Leah Parisian, LCSW

Certified Body Trust® Provider

Philosophy of Practice

My Philosophy of Practice as a psychotherapist is built on the foundation in the name of my company. With kindness, curiosity, and compassion, we work together on your personal therapeutic goals. The principles below are central to my work, and I incorporate them into evidence-based practices including Narrative work, Mindfulness, MI, CBT, DBT skills, and others.

Body Trust®

"Body Trust is a radical revisioning of what it means to occupy and care for your body. It is a pathway to acceptance of the body, an alternative dialogue to the conventional paradigm of food, body image, and weight concerns in our culture."

- Be Nourished 

My personal and professional Body Trust® practice is rooted in kindness, curiosity, and compassion.

I believe ALL BODIES deserve respect, love, kindness, and pleasure.

I believe there is no moral value in food, body size, or activity.

I believe in BODY AUTONOMY. 

I believe that diet culture is harmful.

I believe that fear is a harmful motivator.

I believe that silence perpetuates injustice.

I believe YOU ARE THE EXPERT on your body.
I believe that there is healing power in your story.

I believe that community fosters power and healing.

I believe that resting is self-compassion, not "laziness."

I believe that when we know better, we must do better.


I believe our BODIES ARE WISE.



The Association for Size Diversity and Health (ASDAH) defines the principles of Health At Every Size® as: 

  1. "Weight Inclusivity: Accept and respect the inherent diversity of body shapes and sizes and reject the idealizing or pathologizing of specific weights.

  2. Health Enhancement: Support health policies that improve and equalize access to information and services, and personal practices that improve human well-being, including attention to individual physical, economic, social, spiritual, emotional, and other needs.

  3. Respectful Care: Acknowledge our biases, and work to end weight discrimination, weight stigma, and weight bias. Provide information and services from an understanding that socio-economic status, race, gender, sexual orientation, age, and other identities impact weight stigma, and support environments that address these inequities.

  4. Eating for Well-being: Promote flexible, individualized eating based on hunger, satiety, nutritional needs, and pleasure, rather than any externally regulated eating plan focused on weight control.

  5. Life-Enhancing Movement: Support physical activities that allow people of all sizes, abilities, and interests to engage in enjoyable movement, to the degree that they choose."



I also work through a lens of harm reduction principles.

Harm reduction applied to problematic substance use is based on a spectrum of care that includes abstinence.