The GLP-1 Conversation: Why Nuance and Psychological Support Matter with Dr Courtney Raspin

Today I'm joined by Dr Courtney Raspin, a Chartered Counselling Psychologist and Clinical Director of Altum Health, a specialist eating disorders and mental health clinic in London. Courtney has over 25 years of clinical experience, including a decade in one of the NHS's largest eating disorder services.She's just co-authored a book called The Weight Loss Prescription with psychiatrist Dr Max Pemberton (available 26th Feb!) - a book about the psychology of GLP-1 weight loss medications like Wegovy and Mounjaro. Given her background in eating disorders, Courtney has a nuanced perspective on weight loss medications, which I think is really important to hear.If you’re in eating disorder recovery and feeling unsettled by the rise of GLP-1 medications… if you’ve noticed feelings of jealousy, confusion or fear around them… or if you’re trying to understand where health support ends and diet culture begins, this conversation is for you.Key Takeaways:How Courtney’s work in eating disorders shaped her approach to weight managementThe warning signs of high drive for thinnessWhy weight loss doesn’t automatically improve body imageThe difference between body neutrality and body positivityWhy GLP-1 medications aren’t inherently harmfulThe risks of unregulated access, online prescribing, and counterfeit medicationThe various causes of “food noise” and why GLP-1 medications may helpWhat psychological support in weight management actually involvesCourtney’s guidance on GLP-1s and eating disorder recoveryTimestamps:00:00 Courtney’s journey into weight management05:00 Body neutrality and realistic body image work08:30 Understanding GLP-1s: benefits, risks and misconceptions12:00 Food noise and why context matters16:00 The psychological work behind lasting change21:00 Health vs the thin ideal27:00 Tensions within the ED field and professional responses31:30 What to consider before starting GLP-1s34:30 Courtney’s book and final adviceResources & LinksFollow @drcourtneyraspin on InstagramConnect with Us:Subscribe to the Full of Beans PodcastFollow Full of Beans on InstagramCheck out our websiteListen on YouTube⚠️ Trigger Warning: Mentions of eating disorders (anorexia, bulimia, binge eating), restriction, weight loss, GLP-1 medications, and body image. Please take care when listening.If you enjoyed this episode, don’t forget to subscribe, rate, and share the podcast to help us spread awareness.Sending positive beans your way, Han 💛