Tag Archive for 'Kimberly Krueger'

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My Steps to Recovery – Saying No to ED and Yes to Life!

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I have been asked numerous times over the last twenty years about HOW to recover from an eating disorder and IF it is REALLY possible.  I am here to tell you that Recovery is not only possible, but can become a reality for you, too.

In honor of Mental Health Month I wrote this post to answer that question and to give you some words of encouragement – I recovered from an eating disorder after suffering for over 8 years and now use that experience to help others recover.  My way was only my way and no indication of what will work for you, but my experience may give you some ideas for recovery, as it does contain things I often find useful in working with my clients.  Recovery is a very personal experience, so take what you can use and leave the rest.

What did it take to stop?  Honesty, openness, and willingness. And a lot of hard work and persistence.

Has it been worth it? Absolutely. Today I am free of being controlled by unconscious urges with food and compulsive exercise.  I know how to respond so I don’t have to engage in the behavior. I am more self-aware, healthy, and centered. I also realize that food is just food and weight is just a number on the scale.  Neither can bring me true happiness. And I have finally accepted people don’t like me or dislike me because of my body, but because of who I am as a person.

Is it perfect? No, because perfect doesn’t exist, and I live in a world where focus on body, diet, and perfection is idealized. I need to maintain a certain acceptance, willingness and awareness. But this is such a small price to pay for having freedom.

How did I do it? I am actually working on writing the story of my recovery, but to give you the shortened version, this is what I did and the steps I took.

1)     I accepted that I had an eating disorder and I needed help.  I also came to realize it was not my fault, and I had no need to feel ashamed. An eating disorder is a real medical condition. I didn’t ask to have one, I just developed it due to a combination of many factors; genetics, triggering events, family issues, and peer pressure.

2)     I retired my “Cinderella Complex” and came to accept and realize that no one was coming to save me.  I would have to develop responsibility for saving myself.  Looking outside myself was not the answer, I had to look within and discover my true self.

3)     I came to understand that although it was not my fault, it was my responsibility to do whatever it took to learn to control the urges I had and the actions I took. Thus, I needed to make a decision on how I was going to approach the problem and then begin to do it.

4)     I decided that I would do whatever it took to reach recovery and regain my life. I reached a point where I realized that living with an eating disorder was really no way to live. I could learn to eat in a healthy way, manage my urges, and learn to tolerate my feelings without necessarily acting on them. As Goethe once said, “The moment one definitely commits oneself, then providence moves too. All sorts of things occur to help one that would never have otherwise occurred. A whole stream of events issue from the decision, raising in one’s favor all manner of unforeseen incidents and meetings and material assistance which no man could have dreamed would have come his way. Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it. Begin it now.”

5)     I took the time to educate myself and learned all I could about eating disorders and what was needed to live without one.  I fully accepted it wasn’t about the food or the weight. I accepted that I couldn’t do it alone and that I needed to practice humility and ask for help.  Being responsible for my recovery didn’t mean I had to do it on my own.  I could be vulnerable, admit my imperfections, and live to tell about it.  I could also allow people to help me.

6)     I did self-monitoring for 6 months, an average of five days a week. I learned SO much about myself, my patterns, and my responses to situations, whether I was tired, lonely, angry, or feeling anything else.

7)     I took medication to moderate my anxiety and depression – it didn’t help me to eat, but it enabled me to lift the depression and anxiety I had experienced since childhood, so I could stay motivated with my practice of all the tools I had learned from others, and developed on my own.

8)     I began to focus on the things in my life that were the most important to me and surrounded myself with positive and encouraging people. I learned to identify my true feelings, and noticed that if I expressed myself in appropriate ways, and set good boundaries, I was less likely to be triggered.  Self-care became a huge part of the process.  I learned how to put myself and my needs first and let go of feeling guilty when I said NO. I practiced  meditations, relaxation techniques and learned to enjoy exercise as a way to move my body rather than punish myself for what I had eaten.

9)     I decided that I was willing to accept that this might take a while, but what did I have to lose?  I could either keep living the way I was, which was in misery, or I could begin to practice all the things I was learning and take some risks.

10) I Learned not to beat myself up when I did slip. I came to realize that we DO slip on the road to recovery, or most of us do. So learning to be a little(or a lot)  more compassionate and accepting with myself was a big part of the process.

11) I Learned to measure my recovery not by the scale, but by how fast I got back on track with my life, how little I berated myself, how much I was able to congratulate myself and enjoy all of my accomplishments.

12) I kept a gratitude journal.  In the deepest darkest days of my depression, anxiety, and ed behaviors I didn’t think there was anything to be grateful for.  I was wrong.  When I began to focus on all that I was and everything that I had, a small light started to shine.  As Helen Keller said “Keep your face to the sunshine and you will not notice the shadows.”

13) Even after my symptoms subsided, I stayed in therapy to discover my true self, who I was without the eating disorder.  How could I be myself if I didn’t know who I was? Look for my upcoming book… How can I be myself when I don’t know who I am TM.

14)            I found a passion and purpose for being- my career and helping others recover and focusing on having my own family. Finding a reason to recover was important.

15) Today I live with the full understanding that yes, my eating disorder could come back at any time. However, this way of life has become an opportunity for self-growth, centeredness, awareness, and acceptance. Today, I have the tools I need and the commitment to use them.  Every day, I Say Yes to Life !

The good news is there really are pathways out of being controlled by ED and other compulsive behaviors. The challenge is that it takes time, commitment, awareness and practice. But then, to be good at anything usually does. I have lived many years free from Ed behavior and am lucky enough to work every day with amazing people who are also on this journey.  If you are on this path, struggling, or just need someone who really understands, give me a call.

To your success and happiness,

Kimberly

Kimberly Krueger, MSW, LCSW is a therapist and the founder and director of Southlake Counseling and The Center for Self Discovery in Davidson, NC. Kimberly may be reached at kkrueger@www.southlakecounseling.com

Southlake Counseling is Lake Norman’s leading behavioral health treatment center, providing a full range of clinical services to children, adolescents, and adults. Southlake services include therapy, psycho-educational and psycho-social assessment, consultations, health education, nutrition, wellness and coaching programs for those suffering emotional, behavioral, health, and educational challenges.


Your “Say Yes to Life” Monday Motivator: the H.O.W. of Recovery (Honesty-Openness-Willingness)

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I first came across this powerful principle many years ago in my own recovery from an eating disorder. Long credited to the Twelve Step communities, H.O.W. nevertheless feels like a universal recovery principle, applicable to any individual at any age and in any stage of their pursuit of recovery, health, and whole-person wellness.

In the course of my professional life, I am always delighted to find a new resource that outlines this fundamental recovery principle. On this week’s reading list is an innovative new book called Beating Ana: How to Outsmart Your Eating Disorder and Take Your Life Back. The author, Shannon Cutts, is herself a survivor of an eating disorder, and the book is structured to allow the reader glimpses into not just her own day-to-day hard work of recovery, but also into the recovery journeys of others she has mentored and encouraged along the way.

In Beating Ana, this is accomplished by structuring each chapter around a question from one of her mentees, her answer to that question, and then what she calls a “Recovery Workshop” that invites the reader to learn new recovery skills and tools to progress toward their recovery goals. Each chapter ends with a “Life Celebration Affirmation” which strengthens the reader’s awareness of the hard work they are doing and encourages them to continue doing the hard work of recovery.

In the chapter called “The H.O.W. of Recovery”, Ms. Cutts explains how easy it is to be bullied by the fast-moving train of an eating disorder as it progresses. She writes, “We convince ourselves that we are but spectators at our own funeral, powerless to do more than watch as events unfold to their logical conclusion….We do not yet see the truth. We do not yet perceive that, even as our inexplicable, indescribable self-torture escalates, and even when the eating disorder rolls out the big guns, we are still here.”

We accomplish this awareness and regain our inspiration, courage, and strength to keep fighting, she explains, through practicing the H.O.W. of Recovery – often better known as Honesty-Openness-Willingness. Beating Ana explains each of these principles as follows:

  1. Honesty: objectively looking at your life and seeing what is broken and who can fix it
  2. Openness: being open to believing that the way life has been doesn’t dictate the future
  3. Willingness: the “I will do whatever it takes” attitude that sustained recovery requires

Ms. Cutts then encourages readers to journal about each of these three core elements to any successful recovery process – in her words, “[to ask] yourself whether or not you feel that you have each quality and have it in sufficient measure to commit to healing and to your own life.”

It has been my experience as well that when we have the honesty to admit what is no longer working in our lives, the openness to believe that we have the power to change what isn’t working, and the willingness to do whatever it takes, that literally anything is possible. No dream is too unrealistic, no amount of work is too much, and no sacrifice is too great to achieve release and lasting freedom from the prison of an illness that claims body, mind, heart, and spirit without a backward glance.

I encourage all of you to examine H.O.W. you are approaching your own recovery, health, and wellness goals this week and thus far in 2010. If you find that you are struggling to connect with your awareness of your own Honesty-Openness-Willingness, we encourage you to tackle this challenge by being honest, open, and willing to ask for help. At Southlake Counseling, we have more than two decades of expertise and compassion invested in helping individuals just like you to achieve their dreams and realize their full potential. We are excited about sharing your journey as you reach for and even exceed your own potential! Contact us today at www.southlakecounseling.com – we look forward to hearing from you!

Be Well,

Kimberly

Your Say Yes to Life Monday Motivator: The Rebel Within

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We all like to think that we are not passive-aggressive. Even if we are not sure what that term means, we are pretty sure it does not apply to us. “Passive-aggressive” doesn’t sound like something a nice person, a loving person, a person like us, would do.

Even as you are thinking this, however, a recent incident weighs on your mind. Last night your mom called asking if you could watch her twin dachshunds while she and your step-dad went on a mini-vacation. The problem is that you know that your mom knows that her dachshunds get along like oil and vinegar with your basset hound.

And you know it too.

So why were the first words that popped out of your mouth, “Of course, Mom – no problem!”

Not to mention that, no sooner had she sweetly thanked you – for the third time this month – than you proceeded to volley off a series of conditions upon which the dogs could stay, including specific times your mom must drop off and pick up her babies, provision of an ample amount of food (because we all know how much dachshunds can eat and your basset Harry doesn’t need to starve all weekend just because your mom doesn’t want to pay to kennel her pets) …. you get the picture.

But you are not, would never act, in passive-aggressive ways towards your mother whom you love. Right?

The trouble with passive-aggressive behaviors is that they signal an uprising within – an inner conflict that is so immediate and unexpected that we do not feel like we have time to stop, investigate, and address the source of the conflict prior to interacting with the instigator of the conflict. To compound matters, since passive-aggressive behaviors most often arise when we are interacting with individuals we are familiar with and know fairly well, the stakes get even higher and cycle becomes more vicious over time.

So how do we change the flow of passive-aggressive language and behaviors?

Internal Family Systems (IFS) is one way to begin to uncover hidden motives and messages that are causing us to engage in passive-aggressive interactions. IFS is a unique therapy model that encourages students to think of themselves in terms of aspects of self rather than a single unified personality. IFS teaches us that we have not one single “personality”, but personalities within ourselves. All of these personalities have our best interests at heart, but each perceives that achievement of our best interests can only be obtained through conflicting means. This is why getting to know each of our parts or personalities, and then getting them to dialogue and work together, is the goal of IFS.

To illustrate how this might work, let us revisit the issue of your recent interaction with your mom regarding her dachshunds, Winnie and Sue.

In this example, there are at least two aspects of you interacting with Mom when she makes the request to kennel her dogs at your house. There is the Pleaser (for more on the Pleaser see this previous Monday Motivator), who automatically says “yes” to every request your mom makes. The Pleaser likes – drum roll please – to PLEASE. This aspect of you enjoys making others happy, and fears their displeasure with the same intensity it fears abandonment because of displeasure. The Pleaser has been convinced through past experiences that saying “no” equals displeasure, which equals abandonment. To the Pleaser, a “yes” ensures your social survival.

Underneath the Pleaser, however, there resides another aspect of you. This aspect, the Rebel, idolizes James Dean, the Fonz, and any other character who regularly chooses to go against the flow. The Rebel has her own assessment of the mother-dachshund scenario. In the Rebel’s opinion, your mom is taking advantage of you for free kenneling. The Rebel resents your mom for continuing to ask you to care for her aggressive, whining, bottomless pits when she knows that you know that she knows that you are inconvenienced more than a little by the repeated favors. To make matters worse, the Rebel remembers every single past experience you have had when you have been taken advantage of – only to find out after the fact, to its horror and disillusionment. The Rebel has vowed to do whatever it takes to uphold your integrity and respect by refusing to let those close to you use you as a doormat yet again.

This is why, even as your Pleaser is saying yes, yes, yes, your Rebel is yelling at the Pleaser – and at you – telling you not to be a pushover. Your Pleaser is afraid of social annihilation and your Rebel wants to annihilate your Pleaser, the requester – and Winnie and Sue.

And you are caught in the middle.

Using IFS, you can begin to dialogue with the Pleaser and the Rebel, hearing each part out, commiserating and empathizing and then introducing a third perspective – balancing out each part’s needs so that all three of you together can accomplish your shared goal – to safeguard your own wellbeing even while maintaining valued relationships with others in healthy, self-affirming ways.

If you are frustrated by persistent internal and external conflict in valued relationships, and you are at your wits end for how to handle the interactions of your Pleaser and Rebel, IFS and Southlake Counseling can help. Contact us today at www.southlakecounseling.com to find out how to say “no” to passive-aggressive behavior and YES to collaboration, partnership, and positive relationship skills.

Be Well,

Kimberly


Your Say Yes to Life Monday Motivator: Couples in Conflict

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You love me…you love me not. I love you…I love you not.

Whether it’s Valentine’s Day, an anniversary, or any other chance to renew our commitment to our partner, have we ever stopped to wonder why these reminder events are such a marketer’s playground, or why when they come around each year we are suddenly able to find the time, energy, and money to drop whatever we would otherwise be doing to make plans for displays of affection?

Love isn’t easy, period. Love is not easy to come by, and it is not easy to keep.  And it is extraordinarily painful to lose, but couples who once were madly in love with each other fight, split, and divorce on a daily basis. They also spend months and sometimes years after the split still struggling to figure out why it happened and how to pick up the pieces and move on.

If it is not easy to love a deux, it can be traced back to our own difficulties with loving ourselves. We cannot love someone we do not know – and often, each half of a new couple comes into the relationship willing and able to spend more time getting to know the other person than getting to know themselves.  We don’t know why we get angry, or what triggers it. We tell new partners about how past partners have deliberately “pushed our buttons,” and then we blame those past partners for love’s earlier unhappy endings. We tell ourselves we are sure it will be different this time – new partner, new love, new beginning.

Until it starts happening all over again with our new partner, and we suddenly begin to smell a rat. We may then start to wake up and realize that, if the only constant in a recurring pattern is us, then we are the one who holds the power to change that dynamic rather than risk yet another painful loss.

In Internal Family Systems (IFS), a powerful and dynamic therapeutic model that explores our inner world interactions in all their many parts, we learn that both in and out of love, we are multi-faceted beings.  We are fascinating, really – we have so many thoughts, so many emotions, so many memories, so many experiences. And within the context of a love relationship the environment is especially ripe for all of those thoughts, emotions, memories, and experiences to collide in our attempt to preserve the love we have while protecting ourselves from more pain.

IFS students soon learn that we have the Hurt Child, who remembers the very first breakup and wants to make sure she never, ever has to go through that again. We have our Inner Critic, who remembers past harsh words from former loves that hit too close to home, and reminds us that we are our own worst enemy and that any pain we have felt in the past is our own fault. We have our inner Champion, who will do battle to ensure that no interloper – even a loving one with good intentions – gets close enough to harm us. And we have the Blamer, who steadfastly maintains that, regardless of whatever repeatedly unfortunate circumstances may befall us, we have no one to blame but somebody else.

Couples in conflict can benefit greatly from becoming students of themselves, and IFS is a model uniquely well-suited to that exploration. In IFS couples therapy, each partner can start to learn how “pushing buttons” actually arises when an inner facet of self that bears past painful memories gets triggered into self-protective action by a partner’s comment or action. IFS’ self-awareness training enables each participant in the relationship to check their reactions against their inner awareness before responding in customary knee-jerk reaction ways to their partner. For instance, is the Blaming part of you judging your partner because it is easier than bearing the self-judgment of your own Inner Critic? Is the Hurt Child going away just when he should come closer because one hurt was enough, and when that original hurt happened he was a child and didn’t know what else to do but flee?

IFS training in the context of couples communication helps each participant to recognize that each of these parts is doing the best they can to protect us. We can then begin to learn new communication skills that start with self-awareness and self-evaluation. We can forestall knee-jerk reactions that may further damage our treasured relationship and create new patterns of interaction that are healthier, more mature, and more self- and love-affirming.

If you are feeling stretched and challenged by the dynamics of a valued love relationship, Internal Family Systems therapy can help. At Southlake Counseling, we have over two decades of expertise with guiding couples to salvage, restore, and rebuild the love they have worked so hard to cultivate. Contact us at www.southlakecounseling.com and experience for yourself just how wonderful saying “no” to unhealthy conflict and YES to love and life can be!

Be Well,
Kimberly

Your Say Yes to Life Monday Motivator: Who are you calling a “people pleaser?”

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To a certain degree, we all struggle with the desire to please others who are in our life. While usually our eagerness to please aligns more closely with achieving an advantageous compromise that benefits both the other party and ourselves, there are times we may find that, in the choices we make, the benefits to the other party far outweigh our own.

When this happens on a consistent basis, we may be struggling with a common syndrome known as “people pleasing.” “Who me?”, we might catch ourselves thinking…or saying…when the subject arises. Yet while it can be painful to discover that we have been engaged in a habitual focus on others’ wants and needs to the exclusion of our own, what is more important is that we develop that awareness so we can make a different choice going forward.

If you have ever caught yourself worrying about what to wear, how to act, what someone is thinking about you or how you can change what someone is thinking about you, you have a taste of what people pleasing feels like.  

Let’s take a common example – you have just come home from work and you are looking forward to your one free evening of the week to rest, relax, and just take good care of yourself for a change. But when you get home, your daughter asks if her friend can please stay the night. Then your spouse informs you that he is no longer able to take your son to baseball practice because he has scheduled a guys’ night – and he knows you will understand even though this is the first you have heard of it. Your daughter is begging….your husband is looking at you with expectation that you will graciously pick up the ball he dropped.

Appalled at yourself even as the words come out of your mouth, all you hear yourself saying is, “Yes, of course – no problem. I’ll take care of it. Have a good evening, honey!”

This is people-pleasing at its finest. And it probably doesn’t feel very good either while it is happening or after it has occurred.

In Internal Family Systems (IFS), we would call this the “People Pleaser Pattern.” IFS is a unique and powerful therapeutic model that assigns these different aspects or parts of our being different names and encourages the IFS therapist and student to work together to discern the roles each of these parts play in our lives and how we can work with instead of against them.

So in IFS therapy, we might look at the People Pleaser within and start trying to discern how it works in our lives by asking ourselves, “Does this happen all the time, with everybody, or just with a certain person or just a few folks?” “Or does it perhaps happen only in certain situations under certain conditions?” “What is triggering my desire to say ‘yes’ when I want to say ‘no’, from agreeing when I really disagree?” As we begin to seek and hear our own answers to these questions we are already on our way to understanding and then transforming our people pleasing behaviors into something more self-respectful.

Using the IFS therapy model, you will work to first understand your specific behavior, and then identify the motivation(s) you have for encouraging or at least allowing that behavior to continue. Next, you will begin to trace the behavior backwards to possible origins. Where did you learn that it was not safe to say “no”? Who rejected you because you stood up for yourself or expressed disagreement with their opinion? Did you lose a valuable opportunity because you were too vocal in a team-based setting about an important group decision? Rejection always hurts….and it will continue to hurt until you recognize it, acknowledge it, and begin to heal from it. IFS gives you this chance to identify and heal from past wounds that are still driving current choices and behaviors.

Next you will begin to learn how to work with your People Pleaser part so that you can understand how it is trying to protect you. The People Pleaser is not out to get you – it is simply looking out for what it has come to believe are your best interests. The more you can allay the fears that part of you carries within it and reassure it that whatever the outcome, together you can find another way to deal with life without having to people-please, the less that part will be inclined to go rogue when it feels you are in danger.

Finally, having established a more collaborative relationship with the People Pleaser part, you can begin to finally regain the power of decision in your own life. IFS offers you a powerful way to hear and respect what each part of you is trying to do to help you while still reminding them that in the end, the buck stops not with any one of them, but with YOU.

At Southlake Counseling, we understand that discovering and befriending all of the various parts of yourself can feel like a handful – when attempted alone. We want you to know you are not alone – we are here and we can help. Our caring, experienced and professional staff has more than two decades of experience in guiding individuals in their exciting journey to self-transformation. If you want to learn to say “no” to allowing past pain to overshadow current gain and say “YES” to all the fantastic possibilities that are yet ahead of you, contact us today at www.southlakecounseling.com

Be Well, 

Kimberly