GLP-1s, Body Image & Self-Trust: Can They Heal Your Relationship With Food?

If you’ve ever wondered whether GLP-1 medications can actually help heal your relationship with food and your body — or whether they might make things more complicated — this episode is for you. In this episode of *Trauma, Tea & Tangents*, Hannah Guy, LCSW, sits down with Lizzie Fischer, a certified intuitive eating counselor and certified therapeutic recreational therapist, to have a nuanced conversation about GLP-1 medications, body image, eating disorders, diet culture, and self-trust. GLP-1s have become nearly impossible to avoid talking about. But the conversation around them is often incredibly black and white: you’re either completely for them or completely against them. Hannah and Lizzie take a different approach. Instead of telling people what they should or shouldn’t do, they explore the bigger questions underneath the decision — What is motivating you to take a GLP-1? How does seeing your body become smaller affect your confidence? Can you still trust your hunger cues? And what happens when weight loss becomes tied to feeling worthy, lovable, healthy, or “enough”? For people with a history of eating disorders or disordered eating, weight loss and appetite suppression can bring up complicated feelings and behaviors. Lizzie and Hannah talk about how GLP-1s can intersect with restriction, food rules, cognitive rigidity, body image, and the desire to finally feel comfortable in your body. They also discuss why choosing to use a GLP-1 doesn't automatically mean someone is doing something wrong — and why having an open, nonjudgmental conversation about the decision can be more helpful than shame. At the center of the conversation is self-trust. Healing your relationship with food and your body isn't about finding the perfect rule or making the perfect decision. It's about developing the ability to stay curious, pay attention to what your body is telling you, and trust yourself to make decisions that support you. Lizzie also shares practical ways to begin building body trust, including eating consistently, paying attention to how food feels physically and mentally, approaching your body's responses with curiosity instead of judgment, and finding movement that you genuinely enjoy. In this episode, we discuss: - GLP-1 medications and the current conversation around them <!--THE END--> - Why the conversation about GLP-1s is often so black and white <!--THE END--> - Intuitive eating, body acceptance, and Health at Every Size <!--THE END--> - The difference between body respect and body size <!--THE END--> - GLP-1s, weight loss, and body image <!--THE END--> - How GLP-1s may affect people with a history of eating disorders or disordered eating <!--THE END--> - Food rules, restriction, and cognitive rigidity <!--THE END--> - Why weight loss doesn't automatically heal body image <!--THE END--> - The connection between trauma healing and self-trust <!--THE END--> - Building trust with your hunger and fullness cues <!--THE END--> - Curiosity instead of judgment when noticing how your body responds <!--THE END--> - Moving your body for enjoyment rather than changing its appearance <!--THE END--> - Practical ways to start building body trust This conversation isn't about deciding whether GLP-1s are “good” or “bad.” It's about making room for nuance, curiosity, autonomy, and a more compassionate relationship with your body and food. Chapters: 00:57 – Welcome & Meet Lizzie Fischer 01:33 – The Conversation Around GLP-1s 01:47 – GLP-1s & Intuitive Eating 02:33 – Why GLP-1s Aren’t a Black-and-White Issue 03:06 – Body Acceptance vs. Demonizing Thinness 03:53 – Creating Open Conversations About GLP-1s 04:51 – Are GLP-1s Just Another Diet Trend? 05:59 – Understanding the Motivation Behind Taking a GLP-1 06:51 – GLP-1s, Body Image & Eating Disorder History 08:12 – Can You Build Body Trust While Taking a GLP-1? 08:34 – Self-Inquiry & Understanding Confidence 09:25 – Self-Trust as Part of Healing 10:19 – What Does Body Trust Actually Mean? 11:16 – Food, Fear & Letting Go of Rigid Rules 11:25 – “One Food Won’t Change Your Body” 12:32 – Food Moralization & Wellness Culture 13:18 – Why GLP-1s Can Feel Like the “Last Option” 13:40 – Shame, Secrecy & the “Cheating” Narrative 14:36 – Diet Culture, Body Modification & “Never Enough” 16:00 – Privilege, Effort & Weight Loss 17:11 – Challenging Our Own Internalized Fatphobia 18:15 – Finding the Nuance in GLP-1 Conversations 19:03 – Self-Trust Over “Should I or Shouldn’t I?” 19:38 – Practical Ways to Build Self-Trust 20:19 – Curiosity Instead of Judgment 21:30 – Movement, Body Trust & Enjoyment 22:23 – Lizzie’s Coaching & Upcoming Yoga Series 22:53 – Revive Therapy Services & Eating Disorder Therapy 24:03 – Final Thoughts   ✨ Connect with Lizzie Fischer: Instagram: @lizziefischer.coaching Website: Lizziefischercoaching.com/services ✨Looking for trauma therapy in Pennsylvania or Colorado? Revive Therapy Services specializes in trauma therapy, EMDR therapy, eating disorder treatment, body image concerns, PTSD, complex trauma, and Ketamine Assisted Psychotherapy (KAP). We offer virtual and in person therapy throughout Pennsylvania and Colorado. Learn more: https://www.revivetherapyservices.com/?utm\source=Bio&utm\medium=Pod Instagram & TikTok: @revivetherapyservices Worksheets: https://www.revivetherapyservices.com/store