December 16, 2025
Episode 147:
How to Work with Clients with Negative Body Image with Sarah Berneche
In this episode, Sarah discusses how to work with body image concerns in therapy.

Show Notes
Explore what “body image” really means including the emotional, cognitive, behavioral, and perceptual domains that show up in therapy.
Hear how body image concerns can impact clients’ daily lives, relationships, socializing, and willingness to even leave the house.
Learn specific, clinically informed questions therapists can use to gently uncover what clients may be “taking out” on their bodies.
Understand how trauma can be coded into body image struggles and show up in the therapy room.
Discover common therapeutic “traps” around body image and what to do instead.
Podcast Links
Sarah’s Substack, Food for Thought: substack.com/@sarahberneche
Free Private Practice Therapists Community: facebook.com/groups/exclusiveprivatepracticecommunity
Comprehensive Review of Mature Minor Assessments in Clinical Practice: kayladas.com/mature-minors-workshop
Credits & Disclaimers
Music by ItsWatR from Pixabay
The Designer Practice Podcast and Evaspare Inc. has an affiliate and/or sponsorship relationship for advertisements in our podcast episodes. We receive commission or monetary compensation, at no extra cost to you, when you use our promotional codes and/or check out advertisement links.