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From Body Shame to Body Positivity – Judith Matz

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Every therapist—no matter where they practice or who they see—has heard clients express shame about their body size. Often, this shame gets brushed aside as just an unfortunate byproduct of our cultural norms, but when people are at war with their bodies it can impact their work, relationships, and self-worth, often leading to anxiety and depression.

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Every therapist—no matter where they practice or who they see—has heard clients express shame about their body size. Often, this shame gets brushed aside as just an unfortunate byproduct of our cultural norms, but when people are at war with their bodies it can impact their work, relationships, and self-worth, often leading to anxiety and depression. To counter weight stigma and its damaging effects, it’s imperative that clinicians learn an alternative therapeutic framework in which to support physical and psychological well-being for people of all sizes.


  1. Examine diet-culture messages that lead to internalized weight stigma and its impact on clients’ physical and mental health. 
  2. Apply strategies based on the Health At Every Size (HAES) paradigm to help clients become more attuned with their bodies when it comes to eating and physical activity.
  3. Assess how therapists may inadvertently contribute to body shame in sessions.
  4. Describe how to empower clients to respect and feel at home in their bodies through body-positive strategies and resources.

Examine diet-culture messages that lead to internalized weight stigma and its impact on clients’ physical and mental health. 

  • The 6 P’s of Diet Culture 
  • The Diet-Binge Cycle 
  • The Role of Shame 

Apply strategies based on the Health At Every Size (HAES) paradigm to help clients become more attuned with their bodies when it comes to eating and physical activity. 

  • The Five Principles of HAES 
  • Myths About Health and Weight 
  • The Three Steps of Attuned Eating 

Assess how therapists may inadvertently contribute to body shame in sessions. 

  • Identify Attitudes Toward Thin/Fat 
  • Case Examples 

Describe how to empower clients to respect and feel at home in their bodies through body-positive strategies and resources. 

  • Definition of Wellness Beyond Weight 
  • Teaching Clients Self-Advocacy 
  • Examples of Body Positive Resources via Social Media

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