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Elizabeth Wilkins-McKee, LCSW's avatar

Thank you for this. I really want to honor how honest and heartfelt this is.

I see this all the time in my psychotherapy practice. And often, many of my clients living with chronic illness are actively encouraged by their physicians to eat this way, which is its own kind of problem.

Yuck.

Thank you for naming this so clearly. I will absolutely be sharing this with my clients.

Whitney Shook's avatar

I’m so glad your clients have you and that this can be a resource to share with folks ❤️. Do you have a lot of chronically ill clients?

Elizabeth Wilkins-McKee, LCSW's avatar

I do. My work lives at the intersection of psychotherapy and the medical model, especially chronic illness and perinatal mental health, though I do not think of pregnancy or postpartum as illnesses in themselves. They are profound human and relational transitions that can become medically and psychologically complicated.

I also work with kids - my first professional love. Kids are the best.

What is true is that all of this grew first out of my own life. Long before I trained in these areas, I was living them. I was being harmed by healthcare systems that often did not know what to do with complexity, chronic illness, ambiguity, or suffering that did not fit neatly into categories. I know what it is like not to get the care you need. I saw the gap and after doing a lot of work moved in that direction professionally.

This is the reason I love the multifactorial nature of this work..no one lives in only one system at a time. Body, mind, family, culture, medicine, attachment, history, and loss are always in conversation with one another. So many of my clients have been dismissed by providers, minimized, or told their suffering does not fit the available framework. That matters to me because I know that experience intimately.

How do we live the life we have been given as fully as possible? What does that look like in the presence of disability, chronic illness, caregiving, grief, or limitation?

I love my job.

Erin Pyper, MSW's avatar

“It looks responsible. It looks aspirational. It looks like the healthiest girl in the room ..which is EXACTLY why nobody intervenes.” That is one of the most concerning parts about Orthorexia. It had a healthy eating veneer but comes with serious complications.

Whitney Shook's avatar

nailed it. So many women lean into hyper vigilance which creates a cascade of other issues that could have been prevented if they only one how to recognize the signs