Real Health Radio 353: Weight-Inclusive CBT for Eating Disorders with Dr. Lauren Muhlheim
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Feb 2, 2026 Dr. Lauren Mulheim, clinical psychologist and eating disorder specialist who co-authored the Weight-Inclusive CBT Workbook, discusses adapting CBT to avoid weight stigma. Short takes cover why classic CBT needed changes, how regular eating and mindful self-monitoring reduce restriction-driven binges, when weighing helps or harms, and practical steps like mechanical meals, RAVES, and collaborating with dietitians.
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Weighing Is Not Always Therapeutic
- Regular mandatory weighing and BMI focus can reinforce weight stigma and harm clients in larger bodies.
- Weight-neutral exposures should target tolerance and life gains, not just preventing weight change.
Restriction Is The Common Denominator
- Restriction or inadequate eating is a shared central driver across all eating disorders.
- Restoring regular, adequate eating is the critical first step in recovery for every presentation.
Weight Suppression Drives Biological Pressure
- Weight suppression (being below a previously attained higher weight) strongly drives binge eating biologically.
- Predicting possible weight gain during recovery is realistic and can be necessary to stop bingeing.
