Off the Couch Psychology
Off the Couch Psychology

Sep 22, 2026 · 31 min

Pica turns nonfood cravings into a medical and emotional challenge

Pica: When Cravings Aren't Food

Pica can expose people to serious health risks while requiring medical testing, behavioral support, and compassion rather than judgment.

3 key takeaways
  1. 1Pica involves persistent urges to eat nonfood substances, not merely unusual food preferences.
  2. 2Nutritional, medical, and emotional factors can contribute to cravings for substances such as paper, soil, or drywall.
  3. 3Testing, supplements, CBT, safer alternatives, and compassionate support can help reduce harm and address the behavior.

Don't miss

Jenny describes her lifelong experience of craving and eating paper, including during pregnancy.

The brief

Pica is introduced as a disorder involving persistent urges to eat nonfood substances, from soil and drywall to laundry detergent and paper.

Jenny’s lifelong experience gives the condition a human center, including her continued craving for and eating of paper during pregnancy.

The episode frames pica as potentially connected to nutritional, medical, and emotional factors, making the behavior more complicated than a strange preference.

Because nonfood substances can cause harm, the practical response includes testing, supplements, CBT, safer alternatives, and support without shame.

Listen to the full episode and explore every guest, topic, and moment on PodLume.