Episode 253: Clinician's Corner - From Rules to Guardrails: Rewriting the Manual for Recovery
Release Date: 10/29/2025
Food Junkies Podcast
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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...
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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....
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In this powerful episode, Dr. Vera Tarman and Clarissa Kennedy welcome back Dr. Nicole Avena, one of the first researchers to scientifically validate the concept of food addiction. Together, they unpack the latest critiques of food addiction and explore why this diagnosis is still being challenged – and why the science strongly supports it. 🔍 Key Questions We Tackled Is food addiction “too broad” to be useful? Can we really rely on self-report tools like the Yale Food Addiction Scale? What about brain imaging – doesn’t Kevin Hall’s PET study “disprove” food addiction? Are...
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C J shares a moving conversation with Ashley Elizabeth, a woman whose honesty and courage shine through her recovery journey. Ashley is remarkably open about her experience with food addiction and the lifelong impact of being put on a diet at a very young age. Like so many, she spent years trapped in the cycle of obsession, shame, and the constant search for control, returning to foods she didn’t even like just to get her fix. When Ashley first entered a 12-step program, she approached her food plan like another diet, and for a while, it worked. But true transformation came when she embraced...
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Dr. Paul O’Malley is a Los Angeles-based dentist who’s redefining what it means to care for your teeth—and your whole body. With more than 30 years of experience, Dr. O’Malley specializes in biomimetic and holistic dentistry, which basically means he works with your body, not against it. His focus is on preserving your natural tooth structure, using biocompatible materials, and avoiding the “drill and fill” mindset that leaves so many people anxious about the dentist’s chair. He earned his DDS from Creighton University and completed a residency at Baylor University, but what...
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Molly and Clarissa get real about the spoken and unspoken “rules” we inherit—from family, culture, religion, peers, and recovery spaces—and how those rules can quietly run our lives. They explore when structure is protective (especially early recovery) and when rigidity shrinks our world. The invitation: notice the rule, name whose voice it is, examine its intention, and rewrite it as a flexible, values-aligned boundary (a loving guardrail) that serves your recovery today. What we cover Invisible operating systems: How covert rules (“Don’t cry in public,” “Finish your plate,”...
info_outlineMolly and Clarissa get real about the spoken and unspoken “rules” we inherit—from family, culture, religion, peers, and recovery spaces—and how those rules can quietly run our lives. They explore when structure is protective (especially early recovery) and when rigidity shrinks our world. The invitation: notice the rule, name whose voice it is, examine its intention, and rewrite it as a flexible, values-aligned boundary (a loving guardrail) that serves your recovery today.
What we cover
Invisible operating systems: How covert rules (“Don’t cry in public,” “Finish your plate,” “Don’t upset Dad,” “Work before rest”) get encoded as truth and shape choices, identity, and self-worth.
Where rules come from: Family modeling, culture/diet/purity narratives, religion & tradition, media comparison loops, and past painful moments that birthed survival strategies.
When rules help vs. harm: The cast-to-brace metaphor—early structure can be lifesaving; never taking the brace off becomes its own injury.
Food-recovery example: “The kitchen is closed after dinner.” Helpful as temporary scaffolding; harmful if it overrides true hunger, fuels all-or-nothing thinking, or becomes punishment.
Language that frees: Swap “I can’t” for “I choose not to (right now).” Replace rules with loving guardrails anchored in values, not fear.
Meeting the Rebel: How the inner rebel shows up when we feel controlled, and how flexibility + permission reduces backlash and binge risk.
Compassion over condemnation: Seeing the origin story of a rule reveals it was protective, not defective—which softens shame and opens space to change.
Support matters: Borrowing a “prosthetic prefrontal cortex” from trusted people (group, therapist, friend) to reality-check and practice flexibility safely.
Try this: a simple Rule Audit
Spot it: What’s one rule you notice yourself following today?
Name the voice: Whose rule is it (family, program, culture, scared younger you)?
Intention check: What safety or benefit was it trying to create? Does that need still exist?
Cost check: How does it limit you now (shame, rigidity, disconnection from body needs)?
Rewrite it: Old: “I can’t eat after dinner.”
New: “I stop after dinner unless I’m truly hungry—then I have a planned, recovery-friendly snack without shame.”
Make it safer: Pre-plan options, text a support person, add a brief grounding before eating, pre-portion, and debrief after.
Nuggets & reframes
“Rules kept me safe then; values-based guardrails grow me now.”
“Different doesn’t equal dangerous. It’s okay if new feels wobbly.”
“Recovery should make life bigger, not smaller.”
“Permission reduces rebellion.”
“Thank you, old rule, for what you protected. I’m choosing something kinder now.”
Reflection questions for listeners
Which rule in your life feels most rigid right now? What would a kinder, values-aligned version look like?
If you replaced one “I can’t” with “I choose not to—for now,” what changes in your body and nervous system?
Who are your go-to people to borrow perspective from when your threat system is loud?
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.