Body Image & Eating Members

Weight Stigma and Me

A weight-inclusive worksheet identifying where weight stigma appears, absorbed messages, their effects, a compassionate response and protective steps.

1-page fillable PDF · US Letter (prints on A4) · Weight-inclusive

Key facts

Approach / concern
Body Image & Eating
Technique
Weight-inclusive
Format
Fillable PDF, 1 page (US Letter / A4)
Access
Pro and Advanced plans (3-day free trial)
For
Licensed clinicians to use with clients
Updated
October 2026

What is the Weight Stigma and Me?

Weight stigma is widespread and associated with poorer mental and physical health. Internalized weight bias contributes to body dissatisfaction and disordered eating.

Why it works

Puhl and Heuer (2009) reviewed the pervasiveness and harms of weight stigma. Positive body image involves rejecting narrow appearance ideals (Tylka & Wood-Barcalow, 2015).

When to use it

  • Internalized weight bias
  • Clients in larger bodies
  • Body image work
  • Health care avoidance

How to use it in session

  1. Explain weight stigma.
  2. Identify sources.
  3. Name absorbed messages.
  4. Respond compassionately.
  5. Plan protection.

Clinician tips

  • Use weight-neutral language.
  • Examine your own bias as a clinician.
  • Validate experiences of discrimination.

Worked example

Noticed: doctor attributing everything to weight. Absorbed: ‘I don’t deserve care until I lose weight’. Step: bring a support person; ask for care unrelated to weight.

Sharing with clients

Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.

Frequently asked questions

What is internalized weight stigma?

Believing negative stereotypes about body size and applying them to yourself.

Does weight stigma affect health?

Yes. Research links it to stress, avoidance of health care and disordered eating.

References

Puhl, R. M., & Heuer, C. A. (2009). The stigma of obesity: A review and update. Obesity, 17(5), 941-964.

Tylka, T. L., & Wood-Barcalow, N. L. (2015). What is and what is not positive body image? Conceptual foundations and construct definition. Body Image, 14, 118-129.

This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.