Resilient Fat Goddess
Coaching, Consulting, and Medical Advocacy

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Sarah Thompson, founder of Resilient Fat Goddess, writes about body positivity, body liberation, and fat liberation at the intersections of gender, sexuality, and eating disorders. 

Posts in Mental Health
Discovering My Sexuality as a Fat, Christian Teen

I’m finalizing a presentation on the ways that sizeism and eating disorders, separately and together, intersect for trans and gender diverse folx. While researching scientific and community based articles, it really got me thinking about my experience as a kid (a lot research is focused on trans youth) coming of age while recognizing my sexuality was different than almost everyone I knew.

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A Letter to Health Care Providers

I know you are working your hardest to provide the best care possible. I know you are working to improve people’s health, so that they can enjoy their lives longer. I know that you have to work within a rather broken system with short appointment times, insurance requirements, and have to work with the resources that you have available. I know that not every clinic, agency, hospital, or practice has the same resources as others.

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Evaluating Weight Bias Research Among Eating Disorder and Health Care Professionals

While there is research to support that weight stigma is a risk factor for binge eating disorder, it doesn’t appear that medical professionals or administrators are taking action to reduce weight stigma. There continues to be a high rate of implicit bias within medical professionals. A recent study focused on the weight bias within eating disorder treatment professionals which shows that they are not immune from a high rate of implicit bias like other medical professionals.

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Financial Instability, Food Insecurity, Medication, and Intuitive Eating

Let’s talk about Intuitive Eating. How do you navigate honoring your hunger or respecting your fullness, when you can’t afford to buy enough food? How do you enjoy the pleasure of eating, when you can’t buy food that sounds good to you? How do you enjoy the pleasure of eating, when you are worried about if you will be evicted from your home?

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Parents, Caregivers, Bodies, and Food

Our relationship with the people that raised us often forms how we relate to food and body as we grow and become adults. I’ve heard that the way we are spoken to as children is what becomes our inner voice/inner critic as we become more independent from our caregivers. I don’t know if this is exactly true. What I do know is that my parents had a major influence on my relationship with food and body. Do I think they caused my eating disorder? Nope. They were doing the best they knew how with the resources they had. Plus genetics, culture, finances, and all that. There are lots of factors.

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Community Is Crucial To My Survival

I don’t think I would survive very long without community. No, really. I don’t think I would. Community has always been incredibly important to me. It has changed and shifted over the years as I have learned and grown. I’ve been a part of many different communities over the years. They have all taught me different lessons and nourished a part of me.

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How Shifting From Body Positivity to Body and Fat Liberation Changed My Life


I did not always believe that fat people had a right to eat regularly and enough food, every day.

Nope. I had so much internalized fatphobia, weight stigma and bias that I very much bought into the idea that my fat body was a problem. A BIG problem.

Which meant that I shouldn't (read: didn't deserve to) eat regularly and enough food, every day.

It was impossible for me to feel much joy or pleasure, take up space, or gasp. . .feel sexy.

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I Didn't Know I Had An Eating Disorder

It was easy to know in high school when I was starving myself, using laxatives not as prescribed, and making myself throw up that I most likely had an eating disorder. This was the way I saw them represented in after school specials, and documentaries in health class. Though when I started seeing a therapist at 16, I was never told I had an eating disorder. I was never offered eating disorder treatment.

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What About Fat Voices? Our experience with fat invisibility in a 3-part series

Part one kicks off the series with Claudette Largess, MA, writing about her love for Julia Louis Dreyfus, Seinfeld, and her experience writing her dissertation on Fat Acceptance. The series continues with part two where Sarah Thompson writes about her experience in the Health at Every Size® Therapists and Nutritionists Facebook Group. Finally, the series will wrap up with part 3 where Rachel Millner, PsyD., writes a letter to her friends and colleagues in larger bodies.

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The Effect of Weight Stigma on Seeking Medical Treatment

It was easier to put up with my chronic foot pain, than to deal with a new specialist who might stigmatize my body and receive substandard care.

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Our world is not designed to fit me.

There were many things that influenced my willingness to seek information about treatment for ADHD. But I was finally willing to seek out this kind of help.

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Fat is the worst thing you can be.*

This is what I learned growing up. I've continued to hear this throughout my life. As recently as a few months ago, I was in a training where the trainer used the word fat as slur in an example she gave. When I asked her about it later, she said she used it as an example (without thinking about its effect on me), because it's the worst thing you can call someone. 

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Resilient Fat Goddess

Great question! It’s really interesting to experience people’s reactions when they hear my business name. Some stare blankly at me. Some seem to look confused. Once while giving my elevator speech in a room full of networking professionals, a man couldn’t contain his laughter. I don’t know if it was out of awkwardness or actually thinking it was laughable. Someone once asked me why I used the word “fat” in my business name. And then. . .there those who get it. They really get it. And I am met with a huge, knowing smile and/or some version of “what a great name!”

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Food, Eating Disorders, and Addiction

Eating disorders are not addictions. While this statement is supported by many in the eating disorder (ED) community, it seems like a fairly fringe idea to assert for those outside the ED community. In this essay, I will provide a critique of research commonly used to equate eating disorders with addictions, particularly food and/or sugar addiction. What many people who research food addiction and those who support the food addiction model actually are referring to is the effect of semi-starvation and starvation on the body, not food addiction.

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