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The Weight Loss Solution: Think Thin

An Interview with Susan Borgman, LCSW--By Meghan Vivo

A healthy diet and fitness plan are the basic necessities for weight loss. But eating less and moving more are not so simple when there are emotional barriers and self-defeating thoughts and behaviors standing in the way.
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Featured Articles By 4Therapy Therapists


Be Optimistic!

By Jill MacDonald, MA, LPC

Dare to allow yourself to think the best. Hope for the best. See the best in yourself and others. Dream. Care. Love. Believe. This type of thinking is good for everyone. Of course, you might challenge me and say: I will hurt so much more if I am optimistic and “it” does not happen...

Staying Fit for Life: Behavioral Change for Lasting Weight Loss

An Interview with Samanthia Gaspar, PsyD.--By Meghan Vivo

In the past, many families turned to “fat camps” to help their teens lose weight. Although some campers experienced significant weight loss, most gained the weight back when they returned home. Research now supports a new generation of “fit camps” or weight loss camps, which have achieved remarkable long-term results.

The Many Faces of Denial

By Lee Kern, M.S.W., L.C.S.W.

Bonnie sought help to stop a 25-pound relapse. She had by-pass surgery five years ago at the weight of 380. Four years after the surgery she hit a low of 160, and after two skin removal surgeries she was proud of her new look. But in the past year she began to graze on bread, cheese, popcorn and wine, attributing this to a spike in anxiety...

The Food Diary: A Partner To Success

By Lee Kern, M.S.W., L.C.S.W.

When it comes to long-term weight control, no man or woman is an island. Strength of character and willpower are useful qualities to draw on, but they are not enough. You need to partner your surgery with tools, strategies and support systems that will empower your efforts.

Finding a Therapist

By Lee Kern, M.S.W., L.C.S.W.

There are many approaches to psychotherapy and no one “right” way exists. The two most prominent forms in practice today are cognitive behavioral and psychodynamic. Evidence supports the benefits of cognitive behavior therapy (CBT) in the treatment of weight and eating problems. This approach views feelings, thoughts and behaviors as inter-related, and targets distorted or unproductive beliefs that underlie negative behavior.

Start “Wanting” Yourself

By David Sternberg, LICSW

After so many years of hearing from others what we should do and say (and shouldn’t do and say), many of us are now experts at "shoulding" ourselves. When making a decision, most of us respond with the automatic “should” so often that we don’t even consider our own needs.

Weighty Matters - Divorce and Weight

By Mitchell Milch, CSW

Our emotional vulnerabilities post-divorce may create an internal environment ripe for unhealthy dependencies on our own eating habits, as well as on how we feed others. Eating dysfunctions, even in their most benign forms, are perhaps the most insidious because, in a society where obesity is quickly becoming the norm, they can easily go undetected.

Are You Using Your Power?

By Vera A. Gonzales, Ph.D.

You have a blueprint for your life that is called a belief system. A belief system is a set of thoughts, rules, attitudes, expectations and behaviors that are imbedded in your mind. We use this structure of attitudes to make choices in our lives. Belief systems are created from our culture, modeling from people we admire, and from trial and error, among other factors.

Life Balance Training--Whole Person Integration

By Hannah-Leigh Bull, LMFT

We are not one-dimensional people. A lot goes into making us who we are. Because of this, we have all experienced conflicting voices, or factors, within ourselves. Life Balance Training (LBT) is a multifaceted approach to self and life management that integrates the major factors of the whole person and the world in which he or she lives mentally or cognitively, physically, emotionally, socially, and spiritually.

Treating Eating Disorders Using Dialectical Behavioral Therapy

By Meghan Vivo

Dialectical behavioral therapy (DBT) combines cognitive and behavioral therapies to teach healthy ways to handle painful emotions through acceptance and change. DBT uses four skill sets – interpersonal effectiveness, emotional regulation, distress tolerance, and mindfulness – to improve coping skills. Through DBT, you can learn how to increase self-awareness, control self-defeating thoughts, modify black-or-white thinking, and handle conflict and stress.

Reconnecting with Your True Self: The No-Resistance Method of Treating Eating Disorders

An Interview with Barbara Cole, MFT, Psy.D.—By Meghan Vivo

Despite the challenges, eating disorder sufferers are also one of the most inspiring populations to treat, says Dr. Cole. “These are high-functioning, charming, intelligent, wonderful women whose best traits have been covered up by their disorder,” she says. “It is my job to bring back their true self and systematically diminish the voice of the eating disorder.”

The Rise of Male Eating Disorders: Preserving the Masculine Image at All Costs

An Interview with Brad Kennington, MA, LMFT, LPC, by Meghan Vivo

While experts used to believe that only 10 percent of the estimated 10 million eating disorder sufferers were male, a 2007 Harvard study of 3,000 male and female participants has shown that the disorders are much more prevalent – 25 percent of those with anorexia or bulimia and 40 percent of binge eaters were men.

Lies My Stomach Tells Me

By Stanley E. Hibbs, Ph.D.

For me, “hunger” is sometimes just a conditioned response. I “feel” hungry at 9:00 p.m. for no other reason than I felt hungry the night before. It feels real, but it’s a lie.

Food Diary Lessons: The Lifestyle Connection

By Lee Kern, M.S.W., L.C.S.W.

In her recent food diary, Jan expressed pride and satisfaction with her progress. In nine months she had lost 50 pounds (from 230 to 180). Yet two diaries ago her comments were full of frustration and resignation...

Managing Emotional Eating

By Lee Kern, M.S.W., L.C.S.W.

Lisa is a classic emotional eater. She uses food to escape and soothe negative emotions, and responds to upsetting internal triggers in a repetitive, automatic self-defeating way. If you find yourself eating when you are not really hungry, Lisa’s story of relapse recovery may provide strategies to help you get back in control.

Premenstrual Cravings Can Be Tamed

By Colette Dowling, LMSW

When my daughter and I were researching PMS for our book, "You Mean I don't Have to Feel This Way?", we wanted to know whether there were medical reasons for the pronounced cravings women experience premenstrually. To find out, we went to the scientists who were early researchers on the problem.

Changing Your Reality

By Jim Weinstein, MBA, MFT

The phrases "face up to reality," "in reality," "up against reality," "reality check," and "virtual reality" all convey a meaning of reality as a state that is true and factual. In fact, reality to a great degree depends on the very personal perspective through which it is experienced. This article attempts to illustrate this premise and demonstrate how it can be used to significantly advance your personal happiness.

Exercise Away Your Worries

By Randi Rotwein, MA, MFT, CPT

Research has shown for years that there are definite health benefits associated with regular physical activity and exercise (reduced risk of cardiovascular disease, hypertension, stroke, and general overall strength gains in lean muscle mass). However, not until recently has research confirmed that physical activity/exercise is also associated with lowering levels of depression, anxiety and stress, as well as assisting to increase one’s self-esteem.

Yoga Can Enhance Therapy

By Mary Lansing, Licensed Marriage & Family Therapist

Yoga is about healing the splits inside us, the places of separation and dislocation. Coupled with psychotherapy, it can become a pathway toward self-study that flows into an individual's everyday activities, allowing her to focus on her body rather than disturbing thoughts that keep her rooted in old complexes.

Eating Patterns and Weight

By Marlene Lesson, M.S., R.D., L.D.N., C.D.E.

There is no one-size-fits-all solution for weight control. Recent studies are beginning to identify eating patterns that are associated with healthy body weights. But none of these findings are of much value unless they are personalized for you. So get ready to look inward and reflect. You too can be successful if you take the time to get to know yourself.

Tell Me Anything--But Don’t Tell Me To Stop Training

By Mitchell Milch, CSW

If you are a "workaholic" on or off the athletic field it may be time to consider that a little less pain and suffering will result in better performances, greater enjoyment and more time to nurture multiple sources of self-esteem.

Body Image

By Sally Frances, MA, LCSW

Preoccupations about body image issues can sometimes mask other problems. The body is often symbolic for other concerns in people's lives. In therapy, we look at both the underlying issues and the behaviors, in order to make progress and to experience change.

Kids and Distorted Body Images...Eating Disorders in the Making

By Michelle Gottlieb, Psy.D., MFT

Last weekend, I was enjoying a beautiful day at the park. I chanced to overhear a conversation between two girls sitting near me. These girls looked to be about 10 years old. They were complaining about their bodies...they felt that they were too fat.

Food Diary Lessons: Reducing the Power of The Scale

By Lee Kern, M.S.W., L.C.S.W.

Studies suggest that often there is a gap between weight loss expectations and reality, and this can produce negative feelings. One study of very successful weight losers concluded that the best attitude to take is to view weight loss as a natural result of living life in healthier ways: de-emphasize the scale, focus on healthy behaviors, keep track of all the non-weight benefits of success.


Related Information


What Causes Overweight and Obesity?

Energy balance means that your energy IN equals your energy OUT. To maintain a healthy weight, your energy IN and OUT don’t have to balance exactly every day. It’s the balance over time that helps you maintain a healthy weight.

Keys to Long-term Success

By Lee Kern, M.S.W., L.C.S.W.

Research on successful weight losers suggests that the best long-term results occur when weight loss is viewed as a natural result of living life in incrementally healthier ways. Weight, health and fitness benefits occur when there is an underlying infrastructure of lifestyle change and behavior strategies, including exercise, self-monitoring and behavior modification.

Lipid Anomalies and Overweight Children

Has your overweight child been checked for abnormal lipid values? Statin therapy is now an option for treating elevated lipid values in some adolescents.

Get Kids Moving With Videos!

It’s quite clear that today's kids are a video game loving generation. But what if there existed games that promoted fitness instead of fatness?

Mindfulness and Structured Eating

By Gerard J. Musante, Ph.D.

We often rush our meals and eat as if on autopilot and miss out on the experience of eating. Being more fully present with your self and your body while eating is a powerful way to explore a healthier relationship with food.

How to Satisfy Hunger and Feel Full Eating Fewer Calories

By Marlene Lesson, M.S., R.D., L.D.N., C.D.E.

If food intake is regulated more by the weight of the food than by the calories in the food, consider the consequences of choosing between one of these two foods: carrots (195 calories per pound) and fat-free potato chips (2431 calories per pound); or strawberries (139 calories per pound) versus Powerbar Performance (1600 calories per pound).

Weight-loss Dieting Lowers Inflammation, Could Lower Disease Risk

A growing number of research studies point to chronic inflammation in the body as a risk factor for several diseases, including heart disease, stroke, and diabetes, and for death. A recent study looked at the effects of weight-loss dieting and physical activity on inflammation.

Studies Suggest Low-Calorie Diets Could Slow Aging

Previous research has shown that calorie restriction may slow aging and increase lifespan in small mammals. But would the same apply to humans? Two recent studies supported by the National Institutes of Health indicate this may be the case.

Physical Fitness Versus Body Mass Index

Physical inactivity and a body mass index (BMI) greater than 25 can each lead to increased health risks such as heart disease, stroke, and type 2 diabetes. But when they are considered together, which presents the greater risk?

Emotional Eating Can Sabotage Even Your Best Dieting Efforts

Typically triggered by stress and anxiety, "emotional eating" leads to overeating accompanied by clouded judgment, all of which results in making poor food choices. A key influence on emotional eating, however, is not just the presence of stressful or anxiety-riddled circumstances, but rather how we respond when life seems trying and difficult.

Size Zero

By Emily Battaglia

Despite much research and discussion, the root causes of eating disorders are still not fully understood. Several risk factors have been cited, including genetics, personality, and external stressors. One of the most significant influences, however, is the American society’s evolving ideal for the feminine form.

Weight Gain From Antipsychotics Traced to Appetite-Regulating Enzyme, Receptor

In addition to the implications for design of newer antipsychotics, researchers believe findings from a newly-published study may also lead to new strategies in weight and appetite control research.

The Risks of a Fad-Diet Mind-Set

By Gerard J. Musante, Ph.D.

You’ve heard about them. You’ve probably even tried a few. Fad diets are everywhere. Unfortunately, these fads are all simplistic, and they don’t work well over the long term. Why is that?

 





Structure House
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Intuitive Eating: A Recovery Book for the Chronic Dieter: Rediscover the Pleasures of Eating and Rebuild Your Body Image

Beyond the Food Game: A Spiritual & Psychological Approach to Healing Emotional Eating


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