselves without oversight, especially since the needles are typically not pre-filled (though some med spas offer this option).

“I think it’s very important for the parent to first and foremost express an open mind and then be curious,” she says. “It may have taken a lot of courage for a teen to bring this up, depending on their relationship with their parent, so it's important to reassure them that they can talk about it openly and that their request won’t be immediately dismissed or met with a firm 'no.'"

“This study highlights that individuals on psychiatric medications who used GLP-1s tended to disproportionately experience suicidal ideation,” Goldberg continued. “This could suggest that GLP-1s may impact how psychiatric medications work, potentially reducing their effectiveness and leading to persistent thoughts that might not have occurred otherwise.”

They discuss body image, eating disorders, and the impact of social media on self-esteem.

On this episode of Talking Away The Taboo, Rachel Goldberg LMFT, PMH joins Aimee Baron, MD to talk about: 1) binge and restrictive eating habits and how that can affect fertility 2) the reasons why disordered eating or exercise can cause fertility issues 3) the guilt and shame that go along with this these diagnoses 4) the small changes suggestions people can make to try to get them out of a destructive feeding pattern 5) her thoughts on ozempic and other meds that have been linked to increased fertility success and how that plays a role in someone’s habits

“Negative feelings for many with excess weight are often coped with through food. So, subconsciously feeling disgruntled with oneself will lead to emotional eating, sabotaging weight loss efforts.”

On this episode of Talking Away The Taboo, Rachel Goldberg LMFT, PMH joins Aimee Baron, MD to talk about...

-binge and restrictive eating habits and how that can affect fertility

-the reasons why disordered eating or exercise can cause fertility issues

-the guilt and shame that go along with this these diagnoses

-the small changes suggestions people can make to try to get them out of a destructive feeding pattern

-her thoughts on ozempic and other meds that have been linked to increased fertility success and how that plays a role in someone’s habits

“At the moment, the body positivity movement is definitely facing challenges because of the new GLP-1 medications. Many people who had previously embraced body positivity and even had very large social media followings have now reconsidered their stance.