Healthy Weight, Healthy Mind: Writing It Down Can Help Improve Your Progress

We are pleased to bring you this regular column by Dr. David Creel, a licensed psychologist, certified clinical exercise physiologist and registered dietitian. He is also credentialed as a certified diabetes educator and the author of A Size That Fits: Lose Weight and Keep it off, One Thought at a Time (NorLightsPress, 2017).

Do you have a weight loss question for Dr. Creel? Email him at [email protected]. He may answer your question in a future column.

As you work on changing your thoughts and “friending” yourself, creating a Thought Log with the ABCDE format will help you analyze events in your life and track progress. You might dedicate a special journal just for this exercise.

  1. When something upsets you, jot down the activating event (A), dysfunctional beliefs (B), and emotional consequences (C) of your thoughts.
  2. Consider what thinking category causes you to feel bad (all or nothing thinking, emotional reasoning, etc.).
  3. Now you can dispute (D) the thought and replace it with a kinder, factual, probable, and useful perspective.
  4. Finally, you can evaluate (E) how strongly you felt the initial emotion. Perhaps in the beginning you felt frustrated at an intensity of 90 on a scale of 1 to 100.
  5. Record the new rating of frustration (1 to 100) after you begin thinking differently.

You may not like keeping a journal with this much structure, and that’s okay. But I do recommend you take time to evaluate how this information affects your life.

Sit down with paper and pen, or at your computer, and write about which fallacies of thought have kept you from losing weight and sustaining that weight loss. You don’t need to write a novel. Don’t worry about spelling or grammar and feel free to use bullet points instead of sentences.

I suggest you start with writing how the environment and your thinking influenced you to regain weight in the past. Suppose you gained weight after a combination of events — you hurt your foot in October, followed by the stress and social events of the holidays, and then you felt discouraged and gave up. What if you changed your interpretation of those events — your thoughts and beliefs? Would the story have a different ending?

Write about how you could have changed the environment to ensure better success. Then try writing how you could change your thoughts if you couldn’t change the environment. How could this situation end with a better outcome? While you’re at it, write about several of those possible good outcomes. This will show you how changing your thoughts could lead to much better results.

This writing exercise will be like a dress rehearsal for similar challenges in the future. Instead of falling into the same traps as before, you’ve prepared yourself to respond in a healthier way. As with anything you practice the right way, you’ll soon develop thinking skills and new confidence to overcome future challenges to maintaining a healthy weight.

Healthy Weight, Healthy Mind: The Problem with Filter Focus

We are pleased to bring you this regular column by Dr. David Creel, a licensed psychologist, certified clinical exercise physiologist and registered dietitian. He is also credentialed as a certified diabetes educator and the author of A Size That Fits: Lose Weight and Keep it off, One Thought at a Time (NorLightsPress, 2017).

Do you have a weight loss question for Dr. Creel? Email him at [email protected]. He may answer your question in a future column.

A friend of mine used to say, “Filter-focus!” when she saw a good-looking guy who grabbed her attention. She would fan herself as she repeated the phrase filter-focus, filter-focus. Her objective was to filter out thoughts about him so she could focus on what she was doing.

At any given moment we’re bombarded by information from at least four of our five senses. As children we’re easily distracted and don’t always filter and focus well. For instance, kids may dart into traffic when they see something interesting. But as we learn and our brains mature, we become better at filtering out a tremendous amount of data by prioritizing. This mostly happens “behind the scenes” without our awareness. This filtering activity often affects our attitudes and behavior.

Depending on our personality and experiences, we can learn to filter out information — or we can prioritize it in ways that cause unnecessary and harmful stress.

Some people filter out accomplishments and focus only on their deficiencies, especially those related to weight. An example would be ignoring the two pounds you lost, while focusing on a package of cookies you ate this morning. This viewpoint leads down a road of frustration and hopelessness, paved with the perceived tragedy of many failures. Don’t get me wrong, we do need to understand and evaluate our mishaps, but only if we also enjoy our positive attributes and success.

Filter-focus fallacy can expand to include our overall moods and life perspective. Choosing to mainly focus on the positive aspects of life changes your outlook on every situation, the people you encounter, and yourself. If you’re accustomed to negativity, the idea of changing to a positive focus may seem “soft” and unrealistic. “The world is a hard place,” these people say. “Better get used to it.”

Yes, bad things happen all around us — but what about the good stuff? If you let your mind process life according to the nightly news, you won’t feel uplifted or positive toward your own life and the people around you. School shootings, murder, scandals, politicians verbally attacking each other, traffic congestion, and impending bad weather, slightly tempered with a sprinkle of a feel-good story or humor — that’s the news, every day. If we want to experience joy, we should avoid seeing our lives from a nightly-news perspective. Furthermore, if we want to stay committed                  to healthy living, we cannot filter out our achievements and focus only on failures.

When I review a food journal with someone who has filter-focus problems, the conversation often goes something like this:

“Thanks for letting me take a look at this. You did a nice job of consistently tracking your food. Tell me a little bit about what went well and what you’re still struggling with.”

“Well, I’m still snacking too much at night and I know I need to eat breakfast every day, but I don’t. This week has been terrible for exercise because I’ve been working more and I’m just so tired when I get home.”

“Ok, but you did eat breakfast four times this week, which is an improvement, and I notice you’re taking your lunch a bit more instead of going out to eat.”

“Yeah, but I’m still eating out too much. I want to get out of the office and when my co-workers suggest it, I go. I just don’t seem to have much willpower when it comes to lunch, especially on the days when I skip breakfast.”

“I understand you still want to make improvements, but over the past several weeks you’ve been moving in that direction. What do you think you did well that led to you losing weight?”

“Well I’m just kicking myself right now because I wanted to lose five pounds in two weeks and I only lost three. I need to dedicate myself much more to exercise and sticking closer to the plan.”

Despite promptings, this patient could not give herself credit for her accomplishments. If you’ve ever been involved with someone who filtered out your accomplishments and focused on your imperfections, you understand the consequences. No matter what you do it isn’t good enough, and if you succeed at something they remind you of previous failures with statements like these:

“I wish you’d done that a long time ago, I don’t know why it took you so long to figure it out.”

“I see you made the honor roll, but why did you get a ‘B’ in that class. Were you goofing off?”

“Your sales figures topped everyone else’s this month, but you should aim higher than that.”

“If you people really cared about this project you’d be working more overtime.”

Do comments like this motivate you to do your best? Do they spur you on? I doubt it. Instead you feel beaten down. The joy of accomplishment is easily squashed, and after a while you think, “Why bother? Nothing I do will be good enough.”

When we talk to ourselves in the same way, the same feelings emerge. The other harmful aspect of filter-focus is that constructive criticism is no longer effective. When you or someone else finds fault with everything you do, one criticism becomes just like all of the others. On the other hand, when you’re able to focus on what you’ve done well you’re more likely to appreciate a valid critique.

Healthy Weight, Healthy Mind: Are You an Emotional Eater?

We are pleased to bring you this regular column by Dr. David Creel, a licensed psychologist, certified clinical exercise physiologist and registered dietitian. He is also credentialed as a certified diabetes educator and the author of A Size That Fits: Lose Weight and Keep it off, One Thought at a Time (NorLightsPress, 2017).

Do you have a weight loss question for Dr. Creel? Email him at [email protected]. He may answer your question in a future column.

 

People commonly use food to deal with stress. After all, food is an enjoyable distraction and easy to find. When you feel stressed at work, a vending-machine candy bar may only be steps from your office. At home, our well-stocked pantries and refrigerators make emotional eating an easy way to cope. And once in the kitchen, what foods call to us? It certainly isn’t lettuce or carrots. Most likely we hear a siren song from ice cream, chips and salsa, cake, or some other high-calorie food.

One TV commercial shows a sniffling, downtrodden young woman paying for items at a convenience store. She places ice cream, potato chips, and a box of tissues on the counter. The elderly cashier empathetically says, “Oh, honey, he broke up with you again?” Viewers understand this because emotional eating is so common. This young woman is using food to deal with sadness, abandonment, and anger.

In my weight management groups and individual sessions with people trying to lose weight, I frequently ask, “What influences you to eat when you aren’t hungry?”

Many people respond by saying, “I’m an emotional eater.” Even among those who deny emotional eating, we often discover patterns of weight gain during stressful times and life transitions that suggest otherwise. And it’s not just negative stress – positive stress also can influence eating and physical activity. Exciting life transitions, sometimes referred to as eustress, can impact our behavior. These stressors may include the birth of a child, a job promotion, a new house, or a new relationship. We might gain weight because we party and stop exercising at college, take on the unhealthy habits of a spouse during our first year of marriage, use food as entertainment when we travel, or celebrate anything and everything with cake. Over time, eating during periods of eustress or distress becomes a pattern that seems normal. We eat without much awareness of the circumstances and emotions that contribute to our food choices.

Redefining pleasure can help us eat healthy during times of celebration and still enjoy life. Monitoring weight, physical activity, and diet can keep us from veering off track during exciting times. But for many people, persistent distress is more connected to unhealthy weight than positive stress. With or without awareness, stressed-out employees, moms and dads, college students, and even children self-medicate with food.

I don’t want to turn you into an unemotional robot when it comes to eating. I do want to help you become intentional about how you react to stress. Being deliberate and aware of our reactions is often a challenge, because the interaction between emotions and eating is complex. Fortunately, we can begin making positive changes without understanding every detail of why we eat.

To simplify, let’s accept that emotions affect everyone’s eating habits to a certain degree. Your unique patterns may be so ingrained that you barely notice them. To better understand your patterns, it may help to answer the following questions:

As the questions above illustrate, people have different patterns of emotional eating. You may be a grazer — tasting food as you hurriedly prepare dinner or inching your way through a sleeve of crackers while helping a reluctant child complete his homework. Maybe you tend to not eat when you’re stressed, but overcompensate later when the pressures of life subside. Or you may be a frequent binge eater, consuming food until you’re uncomfortably full, feeling out of control and only eating in private, and feeling embarrassed and guilty when you finish. If the last sentence describes you, consider seeking professional help. A therapist skilled in eating disorders can help you better understand your behavior.

In the next article, we’ll cover how to cope with emotions in a healthy manner.

Come back each week for more healthy weight loss advice from Dr. David Creel.

 

Healthy Weight, Healthy Mind: Gaining Weight After Quitting Smoking

We are pleased to bring you this regular column by Dr. David Creel, a licensed psychologist, certified clinical exercise physiologist and registered dietitian. He is also credentialed as a certified diabetes educator and the author of A Size That Fits: Lose Weight and Keep it off, One Thought at a Time (NorLightsPress, 2017). See all of David Creel’s articles here.

This week’s column is based on a question from a reader. Do you have a weight loss question for Dr. Creel? Email him at [email protected]. He may answer your question in a future column.

 

Reader Question: Help!!!  I am one of those older women who finally quit smoking and find myself twelve pounds heavier. I eat the same way I have always eaten, although not necessarily the healthiest. All the weight is in the midriff/waistline area. I am so uncomfortable I can barely bend down. I hate the word diet, but I need to do something that I can hopefully stick to. Can you help?

 

First of all, congratulations on your persistence with quitting smoking—what an accomplishment!

Although smoking cessation often leads to weight gain, the net effect is generally a great improvement in overall wellbeing. One large study published in the Journal of the American Medical Association showed gaining weight after smoking cessation did not offset the beneficial effects on heart health.

But to your point, weight gain is something few desire, and gaining fat around our organs is related to increased risk of diseases. The obvious, ideal situation is to remain tobacco-free while maintaining a healthy weight.

Although there might be a slight change in metabolic rate after quitting smoking, it appears that increased appetite is more to blame. Although it might not seem like your eating has changed since you stopped smoking, sometimes these changes are so subtle we don’t recognize it. Consuming only 100 calories more than we burn each day can lead to 10 pounds of weight gain in one year. So, to your question—what’s a person to do?

There is no perfect diet for weight loss. In order to lose weight, we must create a calorie deficit. Many different diets/plans can help you accomplish this. Unfortunately, successful weight loss is often short-lived because the plan is unrealistic or people struggle to commit to a new lifestyle. Although I don’t know anything about your medical conditions, limitations, or preferences, I usually encourage the following:

Thank you for your question. We’d love to hear back from you in the future. Good Luck!