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.

  1. Radical Insights Consulting Facebook: facebook.com/radicalinsightsconsulting
  2. Radical Insights Consulting Instagram: instagram.com/radicalinsightsconsulting
  3. Podcast Facebook: facebook.com/acesupyoursleevepod
  4. Podcast Instagram: instagram.com/acesupyoursleevepod
  5. Website: Radicalinsightsconsulting.com

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Thanks to Our Sponsors: The Receptionist for iPad, Alma, & Portland, Maine, Summit 2026!

The Receptionist for iPad

Thanks to The Receptionist for iPad for sponsoring this episode.

The Receptionist offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option.

Alma

Thanks to Alma for sponsoring this episode.

Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

Portland, Maine, Summit 2026

The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: empoweredescapes.com/portland-maine-summit

Doubt yourself. Do it anyway. See you in Maine.

Mentioned in this episode:

Portland, Maine, Summit 2026

 The 2026 Doubt Yourself Do It Anyway Summit is happening for the first time in the United States in beautiful Portland, Maine, on September 1st–3rd, 2026. Portland, Maine, is a beautiful coastal city in the Atlantic Ocean. There's a lot of history there, and it's a very funky, creative, safe, walkable, diverse, and progressive city. You will get 9 NBCC CEs. We have ASWB pending—we'll make an announcement when that's finalized—and have 13 prolific industry leaders. This summit has always been about showing that our skills are applicable in so many different ways, and to motivate you to think bigger, grow in this profession, take more risks, work through self-doubt, and really embrace the doubt-yourself-do-it-anyway mentality. Spots are limited. Reserve your spot here: https://www.empoweredescapes.com/portland-maine-summit Doubt yourself. Do it anyway. See you in Maine.

Alma

I want to thank Alma for sponsoring this episode. Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details, and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.

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.