My name is Dr. Alisa Karmel
About
I’m a licensed psychologist, nutritionist, and fat person.
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I offer therapy and coaching rooted in body trust, behavior science, and care that does not require weight loss to deserve support.
Fat-affirming, shame free, evidence based care for people tired of being treated like a problem to fix.
Fat Affirming Coaching
You’re not broken.
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If you’ve tried to “do the right things” and still feel blamed, stuck, or ashamed, this isn’t a personal failure.
Most weight-centric care ignores stress, trauma, access, discrimination, and nervous system overload. That causes harm. Here, we do something different.
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What sessions include:
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Fat-affirming, weight-inclusive support
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Rebuild trust with your body
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Reduce shame and internalized bias
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Tools for emotional regulation
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Space to explore motivation without force
Client Reflections
"I’ve had a years-long fear of going to the doctor, both because of how I’ve been treated in the past and because of concerns about my health. Dr. Karmel was with me every step of the way in preparing for and comfortably getting through a recent appointment: Distilling exactly what I wanted to achieve in the visit, learning how to best communicate with my doctor, and understanding how to uphold my boundaries. Thanks to her guidance and support, I’ve come to the see my doctor as an ally rather than a potential source of stress and other negative feelings."
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"I feel seen as a person, not just a fat woman! Hearing Dr. K talk about her struggles (and vice versa) reminds me I am not alone."
Stories from being fat in a world of thin people
A fat-affirming book about living in a body the world won’t stop commenting on.