tag:blogger.com,1999:blog-27072566.post4112116917678517471..comments2024-03-14T03:16:23.482-05:00Comments on Everyone Needs Therapy: Don't Super-Size Me: The push for calories on menustherapydochttp://www.blogger.com/profile/05088184676439578876noreply@blogger.comBlogger48125tag:blogger.com,1999:blog-27072566.post-61904599646035123962008-06-18T11:43:00.000-05:002008-06-18T11:43:00.000-05:00Mint Milanos are my comfort food. *sigh*My fave pa...Mint Milanos are my comfort food. *sigh*<BR/><BR/>My fave paraphrase from Fiddler on the Roof:<BR/><BR/>I'm not overweight, I'm tall from side-to-side.have popcorn will lurkhttps://www.blogger.com/profile/03200484265589054583noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-87978702061217809852008-06-18T09:15:00.000-05:002008-06-18T09:15:00.000-05:00I think that TV-watching can increase chances for ...I think that TV-watching can increase chances for being overweight; a person sits there, not moving, not interacting, and so many people bring snacks with them to munch while they watch and don't pay a whit of attention to how many calories they're consuming. Sure, some people exercise as they watch, but I suspect they're the minority. And especially for kids, so much of TV time used to be active-play time, running around and burning up energy. (Not to mention, too much TV really messes up kids' attention spans...helloooo, ADD...)Scrapshttps://www.blogger.com/profile/15911315552965685448noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-8922054519889525132008-06-18T06:22:00.000-05:002008-06-18T06:22:00.000-05:00Interesting post--seems like a very smart move not...Interesting post--seems like a very smart move not to specialize and particularly not to claim you can "cure" eating disorders. <BR/><BR/>I think clients are lucky you have a very balanced approach that puts the eating and emotional issues in context.Crabby McSlackerhttps://www.blogger.com/profile/12108791388350253344noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-36250956792493941642008-06-16T21:17:00.000-05:002008-06-16T21:17:00.000-05:00TherExtras, right on about the family of origin ea...TherExtras, right on about the family of origin eating habits, probably THE most important factor when it comes to obesity. <BR/><BR/>And about that teev? Isn't here something about the term, couch potato, that just makes a person hungry?therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-10150603594948163482008-06-16T21:06:00.000-05:002008-06-16T21:06:00.000-05:00I'm thinking I should rent it, thanks.I'm thinking I should rent it, thanks.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-7900227961177106902008-06-16T21:03:00.000-05:002008-06-16T21:03:00.000-05:00That was a good read, thanks! I liked "Super size ...That was a good read, thanks! <BR/><BR/>I liked "Super size me." There really is a lot more to the movie than just watching him eat :-)<BR/><BR/>Dr. JAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-25957692807244893492008-06-16T12:40:00.000-05:002008-06-16T12:40:00.000-05:00No idea, Kiki. I would guess not. But it's a gues...No idea, Kiki. I would guess not. But it's a guess. Depression would be my first hunch. Ask a specialist :)therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-7171197818820012162008-06-16T12:33:00.000-05:002008-06-16T12:33:00.000-05:00I notice no follow-up to whether reduced TV-viewin...I notice no follow-up to whether reduced TV-viewing would improve eating habits. "all I get back are blank looks that say, Why would I ever do that?!"<BR/>rachelz said "The only way to fight the battle and stay on top of it is to constantly challenge the horrific body images that are being pushed our way by the media." TV is a big part of 'the media' and many families habitually watch a great deal of TV. <BR/><BR/>Frankly, I don't like counting calories either, Jack. But for some people, the details of the process, perhaps combined with the need to control-self, calorie counting may be an effective method. <BR/><BR/>Just this morning I read something in the newspaper (Monday is diet and exercise day in the Life section) that prompted me to think about this dicussion in terms of dosage. Dosage is implied in the comments around weekly meetings vs. more intense intervention and inclusion of more providers (team). <BR/><BR/>In the current mindset for dosing physical therapy, er, as little as possible, I'm still dumbfounded with knowing that people receive psychotherapy for years at a time. (I get why that is, no need to go there.) Dosing intervention is very complex, as therapydoc said "not that simple". Some people will work on issues that include weight control on a weekly basis for years. A few might go to a controlled environment for an extended time period in an effort to completely change their behavior and weight. Call it a spa, f-farm - I hate that term, or the media-expanded-definition of "rehab". <BR/><BR/>In the newspaper there was an article on the reality-TV show the biggest losers - a pitiful confluence of all we have discussed here. <BR/><BR/>Finally, and my apologies for length, a 'brain' orientation to why people eat may be tied to the ubiquitous use of behavioral techniques in our culture - rewards for certain behaviors. Is it not common, therapydoc, that we internalize behaviors from our parents - like rewarding ourselves for certain behaviors. Food as a reward - has consequences, some not so good.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-81155884597794548372008-06-16T12:22:00.000-05:002008-06-16T12:22:00.000-05:00is there a proven link between anorexia and border...is there a proven link between anorexia and borderline personality disorder?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-77686506825234232772008-06-16T11:43:00.000-05:002008-06-16T11:43:00.000-05:00Surely can be. But weight's not that simple. Lik...Surely can be. But weight's not that simple. Like I've been kind of saying, if not specifically, it means one thing to one person, another thing entirely different to another person. So sure, anorexia, not eating can be disappearing to one person but reappearing to another.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-3983223787629509482008-06-16T11:31:00.000-05:002008-06-16T11:31:00.000-05:00to the person that said morbid obesity hides the p...to the person that said morbid obesity hides the person. anorexia hides her too. she starves and starves and starves until there is nothing much left of her. she wants to disappear. i think they are both extremes of the same issue. TD - do you agree?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-38969779949559705612008-06-16T09:11:00.000-05:002008-06-16T09:11:00.000-05:00Nah, much more than a BandAid. I apologize if any...Nah, much more than a BandAid. I apologize if anyone gets that impression. And surely worth every dime. But maybe it's like food. Some is good, some is healthy, and some isn't.<BR/><BR/>I love the sex metaphor, of course. Thanks so much for that one. Someone had to say it, friend. Great job.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-29206269706700604632008-06-16T08:59:00.000-05:002008-06-16T08:59:00.000-05:00I'm surprised that no one has mentioned S-E-X. Ea...I'm surprised that no one has mentioned S-E-X. Eating and sex, sex and eating -- the parallels are so....there. Both integrate the body, mind, and heart in complicated ways. Both are a source of unbelievable pleasure, and hold the potential (in our society) for so much guilt, shame, and pain. Both are basic human drives that are rewritten by societal codes. Both are necessary for our good health and the perpetuation of the species, yet both have the potential to kill us.<BR/><BR/>Therapy is just a band-aid for big social issues that turn healthy human drives into shameful behaviors. Folks end up spending a fortune (in time and money) to *try* to unravel a world that Madison Ave spends a fortune creating. And given what TD has said here about treatment, all that time and money usually doesn't make a dent. <BR/><BR/>Calories on the menu? How about right next to the price...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-13307601019245093282008-06-16T08:52:00.000-05:002008-06-16T08:52:00.000-05:00Kiki, if it's life threatening I've always got a t...Kiki, if it's life threatening I've always got a team, which includes a psychiatrist, and will refer for assessment for what is called a higher level of care, perhaps a day program or an inpatient stay.<BR/><BR/>If not, then I'll treat most eating disorders as metaphor, symbolic of most of what is wrong with life for that person. It's never simple and I can never say, really, "This is what I do." You do a lot of stuff in therapy, therapists do some of it, patients do the rest. <BR/><BR/>Sometimes just sitting in the same room with your therapist feels like the best thing a person does all week. <BR/><BR/>Baby steps.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-47226048495025121972008-06-16T08:15:00.000-05:002008-06-16T08:15:00.000-05:00Morbidly obesity really seems to hide the person. ...Morbidly obesity really seems to hide the person. It's as if the real person disappears. I'm sure that's the point.<BR/><BR/>if one was moridly obese, and they wanted help with motivition to exercise and take care of themselves what would you tell them?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-31408925488365770372008-06-16T07:47:00.000-05:002008-06-16T07:47:00.000-05:00If a patient you are treating for other issues als...If a patient you are treating for other issues also has an eating disorder or has eating disordered behaviour surely you would address that too? or would you palm them off on another therapist? or work in tandem?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-75572768399200683642008-06-15T18:00:00.000-05:002008-06-15T18:00:00.000-05:00Oh...and like many kids, I rebelled once out on my...Oh...and like many kids, I rebelled once out on my own. I didn't want to have to prepare food, so I went on a good, long, packaged/fast food stint. I thought it would be an easy solution. Not. That's when food allergies took over and forced me to get back to healthy - and then learn even healthier - ways. Another blessing in disguise because I had to learn the whole food scientific connection. Very, very important.Isle Dancehttps://www.blogger.com/profile/04755103029114698264noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-33788363506859904522008-06-15T17:52:00.000-05:002008-06-15T17:52:00.000-05:00Great points.As a toddler, I felt rushed and overw...Great points.<BR/><BR/>As a toddler, I felt rushed and overwhelmed by those hard and fast spoonfuls of endless food inserted into the mouth.<BR/><BR/>By later allowing us to serve ourselves, encouraging us to start small, so as not to waste what we couldn't eat (while reassuring us that we could always come back for more if we were still hungry), we could pause, enjoy and fill up naturally. (One of the most beautiful lessons, ever.)<BR/><BR/>We had no sugar/processed products in the home during the early years (except for dessert, which was always special and last...and you had to clean your plate first), so that didn't develop as a childhood default food.<BR/><BR/>And because we had access to healthy food 24/7, I never developed a panic about running out of food. (Unless spending the night where they "closed" the kitchen between/after meals...OMG, the internal horror! But it taught me to rely on/fend for myself and always bring my own. :o)<BR/><BR/>Stock the home with 90% healthy food. Eat when hungry. Stop when full. There is always more, 24/7.<BR/><BR/>I will always be grateful for these lesson. Always. And as challenging as my family situation is, I regularly thank them for this - even from afar. :o)Isle Dancehttps://www.blogger.com/profile/04755103029114698264noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-91618376291053828412008-06-15T15:52:00.000-05:002008-06-15T15:52:00.000-05:00Jack, that's where it's at, I think, eating on dem...Jack, that's where it's at, I think, eating on demand is really listening to your body, paying attention to what the whole bod needs, not just what the mouth (brain?) wants. Someone help me here.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-42035247611157082612008-06-15T15:40:00.000-05:002008-06-15T15:40:00.000-05:00On the topic of fitness- I stopped paying attentio...On the topic of fitness- I stopped paying attention to calories, fat content etc.<BR/><BR/>All it did was aggravate me and make eating unpleasant.<BR/><BR/>Now I eat what I want and I find myself far happier and a few pounds thinner than before. Frankly I expect to see more drop off of me.<BR/><BR/>And might I add that I wake up every morning and am surprised to see that I don't look like I am 19 anymore.<BR/><BR/>I still feel young.Jack Steinerhttps://www.blogger.com/profile/16625864271071630940noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-38028400810547823852008-06-15T07:27:00.000-05:002008-06-15T07:27:00.000-05:00Right. And yet. Getting the kid to consider that...Right. And yet. Getting the kid to consider that toilet training concept. . .maybe once in awhile an exception?therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-158831980514664012008-06-15T03:57:00.000-05:002008-06-15T03:57:00.000-05:00It drives me nuts when people use food as reward/p...It drives me nuts when people use food as reward/punishment for kids.Batyahttps://www.blogger.com/profile/09402874037427009327noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-10648926229818081372008-06-14T21:11:00.000-05:002008-06-14T21:11:00.000-05:00Syd, Commitment phobia is filed under intimacy fea...Syd, Commitment phobia is filed under intimacy fear, and there's lots to say. Sure, I'll get to it.therapydochttps://www.blogger.com/profile/05088184676439578876noreply@blogger.comtag:blogger.com,1999:blog-27072566.post-63359730615674693242008-06-14T17:03:00.000-05:002008-06-14T17:03:00.000-05:00I'm counting my blessings. My practice doesn't in...I'm counting my blessings. My practice doesn't include nutrition counseling. I actually help children learn to eat, through their mouths. (A small population doesn't come with that ability.) <BR/><BR/>On the 'exercise' part of my practice, if I am trying to influence someone to learn or change a movement habit - I'm looking for the motivation to do it ("what makes them sing") also. The concept of habit is important - which leads me to comment on the infrequent treat while eating-out. What if the person's habit is to eat out? I see that among many of the people I know - not my clients. <BR/><BR/>"to talk about exercise (they see my bike) and healthy eating (my sandwich), all I get back are blank looks that say, Why would I ever do that?!"<BR/><BR/>therapydoc is role-modeling, but the behaviors are so outside of their current lifestyle they cannot imagine these behaviors in themselves. <BR/><BR/>A couple of posts ago - on ADHD - turning-off the television (or other video screens) was suggested as a part of intervention. <BR/><BR/>I also think that decreasing video viewing would affect one's lifestyle leading toward healthy eating. <BR/><BR/>Chew on that one a bit.<BR/><BR/>Thanks for a great post! - And thanks to all the commenters. Like therapydoc, the rest of us readers benefit from your comments, too.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-27072566.post-45908156677513187682008-06-14T06:47:00.000-05:002008-06-14T06:47:00.000-05:00Morbidly obesity really seems to hide the person. ...Morbidly obesity really seems to hide the person. It's as if the real person disappears. I'm sure that's the point. <BR/><BR/>I would like to know your thoughts in a future post on "commitment phobia". Is it real? I have been reading a bit about it and have someone in my life who fits the description. Thanks.Sydhttps://www.blogger.com/profile/05642843245634635843noreply@blogger.com