Tag Archive for 'Eating Disorders'

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Your “Say Yes to Life” Monday Motivator: Food is My Friend…or is it?

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One of the areas of life that seems the most problematic in today’s society is the issue of food’s role and purpose in our lives. Is food fuel for the body? Is it an emotional warm blanket when we’re feeling down? Is it an expression of celebration that reinforces and even creates relationships? Is it a treat at the end of a long day?

To most of us, food is all of the above – and more. In past Monday Motivators, we have discussed how our attitudes towards and choices around food can and often do fluctuate frequently – sometimes even in the course of a single day – and how confusing and conflicting such fluctuations can be.

In the scientific principle known as Occum’s Razor, the “simplest explanation tends to be the right one.”  In the case of food, this principle would deduce that food is fuel for the body, plain and simple, no more and no less.

But try telling that to the part of us that wants chocolate cake when we’ve just experienced a breakup. Just try to explain that to the part of us that thinks the best way to motivate us to make healthier choices is to yell “good choice as usual, Lardo” when we are enjoying a bag of chips. Or how about when our date suggests sharing a decadent dessert as the perfect end to a romantic evening…how likely are we to explain to him or her, “Well, truffles aren’t an item my body really needs for nutrients so I’ll have to decline, but thanks anyway.”

Not at all likely, right?

In Internal Family Systems (IFS), we might instead begin to assign names to these seemingly disagreeing parts of ourselves, and then to decode what their real message, purpose, and role is in our lives.

For instance, the Inner Controller is always going to tell us what we think we need, rather than want, to hear – declining that truffle, using self-disrespecting language, doing whatever it takes to keep us on the dietary straight and narrow.

The Inner Indulger, on the other hand, will eschew discipline for pleasure every time. The Indulger loves romantic truffles, sees nothing wrong with a delicious bag of chips, and wouldn’t think twice about offering its suffering self some chocolate cake in recompense for a bad day.

The small gap or vast expanse that exists between the Indulger and the Controller is what students of IFS learn to call the “Pleasure Polarity.”  Managing the pleasure polarity, and more than that, hearing, affirming, and guiding the Indulger and Controller to learn to (gasp) get along is what a student of IFS will become adept at.

IFS students understand that each voice comes to us with a desire not to harm, not to degrade, but to support and protect us. As we walk the guided path of IFS, we will understand what our parts already understand – that we have needs that food can provide for, and that each part thinks it knows best how to care for us and meet those needs. We will perceive with tremendous clarity and newfound hope how each voice, in its own weird and wonderful way, has our best interests at heart – and is often willing to fight to the death on our behalf against another voice with an opposing opinion.

So how do we help these parts of ourselves stop squabbling and get along as they each seek the same goal – our wellbeing?

We have to first understand that each voice has a point. In between the Indulger and the Controller we find not just the Pleasure Polarity, but the Support Polarity and the Power Polarity. In the Support Polarity, we must balance the Indulger’s neediness and the Controller’s need for denial. In the Power Polarity, we must recognize our tendency to people-please against our desire to rigidly control ourselves and others.

When you become a student of IFS, you begin to walk the path of balance and moderation with wisdom, confidence, and self-compassion. You “get” yourself – in all your various parts – in a new and deeper way. You can make better choices when you understand that all of these parts or facets of you are all you – all valid, all worthy of a voice, all worthy of respect, appreciation, and satisfaction. As this understanding becomes established within, you become better able to evaluate the choices before you and make a fair assessment of each part’s needs, the airtime you will allow each to have, and your need to make sure that one is not over-indulged while one is ostracized.

Or, to once again apply the principle of Occum’s Razor, we could simply say that you will begin to realize that when a part of you hurts, you hurt. And when a part of you heals, you heal.

If you are struggling to balance the competing needs, demands, and desires you feel inside of you when it comes to making healthy food choices, Internal Family Systems can help. At Southlake Counseling, we have more than two decades of experience guiding individuals to meet and exceed their food-related recovery, health, and wellness goals. Whether you are just seeking a tune-up in the New Year or part of your bigger picture for 2010 includes a complete overhaul in your nutritional lifestyle, we look forward to partnering with you to help you say “no” to inner conflict at the table and YES to your own healthy, happy, and whole life! Visit us at www.southlakecounseling.com today!

Be Well,

Kimberly

Your “Say Yes to Life” Monday Motivator: The Helping Hand Mindfulness Extends

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Well, here it is – the first week of a brand new year!

Exciting, isn’t it!

Or maybe a little nerve-wracking….stressful….already packed full of resolutions, expectations, old memories of what not to do from the barely-departed previous year (aka baggage), and more than a bit of fear.

Enter “mindfulness”. Mindfulness is a powerful tool that can facilitate the kind of positive life change that resolutions seldom do. Best known as one of the four core tenets of Dialectical Behavioral Therapy (DBT), mindfulness is commonly defined as “awareness without judgment of what is, via direct and immediate experience”1.

How can mindfulness help you in 2010?

While resolutions and expectations are born of past experiences, and thus are colored more by painful remembrances of how we did not measure up to our own standards or others’ in the past, mindfulness keeps us anchored here in the present, which is the only place where any true change is possible.

The first step to using mindfulness as a tool for positive change is to be able to distinguish it from what we normally do. So let’s take a common New Year’s resolution as an example – a resolution to adopt healthier eating habits.

Without mindfulness, here is what you might expect to happen on January 2nd, when, full of good intentions and steadfast resolution, you approach the refrigerator. You open the door and stare in at the new healthy selections you just purchased, sitting there on the shelf next to last night’s party leftovers. Your hand shoots resolutely towards the healthy side of the shelf. Your mind says, “You know you won’t be able to keep this up. You might do okay for a few days, but sooner or later you are going to break your resolution. You might as well just go ahead and eat those party leftovers anyway. They are going to spoil otherwise, and it is wasteful to let perfectly good food spoil just because you are trying to eat healthier. You can eat the healthy stuff you bought tomorrow.”

Does any of this self-sabotaging dialogue sound familiar?

With mindfulness, you do not waver between the past and the future, trying to predict the probability of an outcome that is only possible here, now, in the present moment – an outcome that you are in charge of and are perfectly well-equipped to determine.

So now let us take the same example, but apply the tool of mindfulness to achieve a different outcome. There you are, standing in front of the open refrigerator door. Your eyes fall on last night’s leftovers, and then on the new healthy items you have just purchased.  Your hand reaches toward the healthy side of the shelf, already anticipating the crunch of the sautéed bell peppers with chicken and seasoning that you are going to make for dinner. Your stomach grumbles. You begin gathering all the ingredients to make your meal. Happily, you unwrap your new sauté pan that you got for Christmas, add a little olive oil, and start chopping vegetables. Thirty minutes later, you sit down for a lovely, healthy meal that is both delicious and satisfying. You clean up, and head into the living room to catch your favorite television show.

What just happened here? With mindfulness, you sabotaged your saboteur by simply staying present. You didn’t allow your mind to wander back to the past, which is forever out of your control, or to the future, which is not yet within your control. You stayed true to the reason you visited the refrigerator in the first place – to fuel your body with delicious, healthy nutrients per your New Year’s intention NOW, in THIS moment, to offer yourself the gift of healthy eating habits. You chose tasty ingredients, enjoyed putting them together into a meal, ate them with gusto while you were hungry, stopped when you were full, cleaned up, and moved on to the next activity you had planned.

Mindfulness hands back on a silver platter your power to make new, self-affirming choices in the present moment. Mindfulness is your best friend in a season too often filled with recriminations, regrets, fears, self-doubts, and atoning resolutions. The past is in the past, right where it belongs. And the future depends on the choices that you make right now, today.

So take mindfulness by the hand, and walk confidently and positively forward together in the present moment to greet the New Year.

At Southlake Counseling, we understand how New Year’s resolutions can often collide with last year’s regrets. This is why our staff of trained and experienced clinicians have dedicated over two decades to the study and successful application of Dr. Marsha Linehan’s Dialectical Behavioral Therapy (DBT) treatment methods. If you are struggling with maintaining a positive outlook about making good choices in 2010, we are here to help.  If you would like to learn more about Mindfulness or our DBT program contact us today at www.southlakecounseling.com to learn more.

Be Well,

Kimberly 

1 Marsha Linehan, PhD, Dialectical Behavioral Therapy Founder

Your Say Yes to Life Monday Motivator: “Fat” is Not a Feeling But I FEEL Fat!

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We all have “fat days”. Even if you are a man reading this, you probably are not scratching your head wondering what a “fat day” is. You know.

We all know. 

Fat days are like cold-and-flu season, garden weeds, or your dog’s next teeth-cleaning appointment – they are going to come. Inevitably. There is no sense trying to run and hide.

But what can we do? If having “fat days” is more about management than elimination, and we are all going to “feel fat” from time to time, then where is the dividing line between the inevitable and its amount of influence over how we feel about ourselves, our bodies, and our lives?

Once again, it boils down to knowledge…and choice. First, we have to understand and decode where “feeling fat” comes from and what it means to us. Next, we have to decide if this business of “feeling fat” still works for us, or if we would prefer to make a new choice in how we understand and deal with fat feelings, and fat days, in our daily lives. 

So where do we start? We can begin by exploring where feeling fat even comes from, how it started, and why it is so much a part of our culture today that we often accept it without question – and even welcome it in as a helpful, rather than harmful, regular houseguest.

In 1995, the Discovery Channel reported the sad but fascinating results of the introduction of western television programming into the culture of the little island of Fiji. Prior to receiving access to westernized shows like “Melrose Place” and “90210”, only three percent of Fijian females suffered from eating disorders. Three years later, 74 percent of Fijian girls reported feeling “too big” and 62 percent had gone on a diet.

We may not think the environment around us gets under our skin, but we don’t have to look very far to see how much influence it actually has on our day-to-day routines and perceptions of ourselves and others. We feel fat because anti-fat messages are everywhere we are. Billboards, television and movies, advertisements, even our daily dialogues with each other are full of labels like “thin” and “fat”, “good” and “bad”, “healthy” and “unhealthy” – and almost none of it is backed up by actual scientific facts.

In fact, most of the steady diet of fat-bashing that we take in has one purpose and one purpose only – to induce dis-ease so that we will spend our hard-earned cash to fix a problem that is all in our heads!

Okay, so now we know. We have been told to feel fat, and we have – up until now at least – very obligingly obeyed. But now we really do feel fat – so what options do we have to extricate the word “fat” from the very real and valid feelings we are having underneath?

First, we can start to access our power of choice by working hard to understand what “feeling fat” means to us. We have to recognize that “fat” in and of itself is NOT a feeling . More accurately, “feeling fat” it is an edgy little ache that grabs our attention long enough so we will trace it back to its source and deal with the real root issue. So when we feel fat, we can instantly snap to attention and begin our sleuthing process – tracing it back, and back, and back, until we uncover what triggered the fat-feeling so we can deal with that and move on to recapture our sense of health, wellness, and balance.

If you are struggling with or in recovery from an eating disorder, you may already be familiar with the technique of naming your fat feelings. This is a very helpful approach that involves building your emotional vocabulary. There are five major emotions – anger, fear, disgust, sadness, and happiness – and about a million permutations of each. For instance, if we know it is not “fat” that we are really feeling, could it perhaps be “anger”? Or is it instead a permutation of anger – maybe “rage”, “annoyance”, “hostility”, “displeasure”? In this way you can take your power back by naming what you are really feeling, and investigating what your real emotions are trying to tell you so you can work through them and return to peace and equanimity again.

You might also want to try another code-breaking exercise to figure out what “fat” really stands for in your life. In this exercise, you will complete two sentences. First you will write down: “Thin =” and complete the sentence with appropriate descriptions of what “thin” means to you in that moment (examples might include: good , happy, desirable, successful, popular, attractive, etc). Next, you will write down “Fat =” and complete the sentence with your assessment of what fat feels like to you in that moment (examples could include: disgusting, irresponsible, lazy, unattractive, unacceptable, lonely, unsuccessful, etc.). In this way you can backtrack to discover what you are really feeling, and begin to deal with those feelings.

At Southlake Counseling, we understand how painful “feeling fat” can be – we have spent years honing our skills for battling back against our culture’s focus on the socially-acceptable prejudice of weight-ism and helping others to do the same. If you are having trouble completing the exercises above, or if you try your hand at them and find that strong emotions are coming up and you need support to work through them, visit us at www.southlakecounseling.com. Let us help you to start your New Year off on an empowered note by saying “no” to feeling fat in 2010 – and saying YES to feeling what you really feel, owning your right to have and express your true emotions, and doing what you need to do to live the life of your dreams!

Be Well,

Kimberly

Your “Say Yes to Life” Monday Motivator: Finding a Reason to Recover, Part III

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I hope you have been enjoying this three-part series on Finding a Reason to Recover. To recap, in Part I, we explored what a “reason” is and how to decipher the reasons we have for the choices we make. In Part II, we looked at the word “choice” and how the very natural human emotion of fear factors into the choices we make to stay stuck or move forward.

For the conclusion of our series, we will explore what it means to “recover”. Accepted definitions of this word include: “to get back, regain, to compensate for, recover losses from.” 

These definitions might resonate if we developed an eating disorder as an adult, and we have strong memories of what life was like, what we were like, and who we were before the eating disorder set in.

But what if we have been struggling with the eating disorder for so long that we can no longer recall who we were or who we could be again without that influence controlling our lives? Or what if we were very young when we first became ill, and today contemplating life without the eating disorder feels identical to contemplating life without….us?

In this context, recovery can feel like a scary, even impossible, concept to grasp.

So here is where we must start pulling together our reasons and our choices to stay stuck or break free and assemble them on the foundation of our sense of self – our personal identity. If we don’t have a personal identity, or don’t remember it anymore, then here is where we must start, because the simple truth is that we cannot recover, regain, or get back anything if we don’t know what – or who – we have lost.

If you enjoyed significant time free from your eating disorder before you became ill, then now is the time to put your memory to work and remember what life was like. What were you like? What did you enjoy doing? What did you look forward to? Whose company did you seek out? What did you think about when you woke up in the morning and went to sleep at night? How did you spend your time and energy? What were you curious about, fascinated with, interested in? Who were you? So spend some quality time this week getting to know you B.E.D. – Before Eating Disorder.

If you developed the eating disorder before you had a strong sense of self, then examine the people around you, especially the people whom you value the most and look up to. What do they enjoy doing? What do you admire about them? If you could be anybody, go anywhere, do anything, who/where/what would you turn your attention to? What causes move your heart? What makes you long to reach out and help someone else? Whose friendship do you enjoy and why? What societal groups tug at your heart strings and why? Who could you be – who would you be – if you had time and energy free from managing the demands of your eating disorder to be YOU? Spend some time envisioning you A.E.D. – After Eating Disorder.

Understand as you do this wonderful, vital work of reconstructing “you” free from the eating disorder’s influence that the priceless gift hidden within the hard work of recovery is the opportunity to wipe the slate clean – or to keep what is good from your past and discard what is harmful now and replace it with something better. You can literally create a fascinating new reality for yourself built on the strength of your determination to overcome your life-threatening disease and the knowledge that if you can recover from an eating disorder, you can do anything you set your heart and mind to achieve.

This is the best reason to do the hard work of recovery that you will ever find. Inherent in choosing to recover is the knowledge that you are worth recovering for, that life is worth recovering for, that you matter, and that there is a place for you and work that only you can do in this world. And even if you don’t feel that way now, don’t believe that now, or don’t see that in yourself now, if you long to be able to one day, then that is a good enough reason to invest the time and energy you have been giving to your eating disordered thoughts and behaviors into recovering from them instead.

Marian Wright Edelman, Founder and President of the Children’s Defense Fund, said it best when she stated, “It is time for every one of us to roll up our sleeves and put ourselves at the top of our commitment list.”

She didn’t say “when we feel like it, when we believe it is okay, when we have earned it.” She simply said “It is time” to do it. Now. Today.

It is always a good day to choose to recover. At Southlake Counseling Center, we know exactly how much courage, determination, and vision that decision requires, and we have dedicated our lives to supporting you in your recovery journey as we first were supported by caring and skilled others in ours. So contact us today at www.southlakecounseling.com to find out how to make 2010 the year that you say “goodbye” to your eating disorder and YES to your own precious, purposeful, and powerful life!

Be Well,

Kimberly

Your “Say Yes to Life” Monday Motivator: Finding a Reason to Recover, Part II

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In the first part of our exploration of finding a reason to do the hard work of recovery, we investigated the meaning and purpose of reasons themselves. What is a “reason”? How do we begin to uncover our reasons for staying sick, and our reasons for getting well? Perhaps most importantly, what recourse do we have if and when we discover our reasons for staying sick conflict with our reasons for getting well?

In this second part of our exploration, we will look at the word “choice”. The most commonly accepted definition of this word is “the power, right, or liberty to choose; option”. Yet in many cases, the power of choice feels less like a right or liberty and more like a burden or obligation.

So stop for a moment now and think of how you commonly experience choice in your life. Does choice feel like a human right, a liberty, an option you have for exercising your own powerful, personal freedom? Or does choice feel like a burden, an obligation, an exercise in overcoming almost impenetrable fear?

Eleanor Roosevelt, a strong and empowered woman who lived through one of the most tumultuous times in American history as she supported her husband in rebuilding the hopes and dreams of a nation wrecked by economic depression, is famous for her choice to maintain her personal optimism in the face of the direst of circumstances. She once stated, “The purpose of life, after all, is to live it, to taste experience to the utmost, to reach out eagerly and without fear for newer and richer experience.”

While it is unlikely that any of us will ever make a decision to “reach out eagerly” and not encounter fear, Mrs. Roosevelt’s statement points to the possibility that this experience is not impossible to achieve – but it is also not going to be easy to attain.

The simple fact is that each and every day we encounter many reasons that could support our choice to stay stuck, and we encounter just as many reasons to choose to pursue health, recovery, and wellness…and it is our power of personal choice alone that will determine which path we will take.

So the challenge then becomes to decide what is in it for us to make one choice over another.

As I have had the privilege of working with so many individuals over the years, it has become clear to me that human beings are most likely to choose positive change when the pain of staying stuck exceeds the perceived pain of breaking free.  I have witnessed how each of us, over time, develops a sense of our own personal pain threshold – the line in the sand over which we may be willing to step if the pain of staying stuck outweighs the fear of trying something new. This personal pain threshold is determined by our cumulative past experiences of hope, joy, triumph, frustration, disappointment, and emotional injury. When staying stuck does not inflict enough pain to push us above our personal pain threshold set point, we will most likely choose to maintain our status quo. However, when staying stuck pushes us past our own personal pain threshold, we may actually experience that we have no choice but to step across that line and try something new.

So now it is time to contemplate the impact it will have on your life if you exercise your human right and option to choose to stay stuck in close companionship with your eating disordered thoughts and behaviors. You can contemplate or even journal about how your own choice not to do the hard work of recovery will impact your life, your relationships, your career, your daily life, your valued activities.

Next, you can consider and jot down your thoughts about the impact to your life if you choose to invest your time and energy into meeting your recovery, health, and wellness goals.

Now, take a look at what is on either side of your line in the sand determine where your current pain threshold is. If you find that your threshold is not activated enough to make the choice to do the hard work of choosing recovery, then ask yourself what kind of support you need to help you access your human right to choose to give yourself the gift of recovered life.

 At Southlake Counseling, we have both the expert training and the firsthand experience to know that you have the power to say “no” to living with an eating disorder and YES to recovered life – whether you begin your recovery journey believing that recovery is possible for you or not. We also have more than two decades of clinical expertise in implementing the very latest treatment methods for helping our clients to achieve and even exceed their recovery, health, and wellness goals. Most importantly, over the last two decades, we have had the privilege of witnessing thousands of courageous individuals like you harnessing the power of professional support to help them break free from their fears and limitations and break through to recovered life. 

So this holiday season, visit us at www.southlakecounseling.com and give yourself the most precious gift of all –the gift of choosing YOU!

Be Well,

Kimberly