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The Eating Disorder Trolley Problem w/ Emmeline Clein (Patreon)

Published:
2024-11-19 23:46:30
Imported:
2026-06
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Content

The girlies are joined by literary it-girl Emmeline Clein to discuss her new book, Dead Weight, and the evergreen topic of eating disorders. They dive into the over-maligned Tumblr pro-ana communities, why eating disorder treatment is often counterintuitive to healing, how the intersection of big tech and diet culture has muddied the waters between health and sickness, and more! Digressions include why boyfriends should never go grocery shopping and how to support a friend in recovery.

This episode was produced by Julia Hava and Eliza McLamb and edited by Allison Hagan.

Comments

Isabella

dead weight was one of my favs of the year thank u for this❤️❤️

Maya Arrata

us binchies in recovery are listeninggggg👉👂

Emma S.

full circle is drawing from the Alexis Ren Body Tutorial epi for my clinical presentation on anorexia last week and getting to share this follow-up this week 🥲 thank you for thisssss !!

Vanja

Ladies I have been waiting MONTHS for this one I am so sat

avvsies

Gonna re listen to Alexis Ren Body Tutorial to pregame this

lauren
>>155831872

I just re-listened a few days ago! my genius precognitive mind 🙂‍↕️

Mandy Johnston

Pls tell me this will be on the main feed/spotify I need my non Patreon friend to lock in

Mya Tozzi

i’m literally shaking this book changed my life :,( i love you both so much thank u for having her in the podcast

Katie Strauss

I am a loyal Patreon Stan but would LOVE this to be on Spotify if possible. My boyfriend’s mom (my queen and bestie) has been struggling with her eating disorder for almost 40 years, and in the past year has been in and out of treatment. She is so brave and trying her best to recover, but that shit is HARD. I would love for her to be able to listen to this episode as I know it would bring her much peace and strength!!!

abby reddy
>>155833805

pretty sure it comes out tomorrow on spotify! patreonites just get main eps early

Skyrim

to be fair, some EDs cause a lack of physical hunger cues.. so, no, you can’t just rely on your body to tell you when to eat. it’s a bit more nuanced than the act of choosing not to eat

Abbey W
>>155832740

should be out tomorrow, they post the eps on patreon the night before they drop on main 😌

Skyrim

i am SO glad y’all mentioned orthorexia 🥺♥️

Skyrim

orthorexia can be so hard to recovery from when socials shove “whealthy living” (lol get it) but nothing is good in the extreme, even healthy lifestyles. especially when these “food rules” portrayed online are presented as fact, but diets should be different for everyone. UGH this episode means so much to me

EmD

Was literally reading today about how hunger strikes among Irish freedom fighters led to lifelong ED’s so this was EXTREMELY topical

Gina Brown

making delicious chocolate chip cookies as i listen to this bc i was feeling guilty about wanting something sweet but this made me whip smth up!!

Ims

HUGE DAY FOR ANNOYING JOURNALISTS !!

Elinor Wood

what is the best place to buy dead weight that will give emma the most money!! i know some bookstores don’t pay authors SHIT

Siobhan Carroll
>>155843238

This might explain a lot about why eating disorders seem to run in my (very Irish) family lol

Siobhan Carroll

Thank you guys for doing this ep ❤️ I will never forget when I was in my late teens/early 20s and out of absolute desperation, I went to see a psychiatrist to talk about my eating disorder and how it was destroying my entire life. The only thing she asked me was my BMI, and since it was JUST over their BMI cutoff, she said there was nothing she could do for me and sent me on my way. Thankfully, I ended up recovering with the help of an eating disorder therapist, but that interaction fuelled my disorder for at least another year.

Talia F.

Binchtopia pod has been fire recently tbh

mimi kiki

listening to this on my work break where liam paynes funeral was literally opposite????

Meghan Hannum

wish i had this episode in high school <3

Maggie O'Connor
>>155858022

Not sure how much $ the author gets, but you can never go wrong with a local independent bookstore 🙏

Hannah
>>155858022

if you don't have a good local bookshop near you, bookshop.org sells from local shops!

Lydia Breza
>>155843238

Just watched “say nothing” on Hulu abt the IRA and they had a similar comment on this so this was perfect timing

Lydia Breza

Suffering from so much shame right now abt a potential diabetes diagnosis and I needed this episode!!

Amy

This episode was so good, thank you all ❤️ Can absolutely recommend The Undying by Anne Boyer, loved to hear a shoutout to this incredible book. I read The Collected Schizophrenias by Esmé Weijun Wang and Unwell Women by Elinor Cleghorn in the same binge (lol). Love to all xx

Indie

deleted my calorie tracker app because of this episode ❤️

Florence

it’s so confusing sometimes to be a girl

Caillean
>>155899578

oh hell yeah. your mind will be so much clearer and you’ll get so much mental and physical energy back once you adapt to not tracking. congrats 💓

snaggletooft

I can not believe you guys read my Halo Top email! Fun update, the “boyfriend” in the story is now a happy, out and proud trans woman! We have come so far since this incident lmao. Love you gals 🫶

alexandra roper

It’s like you ladies read my mind and knew I needed to hear this 🙂‍↕️ I finally accepted that I’ve been suffering for the last 15 years….. I’m back in therapy and utilizing support groups but this ep made me feel so seen and heard. Thank you ladies xxx

Ella

Shaking and screaming I hate the system so fucking much this episode was so amazing thank you thank you RELEASE HUMANITY FROM ED PRISON

Erin

Yeah ARFID is not related to body image. Unfortunately eating disorder treatments really don't treat ARFID well, it's still not very well understood. Totally different reasons for not eating

Riya Srivastav

lowkey this shook me out of my restrictive eating brain rot. internet bad. thank u binchies

L T

i felt so seen with the halo top story and the related triggers stemming from partners casually stating they worked out or skipped a meal i thought i was crazyyyyyy also i now have to write a paper comparing eating disorder treatment rhetorics with the prison system which were both set up to fail from the start

Carolyn

does anyone remember the shane dawson “documentary” about Eugenia Clooney??

Sydney Olthoff

okay i have celiac disease and i was diagnosed when i was 12. this changed my life and made me know way too much about food and began my eating disorder. it is so so triggering to hear about gluten free diets. gluten free foods have less nutritional value and normally more calories. if gluten hurts your stomach i totally understand and it sucks, but it is also really important to understand that restricting ANYTHING including veganism and vegetarianism (from personal experience) can and will impact your relationship with food. even if you don’t think that you have issues with food we should all be supporting each other and questioning why we want to get rid of a food group and what that might mean for us, and how we can compensate for that in other places 💗

Sydney Olthoff

if anyone has any resources or advice on how to actually start recovery and make it stick without reading “life without ed” and feeling hopeless

Jake

Even as a f*g this hit home thanks babes 🩷

avvsies

Does Emmaline want to be a regular guest just to gab sometimes too

annabelle chapman

what’s the problem with noom? my mom uses it 🫢

annabelle chapman

So I’ve had extreme abdominal pain and other terrible symptoms every time I eat gluten and a gastroenterologist discovered I have gastritis (or inflammation of the stomach lining). So yes, saying I’m gluten intolerant should be the end of the conversation because I know my body struggles to digest gluten. But since I don’t have celiacs, I’m orthorexic and lying about my intolerance so I can try to be skinny? And it’s racially coded to joke around about my stomach problems? I don’t know what points y’all were trying to make with that.

Bella Romero

i may send an email about this idk but i wanted to provide an alternative perspective on semaglutide/GLP-1 drugs. i am two or three years recovered from anorexia/orthorexia (fuck yeah) and i’m on a semaglutide medication rn for pcos. i started at a very low dose at the end of september and im not quite at the full dose. it would be far too complicated to fully explain in a comment section about how much this medication has helped me but trust and believe. i am monitored by multiple doctors and a therapist while on this drug which i know is not the case for most people. all this to say, im trying to be incredibly responsible about taking semaglutide. and i think it’s worth noting that im genuinely much happier now than i was about a year ago when my pcos symptoms were completely out of control. this also wasn’t the first medication that was suggested to me or that ive tried. i actually had to be kind of convinced to consider a semaglutide by my science gf and other doctors. anyways i think “ozempic” or semaglutide/GLP-1 drugs can be helpful when monitored closely and when they’re used to actually treat something that’s not just “obesity” lol anyways pcos girlies rise!

Bella Romero
>>155939321

not to mention i do also have emetephobia but strangely enough the nausea has not been bad at all and was actually worse when i was taking metformin

Caillean

something I realized when I started trying to intuitively eat and unlearn a lot of my self-imposed rules around food is that im not gluten/lactose intolerant, the stomach pain i felt when i ate a “bad” food was ~anxiety~! obviously not all intolerances are psychosomatic but mine was! loved this ep overall, listened while making pumpkin bread 💅🏼

lizzy

The part about a frictionless big tech existence vis a vis ozempic is one of the most insightful soundbytes I've heard about anything in a long time and I'm curious to know whether Emmeline or anyone else has written in depth about this. Fantastic interview, one of my favorite guests you've ever had

Hannah Knauer

i’m the one who sent the email hoping for book recs at the end, and i just wanna say thank you so much for creating a safe space to share knowledge about the things that plague us! said friend and i will be reading dead weight together 💜🙏

Maya Harris
>>155929264

https://www.instagram.com/sweetpotat.hoeee?igsh=MW42cW5zdDJzcnRyOA== this account was one of the biggest reasons for my successful recovery. this account is no longer actively posting, but there’s tons of posts that have helpful tools and thought processes. she is -not- a medical professional, but if feels less sterile and judgy. the biggest thing is learning to feel safe trusting your body (basically the end goal of recovery). keep in mind the bulk of the mental healing will happen after you’ve restored various nutrient deficiencies (not just weight). terms to look up are: set point theory, mental huger cues, extreme hunger (stage of recovery), and body neutrality! a pro tip if you don’t feel ready yet, start working on adding coping mechanisms outside of your ed. this will give you some tools for when you decide to actively recover

Miranda Mertes
>>155939321

I came here to say the same thing!!! It didn’t feel great to hear “food noise isn’t a real thing” when it’s actually a symptom of my very real disease that has a hugely debilitating effect on my life. It’s tough that a lot of diet trends at the moment (ozempic, low carb/high protein, etc) are sort of mocked in this way or are implicated with eating disorder behavior, when they’re actually one of the few treatment options we have available for conditions like PCOS. This is probably more of an issue with the lack of understanding and availability treatment for PCOS, but I just wanted to say that I hear you and I’m sending love from one PCOS girly to another!!

MG
>>155939321

same, pcos girlie on ozempic. its the only thing that has helped me control my pcos. i feel like there is a lot of misinformation on how this drug works. glp-1 drugs don’t just slow gastric emptying, they release more insulin (glucose dependant) and inhibits glucagon production. so in people that have problems with insulin resistance and hyperglycemia (dm & pcos) can see an improvement in their sugar levels and insulin resistance. i’m on literally the lowest dosage and it has allowed me to control my hirsutism, menstrual cycle, acne like a LOT. i did lose some weight (at the start) but not that much really, i lost more weight when i broke up w my first bf jajajajaja . i think we shouldn’t demonize a drug that can actually help, especially in a field like pcos where there is not that much research.

MG
>>155939321

w that said, it’s a tricky drug. i feel like there is also a lot of misuse which can be dangerous esp if it becomes “easier” to get. there should be a lot of screening done before prescribing it and after prescribing it should be accompanied with psychological intervention and nutritionists

Lydia

Loved this episode and I agree with so much of what was said about orthorexia, but it did feel dismissive how yall discussed gluten sensitivities. I don’t have celiac disease, but gluten intolerance is very real. I’m in extreme pain when I eat gluten, and cutting it out immediately and entirely got rid of the pain. I actually gained weight because my body can absorb nutrients better now. I hate how people assume I’m doing it as a health fad diet thing, and it has gotten me into situations where I eat gluten to not inconvenience people then feel like shit. It’s complicated because some people do hide behind “intolerance” as an excuse for othorexia, but there are also real intolerances that are dismissed as some vain woman who won’t admit she’s trying to lose weight. If there was a medicine to fix this I’d be eating so much bread, I miss it terribly.

MalinKTeegan

damn this made me realise i never picked Dead Weight back up again after i had to pause during finals season. Still have half of it to go but it’s so eyeopening. really made my ill little brain THINK

avvsies
>>155975146

This was my bone to pick with this episode. I tested positive for Gluten and Wheat allergy, without celiac. At age 26, I finally had answers. And I finally healed my relationship with food because I knew what not to eat to not feel sick… I learned how to cook and at 30 I really do meal prep and cook most of my meals and it’s been HEALING.

avvsies
>>155975146

Exactly! We aren’t vain women trying to shield the fact that we’re “trying to lose weight” I just didn’t want to be sick anymore and genuinely do want to live a long healthy life… why is that demonized

Tinacat
>>155910554

Here as an arfid queen, with arfid cousins. All undiagnosed, and unrelated to eachothers childhoods/adulthoods. We each have non-arfid siblings as well. we are extremely sensitive to certain tastes and textures. To the point of causing us to throw up just trying to try a new food. Its more sensory and about emotional regulation/disregulation in regards to satisfying hunger or emotional craving. I could eat the same meal for a month straight, especially if im more emotionally tired and pushing myself out of my comfort zone. Truly sometimes id rather skip a meal then try and chew and swallow something I know is going to cause me to gag or just be upset by. My younger cousin does this, and she doesnt even LIKE her safe foods anymore- they just dont upset her so she still wants to only eat them even though theyre not even satisfying. Exhausting to fight against for sure, im trying to instil better habits on my 8y/o arfid cousin and encourage uncomfortable diversity even if its just licking or smelling a new food. Even better if its chewing and spitting it out. Sometimes now she even does a swallow or two (even if its not good!) You almost have to make friends with that severe discomfort before you can see any progress- very unintuitive to a child especially who is constantly risregulated by the idea of food. I still struggle honestly but try to balance prioritizing my health and my emotional states as they come

Chloe

Haven’t seen the Mr. ARFID girl, but I do wonder if personalizing or labeling the ARFID is rooted in an acceptance and commitment approach (I.e. diffusion), which also teaches acceptance/tolerance of negative internal experiences! Just a thought from another clinical psych PhD student!

Chloe
>>155995723

Also my understanding of ARFID as an ED is that it’s more related to sensory sensitivities (like the texture of foods), which is why it’s often seen in folks on the autism spectrum

annabelle chapman
>>155940849

that’s so cool that you were able to overcome it! I’ve been hearing a lot about hypnosis therapy for IBS and I’m considering looking into it. but I have been diagnosed with gastritis so there is also something physical for sure.

Caillean
>>155940849

that’s rly interesting! I haven’t, so ymmv with regards to changing your body’s reactions, but i hope that therapy helps!

Lia

the Wintergirls mention sent me flying through space and time back to my local public library in 2012

Abi Clarke

“Well people have been eating grain for thousands of years” ok but that doesn’t mean certain foods don’t make people sick for thousands of years.. love the pods, but we really don’t have to demonize people with allergies or intolerances and categorize it with diet culture or an eating disorder even… and the classism and racism comments are interesting in my opinion - maybe the concern should be that people of color and people of lower incomes are overworked and have less access to good food. Native Americans have a large obesity rate because of the lack of food resources the government has caused. Same with lower incomes, when I was on WIC they gave me $30 for vegetables each month and they told me before Covid it was $10??? But they thought it was appropriate for me to get 4lb of cheese and 6 gallons of milk. And I am dairy intolerant and they didn’t allow dairy free substitutes. You mentioned the how the health care system is corrupt but then act like it’s the person with intolerances that’s promoting diet culture and “TEACHING YOURSELF TO HAVE AN ALLERGY” is actually AN INSANE TAKE… I’ve tried to go back to eating wheat and dairy and it made me feel like shit.. just because someone doesnt eat wheat doesn’t mean they don’t eat carbs?? Rice exists. Quinoa exists. Oats are gluten free. our food is very seriously killing us. Cancer is on a huge rise in young adults and it can be linked to our poor food sources…

Abi Clarke
>>155975146

Thank god someone said something… emmeline saying “you’re teaching yourself to have an allergy” was utterly insane. Like sorry I can’t process wheat?? Wtf?

Abi Clarke
>>155937157

I don’t necessarily feel like it was them but more so emmeline. It was an insanely privileged and disgusting take. Super disappointed as well

Abi Clarke
>>155928421

Wait so do you eat gluten as a celiac just to avoid falling into so called “diet culture”? Maybe I misunderstood but I liked what you added at the end, it is super important to understand that if you’re removing a food group you have to compensate for it because it’s important for your body for sure.

Amaya Magaña

Made myself a breakfast sandwich and listened to this while eating, feeling incredibly healed and thankful from where I was a few years ago

Lydia
>>155975146

Seriously, it’s beliefs like these that make me embarrassed to advocate for my needs and make me question my embodied experience. I just don’t want to be in pain, plus it’s often really difficult and sad to be gluten free

Claire Reilly
>>156049547

I don't really feel like those comments were directed towards people with legitimate non-ED related intolerances. I think they were trying to highlight the fact that sometimes in recovery, people develop orthorexic tendencies that they will consciously or unconsciously decide to label as an intolerance, which allows them to continue to restrict while convincing themselves they are recovered/healthy. And then long periods of avoiding certain foods can cause your body to react negatively when you reintroduce them. This happened to me- I went vegan for around 2 years while trying to recover from my EDs and trying to introduce dairy back into my diet was a horrendous endeavor lmao. It made me think I was lactose intolerant. I totally agree that our food system is fucked and is definitely destroying our health, but it's simultaneously possible that ~some~ people hide their EDs behind the ruse of intolerances and maybe even develop them as a result of intense restriction in a way that's unrelated to food access and quality

Lindsey Narkchareon

Grain warriors in the comments: not everything said in media is about your specific situation! Hope this helps!

Lindsey Narkchareon
>>155933663

I feel like they came onto the market saying they aren’t a diet company, but then did a lot of classic diet company tactics so it’s kind of shady imo

Sydney Olthoff
>>155928421

no no i don’t eat gluten it was just more of a reflection on how hard it is to think about it all the time, and worry that i’m in diet culture when i need to not eat gluten to prevent serious illness, if that makes sense.

Erin
>>155910554

Awww I really feel for you, it must be so hard. My sister has it and she experiences a lot of the same things that you described. It must be hard seeing your younger family members with it too knowing what it's like. And of course people just accuse you of being a picky eater. Good idea with smelling or licking a new food, I will recommend that to my sister. I got her this book recently which she is finding helpful so far https://www.amazon.com/Picky-Eaters-Recovery-Book-Restrictive/dp/1108796176

Sophie Wilson

It’s interesting how they talked so much about paranoia, yet the fear mongering around treatment centers sounded paranoid to me. These are medical professionals designing and running these programs. It’s regimented and “locked down” for a reason. People can discuss issues openly in group therapy. There’s a huge competitive side to EDs that can come out when conversing with peers about it. I’m not saying these treatment centers are perfect, but it doesn’t help to hear that they’re so damaging. I worry that someone with an ED would listen to this episode and be scared to seek help because of the criticism given in this episode. It’s important to criticize systems but they took it too far.

Sophie Wilson
>>156124785

My own family member was already scared to seek treatment because some residential centers are fucked up, but not all of them. I love Binchtopia but the blanket statements grind my gears sometimes.

Sophie Wilson
>>155841528

Literally. I realize it seems “regimented” but intuitive eating does not work for individuals early in recovery. Sometimes they have to relearn what a normal portion/meal looks like.

Cereese Blose

I have celiacs & IBS. If a food is making someone feel ill, and they don’t want to eat it, then they should be able to not eat it without judgement. I hated this episode’s tone around food intolerances and to an extent the clean eating choices. Stop stigmatizing it. How people decide to fuel their bodies isn’t anyone else’s business.

avvsies
>>155975146

Yeah… “I bet she just wants to be skinny” is so degrading and seems committed to misunderstanding someone

Heather McCaskie
>>155975146

Also the more comments that dismiss intolerance as it’s not coeliac disease, allows for people to be put in situations at cafes and restaurants where the servers don’t take the intolerance seriously and people are being served food that makes them ill

Heather McCaskie
>>156049547

Yeah I actually was shocked at that take! I have fructose intolerance and I can tell you 100% the food in America would make me more sick than Europe because of corn syrup. High fructose corn syrup is in almost every processed food and drink in America but that’s not seen overseas in other countries like where I live in Australia. High fructose corn syrup is so irritable and a lot of Americans who travel are noticing a difference when eating out, then sharing their thoughts online.

Abi Clarke
>>156049547

I am so jealous you live in Australia! Yeah, a fructose intolerance would be almost impossible here unless you only ate meat and vegetables every day. It’s literally everything

Erin
>>155995723

Yeah I was confused as to why that was being demonised. Especially as they admitted to not understanding ARFID in the episode

Chloe
>>155995723

Right… like choosing to not over-identify with a part of yourself that makes you feel ashamed is actually helpful and empowers people to start making changes. And emotional regulation doesn’t only involve tolerance.. it’s also so helpful to learn strategies to not intensify negative emotions

Ellie Fox

as someone currently suffering from anorexia, could anyone tell me if this is episode is maybe too triggering to listen to? I appreciate none of you know me! But if anyone has had similar experiences, do you think this would be ok or should I sit this one out and relisten to Mama A Nick Behind You? Thank u 💫

Ellie Fox

as someone currently suffering from anorexia, could anyone tell me if this is episode is maybe too triggering to listen to? I appreciate none of you know me! But if anyone has had similar experiences, do you think this would be ok or should I sit this one out and relisten to Mama A Nick Behind You? Thank u 💫

Andie
>>156188310

It’s very informative but a very candid one, maybe come back to it another time 🤞💗

Andie
>>156188310

I do recommend the book! As well as the book Supper Club by Lara Williams when you feel your ready for it

Ellie Fox
>>156188310

Thank you!! ♥️ I have the book on my shelf but have been holding off. And I LOVE supper club - have you read her other book, the Odyssey? Very different but I also really enjoyed !!

Theresa Watson

Just shared this pod ep and book with my mom who has suffered from the clutches of weight watchers and almond mom media for years! She’s super excited about the pod ep and book to start to unlearn Ed mentality and lead to a road to recovery!! Thanks ladies.

Sarah

Any one else on semaglutide and doom spiraling 😍

s

this episode unlocked a memory of my dad going to Weight Watchers when i was a child

s
>>156249558

he now pays out of pocket for ozempic… the pipeline is real:(

mozillafirerox
>>156188310

I had mild anorexia for a while and I honestly don’t think there’s very much in this episode that would be triggering or would make anything worse for you. If anything I think it might help to listen

lola bolado

so modern woman by eliza mclamb

Shannon Burne

As someone with gastroparesis cannot imagine taking a med to induce how I feel on a daily basis and how much it’s messed up my relationship with food 🥲

serenidy

when i was in 9th grade we were forced to download my fitness pal and use it for at least an entire week for a literal grade

Avery Nicholson
>>156524924

i also had to do this in 11th grade and i deeply regret not fighting the teacher on it like i thought of doing at the time

skyye

great episode and i agree with almost everything except questioning people who say they cant eat gluten or whatever. as someone with food allergies its embarrassing enough as it is and you’re often left out of plans. most people who dont eat gluten (unless they have orthorexia or another eating disorder) are not doing it for fun and would prefer if they were not questioned about it :(

Andie
>>156188310

Oooh I’m literally going to order it I was looking at the Odyssey a while ago!!! 💗

Claire Farnsworth

i thought this was really great and i’m so glad i finally had the time to listen but the only thing i wish had been touched on was the phenomenon of pro-ana spaces and users creating “fatspo”/“thinspo”. i have found MYSELF being used as pro-ana fatspo and as someone who was in the midst of an eating disorder myself it was harrowing to say the least. i still struggle with practicing grace and empathy with the pro-ana online community because of this genre of behavior that is often played around with. i will for sure be picking up dead weight though and hopefully it will give me the strength to forgive lol

Chloe Bryan

The podcast "sex after 70" by the New York times daily was one that actually changed my relationship to my body. Thinking about how I want to love and experience pleasure in old age made me think: "why don't I think these thoughts now? Will I just magically start thinking them when I'm old? That I deserve pleasure and joy in my body?" Anyways. That's an unrelated ED source that I found helpful

slizzarddd

Would love to know how one goes about writing a book - how does one get paid? Grants? Advances?

meghan madigan

I love you guys but Julia please don’t be one of those psychologists that tries to relate every medical issue to an ED, I’ve been the patient in that situation and it’s an awful feeling when nobody believes you