Concerns about our bodies are common and part of being human. For some people, they remain occasional worries. For others, they begin to take up more attention, influence mood and shape everyday choices about food, movement, relationships and confidence.

In this episode of The Choice Space, Dr Lee David is joined by Joanna Silver, a psychologist specialising in eating disorders and body image difficulties, to explore why appearance-related distress can become so persistent – and what can genuinely help.

They discuss body image as something that exists on a continuum, from everyday dissatisfaction to more intense distress that narrows attention and reduces quality of life. Joanna explains how self-worth can become overly linked to weight or shape, why comparison often increases distress, and how cultural messages, family language and social media all shape how we relate to our bodies.

Rather than framing body image as something to fix or eliminate, the conversation approaches it as a relationship – one that can soften and become more balanced over time. They explore why change is rarely linear, how shame thrives when concerns stay hidden, and why curiosity and kindness are often more helpful than self-criticism.

The episode also includes a Choice Pause – a short, guided moment to help create space from comparison and reconnect with what matters in the present moment.

This is a compassionate, practical discussion about understanding body image distress and finding steadier ways to care for our bodies, even on difficult days..

Key moments

00:39 Why body image concerns are common and when they become more distressing
03:50 When self-worth becomes tied to appearance
07:12 How family, culture and language shape body image
09:16 Comparison, social media and increased distress
11:26 Signs body image concerns may be affecting daily life
15:27 Shame, secrecy and the value of talking
19:31 The Choice Pause creating space from comparison
22:04 Relating to body image as a relationship
28:47 Shifting focus from appearance to function
35:15 Body distress as a signal
40:34 Small steps towards a kinder relationship with the body

About the Guest

Joanna Silver is a Counselling Psychologist who specialises in working with people affected by Eating Disorders, Body Dysmorphic Disorder and body image problems. She works as the Lead Psychological Therapist at Orri, a treatment centre for people with Eating Disorders. I am passionate about bringing compassionate, evidence-based conversations about mental health and body image into the public space.

You can connect with Joanna via Linked in

Beat eating disorders charity

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david), Facebook and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david

There’s something quietly powerful about singing alongside other people. Music is known to support emotional wellbeing, and singing in a group brings breath, sound and attention together in a shared space. Shared voices and shared rhythm can create a sense of connection and ease, even when life feels busy or full.

In this episode, Dr Lee David speaks with Glen Harvey – musician and long-standing choir leader with Rock Choir – about what he has observed over many years of bringing people together to sing, and why community choirs often become meaningful spaces for wellbeing and connection.

They explore how singing supports both body and mind through breath, posture and movement, and how it can help people feel more present and settled without needing to analyse or fix anything. Glen shares why people from very different backgrounds are drawn to choir, and how a sense of belonging often develops naturally when the focus is on the shared experience rather than performance.

The conversation also touches on the thoughts that can sometimes hold people back, such as self-criticism or worry about getting things wrong, and how community singing gently shifts attention away from judgement and towards being in the moment together.

Highlights & Key Moments

00:00 Singing as a shared experience
02:08 Glen’s journey into choir leading
03:49 Why singing together feels different from singing alone
05:16 Stress, breath and the physical effects of singing
08:04 Posture, breathing and confidence
10:22 Thoughts that can hold people back from singing
13:10 Letting go of perfection in performance
18:40 The Choice Pause – settling with sound
22:13 Attention, anxiety and staying present
26:03 Music as a way of quietening a busy mind
27:00 Why people come to choir
29:37 Inclusivity, kindness and feeling safe in groups
33:21 A simple music-based takeaway

About the Guest

Glen Harvey is a versatile musician and choir leader with advanced skills as a vocalist, pianist and guitarist. He trained at the Academy of Contemporary Music and first became known as a semi-finalist on Pop Idol in 2003. He's been leading Rock Choirs for over 16 years, spreading harmonies and laughter across Hampshire, Berkshire, Northern Ireland and soon the Republic of Ireland.

A master of turning strangers into friends and choirs into families, he’s sung everywhere from Abbey Road to Wembley, for audiences of up to 20,000 people, from royalty to George Clooney. At home in Farnham with his wife Lisa and their three children, Glen swaps his microphone for gardening gloves, gym gear or a dinner menu. Whether on stage or in the garden, he’s all about growing joy – one song, one laugh, one memory at a time.

Connect with Glen: Instagram @glenharveymusic

Find out more about Rock Choir via their website

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david), Facebook and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david

Shame is rarely spoken about openly, yet it quietly shapes how many people see themselves and relate to others. It can affect how safe we feel, whether we believe we belong and how harshly we judge ourselves. For many people, shame grows from repeated experiences of feeling different, criticised or not quite fitting in.

In this episode, Dr Lee David speaks with Simon Lyne – CBT therapist with specialist experience in shame, identity, sexuality and trauma – about how shame develops, why it can feel overwhelming and how it becomes closely tied to our sense of self.

They explore shame as a deeply human response linked to our need for connection and acceptance, often shaped early in life through family relationships, school experiences and social messages. Simon describes how shame differs from guilt and how it can drive patterns such as perfectionism, people-pleasing, withdrawal or anger as ways of coping.

The conversation also looks at the cumulative impact of repeated comments, assumptions and experiences of exclusion, particularly for LGBTQIA+ individuals and others from marginalised groups, and why this makes shame harder to shift through individual effort alone.

Alongside this, Lee and Simon discuss how compassion – from others and towards ourselves – can help dismantle shame, supporting values-led choices, connection and resilience.

This is a grounded conversation about naming shame gently, finding safe relationships and creating room for self-acceptance in everyday life.

Key moments

00:00 Shame, identity and belonging
03:08 What shame is and why it runs so deep
06:14 Shame and the sense of being fundamentally wrong
09:50 How shame shapes behaviour in adult life
11:23 Why shame thrives in secrecy
14:09 The impact of repeated exclusion and micro-messages
15:31 Compassion as a way of softening shame
18:39 Choice Pause – a moment of self-kindness
28:57 Guilt versus shame and self-blame
37:46 Choice Space Takeaway – small steps towards kindness and connection

About the guest

Simon Lyne is an accredited CBT therapist, psychosexual psychotherapist, and published author practising within the NHS and private practice. His specialised areas include shame, sexuality, working with queer communities, and relational trauma. He combines CBT with EMDR and compassion-based approaches, offering nuanced, client-centred support.

https://simon-lyne.squarespace.com/

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david), Facebook and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david