Thread and Threshold Blog

Reflections

Client Questions

Cross-Posts

Why I resonate with the term “rainbow baby” as a Jewish, queer mom & therapist

A rainbow is not “everything is fine now.” It is not a guarantee of complete safety in perpetuity. It is a reminder that both things can be true at once: there can be beauty and there can be loss; there can be relief and there can be fear; there can be survival and there can be memory.

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Abortion and TFMR are not opposites

Some people seem to assume these are fundamentally different experiences - or even opposite experiences. I don’t see them that way.

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What NOT to say to someone with Hyperemesis Gravidarum (HG)

May is Hyperemesis Gravidarum Awareness Month. As a therapist with lived experience of mild to moderate hyperemesis gravidarum (HG), I know firsthand how incredibly invisibilized and dismissed this condition so often is, so I wanted to share a little bit about what it is and some “do”s and “don’t”s about how to respond to people […]

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The Mug Says "Mom"

When I was going through recurrent pregnancy loss, one of the worst parts was that my identity as a parent felt invisible. While parents of living children are often encouraged to talk about their children and praised for all they are doing to take care of their families, it’s much more taboo for loss parents […]

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All good therapy is also philosophy

In the past, philosophy and therapy were closely related fields. But in the past several decades, therapy has moved towards skill-building and emotional regulation

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"Invisiblized" vs. "Invisible": Turning Away from Suffering is a Choice

When talking about forms of pain and suffering that are often seen as “invisible” in our society, you’ll usually hear me use the word “invisibilized” rather than “invisible.” While this may seem like a minor word choice that’s just about semantics, for me it feels like an intentional decision that is a core part of […]

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The Harm of Treating Infertility & Baby Loss as "Wants" instead of Needs

Infertility is not often recognized as a valid and legitimate source of grief. It is seen as a “want” for a baby - almost like a want for a nice house or some other material possession - rather than a human biological need

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I don’t just think we need to “break the silence” in the first trimester - I think we need to celebrate

Why do we celebrate weddings when half of all marriages end in divorce? About 15-20% of pregnancies end in miscarriage, which is rare by comparison

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Why I Work with Both Childfree and Childless Clients (and everyone in between)

One question I occasionally get is why I work with both childfree and childless clients. Aren’t those opposite experiences? My answer is simple: not usually. While these identities are often discussed as though they exist on opposite ends of a spectrum—one representing choice and the other representing lack of choice—the reality is that many people’s […]

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Why Did My Eating Disorder Get Worse After a Miscarriage?

If your eating disorder got worse after a miscarriage, or if you experienced an ED relapse after pregnancy loss, you are not alone. This is incredibly common, even though it’s not talked about nearly enough. Pregnancy loss can impact eating disorders in many different ways. For some people, symptoms intensify immediately. For others, urges show […]

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How Does Pregnancy Affect Eating Disorder Recovery?

Pregnancy is a unique, complex experience, and no two people experience it the same way. The same is true for eating disorder recovery during pregnancy. For some people, pregnancy strengthens recovery. For others, it makes recovery feel much harder. For many, it’s a mix of both. How pregnancy impacts eating disorder recovery depends on a […]

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Can Therapy Help With Emotional Eating?

Yes. Therapy can absolutely help with emotional eating, though maybe not in the way you’ve been taught to think about it. There are many different therapeutic approaches to emotional eating, and I’m always happy to share more about my own. A central principle of my approach is this: emotional eating is not something to shame, […]

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How Do Therapists Help with Body Image Issues?

There’s no one-size-fits-all approach to treating body image concerns in therapy. How body image work looks depends a lot on what’s contributing to someone’s distress and how those struggles are showing up in their life. For some people, body image issues are closely tied to anxiety, perfectionism, trauma, disordered eating, chronic dieting, or experiences of […]

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Can Remote Therapy Work for Eating Disorders?

Short answer: yes, absolutely. Research has found that teletherapy can be just as effective as in-person therapy for many mental health concerns, including eating disorders. And beyond the research, I’ve experienced this personally too - much of my own therapy and treatment has been virtual, so I know firsthand that meaningful, deep, and effective healing […]

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How Do Therapists Address Perfectionism in Eating Disorders?

Perfectionism is often a major contributor to eating disorders. When people hear the word perfectionism, they sometimes think of someone who is highly motivated, ambitious, or simply trying to be the best version of themselves. But clinically, perfectionism tends to be more complicated than that. Perfectionism is often about self-worth becoming conditional: I am okay […]

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How Do I Maintain Eating Disorder Recovery Long-Term?

If you’re reading this, there’s a good chance you’ve already done a tremendous amount of hard work in your recovery. Maybe you’ve been to eating disorder treatment, worked with a therapist or dietitian, or started making changes in your relationship with food, movement, and your body. That matters. Recovery is hard work, and making progress […]

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How Do I Know If I Have an Eating Disorder?

When most people think of eating disorders, they picture someone who is extremely thin or engaging in extreme behaviors around food. But the reality is that eating disorders and disordered eating often look very different than the stereotypes we’ve been taught. People in bodies of any size can struggle with eating disorders. Many people who […]

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The Social Model of Disability and Eating Disorders (Cross Posted)

We sometimes forget to ask broader questions the problems that we aim to address. One solution is to look to the different models used for disability

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Against Impulsivity (Cross Posted)

The aim of this blog post is to call into question how we conceptualize and define “impulsivity” in a way that is affirming of neurodiversity and disability

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The intersections between disordered eating and reproductive trauma (Cross Posted)

I feel that a missing piece of the conversation is the ways that struggling to become pregnant and pregnancy loss can contribute to disordered eating

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Applying the Neurodiversity Paradigm to ARFID (Cross Posted)

The ways people move through and perceive the world involves eating; neurodiversity therefore means that there is no one right or wrong way to eat

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Adapting Intuitive Eating for Neurodivergent People (Cross Posted)

There is a great deal of value in the principles of Intuitive Eating; however, accommodations may be needed to support neurodivergent people in recovery

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Why Approaches That Focus On The “Present” May Not Be Neurodiversity Affirming (Cross Posted)

For many neurodivergent people, the world is not safe. I’m not sure mainstream trauma approaches are applicable to neurodivergent or other marginalized people

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Blog and Guest Posts

Why I resonate with the term “rainbow baby” as a Jewish, queer mom & therapist

A rainbow is not “everything is fine now.” It is not a guarantee of complete safety in perpetuity. It is a reminder that both things can be true at once: there can be beauty and there can be loss; there can be relief and there can be fear; there can be survival and there can be memory.

Read More
Abortion and TFMR are not opposites

Some people seem to assume these are fundamentally different experiences - or even opposite experiences. I don’t see them that way.

Read More
Why I Work with Both Childfree and Childless Clients (and everyone in between)

One question I occasionally get is why I work with both childfree and childless clients. Aren’t those opposite experiences? My answer is simple: not usually. While these identities are often discussed as though they exist on opposite ends of a spectrum—one representing choice and the other representing lack of choice—the reality is that many people’s […]

Read More
Why Did My Eating Disorder Get Worse After a Miscarriage?

If your eating disorder got worse after a miscarriage, or if you experienced an ED relapse after pregnancy loss, you are not alone. This is incredibly common, even though it’s not talked about nearly enough. Pregnancy loss can impact eating disorders in many different ways. For some people, symptoms intensify immediately. For others, urges show […]

Read More
How Does Pregnancy Affect Eating Disorder Recovery?

Pregnancy is a unique, complex experience, and no two people experience it the same way. The same is true for eating disorder recovery during pregnancy. For some people, pregnancy strengthens recovery. For others, it makes recovery feel much harder. For many, it’s a mix of both. How pregnancy impacts eating disorder recovery depends on a […]

Read More
Can Therapy Help With Emotional Eating?

Yes. Therapy can absolutely help with emotional eating, though maybe not in the way you’ve been taught to think about it. There are many different therapeutic approaches to emotional eating, and I’m always happy to share more about my own. A central principle of my approach is this: emotional eating is not something to shame, […]

Read More
How Do Therapists Help with Body Image Issues?

There’s no one-size-fits-all approach to treating body image concerns in therapy. How body image work looks depends a lot on what’s contributing to someone’s distress and how those struggles are showing up in their life. For some people, body image issues are closely tied to anxiety, perfectionism, trauma, disordered eating, chronic dieting, or experiences of […]

Read More
Can Remote Therapy Work for Eating Disorders?

Short answer: yes, absolutely. Research has found that teletherapy can be just as effective as in-person therapy for many mental health concerns, including eating disorders. And beyond the research, I’ve experienced this personally too - much of my own therapy and treatment has been virtual, so I know firsthand that meaningful, deep, and effective healing […]

Read More
How Do Therapists Address Perfectionism in Eating Disorders?

Perfectionism is often a major contributor to eating disorders. When people hear the word perfectionism, they sometimes think of someone who is highly motivated, ambitious, or simply trying to be the best version of themselves. But clinically, perfectionism tends to be more complicated than that. Perfectionism is often about self-worth becoming conditional: I am okay […]

Read More
How Do I Maintain Eating Disorder Recovery Long-Term?

If you’re reading this, there’s a good chance you’ve already done a tremendous amount of hard work in your recovery. Maybe you’ve been to eating disorder treatment, worked with a therapist or dietitian, or started making changes in your relationship with food, movement, and your body. That matters. Recovery is hard work, and making progress […]

Read More
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