Emotional Eating Making Peace with Food Counseling Techniques/Health Behaviors

00:47:27
https://www.youtube.com/watch?v=sIFxnnNVpfw

Resumen

TLDRThis video discusses emotional eating, defined as eating in response to emotions rather than physical hunger. It explores the emotional and physiological aspects that drive this behavior and distinguishes it from eating disorders. The presenter highlights why restrictive diets often fail to address emotional eating, as they overlook the underlying emotional triggers. Key strategies to manage emotional eating include understanding its beneficial functions and rewards, recognizing and altering habits, and employing interventions like mindfulness, food diaries, and alternative coping strategies. The video underscores the significance of addressing the emotional causes behind eating to foster healthier relationships with food.

Para llevar

  • 🍔 Emotional eating is eating in response to emotions, not hunger.
  • 🤔 It's essential to differentiate between emotional eating and eating disorders.
  • 📊 Keeping a food diary helps identify triggers and patterns.
  • 🚫 Restrictive diets often don't solve emotional eating issues.
  • 🧠 Eating can release feel-good hormones like serotonin and dopamine.
  • ⏰ Consistency and patience are vital in addressing emotional eating.
  • 🛠 Developing strategies to deal with emotions can reduce emotional eating.
  • 🥦 Nutrition plays a role in cravings; balance is key.
  • 🚪 Closing the kitchen at certain hours can prevent mindless eating.
  • 🎯 Set realistic goals and focus on progress, not perfection.

Cronología

  • 00:00:00 - 00:05:00

    The episode introduces the topic of emotional eating, differentiating it from celebrating with food and eating disorders. It emphasizes understanding emotional eating's beneficial functions and discusses why restrictive diets fail to resolve it. Emotional eating is described as eating in response to emotions rather than hunger, with common triggers including boredom, anger, or habit. Not all emotional eaters have eating disorders, but addressing emotional eating is key for those who recognize it as a problem.

  • 00:05:00 - 00:10:00

    Emotional eating offers various soothing effects. Primarily, it offers taste pleasure, but it also has psychological functions connected to early feeding experiences. Eating, particularly for infants, promotes bonding and releases oxytocin. It is associated with comfort and calming rituals, such as being fed before sleep, which can lead to habits like eating to wind down. Childhood eating experiences often involve exploration, reward, power, and control which can form lasting food memories linked to happiness or self-esteem.

  • 00:10:00 - 00:15:00

    The continuation discusses how cultural practices link food with care and celebration, enhancing emotional reliance on food. Evolutionary tendencies make humans crave high-calorie foods for perceived survival needs. The body's reaction to perceived food scarcity, such as slowing down metabolism, complicates things further, especially for those with eating disorders. Understanding the underlying causes of cravings and ruling out physical reasons like low blood sugar or lack of sleep is important for addressing emotional eating.

  • 00:15:00 - 00:20:00

    Identifying habits and patterns in emotional eating is crucial. This involves examining when and why a person eats, understanding the difference between snack habits and genuine hunger, and acknowledging scenarios that prompt mindless eating. For instance, watching TV or particular activities might trigger eating even in the absence of hunger. Recognizing these patterns can help break the cycle of emotional eating, while considering the initial physical or temporal triggers that lead to unnecessary food ingestion.

  • 00:20:00 - 00:25:00

    Interventions for emotional eating include maintaining a food diary to track times and emotions that prompt eating, encouraging mindful eating practices like using a plate and eliminating distractions, and reducing triggers for 'binge' behaviors. It’s noted that restricting foods can lead to increased desire, so finding a balanced approach to manage and occasionally indulge in 'comfort' foods is suggested to avoid feeling deprived.

  • 00:25:00 - 00:30:00

    Therapists are advised to encourage clients to distract themselves when they have the urge to eat emotionally and to identify underlying emotions contributing to eating behavior. They should focus on gradually changing habits, addressing both physical states like tiredness, and emotional states such as stress, to prevent eating as a response to these feelings. Acknowledging the importance of progress over perfection in reducing times of emotional eating is emphasized.

  • 00:30:00 - 00:35:00

    Methods for coping with distress that doesn't involve food include distraction, talking it out, or writing in a journal. Encouraging clients to find the positive aspects in situations, or learning from perceived failures, can help shift focus and reduce emotional eating triggers. Using thought-stopping techniques and evaluating whether distress is worth the emotional upheaval are steps toward better emotional management, thereby reducing reliance on eating for comfort.

  • 00:35:00 - 00:40:00

    Develop strategies to handle specific settings and triggers, like the holidays, that often promote overeating. This includes choosing lower calorie options, staying engaged in social activities to avoid eating out of boredom, rehearsing refusal skills for food offers, and staying mindful of hunger levels and emotional states during social gatherings. This proactive approach helps maintain control over eating habits even when faced with abundant food choices in social settings.

  • 00:40:00 - 00:47:27

    Finally, addressing emotional eating involves finding moments to pause and evaluate the reasons behind food cravings, identifying both the habit and emotional causes. Understand that while dealing with underlying emotional issues will help reduce emotional eating, providing clients with immediate tools and techniques is essential for them to gain a sense of control and progress. Overcoming emotional eating requires both addressing the root problems and making strategic behavioral changes.

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Mapa mental

Mind Map

Preguntas frecuentes

  • What is emotional eating?

    Emotional eating is consuming food in response to feelings and emotions rather than hunger.

  • How does emotional eating differ from eating disorders?

    While emotional eating is a response to negative feelings, eating disorders involve severe disturbances in eating behavior and often have more complex psychological issues.

  • Why don't restrictive diets work for emotional eating?

    Restrictive diets may not address the emotional triggers for eating and can actually increase the desire for reward foods.

  • Can emotional eating be beneficial?

    Eating can temporarily soothe emotions due to chemical responses in the brain, but it doesn’t address the underlying issues.

  • How can emotional eating become a problem?

    It becomes problematic when used consistently to cope with emotions, leading to health and self-image issues.

  • What role do emotions play in eating behavior?

    Emotions like boredom, stress, and sadness can trigger hormone releases that make eating more appealing.

  • Are there any physical causes for cravings linked to emotional eating?

    Yes, low blood sugar and lack of sleep can cause cravings, making eating seem more rewarding.

  • What are some strategies to combat emotional eating?

    Keeping a food diary, identifying triggers, distracting oneself, and exploring alternative coping mechanisms can help reduce emotional eating.

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  • 00:00:03
    [Music]
  • 00:00:11
    this episode was pre-recorded as part of
  • 00:00:13
    a live continuing education webinar
  • 00:00:15
    on-demand ceus are still available for
  • 00:00:17
    this presentation through all ceus
  • 00:00:20
    register at allceus.com counselor
  • 00:00:23
    toolbox
  • 00:00:27
    hi everybody and welcome to today's
  • 00:00:29
    presentation on emotional eating making
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    peace with food
  • 00:00:37
    during the next hour or so we're going
  • 00:00:38
    to define emotional eating and
  • 00:00:41
    differentiate it really from
  • 00:00:44
    eating when to celebrate and when it's a
  • 00:00:47
    problem and also differentiate
  • 00:00:50
    differentiating it from eating disorders
  • 00:00:53
    we'll explore emotional eating in terms
  • 00:00:55
    of its beneficial functions and rewards
  • 00:00:57
    and discuss why restrictive diets don't
  • 00:01:00
    resolve emotional eating a lot of times
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    people will say you know i
  • 00:01:05
    have been on this diet for forever and
  • 00:01:07
    it doesn't seem to be working or i can't
  • 00:01:09
    seem to stick to any diet that i try
  • 00:01:12
    and we're going to look at different
  • 00:01:13
    reasons why this might be
  • 00:01:19
    what is emotional eating and it's
  • 00:01:21
    exactly what it sounds like it's eating
  • 00:01:23
    in response to emotions and feelings
  • 00:01:25
    other than hunger so if you're eating
  • 00:01:27
    because you're bored if you're eating at
  • 00:01:30
    someone and and sometimes
  • 00:01:33
    especially if you are angry at someone
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    or disappointed in someone
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    you may eat
  • 00:01:39
    and sort of be
  • 00:01:41
    eating and thinking you made me do this
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    so eating at someone eating to forget or
  • 00:01:47
    distract yourself
  • 00:01:49
    eating to feel better because when you
  • 00:01:51
    eat regardless of what you're eating but
  • 00:01:54
    especially if you eat high sugar high
  • 00:01:56
    fat foods you're going to release
  • 00:01:58
    serotonin and dopamine
  • 00:01:59
    eating out of boredom fish you know hand
  • 00:02:02
    to mouth thing
  • 00:02:03
    eating out of habit
  • 00:02:06
    and like i said a few minutes ago not
  • 00:02:08
    all emotional eaters have an eating
  • 00:02:10
    disorder um and we want to differentiate
  • 00:02:13
    that does it mean that their eating is
  • 00:02:15
    not problematic to them no not at all it
  • 00:02:18
    if they're telling you it's a problem
  • 00:02:20
    then it's a problem they may not meet
  • 00:02:22
    the criteria for binge eating disorder
  • 00:02:24
    or bulimia
  • 00:02:27
    but it's important to address it because
  • 00:02:29
    they understand that they're eating for
  • 00:02:30
    a reason other than hunger
  • 00:02:33
    and they want to stop
  • 00:02:35
    because they want to eat for hunger but
  • 00:02:37
    not otherwise
  • 00:02:38
    and
  • 00:02:39
    for us as clinicians
  • 00:02:41
    the first thing we need to do is
  • 00:02:43
    understand why is it that they're eating
  • 00:02:46
    is it boredom is it habit so they need
  • 00:02:48
    to keep a food log or a food journal
  • 00:02:51
    over the course of a week or two weeks
  • 00:02:54
    and sometimes when people come in for an
  • 00:02:56
    assessment especially if that's one of
  • 00:02:58
    their main presenting issues
  • 00:03:00
    i'll start out by just doing a
  • 00:03:02
    retrospective of the last three days to
  • 00:03:05
    get an idea of what may be triggering
  • 00:03:07
    some of their eating episodes and then
  • 00:03:10
    we can look at some of the habits
  • 00:03:12
    or
  • 00:03:13
    bad habits maybe that they've gotten
  • 00:03:15
    into and start talking about ways to
  • 00:03:17
    address those
  • 00:03:20
    remembering that rome wasn't built in a
  • 00:03:21
    day this isn't going to go away
  • 00:03:23
    overnight but a lot of times if you give
  • 00:03:26
    people some
  • 00:03:27
    tips tricks and tools to think about
  • 00:03:30
    implementing when they walk out of your
  • 00:03:32
    office after the assessment before the
  • 00:03:35
    first official session
  • 00:03:37
    it provides them some hope and gets the
  • 00:03:40
    momentum going
  • 00:03:42
    um and again you don't have to binge to
  • 00:03:44
    be an emotional eater some people graze
  • 00:03:47
    all day long
  • 00:03:49
    some people will eat
  • 00:03:51
    and it's not what would be considered
  • 00:03:53
    technically a binge
  • 00:03:55
    but it's more than they had anticipated
  • 00:03:57
    maybe they'd go back for second helpings
  • 00:03:59
    or third helpings
  • 00:04:01
    when they really weren't hungry but it
  • 00:04:03
    was good
  • 00:04:06
    so why is eating so soothing there are a
  • 00:04:09
    lot of reasons now there's obvious it
  • 00:04:12
    tastes good so that's you know the big
  • 00:04:14
    obvious bonus but thinking about the
  • 00:04:17
    function that eating serves we have to
  • 00:04:19
    eat in order to survive
  • 00:04:21
    when you were an infant
  • 00:04:23
    eating involved a closeness with your
  • 00:04:26
    parental unit um which could release
  • 00:04:29
    oxytocin and i say parental unit because
  • 00:04:32
    even if it was dad feeding the baby a
  • 00:04:34
    bottle there was that connection there
  • 00:04:36
    was that contact which caused the infant
  • 00:04:39
    and the parent to release oxytocin
  • 00:04:43
    this is our bonding chemical so eating
  • 00:04:46
    was associated early on with bonding
  • 00:04:49
    food may also have been associated with
  • 00:04:51
    sleep if the infant or child was given a
  • 00:04:54
    bottle every night to go to sleep
  • 00:04:57
    then they may start
  • 00:04:59
    thinking or they may be in the habit of
  • 00:05:01
    eating
  • 00:05:02
    in order to wind down or calm down and
  • 00:05:07
    we need to help them figure out
  • 00:05:08
    different ways to do that
  • 00:05:11
    as a toddler what did eating mean
  • 00:05:14
    think about when you went from well we
  • 00:05:17
    probably don't remember that but think
  • 00:05:18
    about when your kids went from
  • 00:05:20
    eating you know food out of a jar
  • 00:05:23
    to even their first cheerios
  • 00:05:25
    that was huge figuring out how to pick
  • 00:05:28
    up that little cheerio and get it in
  • 00:05:29
    their mouth and it involved exploration
  • 00:05:32
    and mastery they were discovering all
  • 00:05:35
    different types of
  • 00:05:36
    textures and tastes and figuring out
  • 00:05:39
    what smell went with what taste and it
  • 00:05:42
    was a really cool and exciting
  • 00:05:44
    time for kids and i mean think about it
  • 00:05:47
    they're like a year old so it doesn't
  • 00:05:49
    take much to amuse them but this was
  • 00:05:52
    rewarding
  • 00:05:54
    reward equals dopamine equals let's do
  • 00:05:56
    that again
  • 00:05:58
    it involved power and control the child
  • 00:06:01
    at this point was starting to be able to
  • 00:06:03
    feed him or herself was starting to be
  • 00:06:05
    able to be somewhat independent from the
  • 00:06:08
    parent when it came to a basic
  • 00:06:10
    physiological function of eating
  • 00:06:13
    so eating itself had its own rewards and
  • 00:06:16
    it was self-esteem building because the
  • 00:06:18
    child started learning you know how to
  • 00:06:20
    feed himself how to ask what
  • 00:06:23
    for what he or she wanted
  • 00:06:25
    at least in terms of food
  • 00:06:28
    there are formations of memories around
  • 00:06:30
    foods even as early as toddlerhood you
  • 00:06:33
    know we have celebrations we have
  • 00:06:35
    birthdays we have
  • 00:06:37
    different
  • 00:06:38
    things and
  • 00:06:39
    most
  • 00:06:40
    children
  • 00:06:42
    have certain foods that they really like
  • 00:06:44
    and it could be because the first time
  • 00:06:46
    they ate that food was a really happy
  • 00:06:48
    experience or it could be just that's
  • 00:06:51
    their favorite food and that's all they
  • 00:06:52
    want to eat but they remember that food
  • 00:06:55
    and they remember when they ate it they
  • 00:06:56
    felt good they felt happy
  • 00:06:59
    so as an adult
  • 00:07:01
    there's a part of their brain going
  • 00:07:03
    chicken nuggets chicken nuggets make me
  • 00:07:05
    happy
  • 00:07:06
    now that's how the toddler thought as an
  • 00:07:09
    adult we can understand that chicken
  • 00:07:11
    nuggets themselves aren't making you
  • 00:07:13
    happy but
  • 00:07:15
    you see the connections that we're
  • 00:07:16
    making here
  • 00:07:17
    there's been an association between
  • 00:07:20
    happiness and chicken nuggets
  • 00:07:23
    unhealthy foods especially for children
  • 00:07:26
    when as adults were still able to
  • 00:07:28
    control what they eat your sugary foods
  • 00:07:31
    your unhealthy foods are usually
  • 00:07:32
    reserved for treats or rewards
  • 00:07:35
    so when you're feeling like you need to
  • 00:07:37
    be rewarded when you're feeling like you
  • 00:07:39
    want to feel good
  • 00:07:40
    sometimes you'll resort to those things
  • 00:07:42
    when you were a kid that made you feel
  • 00:07:44
    good like chocolate chip cookies or
  • 00:07:46
    haagen-dazs or whatever it was for you
  • 00:07:50
    we've talked in the past about
  • 00:07:52
    associations and conditioning and this
  • 00:07:54
    is all coming back kind of full circle
  • 00:07:56
    now because we need to understand
  • 00:07:59
    that our brain has associated pleasure
  • 00:08:02
    and
  • 00:08:03
    reward with food for a lot of different
  • 00:08:06
    reasons not just because of nourishment
  • 00:08:10
    looking at the reasons why your patient
  • 00:08:12
    eats
  • 00:08:14
    is going to help you understand
  • 00:08:16
    what underlying issues you may need to
  • 00:08:18
    address in in treatment
  • 00:08:22
    culturally we associate eating with
  • 00:08:24
    caring and celebration think about
  • 00:08:27
    birthdays holidays what do we do
  • 00:08:30
    we get together we have buffets we have
  • 00:08:32
    potlucks when someone passes away what
  • 00:08:35
    do you do you bring food over when
  • 00:08:37
    somebody's sick what do you do you bring
  • 00:08:39
    food over
  • 00:08:40
    so in our culture
  • 00:08:42
    there is a lot of emphasis put on eating
  • 00:08:46
    and and nourishing and that's true of a
  • 00:08:48
    lot of a lot of different cultures
  • 00:08:52
    low blood sugar can cause feelings of
  • 00:08:55
    depression and anxiety which are quelled
  • 00:08:57
    by food so if somebody typically doesn't
  • 00:08:59
    eat well during the day you know they go
  • 00:09:02
    long periods without eating or if they
  • 00:09:04
    have blood sugar issues to begin with
  • 00:09:06
    and then they eat they feel better
  • 00:09:08
    so when they start feeling not so good
  • 00:09:12
    what do you think their first reaction
  • 00:09:13
    is let me eat and see if that helps
  • 00:09:17
    evolution predisposes the human body to
  • 00:09:20
    crave high sugar high fat high calorie
  • 00:09:23
    foods for quick energy and to prepare
  • 00:09:25
    for a famine our bodies are really cool
  • 00:09:28
    and really frustrating at the same time
  • 00:09:31
    because
  • 00:09:32
    you know your body takes in this these
  • 00:09:35
    foods and it says we are going to
  • 00:09:37
    secrete the most amount of dopamine and
  • 00:09:39
    the most amount of reward for these
  • 00:09:40
    really high calorie foods because we
  • 00:09:43
    want to make sure we're prepared in case
  • 00:09:45
    there's a famine
  • 00:09:46
    back you know in the day
  • 00:09:49
    many many many years ago um hundreds of
  • 00:09:52
    years ago
  • 00:09:54
    we couldn't guarantee we would have
  • 00:09:57
    a meal every day let alone three meals
  • 00:09:59
    every day
  • 00:10:01
    so the body prepared and it said all
  • 00:10:03
    right we need to get whatever we can
  • 00:10:05
    when we can
  • 00:10:06
    so
  • 00:10:07
    we're going to make this
  • 00:10:09
    higher fat higher higher calorie foods
  • 00:10:12
    more rewarding
  • 00:10:14
    now i said it's also can be a blessing
  • 00:10:16
    and a curse today
  • 00:10:19
    there's still a little part of our
  • 00:10:20
    primordial brain
  • 00:10:22
    that says
  • 00:10:23
    if it thinks there's a famine it will
  • 00:10:25
    slow down your base metabolic rate
  • 00:10:28
    which causes people to gain weight
  • 00:10:30
    we see this a lot in people with eating
  • 00:10:32
    disorders who tend to not take in very
  • 00:10:35
    many calories um or if they take them in
  • 00:10:39
    they purge them
  • 00:10:40
    so the body goes well i can't guarantee
  • 00:10:42
    i'm going to get enough food i'm going
  • 00:10:45
    to get enough energy to survive so i'm
  • 00:10:47
    just going to turn down the thermostat a
  • 00:10:49
    little bit turn down the base metabolic
  • 00:10:51
    rate
  • 00:10:53
    which compounds the problem for the
  • 00:10:54
    person with the eating disorder
  • 00:10:57
    so it's important to understand that the
  • 00:10:59
    brain is somewhat reactive to what's
  • 00:11:01
    going on
  • 00:11:05
    so i keep saying we need to figure out
  • 00:11:07
    what's behind or underlying the craving
  • 00:11:10
    first we need to rule out physical
  • 00:11:11
    causes for some people it's as simple as
  • 00:11:14
    this
  • 00:11:15
    if they've got low blood sugar
  • 00:11:17
    because they're not eating too often and
  • 00:11:19
    obviously as counselors we're not going
  • 00:11:21
    to diagnose this their doctor or their
  • 00:11:23
    nutritionist will
  • 00:11:25
    but
  • 00:11:26
    we can start exploring and go it sounds
  • 00:11:28
    like
  • 00:11:29
    you might need to look at having your
  • 00:11:31
    blood sugar checked or talk to your
  • 00:11:32
    doctor about how frequently you need to
  • 00:11:35
    eat
  • 00:11:36
    because some people um and and i know
  • 00:11:38
    i'm very guilty of it uh if i get into
  • 00:11:41
    it into a groove doing something i'll
  • 00:11:43
    eat breakfast
  • 00:11:45
    and then i'll get into a groove and
  • 00:11:46
    before i know it
  • 00:11:48
    it's three in the afternoon and i
  • 00:11:49
    haven't eaten for like a whole bunch of
  • 00:11:52
    hours i'm not doing math today
  • 00:11:56
    and my blood sugar's low and i'm
  • 00:11:58
    starting to get foggy headed and
  • 00:11:59
    irritable and tired um so it's a real
  • 00:12:03
    simple fix there
  • 00:12:06
    in our society we are so driven and we
  • 00:12:08
    are so um
  • 00:12:11
    we can get so caught up in things
  • 00:12:13
    because at such a fast pace that it's
  • 00:12:16
    easy to forget to eat or it's easy to
  • 00:12:19
    avoid eating
  • 00:12:21
    so that's the first thing we want to
  • 00:12:22
    rule out
  • 00:12:23
    are you eating
  • 00:12:24
    in response to low blood sugar which is
  • 00:12:27
    making eating seem more
  • 00:12:29
    rewarding
  • 00:12:31
    and when you eat in response to low
  • 00:12:32
    blood sugar a lot of times
  • 00:12:35
    people who do that end up
  • 00:12:37
    eating more than they normally would
  • 00:12:39
    because they start eating really fast
  • 00:12:41
    it's like i'm gonna shovel in as much as
  • 00:12:43
    i can your brain doesn't register your
  • 00:12:45
    eating for 20 minutes or so
  • 00:12:48
    so before their brain even registers
  • 00:12:51
    what's gone on and gets the blood sugar
  • 00:12:53
    back up they've already eaten a whole
  • 00:12:55
    ton of food
  • 00:12:58
    why is this under emotional eating well
  • 00:13:00
    because generally when they go in to
  • 00:13:03
    to start eating
  • 00:13:05
    yes they're hungry
  • 00:13:07
    but they're also cranky and irritable
  • 00:13:09
    and most of the time they're not
  • 00:13:10
    thinking about i'm eating for
  • 00:13:12
    nourishment it's i'm eating to feel
  • 00:13:14
    better
  • 00:13:16
    lack of sleep
  • 00:13:17
    and this is so true for
  • 00:13:20
    shift workers
  • 00:13:22
    as well as you know new parents and
  • 00:13:25
    college students and anybody who's not
  • 00:13:27
    getting enough sleep if we are surviving
  • 00:13:30
    on sugar and stimulants
  • 00:13:32
    we're going peak
  • 00:13:34
    and lower valley peak and lower valley
  • 00:13:37
    and you just keep going up and down
  • 00:13:38
    until you just crash
  • 00:13:40
    because every time you crash you crash a
  • 00:13:42
    little bit lower
  • 00:13:44
    so if somebody's on that roller coaster
  • 00:13:46
    they're going to feel worse
  • 00:13:48
    um
  • 00:13:50
    between
  • 00:13:51
    you know eating episodes they're going
  • 00:13:53
    to feel
  • 00:13:54
    tired they're going to feel
  • 00:13:56
    sluggish irritable fatigued
  • 00:13:59
    and to a certain extent may be depressed
  • 00:14:02
    and they may be misattributing those
  • 00:14:05
    feeling those emotional feelings
  • 00:14:07
    um to emotions versus
  • 00:14:10
    physical causes and likewise we also
  • 00:14:13
    want to make sure that
  • 00:14:14
    you know we're addressing the emotional
  • 00:14:16
    causes because there's probably stuff
  • 00:14:18
    there too
  • 00:14:20
    um but
  • 00:14:21
    if they're not getting enough sleep and
  • 00:14:23
    they're living on sugar and stimulants
  • 00:14:26
    their body is kind of in a state of
  • 00:14:28
    hyper vigilance a lot of times
  • 00:14:30
    it's exhausted so they're going to be
  • 00:14:32
    tired and cranky
  • 00:14:34
    so
  • 00:14:35
    those are those are a couple things that
  • 00:14:37
    we want to look at those are
  • 00:14:38
    relatively easy fixes
  • 00:14:40
    or at least relatively easy things to
  • 00:14:43
    point out and go let's think about this
  • 00:14:46
    one of the things that i suggest for a
  • 00:14:48
    lot of my clients
  • 00:14:50
    is just take a week
  • 00:14:53
    and mindfully
  • 00:14:54
    and it's difficult but try to eat
  • 00:14:57
    healthfully
  • 00:14:58
    you know try to eat
  • 00:15:00
    a few times a day you know try to eat
  • 00:15:02
    like three meals a day
  • 00:15:03
    and
  • 00:15:04
    get enough water
  • 00:15:06
    and try to get enough sleep
  • 00:15:08
    and try not to overdo it on the
  • 00:15:11
    stimulants
  • 00:15:12
    at the beginning i'm not going to say
  • 00:15:14
    cut out anything um
  • 00:15:17
    because that's not realistic and it's
  • 00:15:19
    not fair and they're probably already
  • 00:15:22
    struggling if they're coming in to see
  • 00:15:24
    me so if i go hey let's just turn your
  • 00:15:26
    world upside down and guess what you're
  • 00:15:29
    not going to drink any caffeine anymore
  • 00:15:32
    is not going to create a happy person
  • 00:15:36
    so i asked them to try to make some
  • 00:15:38
    small changes and see if that starts to
  • 00:15:41
    help
  • 00:15:42
    dehydration causes fogginess
  • 00:15:46
    and symptoms of depression
  • 00:15:49
    we want to make sure that they rule that
  • 00:15:51
    out and too many stimulants also causes
  • 00:15:53
    dehydration so you know we're looking at
  • 00:15:56
    some of the physical causes of
  • 00:15:58
    irritability and fatigue and cravings
  • 00:16:01
    because again we're going back to when i
  • 00:16:03
    felt this way before
  • 00:16:05
    not looking at why i felt this way but
  • 00:16:07
    when i felt irritable depressed cranky
  • 00:16:10
    what has made me feel better
  • 00:16:12
    and generally it's food and generally
  • 00:16:14
    it's not good food for me it's m m's oh
  • 00:16:16
    i love my m m's
  • 00:16:18
    especially the ones with almonds but i
  • 00:16:20
    digress
  • 00:16:22
    nutritional causes
  • 00:16:24
    of cravings high carbohydrate and high
  • 00:16:27
    starch foods cause a greater release of
  • 00:16:30
    serotonin and endorphins so if you've
  • 00:16:33
    got somebody who's depressed for
  • 00:16:36
    whatever reason
  • 00:16:38
    that they may crave these kinds of foods
  • 00:16:40
    in order to increase their serotonin
  • 00:16:42
    level or increase the endorphins their
  • 00:16:44
    energy levels
  • 00:16:46
    chocolate
  • 00:16:48
    people who crave chocolate may
  • 00:16:51
    be low in magnesium it also um the level
  • 00:16:54
    of magnesium also affects how much
  • 00:16:56
    serotonin is available
  • 00:16:58
    again just i keep saying this just for
  • 00:17:01
    legal reasons
  • 00:17:03
    we want to make sure their doctor or
  • 00:17:04
    nutritionist um goes in and makes this
  • 00:17:08
    diagnosis but if they're particular
  • 00:17:10
    foods that they do crave it's important
  • 00:17:12
    for them to bring that up with their
  • 00:17:13
    medical provider
  • 00:17:15
    if they're craving fatty foods now again
  • 00:17:18
    fatty foods are just good i love fried
  • 00:17:21
    foods
  • 00:17:22
    but
  • 00:17:23
    it also could mean that they're not
  • 00:17:25
    getting enough omega-3s americans
  • 00:17:27
    typically don't
  • 00:17:29
    and interestingly if they crave soda
  • 00:17:32
    they may be calcium deficient who knew
  • 00:17:35
    so these are things to take a look at to
  • 00:17:38
    ask people you know if they're craving
  • 00:17:40
    soda
  • 00:17:41
    maybe cutting back on their soda
  • 00:17:44
    a little bit and see what happens
  • 00:17:47
    and or getting blood work done
  • 00:17:51
    once we've ruled out the obvious
  • 00:17:53
    physical causes they've gone to the
  • 00:17:54
    doctor gotten blood work done everything
  • 00:17:56
    comes back happy they're getting enough
  • 00:17:58
    sleep
  • 00:17:59
    but they're still eating when they're
  • 00:18:01
    not hungry we need to rule out habits
  • 00:18:05
    is there a particular time or activity
  • 00:18:07
    that makes you crave this food
  • 00:18:09
    when i was growing up
  • 00:18:11
    i would go to the grocery store with my
  • 00:18:12
    mother and on the way back home from the
  • 00:18:14
    grocery store she would always we would
  • 00:18:16
    always get junk food
  • 00:18:17
    and she would get a bag of chips and put
  • 00:18:19
    them in the front seat it was like a 20
  • 00:18:21
    minute drive from the grocery store to
  • 00:18:23
    our house and by the time we would get
  • 00:18:25
    back to the house we would have put a
  • 00:18:26
    good dent in those potato chips
  • 00:18:30
    that being said
  • 00:18:32
    i got into the habit of
  • 00:18:35
    whenever i went to the grocery store
  • 00:18:37
    i would get something out of the bag and
  • 00:18:39
    put it in the front seat and eat on the
  • 00:18:41
    way home now am i paying attention to
  • 00:18:43
    what i'm eating no
  • 00:18:45
    likely am i eating because i was hungry
  • 00:18:47
    probably not
  • 00:18:49
    so we want to look at habits
  • 00:18:51
    a lot of people will eat
  • 00:18:53
    when they are watching tv it's a huge
  • 00:18:56
    one
  • 00:18:58
    so we want to not do that or if you're
  • 00:19:00
    going to eat when you're watching tv
  • 00:19:02
    make sure you sit at the table at least
  • 00:19:03
    that makes you a little bit more mindful
  • 00:19:06
    um
  • 00:19:08
    so thinking about are there particular
  • 00:19:11
    times or activities that you eat and
  • 00:19:13
    you're just not hungry
  • 00:19:15
    are there particular times that you
  • 00:19:17
    mindlessly eat like like i said when
  • 00:19:19
    you're driving or when you're watching
  • 00:19:20
    television those are both habits and can
  • 00:19:23
    be mindless because you're not paying
  • 00:19:24
    attention to how much is going in your
  • 00:19:26
    mouth
  • 00:19:27
    you're not probably paying attention to
  • 00:19:29
    the taste and you're not paying
  • 00:19:31
    attention to whether you're full or not
  • 00:19:34
    um so if if you're mindlessly eating
  • 00:19:37
    then there's going to be a lot more
  • 00:19:39
    calorie consumption
  • 00:19:40
    in addition to the fact that
  • 00:19:43
    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
    are there any questions
  • 00:46:52
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Etiquetas
  • Emotional eating
  • Eating disorders
  • Coping strategies
  • Mindfulness
  • Food cravings
  • Restrictive diets
  • Nutrition
  • Emotional health