A pilot outcome study explored associations between psychospiritual variables and body esteem in adolescent girls at a Roman Catholic high school by examining the influence of The Imago Dei Experience (TIDE), an intervention program the first author designed. Perception of God's loving acceptance accounted for significant variance in weight and appearance body esteem; religious crisis accounted for significant variance in weight body esteem. Lack of significant changes in body esteem from pretest to 18‐month follow‐up suggested the TIDE program may have buffered the typical increase in body dissatisfaction over that period of time for adolescent girls. The authors recommend counselors explore qualities of God image and religious crisis with adolescent girls.