Food Junkies Podcast

Jan Winhall is a psychotherapist, author, educator, and the developer of the Felt Sense Polyvagal Model (FSPM), a groundbreaking framework that integrates trauma therapy, polyvagal theory, and embodied focusing to understand and treat addiction and trauma. Over more than four decades of clinical work, Jan has specialized in supporting survivors of sexual violence, complex trauma, and addiction with a deeply de-pathologizing, feminist, and body-based lens. She is the founder of the Felt Sense Polyvagal Model Institute, teaches internationally, and collaborates closely with leaders in the polyvagal community to bring more compassionate, somatically grounded approaches into trauma and addiction treatment. In this powerful and deeply validating conversation, Clarissa and Molly sit down with trauma and addiction therapist Jan Winhall, creator of the Felt Sense Polyvagal Model (FSPM). Jan weaves together feminist therapy, trauma theory, polyvagal theory, and embodied practice to completely reframe how we understand addictive behaviors like binging, purging, and compulsive eating: not as "problems" or "defects," but as adaptive state-regulation strategies that the body uses to survive overwhelming experiences. Jan shares how early work with incest survivors revealed the harms of pathologizing, top-down psychiatric approaches—and how safety, dignity, and deep listening became the foundation for her model. Together, we explore how nervous-system states, shame, trauma, ADHD, and body image intersect with ultra-processed food addiction, and how recovery becomes possible when we work with the body instead of against it. This episode is for clinicians, helpers, and anyone living with food addiction who has ever wondered: "What if nothing about me is broken—and my body has been trying to keep me alive all along?" In This Episode, We Explore: • Jan's Origins in Trauma Work o Running groups for young women who were incest survivors in a small Ontario hospital o Seeing firsthand the limitations and harm of traditional psychiatric models o How feminist therapy and the work of Judith Herman and Sandra Butler helped de-pathologize survivors   • From "What's Wrong With You?" to "What Happened to You?" o Why behaviors often labeled "manipulative" or "attention-seeking" (e.g., binging, purging, self-harm) are actually survival strategies o Understanding these behaviors as ways to regulate overwhelming nervous-system states, not moral failures   • The Felt Sense & Polyvagal Theory – Explained Accessibly o What "felt sense" really means (beyond just "sensation") o How neuroception constantly scans for safety and danger below conscious awareness o The three main autonomic states:  Ventral vagal – safety, connection, social engagement  Sympathetic – fight/flight, agitation, urgency  Dorsal vagal – shutdown, collapse, numbness, shame o How addictive behaviors help the body shift between these states to survive   • Addiction as a Trauma Feedback Loop o Why the body cannot stay in high sympathetic arousal or deep shutdown forever o How food, substances, sex, and other behaviors become "jolts" that move us between states o The idea of a "trauma feedback loop" where trauma, dysregulation, and addiction constantly reinforce each other   • Working with Trauma Without "Fishing" for It o Why Jan no longer goes "hunting" for trauma stories o The importance of Phase 1 work: establishing safety before uncovering trauma o How to help people gently reconnect with the body (starting at the edges: fingertips, earlobes, etc.) before approaching the more overwhelming inner experiences   • Shame, Addiction, and Liberation o Why shame is so central to trauma and addiction—and why Jan actually loves working with it o Reframing shame: "This is what bodies do under threat; you are not uniquely broken." o How truly believing this (in our own bodies) changes how we show up for clients o Using groups, co-regulation, and shared stories to create "moments of liberation"   • Food & Sex Addiction, Early Trauma, and Access o Why food and sex are often the earliest available forms of self-soothing for children in unsafe environments o How early masturbation and secret eating can evolve into entrenched patterns over decades o The stigma that keeps men with food addiction silent and unseen   • ADHD, Neurodivergence & Addiction o How neurodivergent folks are especially vulnerable to regulation difficulties and shame o The clash between ADHD time perception and linear, "on-time" culture o The dopamine-driven ping-pong between shame (dorsal) and activation (sympathetic), and how this sets up classic addictive pathways o The "neuroplastic paradox" – getting stuck in ruts, and how intentional practice can build new pathways   • Body Image, Misogyny & Reclaiming the Body o Why so many clients experience their body as "the enemy" o How misogyny, hyper-masculinity, and purity culture shape body hatred and silence around food addiction o The role of our own relationship with our bodies as therapists and helpers—how we co-regulate clients through our presence, not just our words   • Receiving Love & Positive Feedback as a Trigger o Why compliments, affection, and warmth can feel more threatening than criticism for many addicted bodies o How to normalize this, slow it down, and help the nervous system "update" that it is safe enough now o Using group moments of discomfort as live material to work with neuroception and triggers   • Self-Disclosure, Accessibility & Doing Our Own Work o Why Jan believes safe, boundaried self-disclosure can create powerful safety o Steve Porges' idea that "the greatest gift you can give is your accessibility" o Why clinicians must apply these models to their own lives first, so that their belief in the body's wisdom is genuine   • Changing the Addiction Treatment Paradigm o The trauma of addiction treatment itself—shaming, punitive, expensive models o Jan's commitment to bringing compassionate, somatic, polyvagal-informed approaches into 12-step spaces and beyond o The importance of connecting communities (like Sweet Sobriety and FSPM) to shift the field together   Follow Jan and the FSPM Institute: https://www.fspminstitute.com The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

In this episode of the Food Junkies Podcast, Clarissa and Molly sit down with psychologist Dr. Carrie Wilkens to unpack what it really means to help people change without shame, stigma, or power struggles. Drawing from decades of work in substance use, eating disorders, trauma, and family systems, Carrie invites us to rethink "denial," "relapse," "codependency," and even the disease model itself, while still honoring the seriousness of addiction and the depth of people's pain. Together, we explore how self-compassion, curiosity, and values-based behavior change can transform not only individual recovery but also how families, helpers, and communities show up for the people they love. In this episode, we explore: Lived experience & professional work How Carrie's own long-term healing around food and her body continues to shape the compassion and curiosity she brings to her work. The idea that our relationship with food and our bodies changes across the lifespan—and why "lifelong relationship management" matters more than perfection. Do you have to be "in recovery" to help? The pressures clinicians face when they're asked, "Are you in recovery?" and how that question can be loaded with judgment and assumptions. Why personal experience with a specific substance or behavior is not a prerequisite to being deeply effective as a helper. How Carrie talks with clients and families about her own history in a way that's honest, boundaried, and clinically useful. Rethinking 'denial' and harmful language Why words like "denial," "addict," "codependent," "chronic relapser," and "it's a slippery slope" can shut people down rather than open them up. A more curious approach: asking "What do you mean by that?" and unpacking the real story underneath labels. How language can either invite people into self-understanding—or reinforce shame, fear, and disconnection. Softening the disease model without minimizing the problem Nuanced ways to honor addiction as a serious, complex disorder without collapsing everything into a rigid disease frame. How fear (of overdose, loss, chaos, or death) drives a lot of rigid thinking in systems and professionals. Why behavior change is slow, non-linear, and rarely a straight line—and how accepting that can actually make care more effective. Relapse as an "old solution that once worked" Carrie's reframe of relapse as returning to an old behavior that, at one time, made sense and worked on some level. How naming the function of a behavior (soothing, numbing, regulating, connecting) opens the door to new, less harmful solutions. The difference between "You didn't want it enough" and "Your brain reached for an old strategy that once helped you survive." The Invitation to Change Approach (ITC) The core elements of ITC: Motivational interviewing–informed curiosity and ambivalence exploration. Acceptance and Commitment Therapy (ACT) and values-based living. A deep commitment to self-compassion as a foundation for behavior change. Why ITC was originally developed for family members and then adapted for people with substance use concerns themselves. How the "wheel" of ITC lets people step in wherever they are—self-awareness, values, behavior strategies, or compassion—and build over time. Families, shame, and staying engaged without "tough love" Inviting family members to ask: "How does my loved one's behavior make sense?" instead of "What's wrong with them?" How this shift helps parents and partners move from fear and control into strategy, support, and skillful engagement. Concrete examples of how families can respond to return to use with curiosity, concern, and clearer communication instead of lectures or ultimatums. Codependency and other overused labels Why Carrie has never formally diagnosed anyone with "codependency." What often lives underneath that label: trauma histories, cultural norms, attachment dynamics, fear of loss, and learned survival strategies. How flattening all of that into "codependent" erases nuance and blocks meaningful change. Neurodivergence, trauma, and substance use/eating behaviors The high rates of PTSD and ADHD among people seeking help for substance use—and why that matters for treatment design. Carrie's reflection on her own undiagnosed ADHD and how it likely drove much of her earlier eating disorder behavior. How binges, purging, and substance use can function as powerful nervous system regulators, especially for neurodivergent and trauma-impacted brains. Why we need more ground-up, neurodivergent- and trauma-informed approaches that focus on emotion regulation, executive functioning, and skill-building. Self-compassion as a behavior change superpower Carrie's journey from skepticism ("this sounds too woo") to seeing self-compassion as essential, research-backed behavior-change work. How self-compassion reduces shame, helps people tolerate slow progress, and makes it safer to look honestly at their own behavior. Using both "tender" and "fierce" self-compassion to choose boundaries, seek support, and keep moving through discomfort. Reimagining 'expert' roles and community care Why Carrie is skeptical of rigid expert hierarchies in addiction treatment. Inviting families, community leaders, and lay helpers into the work through accessible tools like ITC groups and trainings. The power of giving non-clinicians simple, evidence-based language and frameworks so they can respond with compassion instead of panic or shame. About Dr. Carrie Wilkens Carrie Wilkens, PhD, is a psychologist with more than 25 years of experience in the practice and dissemination of evidence-based treatments for substance use and post-traumatic stress. She is the Co-President and CEO of CMC: Foundation for Change, a nonprofit dedicated to bringing evidence-based ideas and strategies to families, communities, and professionals supporting people struggling with substances. Carrie is a co-developer of the Invitation to Change (ITC) Approach, an accessible, skills-based framework that helps families stay engaged, reduce shame, and effectively support a loved one's behavior change. ITC is now used across the U.S. and internationally in groups, trainings, and community programs. She is co-author of the award-winning book Beyond Addiction: How Science and Kindness Help People Change, which adapts the Community Reinforcement and Family Training (CRAFT) model for families, and co-author of The Beyond Addiction Workbook for Family and Friends, a practical, evidence-based guide for loved ones who want concrete tools to support change without sacrificing their own wellbeing. Carrie is also Co-Founder and Clinical Director of the Center for Motivation and Change (CMC), a group of clinicians providing evidence-based care in New York City, Long Island, Washington, DC, San Diego, and at CMC: Berkshires, a private residential program for adults. She has served as Project Director on a large SAMHSA-funded grant addressing college binge drinking and is frequently sought out by media outlets including CBS This Morning, the Katie Couric Show, NPR, and HBO's Risky Drinking to speak on substance use and behavior change. Resources Mentioned CMC: Foundation for Change – Family-focused trainings, groups, and resources: cmcffc.org The Invitation to Change Approach – Overview of the ITC model and its core topics. Beyond Addiction: How Science and Kindness Help People Change (Book) The Beyond Addiction Workbook for Family and Friends (Workbook) The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

In this Clinician's Corner episode, Clarissa and Molly dive into what they lovingly (and accurately) call the "Hella-Days"—that stretch from early fall through New Year's where routines disappear, food is everywhere, emotions are high, and nervous systems are fried. Together, they unpack why this season is so activating for people with food addiction and nervous system sensitivity, and how to navigate it with values, boundaries, and a whole lot of self-compassion—whether you're surrounded by family or spending the holidays on your own. In This Episode Clarissa & Molly explore: Why the holidays can feel like the "Holiday Hunger Games" and "12 Days of Dysregulation" How the nervous system responds to the build-up from September to New Year's Using values as your North Star for holiday decisions Boundary tools and scripts for parties, family gatherings, and food pushers Why holiday food environments are an "engineered stressor" (hello, peppermint-everything marketing) Strategies for: Going to events without abandoning your recovery Deciding when not to go Coping with loneliness, isolation, and dark evenings Harm reduction during high-exposure events ("good, better, best" thinking) How to re-imagine your holiday story over time instead of chasing perfection Ideas for folks who love the holidays (Clarissmas) and folks who… don't (Molly 😂) They also share: Personal stories of childhood Christmas expectations, sibling dynamics, and parental pressure How early family patterns still shape how we show up at the holidays Reframing relapse and "taking the bait" with relatives like Aunt Linda (sorry, Linda) Key Takeaways You can use/adapt these directly in show notes as bullet points. Start with your North Star, not the menu. Before the doorbells, casseroles, and Aunt Linda's commentary, ask: What matters most to me about this season? How do I want to feel when the day is over? What will support my recovery and nervous system? Let those answers drive your choices more than other people's expectations, panic, or cookies. Boundaries are about self-respect, not punishment. Boundaries define what's okay and not okay for you. They're about taking responsibility for your experience—not policing others. As Brené Brown says, "Clear is kind." You don't have to over-explain or apologize. Use positive, non-defensive boundary scripts. "I don't eat sugar" often triggers defensiveness and comparison. Instead, frame your choice around how good you feel: "That looks amazing, but I've been eating in a way that's really helping my energy and sleep, and I'm so grateful I found what works for me. Thanks for understanding." Or keep it simple: "No, thank you." (A complete sentence.) "I'm focusing on foods that help me feel my best." Rehearsal reduces panic. Visualize the event ahead of time: Imagine someone offering food or a drink. Practice your boundary script. Role-play in group or with a clinician. Like athletes using mental rehearsal, you're teaching your nervous system that this "scary" behavior is survivable and doable. Don't arrive hungry to the Holiday Hunger Games. Skipping meals "to save up" for a party sets you up to be biologically and emotionally vulnerable. Eat a satiating meal (protein, healthy fats, veggies) before events. Then you can pause and ask, Am I actually hungry, or is this emotional/relational? Use "Good, Better, Best" instead of all-or-nothing. When your nervous system is hijacked and the perfect choice isn't accessible: Best: Aligned, recovery-supportive choice. Better: Less harmful option if "best" isn't realistic. Good enough: Reduces harm in a very stressful moment. This is harm reduction, not failure. Plan your support system: exit strategies, grounding, and non-food rewards. Exit plan: Decide in advance how long you'll stay and how you'll leave if overwhelmed (drive separately, ask partner to bring you back to the hotel, etc.). Grounding: Find a quiet corner, identify 5 things you can see, and locate something visually "neutral" or pleasant you can keep returning your gaze to. Non-food rewards: Think saunas, walks, reading, play with kids/nieces, skiing, time offline—let celebration include regulation, not just consumption. You don't actually owe the holidays anything. There is nothing magical about one date on the calendar that couldn't be created on another day. You can: See important people in smaller, less intense doses throughout the year. Say "no" to events that are more away-moves than towards-moves for your recovery. Ask: What does this event mean to me? How might it impact my recovery? Do I have the emotional energy for this? If you're alone or not celebrating traditionally, you still get to have a holiday that fits you. For folks spending holidays solo or outside of family systems: Create new traditions: a favorite meal (yes, lobster counts), comfort movies, lights-seeing drives, nature walks. Consider volunteering (community dinners, toy programs), which can shift perspective and foster connection. Plan virtual connection: Zoom rooms, watch parties, scheduled calls or voice notes, especially in the evenings when darkness and loneliness hit the hardest. Engineered holiday food environments are not a personal failure. Seasonal marketing is deliberately designed to trigger nostalgia, emotion, and craving (eggnog-everything, gingerbread-everything). It's an engineered stressor, not proof you lack willpower. Your brain is responding exactly as it was wired to; you're not broken. You are not "starting over"; you are learning. If you "take the bait" from Aunt Linda, eat off-plan, or get pulled into old patterns: You are not back at Day 1. You collected new data about triggers, resources, and needs. Recovery is peaks, valleys, and everything in between—that's human, not just "because you're an addict." Your holiday story can change over time. Clarissa names how her first, second, third food-sober holidays were hard—and now it's almost a non-issue. We can: Re-imagine the script (like Disney re-imagining its princesses). Hold younger versions of ourselves with tenderness. Trust that practice, time, and patience reshape the season. Resources Mentioned Sweet Sobriety Free Holiday Guide (PDF) ~22 pages of: Reflection questions to use your values as a North Star Boundary scripts and language examples Planning prompts for events, food, and nervous system care 👉 Link to download on website Contact / Listener Questions Have a holiday strategy that worked for you? A topic you'd like Clarissa & Molly to cover in a future Clinician's Corner? 📩 Email: [email protected]

In this episode, we sit down with integrative oncologist and metabolic health pioneer Dr. Nasha Winters (who insists we call her Nasha) to explore the powerful intersection of cancer, ultra-processed foods, metabolism, and sovereignty. Nasha shares her astonishing personal story: years of dismissed symptoms, normalized suffering, and relentless gaslighting that culminated in a diagnosis of end-stage ovarian cancer at age 19—and being sent home to die. Thirty-four years later, she's very much alive and leading a global movement to rethink cancer as a metabolic, terrain-driven disease rather than a purely genetic accident. We talk about how ultra-processed foods don't just starve our mitochondria—they starve our sovereignty, hijack our decision-making, and fracture our relationship with our own bodies. Along the way, Nasha invites us to move away from perfectionism and fragility and toward aligned, values-based choices and fierce self-responsibility. In this episode, we explore: Nasha's "pain to purpose" story Chronic health issues from infancy through adolescence: PCOS, endometriosis, autoimmune issues, RA, IBS, thyroid dysfunction, and more—constantly normalized and medicated. Being diagnosed with end-stage ovarian cancer at 19, with full bowel obstruction, organ failure, metastasis, and "3 months to live." How being sent home to die became the catalyst for asking "Why?" and beginning her life's work. A metabolic and psychological reset Why a prolonged period of fasting (due to bowel obstruction) functioned as an unplanned metabolic intervention. How an accidental very high-dose psilocybin experience in 1991 fundamentally changed her perspective, reduced her fear of death, and gave her a will to live. The insight that cancer is not just genetic—but deeply tied to environment, metabolism, trauma, and disconnection from nature. Cancer as an ecosystem, not a battlefield What Nasha means by seeing the body as an ecosystem instead of a war zone. How we are in constant relationship with our internal and external environments—our bodies, food systems, and the land all reflecting each other. Ultra-processed foods and cancer terrain Why ultra-processed foods are "as genetically mismatched as it gets" for humans. How UPFs impact all the hallmarks of cancer—driving inflammation, insulin resistance, oxidative stress, mitochondrial dysfunction, and brain hijacking. The role of emulsifiers, preservatives, seed oils, and other additives in damaging the gut, microbiome, and immune surveillance. Why "a little" ultra-processed food isn't neutral for people with a vulnerable system—and why in her oncology population, UPF often has to be all-or-nothing. Metabolic sovereignty vs. perfectionism Nasha's powerful idea that UPFs don't just starve our mitochondria—they starve our sovereignty. What it means to choose health as alignment, not achievement. How social pressure, cultural norms, and "moderation" language rob people of agency. Practical examples of reclaiming sovereignty: bringing your own wine, your own safe foods, and modeling a different way without preaching. Working with food addiction and emotional eating (without shame) How she meets people gently where they are, especially those whose only "comfort" has been food. "Upgrading" comfort foods and using cooking and eating as a creative, relational, and communal act rather than a shame-based one. Her boundary as a clinician: "I'm not willing to work harder than you." How that shifted outcomes and reduced codependency. Community, clinicians, and doing this together How she used farmers' markets and health-food store "field trips" as non-shaming education: reading labels together, swapping recipes, and making it fun. Seasonal group cleanses and experiments that removed UPFs without moralizing and re-connected people to real food. Justice, food deserts, and real solutions Stories from working in Indigenous and low-resource communities and helping reintroduce native seeds and traditional foodways. The Food-as-Medicine movement: projects like FreshRx, where CSA boxes for people with type 2 diabetes significantly lowered A1C and healthcare costs. Why she believes, increasingly, that the resources are there—and the work now is connection, awareness, and community organizing. A hopeful vision for the next 5 years Policy shifts around dietary guidelines and school food. Regenerative agriculture movements, farmer-led organizations, and bringing environmental, metabolic, mental health, and food systems together under one roof. Her dream project: a 1,200-acre regenerative farm, intentional community, and metabolic oncology hospital in Arizona. One small step you can take this week Start with non-judgmental awareness: a simple food and feeling diary. Her "triage" before reaching for UPFs: Big glass of water A bit of protein A bit of fat Then the UPF if you still truly want it—no self-punishment. How small wins ("I didn't eat the thing") build fierceness and confidence over time. Our signature question What Nasha would tell her younger self about ultra-processed foods: "I'm choosing health as alignment, not as achievement." Using food choices to align with who you really are and who you're becoming, rather than chasing perfection or performance. Connect with Dr. Nasha Winters Website, offerings, and clinician training: DrNasha.com Podcast: Metabolic Matters Social: Dr. Nasha / Nasha Winters across platforms Facebook Instagram Book: Metabolic Approach to Cancer: Integrating Deep Nutrition, The Ketogenic Diet, and Nontoxic Bio-Individualized Therapies   The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

On this episode of the Food Junkies Podcast, we welcome back Dr. Erica LaFata to dive into her groundbreaking work developing the Food Addiction Severity Interview (FASI) — a clinician-administered diagnostic tool modeled after the SCID alcohol use disorder module and adapted for ultra-processed foods. Building on self-report tools like the Yale Food Addiction Scale (YFAS) and mYFAS, Erica explains why the field urgently needs a structured clinical interview to validate ultra-processed food addiction as a distinct psychiatric presentation and move toward formal recognition in the DSM. Together, we explore the nuance at the intersection of eating disorders and ultra-processed food addiction: where they overlap, where they diverge, and how mislabeling can harm people on both sides. Erica unpacks key addiction mechanisms like withdrawal and tolerance, the risks of false positives and false negatives in screening, and what clinicians should be listening for when trying to tell restrictive eating, binge eating, and addictive patterns apart – especially in youth, men, and other under-researched groups. The conversation also gets practical and hopeful: we talk about the competencies therapists, dietitians, coaches, and other practitioners need before working with ultra-processed food addiction; the tension between abstinence and harm reduction; the "volume addiction" question; and how orthorexia and the "health halo" of protein bars and high-protein UPFs can quietly hijack recovery. Erica closes by sharing how FASI data could inform future public policy and regulation of ultra-processed foods without fueling weight stigma – and gives an exciting update on the DSM submission process for ultra-processed food addiction as a condition for further study. In this episode, we discuss: Why self-report tools (YFAS, mYFAS) were a crucial first step—and why a clinician-administered interview like FASI is the necessary next one How FASI was modeled after the SCID alcohol use disorder module and adapted for ultra-processed foods The core addiction mechanisms (loss of control, withdrawal, tolerance, consequences) and how they show up with ultra-processed foods Key differences between traditional eating disorder frameworks ("all foods fit," no good/bad foods) and an addiction lens focused on specific ultra-processed foods What many food addiction coaches and practitioners may be missing without formal substance use or eating disorder training False positives vs false negatives in food addiction screens—and why missed cases (false negatives) are especially concerning How FASI uses follow-up questions to differentiate restriction, binge eating, and true addictive patterns What we know (and still don't know) about ultra-processed food addiction across sex, age, BMI, and developmental stages Early exposure in childhood and adolescence as a potential public health crisis for lifelong addictive responses to ultra-processed foods The high overlap between binge-type eating disorders (BED, bulimia nervosa) and food addiction—and what to prioritize in treatment "Volume addiction": whether what we call "addicted to volume" may actually be binge eating disorder in disguise Orthorexia, "clean eating," and the health halo of protein bars, high-protein snacks, and dressed-up "safe" foods The tension between abstinence-based and harm reduction approaches for ultra-processed foods, and why different strategies may work for different people How clinician bias (diet culture, anti-addiction frameworks, or rigid abstinence views) can affect assessment—and how FASI creates room for nuance How FASI and future data could support DSM recognition, inform policy, SNAP and marketing regulations, and reduce shame by naming ultra-processed food addiction as real and treatable A hopeful update on the DSM application for ultra-processed food addiction as a condition for further study