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toolbox
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hi everybody and welcome to today's
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presentation on emotional eating making
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peace with food
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during the next hour or so we're going
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to define emotional eating and
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differentiate it really from
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eating when to celebrate and when it's a
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problem and also differentiate
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differentiating it from eating disorders
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we'll explore emotional eating in terms
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of its beneficial functions and rewards
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and discuss why restrictive diets don't
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resolve emotional eating a lot of times
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people will say you know i
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have been on this diet for forever and
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it doesn't seem to be working or i can't
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seem to stick to any diet that i try
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and we're going to look at different
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reasons why this might be
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what is emotional eating and it's
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exactly what it sounds like it's eating
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in response to emotions and feelings
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other than hunger so if you're eating
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because you're bored if you're eating at
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someone and and sometimes
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especially if you are angry at someone
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or disappointed in someone
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you may eat
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and sort of be
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eating and thinking you made me do this
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so eating at someone eating to forget or
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distract yourself
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eating to feel better because when you
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eat regardless of what you're eating but
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especially if you eat high sugar high
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fat foods you're going to release
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serotonin and dopamine
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eating out of boredom fish you know hand
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to mouth thing
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eating out of habit
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and like i said a few minutes ago not
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all emotional eaters have an eating
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disorder um and we want to differentiate
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that does it mean that their eating is
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not problematic to them no not at all it
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if they're telling you it's a problem
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then it's a problem they may not meet
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the criteria for binge eating disorder
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or bulimia
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but it's important to address it because
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they understand that they're eating for
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a reason other than hunger
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and they want to stop
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because they want to eat for hunger but
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not otherwise
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and
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for us as clinicians
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the first thing we need to do is
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understand why is it that they're eating
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is it boredom is it habit so they need
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to keep a food log or a food journal
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over the course of a week or two weeks
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and sometimes when people come in for an
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assessment especially if that's one of
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their main presenting issues
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i'll start out by just doing a
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retrospective of the last three days to
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get an idea of what may be triggering
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some of their eating episodes and then
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we can look at some of the habits
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or
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bad habits maybe that they've gotten
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into and start talking about ways to
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address those
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remembering that rome wasn't built in a
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day this isn't going to go away
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overnight but a lot of times if you give
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people some
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tips tricks and tools to think about
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implementing when they walk out of your
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office after the assessment before the
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first official session
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it provides them some hope and gets the
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momentum going
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um and again you don't have to binge to
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be an emotional eater some people graze
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all day long
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some people will eat
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and it's not what would be considered
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technically a binge
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but it's more than they had anticipated
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maybe they'd go back for second helpings
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or third helpings
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when they really weren't hungry but it
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was good
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so why is eating so soothing there are a
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lot of reasons now there's obvious it
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tastes good so that's you know the big
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obvious bonus but thinking about the
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function that eating serves we have to
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eat in order to survive
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when you were an infant
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eating involved a closeness with your
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parental unit um which could release
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oxytocin and i say parental unit because
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even if it was dad feeding the baby a
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bottle there was that connection there
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was that contact which caused the infant
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and the parent to release oxytocin
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this is our bonding chemical so eating
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was associated early on with bonding
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food may also have been associated with
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sleep if the infant or child was given a
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bottle every night to go to sleep
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then they may start
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thinking or they may be in the habit of
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eating
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in order to wind down or calm down and
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we need to help them figure out
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different ways to do that
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as a toddler what did eating mean
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think about when you went from well we
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probably don't remember that but think
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about when your kids went from
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eating you know food out of a jar
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to even their first cheerios
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that was huge figuring out how to pick
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up that little cheerio and get it in
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their mouth and it involved exploration
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and mastery they were discovering all
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different types of
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textures and tastes and figuring out
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what smell went with what taste and it
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was a really cool and exciting
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time for kids and i mean think about it
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they're like a year old so it doesn't
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take much to amuse them but this was
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rewarding
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reward equals dopamine equals let's do
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that again
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it involved power and control the child
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at this point was starting to be able to
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feed him or herself was starting to be
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able to be somewhat independent from the
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parent when it came to a basic
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physiological function of eating
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so eating itself had its own rewards and
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it was self-esteem building because the
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child started learning you know how to
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feed himself how to ask what
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for what he or she wanted
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at least in terms of food
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there are formations of memories around
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foods even as early as toddlerhood you
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know we have celebrations we have
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birthdays we have
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different
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things and
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most
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children
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have certain foods that they really like
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and it could be because the first time
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they ate that food was a really happy
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experience or it could be just that's
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their favorite food and that's all they
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want to eat but they remember that food
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and they remember when they ate it they
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felt good they felt happy
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so as an adult
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there's a part of their brain going
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chicken nuggets chicken nuggets make me
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happy
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now that's how the toddler thought as an
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adult we can understand that chicken
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nuggets themselves aren't making you
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happy but
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you see the connections that we're
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making here
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there's been an association between
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happiness and chicken nuggets
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unhealthy foods especially for children
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when as adults were still able to
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control what they eat your sugary foods
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your unhealthy foods are usually
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reserved for treats or rewards
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so when you're feeling like you need to
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be rewarded when you're feeling like you
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want to feel good
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sometimes you'll resort to those things
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when you were a kid that made you feel
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good like chocolate chip cookies or
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haagen-dazs or whatever it was for you
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we've talked in the past about
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associations and conditioning and this
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is all coming back kind of full circle
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now because we need to understand
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that our brain has associated pleasure
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and
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reward with food for a lot of different
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reasons not just because of nourishment
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looking at the reasons why your patient
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eats
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is going to help you understand
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what underlying issues you may need to
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address in in treatment
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culturally we associate eating with
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caring and celebration think about
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birthdays holidays what do we do
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we get together we have buffets we have
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potlucks when someone passes away what
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do you do you bring food over when
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somebody's sick what do you do you bring
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food over
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so in our culture
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there is a lot of emphasis put on eating
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and and nourishing and that's true of a
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lot of a lot of different cultures
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low blood sugar can cause feelings of
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depression and anxiety which are quelled
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by food so if somebody typically doesn't
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eat well during the day you know they go
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long periods without eating or if they
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have blood sugar issues to begin with
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and then they eat they feel better
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so when they start feeling not so good
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what do you think their first reaction
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is let me eat and see if that helps
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evolution predisposes the human body to
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crave high sugar high fat high calorie
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foods for quick energy and to prepare
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for a famine our bodies are really cool
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and really frustrating at the same time
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because
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you know your body takes in this these
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foods and it says we are going to
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secrete the most amount of dopamine and
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the most amount of reward for these
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really high calorie foods because we
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want to make sure we're prepared in case
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there's a famine
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back you know in the day
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many many many years ago um hundreds of
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years ago
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we couldn't guarantee we would have
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a meal every day let alone three meals
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every day
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so the body prepared and it said all
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right we need to get whatever we can
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when we can
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so
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we're going to make this
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higher fat higher higher calorie foods
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more rewarding
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now i said it's also can be a blessing
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and a curse today
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there's still a little part of our
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primordial brain
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that says
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if it thinks there's a famine it will
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slow down your base metabolic rate
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which causes people to gain weight
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we see this a lot in people with eating
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disorders who tend to not take in very
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many calories um or if they take them in
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they purge them
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so the body goes well i can't guarantee
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i'm going to get enough food i'm going
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to get enough energy to survive so i'm
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just going to turn down the thermostat a
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little bit turn down the base metabolic
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rate
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which compounds the problem for the
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person with the eating disorder
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so it's important to understand that the
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brain is somewhat reactive to what's
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going on
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so i keep saying we need to figure out
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what's behind or underlying the craving
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first we need to rule out physical
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causes for some people it's as simple as
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this
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if they've got low blood sugar
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because they're not eating too often and
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obviously as counselors we're not going
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to diagnose this their doctor or their
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nutritionist will
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but
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we can start exploring and go it sounds
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like
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you might need to look at having your
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blood sugar checked or talk to your
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doctor about how frequently you need to
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eat
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because some people um and and i know
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i'm very guilty of it uh if i get into
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it into a groove doing something i'll
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eat breakfast
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and then i'll get into a groove and
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before i know it
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it's three in the afternoon and i
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haven't eaten for like a whole bunch of
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hours i'm not doing math today
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and my blood sugar's low and i'm
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starting to get foggy headed and
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irritable and tired um so it's a real
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simple fix there
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in our society we are so driven and we
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are so um
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we can get so caught up in things
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because at such a fast pace that it's
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easy to forget to eat or it's easy to
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avoid eating
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so that's the first thing we want to
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rule out
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are you eating
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in response to low blood sugar which is
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making eating seem more
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rewarding
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and when you eat in response to low
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blood sugar a lot of times
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people who do that end up
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eating more than they normally would
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because they start eating really fast
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it's like i'm gonna shovel in as much as
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i can your brain doesn't register your
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eating for 20 minutes or so
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so before their brain even registers
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what's gone on and gets the blood sugar
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back up they've already eaten a whole
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ton of food
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why is this under emotional eating well
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because generally when they go in to
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to start eating
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yes they're hungry
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but they're also cranky and irritable
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and most of the time they're not
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thinking about i'm eating for
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nourishment it's i'm eating to feel
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better
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lack of sleep
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and this is so true for
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shift workers
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as well as you know new parents and
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college students and anybody who's not
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getting enough sleep if we are surviving
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on sugar and stimulants
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we're going peak
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and lower valley peak and lower valley
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and you just keep going up and down
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until you just crash
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because every time you crash you crash a
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little bit lower
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so if somebody's on that roller coaster
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they're going to feel worse
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um
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between
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you know eating episodes they're going
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to feel
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tired they're going to feel
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sluggish irritable fatigued
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and to a certain extent may be depressed
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and they may be misattributing those
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feeling those emotional feelings
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um to emotions versus
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physical causes and likewise we also
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want to make sure that
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you know we're addressing the emotional
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causes because there's probably stuff
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there too
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um but
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if they're not getting enough sleep and
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they're living on sugar and stimulants
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their body is kind of in a state of
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hyper vigilance a lot of times
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it's exhausted so they're going to be
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tired and cranky
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so
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those are those are a couple things that
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we want to look at those are
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relatively easy fixes
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or at least relatively easy things to
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point out and go let's think about this
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one of the things that i suggest for a
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lot of my clients
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is just take a week
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and mindfully
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and it's difficult but try to eat
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healthfully
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you know try to eat
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a few times a day you know try to eat
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like three meals a day
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and
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get enough water
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and try to get enough sleep
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and try not to overdo it on the
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stimulants
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at the beginning i'm not going to say
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cut out anything um
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because that's not realistic and it's
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not fair and they're probably already
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struggling if they're coming in to see
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me so if i go hey let's just turn your
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world upside down and guess what you're
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not going to drink any caffeine anymore
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is not going to create a happy person
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so i asked them to try to make some
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small changes and see if that starts to
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help
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dehydration causes fogginess
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and symptoms of depression
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we want to make sure that they rule that
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out and too many stimulants also causes
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dehydration so you know we're looking at
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some of the physical causes of
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irritability and fatigue and cravings
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because again we're going back to when i
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felt this way before
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not looking at why i felt this way but
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when i felt irritable depressed cranky
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what has made me feel better
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and generally it's food and generally
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it's not good food for me it's m m's oh
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i love my m m's
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especially the ones with almonds but i
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digress
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nutritional causes
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of cravings high carbohydrate and high
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starch foods cause a greater release of
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serotonin and endorphins so if you've
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got somebody who's depressed for
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whatever reason
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that they may crave these kinds of foods
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in order to increase their serotonin
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level or increase the endorphins their
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energy levels
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chocolate
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people who crave chocolate may
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be low in magnesium it also um the level
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of magnesium also affects how much
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serotonin is available
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again just i keep saying this just for
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legal reasons
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we want to make sure their doctor or
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nutritionist um goes in and makes this
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diagnosis but if they're particular
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foods that they do crave it's important
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for them to bring that up with their
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medical provider
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if they're craving fatty foods now again
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fatty foods are just good i love fried
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foods
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but
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it also could mean that they're not
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getting enough omega-3s americans
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typically don't
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and interestingly if they crave soda
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they may be calcium deficient who knew
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so these are things to take a look at to
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ask people you know if they're craving
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soda
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maybe cutting back on their soda
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a little bit and see what happens
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and or getting blood work done
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once we've ruled out the obvious
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physical causes they've gone to the
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doctor gotten blood work done everything
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comes back happy they're getting enough
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sleep
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but they're still eating when they're
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not hungry we need to rule out habits
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is there a particular time or activity
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that makes you crave this food
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when i was growing up
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i would go to the grocery store with my
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mother and on the way back home from the
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grocery store she would always we would
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always get junk food
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and she would get a bag of chips and put
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them in the front seat it was like a 20
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minute drive from the grocery store to
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our house and by the time we would get
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back to the house we would have put a
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good dent in those potato chips
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that being said
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i got into the habit of
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whenever i went to the grocery store
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i would get something out of the bag and
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put it in the front seat and eat on the
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way home now am i paying attention to
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what i'm eating no
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likely am i eating because i was hungry
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probably not
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so we want to look at habits
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a lot of people will eat
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when they are watching tv it's a huge
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one
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so we want to not do that or if you're
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going to eat when you're watching tv
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make sure you sit at the table at least
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that makes you a little bit more mindful
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um
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so thinking about are there particular
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times or activities that you eat and
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you're just not hungry
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are there particular times that you
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mindlessly eat like like i said when
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you're driving or when you're watching
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television those are both habits and can
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be mindless because you're not paying
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attention to how much is going in your
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mouth
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you're not probably paying attention to
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the taste and you're not paying
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attention to whether you're full or not
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um so if if you're mindlessly eating
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then there's going to be a lot more
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calorie consumption
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in addition to the fact that
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you're not eating because you're hungry
00:19:44
you're just eating to eat
00:19:47
are you going too long between meals
00:19:49
than eating sugar boost which leads to a
00:19:51
sugar crush
00:19:53
so again that's a physical cause but we
00:19:56
want to rule out these are bad habits
00:19:58
that we can tend to get into
00:20:00
other things that
00:20:02
can be construed as bad habits are
00:20:05
eating without putting food on a plate
00:20:07
if you eat straight out of the bag
00:20:09
you're going to eat more than if you put
00:20:10
it on a plate so put it on a plate sit
00:20:13
down try not to watch tv
00:20:16
all the things that your grandmother
00:20:17
would have told you
00:20:21
so what do we do about it emotional
00:20:23
eating interventions
00:20:25
i talked earlier about the food diary
00:20:28
do a retrospective during the assessment
00:20:30
if they really want to get a jump start
00:20:33
on things but have them keep a food
00:20:34
diary preferably for the duration of
00:20:37
treatment but at least for a week
00:20:40
what time did they eat
00:20:42
were they craving
00:20:44
just any old food
00:20:45
or something that was salty something
00:20:47
that was sweet something that was sour
00:20:50
this will give you a general idea and
00:20:53
can give their medical provider a
00:20:54
general idea if there are any
00:20:56
nutritional imbalances or if there are
00:20:59
particular associations
00:21:02
what emotion or state were you in
00:21:05
and i say state because being exhausted
00:21:07
is not necessarily really an emotion
00:21:10
were you happy sad mad glad exhausted
00:21:13
um
00:21:15
drained
00:21:17
whatever state feels like it would work
00:21:21
and then because of why were you feeling
00:21:22
this way
00:21:24
it doesn't have to be a dissertation it
00:21:26
can be
00:21:27
really short and sweet
00:21:29
but i encourage clients to write down
00:21:32
everything they eat before they eat it
00:21:36
[Music]
00:21:37
during the first week or you know like i
00:21:39
said preferably throughout the entire
00:21:41
course of treatment
00:21:42
why before they eat it
00:21:45
because
00:21:46
it it's a stop remember we've talked
00:21:49
before about how we have an urge we have
00:21:51
a craving we have an urge
00:21:52
and then we engage in the behavior
00:21:55
oftentimes without stopping to mindfully
00:21:57
think is this what we want to do
00:22:00
this provides that stop it says okay
00:22:02
i've got to write down the time
00:22:04
and then i've got to think about why i'm
00:22:05
eating and honestly
00:22:08
a lot of clients notice a reduction in
00:22:10
their habit eating
00:22:14
when they have to do this just because
00:22:15
they don't want to record
00:22:18
keeping that up for the period of a
00:22:20
month or two months helps break some of
00:22:23
the habit eating that they might do
00:22:27
like i said before when they're eating
00:22:30
i encourage them to use a plate sit down
00:22:33
don't walk around don't stand at the
00:22:35
counter
00:22:36
eliminate distractions as much as
00:22:38
possible
00:22:39
and focus on the food you're eating that
00:22:41
goes with mindfully eating
00:22:44
what does it taste like is it good
00:22:46
take small bites
00:22:48
when my son was young and i think i've
00:22:50
shared this before he had gastric reflux
00:22:54
and we would sit down to the table and i
00:22:56
would shovel in food as fast as i could
00:22:58
get it in my mouth because he couldn't
00:23:00
be put down for too long
00:23:02
um before he would start to get fussy at
00:23:05
least until we figured out that he had
00:23:07
gastric reflux and
00:23:09
uh zantac was just a lifesaver
00:23:13
i developed that habit when he was
00:23:15
little and i kept it up for a while it
00:23:18
took a while to learn for me to learn to
00:23:20
go back to taking you know reasonable
00:23:22
bites and tasting my food
00:23:24
and even today if i'm not paying
00:23:26
attention too much i'll eat my dinner
00:23:29
really fast and then i'll sit there and
00:23:30
i'll be like well guess i'll taste that
00:23:32
a little bit later because i didn't
00:23:33
taste it when i ate it
00:23:36
encouraging clients to be aware of their
00:23:38
eating habits
00:23:41
try to avoid setting up a binge by
00:23:43
restricting certain foods now does that
00:23:46
mean you have to have cakes and candy
00:23:49
and whatever your trigger foods are in
00:23:51
your house all the time and in your face
00:23:53
no
00:23:54
um
00:23:55
i would encourage people not to do that
00:23:57
but to say you know i said for me m ms
00:24:00
is one of my favorite reward foods if
00:24:02
you will i don't keep them in the house
00:24:05
but i will allow myself occasionally to
00:24:08
buy a small
00:24:12
snack size pack of m ms when i'm out or
00:24:15
i will get a regular size pack and i'll
00:24:17
share it with my with my daughter so i'm
00:24:19
not restricting it i'm not saying i can
00:24:21
never have m ms again i'm just not
00:24:23
making it available to myself
00:24:26
when
00:24:27
i might have some unrestricted time
00:24:30
try to avoid buying a bunch of comfort
00:24:32
foods and keeping them around the house
00:24:35
and when you've got kids when you've got
00:24:36
family it's not entirely possible
00:24:39
usually to
00:24:41
not have some of that stuff around but
00:24:43
try to avoid having the things that you
00:24:46
particularly use for comfort because if
00:24:49
it's not readily available then you've
00:24:51
got to focus on guess what
00:24:53
dealing with the emotions instead of
00:24:55
stuffing them with food
00:24:57
try not to go too long without eating
00:25:00
like i said earlier if you go too long
00:25:02
then by the time you get to the food
00:25:03
your blood sugar's low and you're just
00:25:05
like
00:25:06
shoveling in as fast as you can
00:25:10
initially distract if you know
00:25:13
that you're getting you're eating and
00:25:14
you're like i'm really not hungry but i
00:25:16
want to eat
00:25:18
take a bath take a walk call a friend
00:25:21
heaven for big get on facebook
00:25:24
whatever it is you can do to distract
00:25:26
yourself for 10 or 15 minutes
00:25:28
if after 10 or 15 minutes you're still
00:25:31
going i really want
00:25:33
whatever it is
00:25:35
then you can decide what to do about it
00:25:37
then
00:25:37
most of the time when people stop and go
00:25:41
i'm really not hungry let me distract
00:25:42
myself they get caught up in that
00:25:44
distraction
00:25:46
and before they know it they've
00:25:47
forgotten about the craving
00:25:51
identify the emotions if you know
00:25:54
that you're not hungry but you want to
00:25:56
eat then say okay what's going on
00:25:59
what's going on with me it doesn't mean
00:26:01
that the person is never going to eat
00:26:05
uh when when they're upset because a lot
00:26:07
of people do and is it the end of the
00:26:10
world
00:26:11
probably not necessarily
00:26:14
if they can start reducing the frequency
00:26:17
of times
00:26:19
that they eat in response to emotional
00:26:21
distress that's what we want we want
00:26:23
progress not perfection
00:26:26
if it's depression what's causing them
00:26:27
to feel hopeless or helpless right now
00:26:30
if it's stress anxiety or anger remember
00:26:33
our
00:26:34
big kind of lump together stuff
00:26:37
what are they stressing out about do
00:26:39
they feel like they're overwhelmed are
00:26:41
they afraid of failure rejection loss of
00:26:44
control the unknown we've gone through
00:26:46
those things we want them to identify
00:26:49
what's going on with them
00:26:50
and then they can make better choices
00:26:52
about how to deal with it
00:26:56
so general coping
00:26:58
help them develop alternate ways of
00:27:00
coping with distress
00:27:02
distract we've already kind of gone over
00:27:04
that one
00:27:05
i encourage people and you know it's one
00:27:08
of those dbt things that a lot of
00:27:10
therapists encourage their clients to
00:27:12
keep a list
00:27:13
of things they can do to distract
00:27:15
themselves because it's not always
00:27:16
practical
00:27:18
to get up and go on a walk if you're at
00:27:19
work or
00:27:21
it's you know two in the morning
00:27:23
so what else can you do to distract
00:27:25
yourself
00:27:26
talk it out
00:27:28
with a friend
00:27:29
with yourself with your dog sometimes
00:27:32
you just to get it out people who are
00:27:34
more auditory will prefer talking it out
00:27:38
as opposed to journaling it now if they
00:27:40
talk it out with themselves they can
00:27:42
record it if they want to or sometimes
00:27:44
it's just better to dialogue with
00:27:46
themself if it worked for freud it can
00:27:48
work for other people
00:27:52
journaling
00:27:53
if your clients are inclined to journal
00:27:56
encourage them to write it down
00:27:57
sometimes just getting stuff out of your
00:27:59
head and onto paper will help the
00:28:02
feelings dissipate a little bit so
00:28:04
you're not mulling them over and
00:28:06
obsessing on them and getting stuck
00:28:08
in those thoughts and feelings
00:28:11
additionally while you're distracting
00:28:14
talking it out or journaling this is
00:28:15
also your break
00:28:17
your stop between the urge
00:28:20
and the behavior
00:28:23
make a pro and con list of the distress
00:28:26
not the eating
00:28:28
whatever it is that's stressing you out
00:28:30
and how can you fix it or what are the
00:28:32
pros of this situation and what are the
00:28:34
downsides to this situation
00:28:37
encourage them to focus on the positive
00:28:39
you know if something's stressing you
00:28:41
out at work you know
00:28:43
you've got a big meeting coming up or
00:28:45
something you don't want to do or
00:28:46
whatever it is
00:28:48
you can get stuck on focusing on that or
00:28:50
you can focus on the positive that you
00:28:53
do have a job that meeting only comes
00:28:55
around once a month
00:28:57
you can
00:28:59
it's time you don't have to be doing
00:29:01
paperwork
00:29:03
whatever the pros are for that person
00:29:05
encourage them to focus on the positive
00:29:09
if you're distressed because of some
00:29:11
kind of a failure or perceived failure
00:29:14
figure out what you learned from it
00:29:17
whether you it was a relationship
00:29:18
failure
00:29:20
maybe you learned what not to do in a
00:29:21
relationship anymore maybe you learned
00:29:24
things that you may have ignored
00:29:26
maybe you learned what you should have
00:29:28
done instead
00:29:30
but how can it be a learning opportunity
00:29:32
instead of somewhere to stay stuck
00:29:35
and finally if something's making you
00:29:38
an upset if something's causing
00:29:41
anxiety depression hopelessness
00:29:43
helplessness whatever the negative
00:29:45
feeling
00:29:46
figure out if it's worth your energy
00:29:49
to get stuck here
00:29:50
is it worth the turmoil
00:29:52
is it worth
00:29:54
you know having to pacify yourself with
00:29:56
food
00:29:58
whatever it is
00:30:01
a lot of times people say you know what
00:30:03
no it's just it's not even worth my
00:30:05
effort it's not worth
00:30:06
moving me away from my goals because my
00:30:09
goal is to stop emotional eating
00:30:12
my goal is to eat for hunger so i can go
00:30:15
to dinner with people and feel
00:30:17
comfortable i can be at a a party where
00:30:21
there's a buffet
00:30:22
and not feel stressed out that i'm gonna
00:30:24
go and eat half the stuff on the buffet
00:30:27
um
00:30:28
that's my goal so is holding on to
00:30:31
whatever this distress is
00:30:33
getting me closer to to being able to do
00:30:35
those things and generally the answer is
00:30:37
no
00:30:40
develop alternate ways of coping with
00:30:42
the stress the abcs the a is the
00:30:45
activating event what is stressing you
00:30:47
out what's causing the distress
00:30:50
c is the emotional reaction
00:30:52
angry depressed stressed whatever
00:30:56
b are your behaviors
00:30:58
what behaviors uh or b are your beliefs
00:31:01
i'm sorry um
00:31:03
what are the beliefs that are in there
00:31:06
that may need to be addressed
00:31:08
what kind of
00:31:10
things are you telling yourself
00:31:12
um and and how can you counter them
00:31:14
cognitively
00:31:16
eliminate your vulnerabilities you knew
00:31:18
we couldn't get through a presentation
00:31:20
without talking about vulnerabilities
00:31:23
if someone is well-rested well-fed has a
00:31:26
good social support network not
00:31:28
overstretched time-wise
00:31:30
then it will be easier to deal with
00:31:33
stress
00:31:34
or stressors when they come your way
00:31:37
you'll have more energy to deal with it
00:31:38
so there won't be
00:31:40
this overwhelming feeling of i just want
00:31:43
to bury my head in
00:31:45
in a jar of peanut butter
00:31:48
be compassionate with yourself
00:31:50
some days it's you know you're just
00:31:52
gonna feel anxious you're gonna feel
00:31:54
depressed you're gonna get angry
00:31:56
you can beat yourself up over it and you
00:31:58
know a lot of people do
00:32:00
is that the best use of your energy or
00:32:03
can you be compassionate can you learn
00:32:05
from it can you give yourself a break
00:32:07
and go you know what
00:32:09
i'm having a bad day today and that's
00:32:11
okay i'm not going to unpack and stay
00:32:13
here but i'm not going to fight it
00:32:15
either
00:32:17
help clients learn how to urge surf
00:32:19
help them understand that just like a
00:32:21
panic attack just like a wave just like
00:32:23
a lot of other things in life
00:32:25
it will come it will crest and it will
00:32:28
go out again
00:32:29
so they can sort of identify where they
00:32:31
are
00:32:32
on the energy
00:32:35
of that of that urge
00:32:38
other tools people can use close the
00:32:40
kitchen
00:32:42
once i have the kitchen cleaned
00:32:44
and you know all the dishes are done and
00:32:46
it looks pretty i hate going in there
00:32:49
and finding dishes in the sink again now
00:32:51
i've got teenagers so we always have
00:32:52
dishes in the sink
00:32:54
but you know before i had children um
00:32:58
you know at seven o'clock i'd finish all
00:33:01
the dishes close the kitchen and that
00:33:03
would be enough motivation for me to not
00:33:06
go in there
00:33:07
and at least not use plates and stuff to
00:33:10
eat
00:33:11
so if we're saying that we're going to
00:33:13
only eat using utensils and a plate and
00:33:16
sitting and all that stuff that we
00:33:17
already talked about then once you close
00:33:19
the kitchen you're not going back in
00:33:20
there
00:33:23
turn off the light that also helps so
00:33:24
you're not being attracted
00:33:26
to the to the pretty lights and you know
00:33:29
all the goodies that are in the in the
00:33:30
kitchen
00:33:31
brush your teeth this is something my
00:33:33
grandmother used to do and it actually
00:33:35
works there's some research behind it
00:33:37
minty flavors
00:33:38
reduce our appetite
00:33:40
so if you brush your teeth you get all
00:33:42
the other flavors out of your mouth
00:33:45
and it reduces your urges to to eat
00:33:48
because it again is clean and fresh and
00:33:51
do you really want to brush your teeth
00:33:52
again
00:33:54
meditate
00:33:55
sometimes just getting
00:33:59
in a space where you're not obsessing
00:34:01
about anything
00:34:02
can
00:34:04
help
00:34:05
people get past that urge
00:34:07
to
00:34:08
self-soothe with eating
00:34:13
act for emotional eating what am i
00:34:16
feeling or thinking what's going on with
00:34:17
me right now
00:34:19
what is important to me so if i am
00:34:22
thinking
00:34:23
i want to eat
00:34:24
i want to
00:34:26
you know just dive into this jar of
00:34:27
peanut butter
00:34:29
and then i think about what's important
00:34:31
to me
00:34:32
is it important to me to get control of
00:34:34
this
00:34:35
is it important to me
00:34:37
to you know be able to fit in my clothes
00:34:39
in six months
00:34:41
or not so what is it
00:34:44
in what way
00:34:45
is controlling my eating habits and
00:34:47
eliminating emotional eating important
00:34:49
to me and how does that get me closer to
00:34:52
other things that are important to me
00:34:56
and what other things could i do that
00:34:58
would get me closer to my goals so if
00:35:01
the goal is to have improved
00:35:03
relationships be able to feel more
00:35:05
comfortable around food reduce the
00:35:07
stress around
00:35:09
um going out to eat and just around food
00:35:12
in general
00:35:13
what else can you do when you're
00:35:15
stressed out
00:35:19
somebody also suggested that adding a
00:35:21
blue light in the refrigerator decreases
00:35:23
the appeal of foods which is interesting
00:35:26
because
00:35:27
yellow
00:35:28
yellow red and orange and browns
00:35:31
think pizza hut
00:35:32
are all foods that increase people's
00:35:35
hunger and desire to eat but blue
00:35:39
obviously is just a completely different
00:35:41
primary color and adding a blue hue
00:35:45
seems like that would actually be really
00:35:47
effective
00:35:48
um so cool thanks for that
00:35:51
little tidbit there
00:35:54
holiday help and you know we're coming
00:35:56
into the holidays so i've got to bring
00:35:58
that up at every single class
00:36:00
choose lower calorie foods um
00:36:03
if you
00:36:04
tend to get stressed out or caught up or
00:36:06
mindlessly eat when you are at family
00:36:09
gatherings
00:36:10
okay you know cut yourself a break know
00:36:12
that that's probably going to happen
00:36:15
fill up on the lower calorie foods the
00:36:17
carrot sticks the broccoli
00:36:19
um the
00:36:20
white meat turkey anything that's
00:36:22
available that's not like sweet potato
00:36:24
pie or brownies
00:36:27
keep a water or low calorie beverage in
00:36:30
your hand if you've got your hand full
00:36:32
you can't eat at the same time so you
00:36:35
know if you walk around with a
00:36:37
a cup in your hand it helps
00:36:41
talk to people
00:36:42
hopefully you don't talk with your mouth
00:36:44
open or talk with food in your mouth so
00:36:47
if you're talking to people you're not
00:36:49
going to be as inclined to go get
00:36:51
something to eat because you're wanting
00:36:53
to stay engaged in that conversation
00:36:56
stay away from the buffet
00:36:59
especially if you know that
00:37:02
it could get stressful
00:37:04
or maybe you know for me i turn into a
00:37:07
pumpkin at like 7 30 at night i get up
00:37:09
at four but i turn into a pumpkin at 7
00:37:11
30. and a lot of times holiday parties
00:37:14
and those sorts of things are at eight
00:37:16
nine o'clock at night and you know i've
00:37:18
already done turned into a pumpkin
00:37:21
so i know that if i go to those i'm
00:37:23
going to be more likely to eat just to
00:37:25
kind of stay awake because i'm tired
00:37:28
and it's a bad habit it's not because
00:37:30
i'm hungry
00:37:31
so i know i need to stay away from the
00:37:33
buffet during those times refer rehearse
00:37:37
refusal skills
00:37:39
if somebody says oh you've got to try a
00:37:40
bite of this
00:37:42
figure out how you're going to address
00:37:44
that ahead of time
00:37:46
because there's generally probably a lot
00:37:48
of really good foods
00:37:50
and you may really want to taste some
00:37:52
but
00:37:53
sometimes people who emotionally eat
00:37:55
know if they start eating
00:37:59
if they start eating high fat high
00:38:01
calorie foods
00:38:03
they're going to want to eat everything
00:38:04
so if i start with one bite of a brownie
00:38:07
i'm going to want to eat every sweet
00:38:08
that's on the table
00:38:10
if they know that
00:38:12
then they may want to choose to
00:38:14
not even go down that road at that
00:38:16
juncture
00:38:18
encourage people to stay mindful of
00:38:20
their distress meter
00:38:22
before they go back for another helping
00:38:24
ask themselves
00:38:26
am i hungry
00:38:28
am i just wanting to taste what's here
00:38:30
and how do i feel about that
00:38:32
or am i eating just because i don't want
00:38:35
to be here and i'm bored and i want to
00:38:37
fill the time
00:38:39
have people keep an index card with
00:38:41
their coping mantra and two reasons they
00:38:43
don't want to emotionally eat
00:38:47
so
00:38:49
i need to be here
00:38:51
i can do this
00:38:52
whatever the mantra is that's going to
00:38:54
get them through the night whatever
00:38:56
they're telling themselves that is going
00:38:58
to help them plow through and make the
00:39:00
right choices
00:39:02
but also two reasons that they don't
00:39:04
want to eat or they're going to get
00:39:05
around it maybe
00:39:07
they've got something at home
00:39:09
that they can eat when they get home
00:39:11
eating before they go to the party may
00:39:14
also help prevent
00:39:15
some grazing
00:39:20
holidays bring out a lot of emotions for
00:39:23
people
00:39:24
some people struggle with depression
00:39:25
anxiety jealousy grief anger you know
00:39:29
the whole gamut during this time
00:39:32
and during this time there's food
00:39:34
everywhere i mean starting at halloween
00:39:37
when your kids bring home the halloween
00:39:39
candy
00:39:40
which usually lasts about a week in our
00:39:42
house but
00:39:44
anyhow um
00:39:47
the halloween candy followed by getting
00:39:49
ready for thanksgiving followed by doing
00:39:52
all the baking or whatever you do and
00:39:54
the holiday parties coming up on
00:39:57
on the december holiday season
00:39:59
there's just food everywhere so it's
00:40:02
really easy
00:40:03
to
00:40:04
cope if you will
00:40:06
with stress with being overwhelmed with
00:40:08
being tired by not eating enough
00:40:11
healthy food by binging on
00:40:14
unhealthy and
00:40:15
soothing food if you will
00:40:18
so it's encouraged it's important to
00:40:20
encourage people to stay mindful of
00:40:22
why they're eating what they're eating
00:40:26
when constantly bombarded with high fat
00:40:27
high carbohydrate foods people are
00:40:29
tempted to eat to feel calm
00:40:31
yeah
00:40:32
i i challenge anybody to
00:40:36
say that they've never eaten and go okay
00:40:38
you know i'm just focused on this right
00:40:40
now i'm not thinking about everything
00:40:41
out here and it feels good
00:40:44
i'm i'm good
00:40:46
now
00:40:47
good's probably not the word i should
00:40:49
use but it does help people distract
00:40:51
themselves
00:40:52
sometimes when you eat especially those
00:40:55
high-intensity foods
00:40:57
you feel happier
00:40:59
serotonin is released dopamines released
00:41:00
you're like oh that's really good i want
00:41:03
to do that again
00:41:04
or you just feel numb
00:41:07
you can get into a zone where you're
00:41:08
just eating and not caring it's not that
00:41:11
you're feeling calm you're just not
00:41:12
feeling anything um and a lot of times
00:41:15
when people get into that zone they're
00:41:17
not tasting the food either they're just
00:41:19
kind of in a
00:41:20
autopilot
00:41:24
emotional eating like most other escape
00:41:27
behaviors never addresses the underlying
00:41:29
emotions and their causes so we need to
00:41:31
look at it are you feeling anxious are
00:41:34
you feeling jittery are you feeling
00:41:35
depressed because your blood sugar's low
00:41:37
because you're nutritionally deficient
00:41:39
because you're not getting enough sleep
00:41:41
or because there's something cognitive
00:41:42
going on or all of the above
00:41:46
emotional eating often results in
00:41:48
physical issues like weight gain poor
00:41:50
sleep and reduced energy
00:41:54
weight gain is you know in and of itself
00:41:56
a few pounds here and there not a big
00:41:57
deal but some people can start
00:42:00
emotionally eating to
00:42:02
feel better they gain a lot of weight
00:42:04
then they start feeling less energetic
00:42:07
it starts being harder to move around
00:42:09
they get to the point where they are
00:42:11
clinically obese then they're going i'm
00:42:13
never going to take all this weight off
00:42:14
they feel hopeless and helpless you see
00:42:16
where this is going
00:42:18
um so they eat some more
00:42:21
can cause poor sleep sleep apnea it's
00:42:24
hard to get it's also hard to get
00:42:26
comfortable sometimes
00:42:28
if you've eaten a whole bunch of food
00:42:30
right before you go to bed you know your
00:42:32
belly's all full and
00:42:35
you wake up the next morning and your
00:42:36
belly's still awful
00:42:38
which means you probably didn't sleep
00:42:40
very well the night before
00:42:42
and
00:42:43
emotional eating often results in
00:42:45
reduced energy because the foods we
00:42:47
binge on the foods we eat
00:42:49
for self-soothing
00:42:51
often end up causing a sugar crash
00:42:55
some people try to undo
00:42:57
emotional eating by restricting other
00:42:59
calories which can lead to
00:43:01
nutritional deficits and more cravings
00:43:04
i had a girlfriend when i was in high
00:43:05
school
00:43:07
and
00:43:07
you know think back to i don't know if
00:43:09
they still do it but when we were in
00:43:10
high school there was always some kind
00:43:12
of can candy sale going on
00:43:14
and she would always
00:43:16
forgo all other food so she could have
00:43:19
two chocolate bars each day
00:43:21
and you know we're not going to get into
00:43:23
the all the other issues surrounding
00:43:25
only eating two chocolate bars but
00:43:28
the point i'm making it right now is the
00:43:30
fact she wasn't getting protein she
00:43:32
wasn't getting you know most of her
00:43:35
vitamins and minerals and stuff that her
00:43:37
body needed to make the neurotransmitter
00:43:40
so she could feel happy and she was
00:43:42
contributing to a sugar crash
00:43:44
but
00:43:46
i also know that it's common around the
00:43:48
holidays for people to do this they'll
00:43:51
like go all day without eating because
00:43:52
they know they're going to a party
00:43:54
tonight and there's going to be a lot of
00:43:56
really good food
00:43:57
doing that once in a while not a big
00:43:59
deal doing that 10 or 15 times in a
00:44:02
month
00:44:03
could start to have problems
00:44:06
emotional eaters need to first find a
00:44:09
way to stop before they eat so whether
00:44:11
it's writing in a journal
00:44:13
or
00:44:14
um
00:44:15
adding there are a lot of apps on your
00:44:17
phone that you can put your food in even
00:44:20
if you're not writing about your
00:44:21
emotions and your cravings and all that
00:44:23
kind of stuff
00:44:24
um
00:44:25
sometimes it's enough to make people
00:44:26
stop before they actually reach for the
00:44:29
food
00:44:31
or you know kind of an extreme way to go
00:44:35
is to not keep pre-processed or
00:44:37
pre-packaged foods in the house so
00:44:39
anything that you're going to eat you've
00:44:41
got to make
00:44:43
second identify the underlying reason
00:44:45
for your eating figure out
00:44:49
do i generally eat in response to
00:44:52
um
00:44:53
and then address the thoughts and
00:44:55
emotions leading to the urges
00:44:57
so
00:44:58
if you figure out that the underlying
00:45:01
emotions for your eating are depression
00:45:04
then what thoughts are
00:45:06
maintaining that depression and how can
00:45:08
you address it
00:45:10
once you address the underlying issues
00:45:13
some of the emotional eating will go
00:45:14
away some of it's habit we're going to
00:45:16
have to break that habit
00:45:19
and over the course of you know past
00:45:21
couple of decades of working with people
00:45:25
my experience has been
00:45:27
the majority of the time
00:45:30
people don't want to hear well once you
00:45:31
deal with your emotional issues the
00:45:33
emotional eating will go away
00:45:35
no they're there because they want to
00:45:37
stop that behavior right now so yes we
00:45:40
need to work on all the underlying
00:45:41
issues
00:45:43
but give them
00:45:44
a tip or a trick or a tool whatever you
00:45:47
want to call it
00:45:49
to use before they walk out of your
00:45:51
office after every single session that
00:45:53
way they have something else they can
00:45:54
put in their toolbox and feel more
00:45:57
empowered
00:45:58
to have control over what's going on
00:46:00
with them and what's coming their way
00:46:03
um
00:46:05
having the knowledge
00:46:08
of what and why
00:46:10
is 80
00:46:11
of
00:46:12
helping them
00:46:13
get to the recovery point
00:46:15
now if there's
00:46:17
co-occurring or if the eating issues
00:46:20
are more than just emotional eating if
00:46:22
there's um the person meets the criteria
00:46:25
for binge eating disorder bulimia or
00:46:27
anorexia obviously there's a lot of
00:46:29
other underlying issues that are going
00:46:31
to have to be dealt with
00:46:32
so i don't want to trivialize that
00:46:36
but i do want people to feel like
00:46:38
they've got some hope over what's going
00:46:40
on
00:46:46
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00:46:52
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