Posts Tagged ‘cbt’

My Unconscious Mind is Making Me Fat – Part 1

May 28th, 2009

There I am.

Sitting on the couch watching NHL playoff hockey at the end of a long day.

The wife offers me some of her potato chips.

I decline

I’m a personal trainer dammit, and personal trainers don’t eat potato chips.

Fast forward 20 minutes…..

I am now sprawled out on the couch…..totally immersed in the game…..screaming at the referees for blowing another call….and absent mindedly reaching over and grabbing a handful of potato chips out of the bag…and then another…and then another

couch_potato

WTF!!!

What just happened?

I don’t eat potato chips….seriously.

So what happened?

I’ll tell you what happened.

  • When my wife first offered the chips, my conscious mind did a quick pro/con calculation and decided to take a pass on the salty/greasy delight.
  • Soon after, my conscious mind became fixated on the hockey game.
  • Soon after that, my unconscious mind snuck behind the back of my conscious mind, and by using a mixture of sensory inputs, old memories, emotions, brain chemicals and hormones, managed to hijack my body and convince it that eating those chips was suddenly a great idea.

Damn you unconscious mind!!!

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This is a big reason why diets fail.

Your bad habits live in your unconscious mind.

Your bad habits have built up powerful connections within your mind and body.

And if you let your unconscious mind run the show, you WILL return time and again to your old habits…over-eating, under-exercising, smoking, etc…

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In Saturday’s post, I will discuss some techniques you can use to help your conscious mind fight back against your unconscious mind.

Some of this stuff is going to sound a little new-agey, touchy-feely, so if that isn’t your cup of tea, I won’t be offended if you decide to give Health Habits a pass.

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Think Yourself Thin….The Complete Beck Diet for Life

January 13th, 2009

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A few days ago, I introduced you to my Better than the “Best Life” Weight Loss Plan.

In that post, I told you why diets and workouts simply don’t work for most people.

I told you that unless you address your personal weight loss roadblocks, you may be trapped forever in a cycle of yo-yo dieting….well, that sounds ominous, doesn’t it?

I told you how it all comes down to lifestyle.

And to make things just a little bit easier, I divided those lifestyle factors into 3 groups:

  1. Physical Factors
  2. Mental / Emotional / Spiritual Factors
  3. External Factors

Today, I will be discussing your mental/emotional roadblocks to successful weight loss.

In particular, I will be discussing Dr. Judith Beck’s psychological approach to successful weight loss.

Who is Dr. Judith Beck?

Judith S. Beck, Ph.D., is:

  • judith-beckThe author of the textbook, Cognitive Therapy: Basics and Beyond, which has been translated into 20 languages and is the basic textbook in the field for most students in psychiatry, psychology, social work, and psychiatric nursing in the U.S. and around the world.
  • Clinical Associate Professor of Psychology in Psychiatry at the University of Pennsylvania
  • The Director of the non-profit Beck Institute for Cognitive Therapy and Research
  • The daughter of  Aaron T. Beck, M.D., the founder of cognitive therapy, with whom she has worked closely in developing its clinical applications and theoretical advancements.
  • A consultant for research studies funded by the National Institute of Mental Health
  • The past president of the Academy of Cognitive Therapy

And what is the Beck Diet all about?

According to Dr. Beck, the Beck Diet:

  • Frees you from guilt, worry, self-consciousness and self-blame
  • Frees you from your fear of hunger and your fear of losing control
  • Frees you from overwhelming temptation and emotional eating
  • Frees you from feelings of deprivation, unfairness and discouragement
  • Frees you from obsession about your food choices, weight and appearance.

In short, Dr. Beck’s CBT (cognitive behavioral therapy) approach to weight loss attempts to free you from your controlling thoughts and emotions. There techniques taught in this book have been successfully used as a treatment for many clinical disorders, personality conditions and behavioral problems.

To this point, only Dr. Beck has applied these techniques to treat the mental issues behind obesity.

Her step by step approach allows you to make gradual changes to your thoughts and behaviors. Over time, her techniques build upon themselves and “lead you to make the psychological changes you need to be satisfied with your food choices, your ultimate weight and yourself.”

I have used these techniques on a number of my clients, and what I love about Dr. Beck’s techniques is how they help dieters avoid the pitfalls that happen to all of us.

She teaches you how to transform your psychological “giving-in” into a psychological “stick to it” muscle.

The Plan

There are 5 stages to Dr. Beck’s program.

Stage 1 – The Success Skills Plan

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In Stage 1, you will learn and practice Dr. Beck’s  nine “success skills”.  Those skills include:

  1. scale-weight-feetMotivate yourself daily
  2. Weigh yourself daily
  3. Eat slowly or mindfully
  4. Give yourself credit
  5. Get moving
  6. Overcome hunger, cravings and emotional eating
  7. Plan and monitor your eating
  8. Follow your plan, no matter what
  9. Get back on track – right away

To help you develop these skills, you will have to complete various tasks and techniques.

And believe it or not, in Stage 1, there is no dieting. That begins in Stage 2.

And before you can proceed to Stage 2, you HAVE to master the 9 success skills.

Stage 2 – The Think Thin Initial Eating Plan

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In Stage 2, Dr. Beck introduces her “Think Thin Eating Plan”.

I will go into more detail on Dr. Beck’s eating plan in a future post.

However, I have to say that this is the one area of Dr. Beck’s book that I disagree with. Her recommendations are typical of most of the other diet books on the market. It all comes down to the typical Food Pyramid / Caloric Restriction theory that has been failing dieters for decades.

Obviously, the nutritional guidelines weren’t drafted by Dr. Beck. I can only assume that a nutritionist associated with her practice put this together.

In her defense, I have heard through the grapevine that Dr. Beck’s readers complained that her previous book didn’t have this information and that they were shocked that a “diet” book wasn’t telling them what foods to eat. So, in an attempt to make them happy, Dr. Beck added this chapter.

Personally, I still recommend that you complete Stage 2. I just think that you should follow another diet. This one or this one.

You will spend 2 to 3 weeks in Stage 2. And like Stage 1, you need to fulfill specific requirements before moving on to Stage 3.

You will also continue to work on the 9 Success Skills from Stage 1.

Stage 3 – The Challenging Situations Plan

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emotionaleatingDuring this stage, you will learn how to apply the skills you have learned in Stages 1 & 2 to various challenging situations:

  • Eating outside the house
  • Entertaining at home
  • Or when you are psychologically or emotionally stressed out.

There are a wide variety of skills to work on in this section. I will go into these skills in greater detail in a future post.

In my opinion, the skills you will learn in this stage should be required reading for anyone trying to lose weight and still have some semblance of a social life.

Stage 4 – The Think Thin Lifetime Eating Plan

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To enter Stage 4, you need to know that you can follow your plan in any situation.

If you have achieved that level of self control, you can now loosen things up a bit, knowing that you are in charge of your thoughts and feelings and that if you start to put on some extra weight, you have the skills necessary to turn things around.

And not that she doesn’t trust you, but Dr. Beck still has a few more experiments to make sure that you are ready to graduate to Stage 5.

Stage 5 – The Motivation for Life Plan

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Stage 5 is Dr. Beck’s Maintenance Stage.

During this stage, she asks you to follow 1 of 3 different plans:

  1. Daily Motivation Plan – when dieting/maintenance is going well
  2. Re-Motivation Plan – when dieting/maintenance becomes difficult
  3. Get back on Track Plan – when your skills slip and you gain weight

And like all of the other stages, Dr. beck has a series of daily tasks designed to maintain your success skills and your weight loss.

Conclusion

Some of you out there don’t need this book. Those extra holiday pounds are probably already melting away as you have returned to a more “normal” day to day schedule.

This book is written for those people who need to re-gain control over their thoughts and emotions.

If that sounds like you, I can heartily recommend Dr. Beck’s new book.

Except for the dietary recommendations.

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Dieting – what a tangled web

April 4th, 2008

As of April 3, 2008; a Google search of the word “diet” would return you over 179,000,000 hits.

There are thousands upon thousands of individuals & corporations who will sell you the perfect solution to your weight loss dreams. Take this pill. Use this cream. Wear this belt. Do this workout. Try this diet.

Marketdata Enterprises, Inc., a U.S. market research company estimates that the weight loss industry had sales of $58 billion in 2007. They are projecting that by 2010, the industry will be worth $68.7 billion. This projection would have been even greater if it wasn’t for the scare of a possible recession.

So where do you start?

Let’s begin by dividing all of the different weight loss methods into 2 main camps.

Eat Less and Burn More

Eat Less

Simple. Eat less food and you WILL lose weight. That will be $58 billion, please.

Not so simple. Every seasoned dieter knows that our bodies are stubborn about holding onto our fat and that unless we are willing to survive on nothing but air and sunshine, (see breatharianism) we had better become smarter about burning body-fat.

To that end, smart people throughout history have com up with smart ways to help the rest of us eat less food. Here are some of their methods.

Structured Diets

Instead of just eating less of the foods you usually eat, there have always been diet gurus willing to sell you their one of a kind, guaranteed to work, fat burning diet. Some work, some don’t. Some work for a while, but then stop working. Wikipedia lists 79 different types of diets. In future posts, I will analyze some of the diets on the market today.

I will also look at extreme diets like the VLCD diets used in hospital settings, fasting or detox diets like the “Master Cleanse” and anorexia.

Behaviour Modification Techniques

From 1895 to 1919, a man named Horace Fletcher popularized a method of eating that promised weight loss, greater health and an abundance of energy. His practice was called Fletcherizing. Practitioners of his method were called Fletcherizers. The secret of his method – chew each bite of food until it liquifies in your mouth. In 2008, a modified version of this technique is part of Paul McKenna’s “I Can Make You Thin” program.

Another behaviour modification technique comes from the field of psychology. Psychologists (see Judith Beck) are teaching cognitive behavioural therapy techniques to clients trying to lose weight.

Appetite Suppressants

Attempts to suppress appetite have been around almost forever. In the 1800s, tree sap & camphor tea were thought to suppress appetite. Ice water is purported to both suppress appetite and increase short term metabolism. Along the same lines, soup based diets (see Cabbage Soup diet) claim to suppress appetite.

Other methods of appetite suppressant include dietary fibre (see food & supplements), homeopathic & aromatherapy preparations, herbal appetite suppressants (see Hoodia Gordonii), and synthetics like fen-phen.

Diuretics & Laxatives

These two methods of weight loss have a long and undistinguished history. In the 1800s, dieters used Potassium acetate (diuretic) and chalk (laxative) for rapid yet temporary weight loss. Commonly used as a last ditch effort to lose weight FAST, laxatives and diuretics come in many forms.

While most natural diuretics, like asparagus and cranberries, have a relatively safe and gradual effect on body fluids, herbal products like ephedra, horsetail and dandelion root along with synthetic products such as lasix and aldactone have a much more powerful and potentially dangerous effect on fluid levels and your kidneys.

Like the diuretics, laxatives come in varying strengths and from both natural sources like coffee, senna leaf, and aloe vera as well as from synthetic sources like Tegaserod. Like diuretics, laxatives can have serious side effects when abused.

Fat Blockers & Carb Blockers

Fat and Carbohydrate blocking supplements are designed to stop either dietary fats or carbohydrates from being absorbed by your digestive system. The theory is that “blocked” fats and carbs pass straight through your digestive track without being used for energy or stored as body-fat.

Bulimia & Anorexia

Bulimia and Anorexia are the only methods of weight loss currently recognized in the AMA’s Diagnostic and Statistical Manual of Mental Disorders as eating disorders. Other forms of disordered eating, such as binge eating, while not recognized as mental illnesses by the psychiatric industry, are still very serious medical conditions. To engage is these behaviours is dangerous.

Bariatric Bypass Surgery

Bariatric or Gastric Bypass surgery is the catch-all phrase for the different types of surgical procedures designed to treat obesity by altering the G.I. tract and consequently reducing the amount of food eaten and/or absorbed by the patient. As of April 2008, there are at least 8 different types of Gastric Bypass surgeries.

Like all surgeries, Gastric Bypass surgery is not without risk. On top of the surgical risk, the success of this procedure is not guaranteed. Recent research has shown a genetic component to the success of Gastric Bypass surgeries

Scientific Research

As science learns more and more about our bodies, the search for effective weight loss moves farther away from diets, behaviour modification and diet pills and towards anti-obesity vaccines targeting various hormones (leptin, ghrelin, pyy, agrp, etc…) and genetic research.

While the search for a genetic answer to obesity is very exciting, it seems like for the present, genetic research into obesity is creating more questions than answers. I will be following this research closely and will be posting as new developments come to light.

As I mentioned at the start of this post, all of the different weight loss methods available today fall into two camps, Eat Less and Burn More.

This post served as a general introduction to the “Eat Less” methods of weight loss. My next post will address the “Burn More” methods.

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