This episode with Sarah Tierney dives into the hidden gaps in traditional fitness coaching and why focusing on behaviour, not just nutrition plans, is the key to real, lasting change.

We explore how fat loss is often a proxy for deeper human needs like belonging, identity, and self-worth, and why chasing aesthetic goals alone rarely leads to fulfillment. Drawing on behavior change psychology and Self-Determination Theory, the conversation breaks down the difference between external motivation and meaningful, sustainable internal drivers.

The episode also challenges common industry narratives around discipline, exposing how tying self-worth to body image can lead to burnout, disordered eating, and dissatisfaction—even in those who achieve their “ideal” physique.

Finally, we cover practical strategies for improving body image, including graded exposure, decentering appearance, and building resilience to discomfort, along with key insights for coaches looking to better support clients through a more psychologically informed approach.

You can find Sarah on instagram at @sarahmichelletierney and her website https://hardhousenutrition.com/

For any other questions or enquiries find me on IG @skyelizabethnutrition and www.skyelizabethcoaching.com