EDeology: The People Behind Today's Eating Disorder Treatment Landscape11 Mars

“I Learned from Some Very Smart Women You Don’t Do a Lot for Free”: On Money and Mental Health Care with Robyn Kievit NP, RD

Periodically, I hear someone describe a past therapist, a particular therapy modality, or a treatment center as “just in it for the money.”

On the flip side, I’ve had many conversations with therapists and other mental health providers about how hard it is to hold fees, guilt for raising fees, strain strain related to enforcing cancellation policies, weak boundaries, and frustration with insurance policies that can make financial survival in this field difficult.

Money is an unavoidable part of mental health care.

My work brings me into regular contact with the depths of human suffering and the profound complexity of each person’s internal world. At times, I'm trusted with stories that haven't been told to another living soul. It is humbling. It's a gift.

The fact that mental healthcare is both a deeply human relationship and a paid service is an uncomfortable reality. Which makes it a topic worthy of conversation.

In this episode, Robyn Keivit shares her story as a female entrepreneur, business owner, registered dietitian, and nurse practitioner. We explore the tension between providing affordable care and supporting ourselves and our families, the relationship between money and self worth, and the personal narratives that shape how we engage with the business side of mental health care.

Robyn Kievit is a nurse practitioner and registered dietitian with more than 25 years of clinical experience. She specializes in supporting women through perimenopause and menopause using hormone therapy, medical science, and psychopharmacology, with particular expertise in eating disorders, disordered eating, and body image concerns.

Robyn is a sought-out speaker at professional conferences and events and has been featured in numerous national media outlets.

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“My Favorite Psychotherapist Went to Jail” with Kayla Perry

Moralistic judgment is the root of so much division in our field and in our society. The perception of ideologically opposing groups as uninformed, evil, or inherently harmful is the surest way to eli...

2 Juni 1h 12min

Helping our Children Develop a Healthy Relationship with Food with Katie Gilder, RD

Many of the hot topics in eating disorder recovery—health at every size, food neutrality, whether some foods are manufactured with addictive qualities—extend beyond eating disorders and to the message...

12 Maj 1h 1min

This is your trigger warning!

In this episode, I discuss why this podcast has no content rules and how I address information that might be triggering to the listener. I also do a deep dive into the question, can words cause harm?M...

5 Feb 22min

Dialogue: Is eating disorder treatment evidence-based, heart-led, or some of both? Family-Based Treatment meets Somatic therapy

How do we know what is real? There is a growing number of treatment modalities, each with its own acronyms and catchphrases. There is also a large diversity of opinions around issues related to food, ...

21 Jan 1h 7min

Does lived-experience matter in clinical work? With David Wiss, PhD, RDN, IFMCP

When we argue with other clinicians about treatment-related issues, it’s natural to focus almost exclusively on content. And when it doesn’t go well, we often attribute that to the wrongness of the ot...

7 Jan 52min

The Invisible Specialty: Ethical veganism and eating disorder recovery with Maneva Gill

It can be taken for granted that there are many non-disordered ways of eating. In addition to food preferences and aversions, allergies, food-sensitivities, and body composition, our food choices can ...

23 Dec 20251h 9min

Attraction, love, and erotic feelings in the therapeutic relationship with Rebecca Prolman, LMFT

The therapeutic relationship is, in some ways, a bizarre one. On one hand, it’s a meeting between two people, a space where you share so much of yourself, your deeper emotions, and experiences. And at...

10 Dec 20251h 4min