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Beyond the Scale: Recognizing Eating Disorders – Ep. 95

POMA DOes...

Release Date: 01/16/2026

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In this episode of POMA DOes…, Susan Medalie, DO, speaks with Erin Birely, LCPC, Alumni Services Coordinator at The Renfrew Center, about recognizing and addressing eating disorders. They discuss why eating disorders can’t be identified by appearance alone, the behaviors and misconceptions that are sometimes overlooked, and the importance of approaching these conversations with compassion and curiosity. The episode also explores how life transitions, food-focused holidays, and weight-centered care can impact patients—and how clinicians can better screen, support, and refer by focusing on the whole person.

 

Key Takeaways:

  • You can’t tell by looking. Eating disorders affect people of all body sizes and shapes, and may be present even when weight or labs appear normal.

 

  • Curiosity changes the conversation. Thoughtful, non-judgmental questions about behaviors, stress, and food can reduce shame and reveal concerns that might otherwise be missed.

 

  • Whole-person care matters. Effective treatment addresses behaviors, emotions, and thought patterns—not just weight—helping patients build healthier relationships with food and their bodies.

 

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