04/22/2026
This week's guest Alli Spotts-De Lazzer is a licensed psychotherapist (LMFT, LPCC) and Certified Eating Disorders Specialist and Approved Consultant (CEDS-C) with nearly two decades of clinical experience treating eating disorders and co-occurring mental health conditions.
She is a regular Psychology Today columnist, the lead author of My Child Has an Eating Disorder: An Essential Guide for Parents of Kids, Teens, and Adults (Bloomsbury Academic, forthcoming 2026), and the author of MeaningFULL: 23 Life-Changing Stories of Conquering Dieting, Weight, and Body Image Issues (Unsolicited Press, 2021).
KEY TOPICS DISCUSSED:
- The critical difference between confidence ("Can I do this?"), self-esteem
(subjective evaluation), and self-acceptance.
- Why self-esteem can be an unreliable metric for mental health.
- How to reframe imposter syndrome as a tool for high standards and care rather than a source of shame.
- The biological link between nourishment and the ability to engage in logical thinking and therapy.
- How "body neutrality" offers a middle ground for those who find "body love" inaccessible.
Listen here: https://behindthebitepodcast.com/confidence-self-esteem-or-self-worth-which-one-do-you-actually-need-to-feel-enough-with-alli-spotts-de-lazzer-ep-282/