Episode 008

Body Image and Eating Disorders (with Dr. Anita Federici)

In this episode of The Other Side of the Plate, hosts Jenni and Laura welcome Dr. Anita Federici, a clinical psychologist and globally respected expert on eating disorders and DBT. Dr. Federici challenges the common assumption that body image naturally improves after weight restoration, explaining that for many people, body disturbance isn't a "lag" but a core neurobiological feature of eating disorders rooted in sensory and perceptual differences. The conversation explores the distinction between body dysmorphia and negative body image, the power of validation as a "safety signal," and practical communication strategies for caregivers—including Dr. Federici's four-step framework: validate what makes sense, reinforce adaptive behavior, invite rather than impose help, and offer sensory-based coping tools. Drawing parallels to how clinicians treat psychosis and dementia, Dr. Federici makes a compelling case for believing patients' lived experiences rather than dismissing them. This episode offers caregivers both scientific grounding and practical hope for supporting loved ones through the often-misunderstood struggles of living in their "earth suit."

00:00 Introduction to the Podcast

01:02 Meet Dr. Anita Federici: 25 Years in the Eating Disorders Field

06:30 The Body Image "Lag": Why It May Not Be a Lag at All

14:36 Validation as a Safety Signal

17:39 Body Dysmorphia vs. Negative Body Image: The "Earth Suit"

24:27 Normal Body Dissatisfaction vs. Warning Signs

30:35 What to Say: The "You Make Sense" Conversation

41:33 Hair on Fire: Sensory Tools During Acute Treatment

44:47 Lessons from Treating Psychosis and Dementia

50:01 A Message of Hope: Start Where You Are

SUPPORT & RESOURCES

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FEAST website:

https://feast-ed.org/

FEAST flyer:

https://feast-ed.org/programs-and-services/

FEAST Weekend Workshops - F.E.A.S.T.

Workshop 8 (Sunday – December 21, 2025)

What To Say When You Don’t Know What To Say

Led by Dr. Anita Federici

Bio:

Dr. Anita Federici is a Clinical Psychologist and Owner of The Centre for Psychology and Emotion Regulation, specializing in evidence-based treatment for eating disorders, emotion regulation challenges, and trauma. A sought-after international trainer, consultant, and researcher, she is also co-author of Treating Eating Disorders with DBT: The MED-DBT Protocol (Guilford Press, 2024) https://www.guilford.com/books/Treating-Eating-Disorders-with-DBT/Federici-Wisniewski/9781462558483?srsltid=AfmBOooqJiiIH63_128Czz7N-n3W5tZvzP_8I5o5mOPsw0JhVuQN5PAZ