Internalized Weight Stigma Module

Internalized weight stigma arises when a person, applying negative societal weight stereotypes to themselves, develops negative beliefs about themselves and other reactions due to their higher weight. When internalized weight stigma coexists with binge-eating disorder (BED), it must be addressed as it hinders the change because the nature of patients’ negative view of themselves and other reactions results in their seeing little or no prospect of being able to control their eating and weight. Furthermore, some patients with internalized weight stigma intermittently strive especially hard to control their eating in pursuit of unrealistic weight goals with a view to reducing their sense of worthlessness. Cognitive behavior therapy (CBT) for BED addresses internalized weight stigma using education and specific cognitive behavioural procedures. When the internalized weight stigma coexists with the overvaluation of shape and weight, the two constructs should be addressed together.