Weight Loss Injections, Eating Disorders and Disordered Eating - Counselling Tutor Podcast10/4/2025 I was pleased to be a guest on the Counselling Tutor podcast, talking to Rory Lees-Oakes about weight loss drugs and eating disorders/disordered eating. Weight Loss Drugs and Disordered Eating [starts at 25:38 mins - click here] Rory and I unpacked the increasing use of weight loss injections like Wegovy, Ozempic, and Mounjaro, and the connection to disordered eating and eating disorders. Discussion points include:
I emphasised the need for greater awareness of weight stigma and eating disorders in therapy, and highlighted the importance of informed therapeutic exploration when clients are using or considering weight loss injections. Further reading and resources Blog - why it can be hard to talk about weight loss injections (and why I'm doing it anyway) Blog - weight loss injections and food noise Blog - coming off weight loss injections Guest post - Dump the Scales (weight stigma and weight loss jabs) Podcast - GLP-1 Truth Serum by Virgie Tovar Training for therapists and professionals on weight loss injections - NEDDE Understanding Weight Loss Injections and Diet Culture, with Online Events and Counsellors' Staffroom - live training on 8th December 2025
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I've been writing and speaking about weight loss injections (GLP-1s such as Wegovy, Ozempic, Mounjaro) a lot recently, which I feel is important, but it doesn't always feel easy. I'm certainly not short of things to say on this topic, but it is an emotive one which people have a lot of opinions about, often conflicting.
When I hear others talk about the subject, they're often trying to approach it with understandable nuance and respect. It's important not to add to the judgment of people who choose to take weight loss injections. Comments online can be cruel, which sadly isn't a surprise, with people saying it's the easy way out or that it shows laziness. This is absolutely not the case. Many people struggle with low self-esteem and painful thoughts around food and their bodies. Eating distress goes far beyond what fits neatly into an eating disorder diagnosis, and far more people struggle than we realise. Weight loss injections, sometimes known as GLP-1s or by their brand names such as Ozempic, Wegovy or Mounjaro, are big business right now. They’re available through the NHS with certain stipulations, but can also be bought online, through pharmacies, and a growing number of outlets (not all of which are safe or reliable). They don’t work for everyone, and at some point, people may need or want to stop taking weight loss injections. It’s worth thinking about that before starting them, if possible, in order to make an informed decision.
This blog explores what can happen when you come off GLP-1 weight loss drugs such as Wegovy and Mounjaro. It’s for anyone taking or considering taking them, as well as therapists and other professionals who work with clients encountering weight loss injections. I'm an eating disorder and body image therapist, so this blog is focused on the psychological impact of stopping GLP-1 weight loss injections. I would always recommend psychological support before, during, and after taking these drugs, where possible. With all the buzz about weight loss injections recently, I’ve been hearing the term “food noise” a lot. As an eating disorder counsellor, I often work with people who experience some kind of food noise – incessant thoughts about food, cravings, anxieties about eating, food rules, and more. Many people discuss taking weight loss injections, such as Ozempic, Wegovy, and Mounjaro, to help reduce food noise. But is this the best approach to tackling food noise, and at what risk?
I appreciate that many people feel they need weight loss drugs desperately, and they have every right to take them. The problem is that many people don’t qualify for weight loss injections through the NHS and seek them elsewhere. This can lead to numerous problems and risks, which I discussed in a previous blog post. I stand against harmful diet culture and the idealisation of thinness in our society but I do not judge people who choose to take weight loss drugs or pursue other weight loss interventions, given the cultural pressures we face. As a counsellor, my main mission is to help people improve their relationships with food and their bodies and to build self-acceptance. Skinny jabs. Weight loss injections. The new miracle drugs to “tackle the ob*sity crisis” once and for all. Drugs like Ozempic and Wegovy are being hailed as wonder drugs. Oprah raves about weight loss drugs and says “obesity is a disease” so it’s not about willpower. This apparently can help get rid of weight stigma…by reinforcing weight loss and thin ideals? This doesn’t make much sense to me.
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AuthorMel Ciavucco |