Uploaded May 2026 | Updated September 2026, 2 weeks ago
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.
Shopping with our sponsors helps support Ask Kati Anything
• BiOptimizers Magnesium Breakthrough - Go to bioptimizers.com/kati and use code KATI for 15% off your entire order, plus get a FREE bottle of MassZymes
• Reddit - Download the Reddit app today!
Timestamps
0:00 - Why you keep starting over (and why it never sticks)
1:30 - The moment Dr. Rachel knew she had to write this book
4:18 - What a mindset shift actually looks like in your brain
6:00 - Why all-or-nothing thinking keeps you stuck
8:30 - The "one small thing" rule that changes everything
12:02 - Why your brain jumps straight to worst-case scenario
14:30 - The unhelpful thoughts running your day without you noticing
16:13 - When a therapist should share something personal
18:30 - Did her psychology training prepare her for motherhood?
24:00 - How she ended up working in obesity treatment (and what she got wrong at first)
30:00 - GLP-1s, food noise, and what most people don't understand about either
37:20 - Dr. Rachel's own story: dance, eating disorders, and the wake-up call
42:30 - Your body is sending signals. Most people ignore them.
44:30 - How she manages a book launch, two kids, and her own nervous system
48:00 - The Casey Neistat moment that changed how she thinks about self-care
52:20 - Why "finding balance" sets you up to fail every time
55:00 - Poker chips, spoons, and how resilience actually works
58:30 - What she hopes her kids take from watching her
1:02:30 - The three tools Dr. Rachel actually uses every day
1:04:30 - Where to find Dr. Rachel and the book
Dr. Rachel's book When Life Happens is out now: whenlifehappensbook.com
Find Dr. Rachel on Instagram: @drrachelnyc
My main YouTube channel: youtube.com/c/katimorton?sub_confirmation=1
Apple Podcasts: podcasts.apple.com/us/podcast/ask-kati-anything/id1502476673
Spotify: open.spotify.com/show/7itqbvflj0Q9IUDqOF5NST
Instagram: instagram.com/katimorton
MY BOOKS
Why Do I Keep Doing This? geni.us/XoyLSQ
Traumatized geni.us/Bfak0j
Are u ok? geni.us/sva4iUY
CHANNEL MEMBERSHIP
youtube.com/channel/UCzBYOHyEEzlkRdDOSobbpvw/join
ONLINE THERAPY
If you're looking for a therapist, BetterHelp can connect you with a licensed online professional: betterhelp.com/kati (enjoy 10% off your first month.) This is an affiliate link, which means a portion of your signup helps support the podcast at no extra cost to you.
Ask Kati Anything ep. 315 | Your mental health podcast, with Kati Morton, LMFT
PARTNERSHIPS
Nick Freeman | nick@biglittlemedia.co
Disclaimer:
The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship.
#mentalhealth #therapy #askatherapist #katimorton #askkatianything #mentalhealthpodcast
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.
Shopping with our sponsors helps support Ask Kati Anything
• BiOptimizers Magnesium Breakthrough - Go to bioptimizers.com/kati and use code KATI for 15% off your entire order, plus get a FREE bottle of MassZymes
• Reddit - Download the Reddit app today!
Timestamps
0:00 - Why you keep starting over (and why it never sticks)
1:30 - The moment Dr. Rachel knew she had to write this book
4:18 - What a mindset shift actually looks like in your brain
6:00 - Why all-or-nothing thinking keeps you stuck
8:30 - The "one small thing" rule that changes everything
12:02 - Why your brain jumps straight to worst-case scenario
14:30 - The unhelpful thoughts running your day without you noticing
16:13 - When a therapist should share something personal
18:30 - Did her psychology training prepare her for motherhood?
24:00 - How she ended up working in obesity treatment (and what she got wrong at first)
30:00 - GLP-1s, food noise, and what most people don't understand about either
37:20 - Dr. Rachel's own story: dance, eating disorders, and the wake-up call
42:30 - Your body is sending signals. Most people ignore them.
44:30 - How she manages a book launch, two kids, and her own nervous system
48:00 - The Casey Neistat moment that changed how she thinks about self-care
52:20 - Why "finding balance" sets you up to fail every time
55:00 - Poker chips, spoons, and how resilience actually works
58:30 - What she hopes her kids take from watching her
1:02:30 - The three tools Dr. Rachel actually uses every day
1:04:30 - Where to find Dr. Rachel and the book
Dr. Rachel's book When Life Happens is out now: whenlifehappensbook.com
Find Dr. Rachel on Instagram: @drrachelnyc
My main YouTube channel: youtube.com/c/katimorton?sub_confirmation=1
Apple Podcasts: podcasts.apple.com/us/podcast/ask-kati-anything/id1502476673
Spotify: open.spotify.com/show/7itqbvflj0Q9IUDqOF5NST
Instagram: instagram.com/katimorton
MY BOOKS
Why Do I Keep Doing This? geni.us/XoyLSQ
Traumatized geni.us/Bfak0j
Are u ok? geni.us/sva4iUY
CHANNEL MEMBERSHIP
youtube.com/channel/UCzBYOHyEEzlkRdDOSobbpvw/join
ONLINE THERAPY
If you're looking for a therapist, BetterHelp can connect you with a licensed online professional: betterhelp.com/kati (enjoy 10% off your first month.) This is an affiliate link, which means a portion of your signup helps support the podcast at no extra cost to you.
Ask Kati Anything ep. 315 | Your mental health podcast, with Kati Morton, LMFT
PARTNERSHIPS
Nick Freeman | nick@biglittlemedia.co
Disclaimer:
The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship.
#mentalhealth #therapy #askatherapist #katimorton #askkatianything #mentalhealthpodcast
