Have you ever sat in a treatment room and felt like the real you was completely invisible, like the system was so focused on your weight, your behaviours, your diagnosis, that it forgot there was a whole person underneath? This episode is for you.
This week on the Full of Beans Podcast, I'm joined by Tanya Francis, a research psychologist, lecturer at the Open University, and psychotherapist in private practice, who also brings her own lived experience of an eating disorder to this conversation.
Tanya's background is in domestic violence research and gender-based violence, and the more she looked at how systems respond when someone is harmed, the more she saw uncomfortable parallels with eating disorder care.
In this episode, we explore:
What iatrogenic harm means and why care systems can sometimes cause harm
The role of BMI and weight in treatment,
How rigid care centralising numbers can reinforce eating disorder logic
How weight stigma in healthcare shuts people out before they've even begun
The culture of mistrust around eating disorders and the damage it does
Why people pleasing in treatment can look like recovery but lead straight back to relapse
Moral injury and what happens when clinicians can't act on their own values
Tanya's own experience of not being believed in her body during inpatient care
Why truly humanising care is both simpler and more complex than it sounds
How two things can be true at once, e.g. a broken system and incredible people working within it
⚠️ Content Note: This episode contains discussions of eating disorder treatment, inpatient care, and iatrogenic harm. Please take care of yourself while listening.
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