Episode 227

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Published on:

27th Dec 2025

Episode 227: Affirming All Bodies: Dismantling Anti-Fatness in Therapy and Everyday Life [featuring Sabrina Longley]

In this episode, Patrick Casale talks with Sabrina Longley about what it means to truly build a fat-affirming therapy practice. This topic is especially important as we head into the new year, and toxic resolution/fitness culture starts ramping up.

Here are 3 key takeaways:

  1. Assume Less, Listen More: Approaching clients from a place of curiosity rather than assumption is crucial. Don’t make judgments about health, habits, or desires based on body size.
  2. Representation Matters: The resources, images, and stories we use in our practices should reflect the identities and lived experiences of all bodies—including larger bodies. Take the time to diversify your media, office environment, and marketing materials.
  3. Challenge Industry Narratives: The weight loss industry cashes in on insecurity and shame—often with little focus on actual health. As providers, let's not become agents of these narratives. Instead, support every client’s autonomy, dignity, and humanity.

More about Sabrina:

Sabrina is passionate about offering lived and clinical experience support to both clients and other mental health providers related to topics including racial justice, neurodivergence, fat liberation, teen mental health, and DBT. She works to honor her own lived experience and the lived experiences of other marginalized folks to promote ethical and just mental health care.

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Mentioned in this episode:

The Receptionist for iPad

 The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to https://thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.

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About the Podcast

All Things Private Practice Podcast
Honest conversations about building a business while Autistic, ADHD, or both — the self-doubt, the chaos, and everything in between.
A podcast for neurodivergent entrepreneurs and mental health professionals who want to build a business, life, and body of work that actually fits how their brain operates. Through honest interviews and real conversations, Patrick Casale explores entrepreneurship, identity, burnout, overcoming self doubt, creativity, visibility, and sustainable success with neurodivergent business owners, creators, and leaders.
Host Patrick Casale is an AuDHD, a licensed therapist, and an entrepreneur who has built multiple businesses by doing it through imperfect action — which didn't always look pretty, and wasn't always comfortable. These conversations don't sanitize that. They go into the self-doubt, the burnout, the late diagnoses, the moments of "what the hell am I doing," and the stubborn refusal to quit anyway. Guests are therapists, coaches, consultants, and business owners who are Autistic, ADHD, or both — people who've figured out that the conventional path was never going to work for them and built something better in its place.