In this conversation with Dr. Wendy Oliver-Pyatt, a board-certified psychiatrist specializing in eating disorders and founder of Within Health and Galen Hope treatment centers, Karena explores the life-threatening reality of eating disorders as serious mental illnesses that claim one life every 52 minutes in America. Dr. Oliver-Pyatt explains the biopsychosocial foundations of eating disorders, shares her personal journey from ballerina to eating disorder specialist, and discusses the warning signs in athletes and high achievers. She reveals the controversial truth about GLP-1 medications and eating disorder risk, and provides actionable tools for reframing your relationship with your body through self-compassion and intentional self-care practices.

Understanding that weight stigma is trauma opens the door to compassion—and real recovery.

(01:13) The Deadliest Mental Illness You've Never Heard Of

1. Eating disorders kill one person every 52 minutes in America
2. Why they aren't classified with "serious" mental illnesses despite being more lethal than many
3. The confusion between societal pressure and actual mental illness diagnosis
4. Understanding the biopsychosocial foundation: biological, psychological, social, and spiritual factors

(04:47) From Ballerina to Eating Disorder Psychiatrist

1. Growing up as the child of a Holocaust survivor with a mildly autistic mother
2. How ballet and puberty collided to create impossible body standards
3. The danger of narrow frameworks about what's "acceptable" in our bodies

(18:32) Athletes, Perfectionism & the "Healthy" Eating Trap

1. Why high-achieving athletes and fitness enthusiasts face elevated eating disorder risk
2. The difference between disordered eating behaviors and diagnosable eating disorders
3. How orthorexia disguises itself as "clean eating" or "wellness"
4. Warning signs to watch for in competitive sports and fitness culture

(32:47) What Real Treatment Looks Like

1. The biopsychosocial-spiritual treatment model that addresses all aspects
2. How nutritional rehabilitation and medical stabilization work together
3. Family-based treatment approaches for adolescents and young adults

(47:36) The GLP-1 Controversy: Ozempic, Wegovy & Eating Disorders

1. "It's asinine there's no eating disorder warning"
2. How rapid weight loss medications trigger and worsen eating disorders, especially in teens
3. The danger during critical bone development years

(48:57) Actionable Steps: Rewriting Your Body Story

1. Body-to-mind dialogue: Let your body tell your mind what it needs
2. Examining how your relationship with food mirrors other life patterns
3. Choosing love over criticism in how you judge yourself and others

Thanks for the support from our partners, including:

1. Follow Dr. Wendy Oliver-Pyatt on Instagram
2. Visit Within Health
3. Visit Galen Hope

CRISIS RESOURCES:

If you or someone you know is struggling with an eating disorder, help is available:

1. National Eating Disorders Association (NEDA) Helpline: 1-800-931-2237
2. Crisis Text Line: Text HOME to 741741
3. National Suicide Prevention Lifeline: 988 or 1-800-273-8255

If this episode moved you, please consider supporting The Big Silence Foundation and exploring our resources:

Connect with The Big Silence Community

1. Order: The Big Silence Memoir audiobook
2. Shop The Big Silence Self Love Collection
3. Subscribe on YouTube
4. Donate to The Big Silence Foundation
5. The Big Silence Resource Guide
6. Find exclusive offers from our supporters

Show Resources:

1. VISIT THE CHALLENGE PAGE
2. THE BIG SILENCE PODCAST
3. TONE IT DOWN PODCAST
4. Tone It Up App
5. Tone It Up YouTube
6. Tone It Up Instagram

Have a message for Karena? She'd love to hear from you and share your comment or question on air!

Leave Karena a voicemail: https://www.speakpipe.com/KarenaDawn