Show Notes
Most of us know what we should be doing. The harder question is why we can't actually do it. In this episode, Dr. Rachel Goldman joins Kati to talk about food noise, GLP-1s, cognitive behavioral therapy, and the small mindset shifts that change everything. Dr. Rachel is a clinical psychologist, clinical assistant professor of psychiatry at NYU Grossman School of Medicine, and author of the new book When Life Happens. She specializes in cognitive behavioral therapy, stress, and the treatment of eating disorders and obesity, and she runs a private practice in New York City.
Today we talk about why your brain defaults to worst-case scenario (it's survival wiring, not a personal flaw), the one-word shift that interrupts all-or-nothing thinking, and the cognitive distortions quietly running your day. Dr. Rachel walks us through what food noise actually is and why some people genuinely don't have it, how GLP-1 medications are changing the conversation around eating disorders and obesity treatment, and what most people misunderstand about both. We get into why the body sends signals that get louder until you finally listen, why "finding balance" is setting you up to fail, and the reframe that finally helped Dr. Rachel stop cancelling on herself.
We also go personal: how a clinical psychologist talks to her own kids about mistakes, what's actually in her toolbox when life feels too heavy, and the moment that changed how she thinks about self-care.
If you've been doing the work, reading the books, going to therapy, and still feel like you can't get traction, this conversation gives you a place to start that doesn't require overhauling your life.
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Chapters (0:00) Why you keep starting over (1:30) Why she wrote this book (4:18) What a mindset shift looks like (6:00) All-or-nothing thinking (8:30) The one small thing rule (12:02) Worst-case scenario thinking (14:30) The thoughts running your day (16:13) When therapists share personal stuff (18:30) Did training prepare her for motherhood? (24:00) Working in obesity treatment (30:00) GLP-1s and food noise explained (37:20) Dance, eating disorders, the wake-up (42:30) Your body is sending signals (44:30) Managing a book launch and two kids (48:00) The Casey Neistat self-care moment (52:20) Why finding balance fails (55:00) Poker chips and resilience (58:30) What she hopes her kids learn (1:02:30) Dr. Rachel's three tools (1:04:30) Where to find Dr. Rachel
Dr. Rachel's book When Life Happens is out now: whenlifehappensbook.comFind Dr. Rachel on Instagram: @drrachelnyc
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