therapy

How do you know you are Prepared to change your Relationship with Food?

food, health, positive thinking, therapy, Uncategorized, weight loss, wellness

At age 28 I woke up to prepare for work like any other day, except that day when I opened my closet I had no clothes that fit, nothing to wear for work. I froze for a minute in fear then decided I needed to do something.  I remembered attending weight watcher meetings with my Mom at age 5, so I called in sick to work, found a meeting and became a weight watcher that day. I walked through the door scared, embarrassed but determined to do whatever I needed to do, whatever they told me to do to lose weight and get healthy. I lost 25 pounds in 2 years. That may seem like a long time to some, but I was more interested in learning and changing so I could keep it off for a long time. So 28 years later I have sustained that weight loss, plus a little more.

 I worked 10 years in the weight loss industry, but early on I discovered a food relationship is so much more than I could ever imagine. That fueled my passion to pursue a career as a Psychotherapist helping adults understand their current disordered food relationship and create a sustainable one supported by psychological, behavior and lifestyle factors.

This post will introduce you to the Psychological factors of readiness, change, success-failure of weight loss and maintenance.

Readiness: Dr. Kelly Brownell and other researchers in the field of obesity believe one of the most predictors of weight loss success is one’s psychological readiness to follow a program. Determining ahead of time which factors might stand in the way of your losing weight gives you a chance to correct them so that you can focus your energy on getting weight healthy.

Transtheoretical  Model of behavior change (Stages of Change): originally used to define changes in addictive behavior, it has been applied to the adoption of positive health behaviors.  It has 5 distinct stages in the change process: precontemplation, contemplation, preparation, action and maintenance.  These stages represent the “readiness” of an individual to make a change.

Attribution Theory: Psychologist Bernard Weiner found that the difference between achievers and non-achievers doesn’t depend on the number of failures or successes a person has, but rather on the conclusions one draws about why those successes and failures happened. In general if a person “attributes” failure to a personal defect-like incompetence-and explains success as a stroke of luck, then he is reasoning like a pessimist. An optimistic attitude generates hope and persistence-which, coincidentally, are the ingredients required to make permanent weight-loss changes. Ignoring difficulties doesn’t make them disappear-focusing on solutions does. The positive perspective must take reality into account for it to work.


This is just an introduction to the world of healing a food relationship utilizing psychological constructs. One of the most fundamental building blocks of nutritional metabolism is our relationship with food, or our food psychology paradigm – the sum total of our innermost thoughts and feelings about what we eat. Our relationship with food is as deep and revealing as any we might ever have in life.

I help adults conquer eating issues, calm anxiety, and recover happiness at any age. 

 

One Step At A Time

health, mental health, stress, therapy, Uncategorized, wellness

ELM Mental Wellness is continuously adjusting and adapting to our ever changing world.  I am offering walk-and-talk therapy as an additional alternative to my current Telehealth therapy. Walk-talk is a mindfulness-based body oriented therapy that can make it easier for clients to relax, stop ruminating, release physical tension, breathe deep and receive mind-body insight while processing experiences in a different way. As the name describes, clients talk with me while walking outdoors rather than being online or sitting in a therapy office. Walking enables some clients to feel more comfortable when sharing in the therapy process. Additionally, receiving the feel-good brain chemical benefits of exercise, mindfulness practice and eco-psychology.

Walking side by side, we’ll discuss what comes to mind that day in the context of overall goals, just like sitting inside an office. At times we might take a few moments to stand in silent reflection, deep breathe or sit in guided visualization. By the end, you’ll have gained some understanding, let loose a little and noticed a helpful shift in your level of stress and anxiety. Walking is good for your physical and mental health, and in times like these, it’s more important than ever. My hope is the fresh air and sunshine will assist with clearing your mind and boosting your mood.

An outdoor consent form must be completed for the session to be conducted. If weather is uncooperative, all sessions will be automatically shifted to Telehealth. You will be notified that morning. We will meet at my office parking lot across from Lunken Airport to walk on safe paths in the area. Join me one step at a time.

Nature Heals

stress, therapy

Just a walk in the woods or a stroll by the beach on a sunny morning can awaken the innermost feelings of happiness and peace, and Environmental Psychology has gone a long way proving this fact (Bell, Fisher, Baum, Greene, 1996).

Our affinity toward nature is genetic and deep-rooted in evolution. For example, have you ever wondered why most people prefer to book accommodations that have a great view from the balcony or the terrace? Why patients who get a natural view from their hospital bed recover sooner than others? Or why does it happen that when stress takes a toll on our mind, we crave for time to figure out things amidst nature?
Frank Lloyd Wright had said, “Study Nature, love Nature, stay close to Nature. It will never fail you.” 

Nature Improves Psychological Well-Being

  • Nature helps in emotional regulation and improves memory functions. A study on the cognitive benefits of nature found that subjects who took a nature walk did better on a memory test than the subjects who walked down the urban streets (Berman, Jonides, Kaplan, 2008).
  • Nature walks benefit people suffering from depression (Shern et al., 2014). Studies had shown that people suffering from mild to major depressive disorders showed significant mood upliftments when exposed to nature. Not only that, but they also felt more motivated and energized to recover and get back to normalcy (Berman, Kross, Kaplan, 2012).
  • Recent investigations revealed that being outdoor reduces stress by lowering the stress hormone cortisol. Besides that, it also makes us immune to allied problems like hypertension and tachycardia (Lee J, 2011).
  • Nature walks and other outdoor activities build attention and focus (Hartig, 1991). There are pieces of evidence that indicate strong environmental connections to be related to better performance, heightened concentration, and reduced chances of developing Attention Deficit Disorder.
  • A study at the University of Kansas found that spending more time outdoors and less time with our electronic devices can increase our problem-solving skills and improve creative abilities.

The Importance of Nature to Well-Being

A 30-days campaign was run by the Wildlife Trusts of the University of Derby, with the prime focus on uncovering the crucial role nature plays in our overall eudaemonia. The study revealed that subjective feelings of happiness and wellbeing were positively correlated with natural activities such as gardening, animal feeding, bird watching, and bushwalking.

Dr. Miles Richardson, the face of this research, cited valuable evidence on how proximity to the nature improved mood, enhanced respiratory functioning, regulated hormonal malfunctions, and impacted on the thought structure of individuals as a whole.

Just by being outdoors and using all our senses to appreciate nature, we can be more mindful of the present, gain emotional resilience, and combat stress with more vitality.

We become naturally immune to anxiety, emotional ups and downs, and thought blocks, thereby feel more lively and energetic than before.

The survey further pointed that people who lived close to natural wilderness like the beach, mountains, or parklands, had better mental health and reported of falling sick lesser than those living in congested urban settings (Kuo and Coley, 2016).

Such families had fewer instances of domestic violence, said of feeling less fatigued, and showed increased productivity at the professional front

5 Ways to Apply the Positive Effects of Nature in Our Life

1. Walk more

We know walking is good for the heart, muscles, and the overall metabolism rate. And now scientists have proved that walking in the natural environment improves our emotional health too.

A study conducted and published by Stanford University, California revealed that participants who walked in the green parklands showed increased attention and focus, more so than participants who walked in closed urban settings or on a treadmill.

Not only that, but the former group also showed less engagement in negative thinking and felt more confident about themselves than the other group.

2. Keep a nature journal

A nature journal is a creative and unique way of imbibing the positive vibes of nature into our everyday lives. Many people who encourage this habit express feelings of inner peace and joy. In a nature journal, we can collect and note everything about our encounters with the outer world.

For example, after a walk by the beach on a cloudy evening, we can sketch some clouds in the journal or draw the sea and write how we felt when we were walking through the breezy shore. Many people collect small things like a pebble, flowers, feathers, or leaves, and glue them in the nature journal with their thoughts poured into it. A great way to spend some quality ‘me-time,’ nature journaling inevitably brings a part of nature in our usual lives.

3. Spend some working hours outside

Most working professionals today have the flexibility to access daily tasks outside (thanks to technology). We can choose to spend a part of our working day out to avoid the monotony of the cubicle and the same old office space.

It may be one conference in the garden or lunch at the local park, anything that can logically amalgamates with nature. Spending some time outside alone or with co-workers gives an instant boost of freshness to the mind, thereby reducing the stress and frustration that comes from working tonelessly for hours at a stretch.

4. Plant at home

Growing plants at home not just add aesthetic beauty to your space, it also contributes to purifying the air you breathe in.

Having plants at home balances and soothes the home ambiance and aids in respiration and breathing. Studies have proved that indoor plants or a garden are beneficial for the mental health of the people who live there. They help in improving sensory awareness, cognitive functions, and enhances focus.

Indoor plants reconnect us to nature, please our senses, and brings a serene feeling when we stay close to them.

5. Balance the diet with more natural elements

Diet is undoubtedly a great way of establishing a strong connection to Mother Nature. By consuming more plant-based proteins, vitamins, and minerals, we can help our body maintain its optimal state of functioning and homeostasis level.

Recent healthcare research proved that the consumption of plant-based protein is correlated to lower mortality rates as opposed to animal-based proteins. It is not a bad idea, after all, to replace meat with vegetables and grains – if that brings good health and long life to us!

A Take-Home Message:

“All the trees are losing their leaves, and not one of them is worried”
Donald Miller

Time to Revisit the Greek Concepts of Well Being

health, mental health, self care, spirituality, stress, therapy, wellness

What we find fascinating is that the ancient Greeks were leaders in holistic thinking – viewing the world from an integrated point of view, not just looking at the parts or events of our lives as being separate. They believed that nothing and no one was separate, that everything was connected. They were ahead of their time with their insights into the integration of body, mind, and spirit. (Much later, the body and mind were viewed as separate entities, leading to what we believe are many of the issues we face in the pursuit of well-being today.)

CONNECT MEANINGFULLY WITH OTHERS
“Man is a social animal.” – Aristotle
Aristotle believed that we are gregarious beings who flourish in groups or communities. Importantly, it is our nature to belong. Today, we live in a global world but, despite our social media connectivity, our emailing and our texting, research has shown that many people feel increasingly alienated. Depression, anxiety, and addiction are all on the rise, leading to a general decline in well-being.
A related challenge we face today is that, instead of relying on those we know for the necessities of life, we’re dependent on strangers and institutions for our survival. We don’t barter with neighbors, or even know where our food comes from; instead, we shop at supermarkets. We don’t depend on others for information or advice; we turn to the Internet. At the same time, we’re also more independent; rather than borrow things from our neighbors, we simply buy our own. Instead of asking others to help us, we do the chore ourselves or hire professionals. What have we lost? Have we tried so hard to be self-sufficient that we have cut ourselves off from each other?
Ancient and modern Greeks have much to share about connecting meaningfully with others. They teach us that we’re all important participants in the different “villages” in our lives, whether that village is our family, our friends or coworkers, or a larger organization. Greeks teach us to extend hospitality to others and always include them – “there is always room for one more.”
SHARING AND CARING
“We should look for someone to eat and drink with before looking for something to eat and drink.” – Epicurus
Throughout Greece, building relationships through conversation is an integral part of daily activity. Stopping to greet others acknowledges their presence – their human existence – and tells them they’re an important part of the “village.”
It’s about the conversation and the connection. The cashier in the local grocery store in the town of Chania, Crete, engaged in a long conversation with a young woman in front of us in line; she takes an interest in her customers as people, not just as business transactions.
Every interaction is an opportunity to strengthen or weaken connections with others. In no small way, the depth of our lives depends on the depth of our relationships with others. This is an important part of the Greek way of living.
EMBRACE LIFE WITH ZEST
“The sun is new each day.” – Heraclitus
The ancient Greeks taught us that life is short and ever-changing. Importantly, the need to embrace the fullness of life – all its ups and downs, joys and sorrows – with gusto and an appreciation for being alive is built into the Greek DNA. Indeed, to be “enthusiastic” about life means, literally, to manifest the spirit within!
Greece could lead the world in teaching a holistic approach to well-being. Taking good care of spirit, mind, and body is ingrained in the culture. Greeks know that life is about energy, and well-being is about keeping this important life energy flowing. We can all adopt the essence of the Hippocratic Oath, to “do no harm,” by replacing inactivity, excessive stress, overeating and eating poor quality foods, with healthier choices.
In times of crisis and undue stress, where we are struggling or lacking fulfillment, we need to go back to the basics in life and search for sources of true meaning and well-being. As Heraclitus taught us, the sun is new each day. Every day is a new chance to connect meaningfully with others, find a deeper purpose, and embrace life fully. It’s a new opportunity to follow the Greek path to well-being.
QUESTIONS AND ANSWERS
“I am not alone in my fear, nor alone in my hope, nor alone in my shouting.” – Nikos Kazantzakis (author, Zorba the Greek)
The famous Greek saying “Know thyself” is inscribed on a plaque above the entrance to the Temple of Apollo at Delphi, a sacred place where ancient Greeks came to seek guidance. Their questions were answered by Pythia, the priestess of the Greek god Apollo, but her answers were usually cryptic and open to interpretation. Once the visitor received an answer from Pythia, the challenge was what to do with the answer. Should they blindly follow her advice, believing they had received “the answer,” or was the inscription “Know thyself” a warning to decide the validity of the answer for oneself?
In his speech defending himself at his trial, Socrates described how he would, like Heraclitus, go within and listen to his inner voice to discover the “right” thing to do. His approach was clearly metaphysical; he combined logic and reason with intuition, consulting what we refer to as his “inner oracle.” Like Socrates, the challenge for many of us is whether to trust our inner oracle, our sense of inner knowing, or whether to allow ourselves to be swayed by others.
BE TRUE TO YOURSELF
“There is one life for each of us: our own.” – Euripides
The ancient Greeks taught us to always act in accordance with our true nature. In the final analysis, the greatest challenge in our life is to discover and embrace our core essence. Many people tend to focus on what job or career they think they should have, or how they might define their overall purpose in life. However, in actuality, a truly meaningful life starts from, remains engaged with, and, ultimately, returns to one’s core essence … awakening our true selves by connecting with whom we really are.
The Greeks taught us that if we drift away from our authentic selves, perhaps by focusing on achieving or acquiring “external things” instead of focusing on our true purpose, we will never realize our highest potential. They believed that the end goal of life is evdemonia, a concept involving deep fulfillment, inner and outer prosperity, and being of service to others. Alex Pattakos, Ph.D., and Elaine Dundon; 

In chasing “the good life,” many of us sacrifice our relationships, our health and our sanity, and still find ourselves with lives and work that bring us little fulfillment. But while our lives may seem complex, the solution to this challenge is actually quite simple. We just need to follow the path the ancient Greeks have laid out for us!

 

Nutrition Counseling is more than What We Eat.

health, nutrition, therapy, weight loss

 

When I reflect about ALL the ‘diets’ I have tried, followed, failed, and succeeded over the years, I realize they’re all the same.  I see how they have come and gone like fads. We hope this will ‘be the one’ to shed the pounds, and quick! They are a place to start, not a place to end.

Much has been made of the recently published results of the DIETFITS (Diet Intervention Examining the Factors Interacting with Treatment Success) study. https://www.ncbi.nlm.nih.gov/pubmed/28027950

Most of the headlines emphasized the fact that the two diets researched, low-fat and low-carb, ended up having the same results across almost all end points studied, from weight loss to lowering blood sugar and cholesterol.

What’s most interesting, however, is how these two diets are similar.

What DIETFITS revealed about weight loss

The study began with 609 relatively healthy overweight and obese people, and 481 completed the whole year. For the first month, everyone did what they usually did. Then, for the next eight weeks, the low-fat group reduced their total fat intake to 20 grams per day, and the low-carb group reduced their total carbohydrate intake to 20 grams per day. These are incredibly restricted amounts, considering that there are 22 grams of carbs in my organic seedtastic whole grain bread I’m enjoying as I write this, and 20 grams of fat in half of the dark chocolate bar I enjoy (I eat one ½ inch by 1 inch square at a time).

That kind of dietary restriction is impossible to maintain over the long term and, as this study showed, unnecessary. Participants were instructed to slowly add back fats or carbs until they reached a level they felt could be maintained for life. In addition, both groups were instructed to

People were not asked to count calories at all. Over the course of a year, both groups attended 22 classes reinforcing these very sound principles — and all participants had access to health educators who guided them in behavioral modification strategies, such as emotional awareness, setting goals, developing self-efficacy (also known as willpower), and utilizing social support networks, all to avoid falling back into unhealthy eating patterns.

Participants in both groups also were encouraged to maintain current US government physical activity recommendations, which are “150 minutes of moderate intensity aerobic physical activity (2 hours and 30 minutes) each week.”

Get all that? Basically, the differences between groups were minimal. Both lost the same average amount of weight (12 pounds) over the course of a year. Genetic and physical makeups didn’t result in any differences either.

I love this study because it examined a realistic lifestyle change rather than just a fad diet. Both groups, after all, were labeled as healthy diets, and they were, because study investigators encouraged eating high-quality, nutritious whole foods, unlimited vegetables, and avoiding flours, sugars, bad fats, and processed foods. Everyone was encouraged to be physically active at a level most Americans are not. Also, this is a big one, everyone had access to basic behavioral counseling.

This study could have been called a study of sustainable healthy lifestyle change.

The best diet is the one we can maintain for life and is only one piece of a healthy lifestyle. People should aim to eat high-quality, nutritious whole foods, mostly plants (fruits and veggies), and avoid flours, sugars, trans fats, and processed foods (anything in a box). Everyone should try to be physically active, aiming for about two and a half hours of vigorous activity per week. For many people, a healthy lifestyle also means better stress management, and even therapy to address emotional issues that can lead to unhealthy eating patterns.

I don’t diet anymore.  I love food that fuels my body and mind. I have adjusted my habits and routines to manage meal planning, shopping, and cooking so eating doesn’t feel like a chore. Food is on the bottom of my daily priority list, having a healthy body and mind for as long as I can is at the top. Here’s how I do that:

  • I choose to live in harmony with others
  • I choose to stretch and challenge my mind.
  • I choose to be aware of and accept my true feelings.
  • I choose to live each day consistent with my morals and ideals.
  • I choose a work path that is consistent with my values, interests, and beliefs.

 

In addition to ongoing learning about the nutrition of food and the importance of exercise, the most important skill is mastering your mind.  A re-trained attitude is the only map that can get you out of “dietville” once and for all.

Why losing weight is so hard and gaining weight is so easy.

health, nutrition, self care, therapy, Uncategorized, weight, wellness

You just enjoyed the holidays and come to find out that you gained 5 pounds. In your disbelief, you quickly curse the Weight Gods for being so cruel. Sound familiar? This was me the last couple of months. A little cookie baking, eating the holiday yummies, packed it on quick. This inspired me to discuss the seemingly unbalanced equation of weight gain vs. weight loss, the facts that surround the issue and how losing the 5 pounds feels so much harder than gaining them:

FACT 1 – It is Simple Math: To maintain your ideal weight, you need to eat as many calories as you burn in one day. The balanced equation looks like this:

Calories Eaten = Basal Metabolic Rate + Physical Activity

If what you eat equals more than what your body uses, you will gain weight. In the situation of a holiday, it is likely that you eat more unhealthy food than normal and possibly get less exercise, resulting in an imbalanced equation, with a higher number of calories on the eaten side than on the burned side. That imbalance over the course of a few days can easily represent a few pounds.

FACT 2 – A Pound is a Pound is a Pound: One pound of body mass represents 3,500 calories. Regardless, if you are trying to lose a pound or gain a pound, the pound will always represent 3,500 calories. So, if you eat 3,500 calories more than your body requires, you will gain 1 pound. Similarly, if you eat 3,500 calories less than your body requires, you will lose 1 pound.

FACT 3 – Exercise is Weight Discriminating: Whether you are 120 pounds or 175 pounds, you will gain one pound from eating 3,500 calories more than you need. Unfortunately, this doesn’t hold true for burning calories. How much you weigh actually dictates how many calories you burn per hour. The more you weigh, the more you burn, and as a result, the easier it is to lose the pound…sound crazy? It is true.

FACT 4 – Aging Contributes to Weight Gain: As if aging doesn’t contribute enough to unfavorable things, it also contributes to weight gain. As we get older, our metabolism slows down, requiring us to need less food and calories. If you don’t modify your caloric intake as you get older to reflect this change in metabolism, you will start to see weight gain.

The Bad News: Unfortunately, eating an extra couple of unhealthy snacks or drinking a few extra glasses of wine can happen in a blink of an eye. However, the time and energy required to burn off those calories takes a lot more effort. We have provided a chart on what 1,000 calories looks like on both sides in the chart below (remember, it is 3,500 calories that make up a pound).

The Good News: Whether it is rapid or slow weight gain that you have experienced, losing the extra weight can be tackled through two avenues (and should be): calorie reduction and exercise. Choosing to lose weight through both calorie reduction and exercise will accelerate the process. If for seven days you burn 200 extra calories through exercise and reduce your food intake by 300 calories each day, you will lose that extra pound. Further, it is a lot easier than trying to either reduce your caloric intake by 3,500 calories (which is physically impossible) or burning an extra 3,500 calories during exercise (which takes a ridiculous amount of time and energy).

What you Can Do: Assess whether your weight gain was a rapid gain due to atypical behavior (E.g., vacationing) or a longer-term gain. If it was a rapid gain, there is a good chance you will lose the weight by returning to your normal habits. You might have to be a little strict for a day or two, but you shouldn’t feel like a major overhaul is in order. If, however, you have gained the weight over a period of time, assess your habits and think about what has changed in your life. Have you stopped exercising? Have you let your eating habits go? Have you hit a milestone birthday? Once you can assess the reality of your situation, remember the equation: to maintain balance, burn the calories you eat.

 

ELM Mental Wellness Nutrition Counseling is in depth and lifelong. It begins with multiple assessments including family history of eating patterns and health risk, habits-routines-rituals, emotional connection with food. Changing our dietary patterns is grueling. I help clients with meal planning and shopping, self monitoring, goal setting, stimulus control, problem solving, cognitive restructuring, and relapse prevention to move toward a state of lifetime optimal health.