A Paradigm Shift Around Weight is Occurring in Our Field
Judith Matz • 3 Comments
By Judith Matz - Societal norms regarding weight, health, and eating affect every client we work with, regardless of body size. Here's how you can support people of all sizes when it comes to respecting and taking care of their bodies without inadvertently causing harm.
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Peppering "Little Doses of Happiness" Into Your Daily Life
Rhegina Sinozich • 1 Comment
By Rhegina Sinozich - If you really want to help people open a doorway to a different way in life, therapy needs to give them powerful experiences—positive ones. I've learned that the most powerful and effective way to get therapy off on the right note is to help clients access the power of the hope and openheartedness that’s embedded in childhood.
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…And 3 Ways to Talk about Them with Your Clients
Judith Matz • No Comments
By Judith Matz - There’s been a lot of outcry from mental health professionals, doctors, parents, and people who’ve suffered from eating disorders about the trailer for the new Netflix series, Insatiable, which portrays higher-weight people in a poor light. Here are three alarming myths the series perpetuates, and the lessons we can learn from them.
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Offering Medication as the Primary—And Often Only—Treatment Isn't Working
Henry Emmons • 2 Comments
By Henry Emmons - Today, medication management remains the primary role of most psychiatrists. In my view, it’s not working well, either for our patients, or for ourselves. Feeling deeply that something was missing in my own psychiatry practice, I developed a three-stage process for treating depression through more holistic, integrative work.
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A Five-Step Process for Mastering Dieting Skills
Judith Beck • 3 Comments
Judith Beck - Why is it so hard to stick to a healthy eating plan and a reasonable exercise regimen? From the viewpoint of cognitive behavioral therapy (CBT), when it comes to changing behavior, especially long-term, habitual patterns, getting yourself to do something different, even when you know it's good for you, depends largely on what you tell yourself: that is, on your thinking.
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Treating Binge Eating from a Non-Diet Perspective
Sandra Wartski • 1 Comment
By Sandra Wartski - Although binge eating disorder is the most common type of eating disorder, many people suffering with it don’t get the help they need because of their embarrassment about their bodies and eating habits. The approach to treating it is similar to other eating-disorder work, but we need to be especially vigilant about addressing issues of self-agency and keeping the focus more on wellness than weight.
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Four Steps to Transform Your Internalized Views About Body Size
Judith Matz • 2 Comments
By Judith Matz - I’ve come to believe that the way we as therapists feel about our clients’ body size is not only a clinical concern, but a social justice issue. It’s not easy to challenge internal attitudes that are reinforced every day in the general culture, but if you’re willing to go against the cultural current, here are some things you can do to help you assess—and transform—your internalized views about weight and dieting.
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You Don't Need to Be a Nutritionist to Give Good Advice about Eating
Ryan Howes • 3 Comments
By Joan Borysenko - Most therapists have never had a course in nutrition. But what if your clients’ depression or anxiety is more connected to their diet and gut bacteria than to their relationships, or fears, or traumatic childhood? That’s the question that Joan Borysenko—author of 16 books about biology, psychology, and spirituality—wants you to consider. In the following interview, she shares what's she's learned about the link between food and mood.
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Why Therapists Need to Be Weight-Neutral
Judith Matz • 4 Comments
By Judith Matz - Clients struggling with compulsive eating often seek therapy because they feel overeating may have an emotional component. But the idea that people overeat to soothe or avoid painful emotions is only part of the story. Dieting---intentional self-deprivation---sets in motion automatic physiological and psychological factors that actually trigger overeating. In fact, there's growing evidence that diets make us fat! And not only does dieting make people fatter: it affects psychological health.
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Judith Matz on Abandoning Weight Loss as a Marker for Success
Judith Matz • 2 Comments
Most therapists have been taught that if we can help clients understand the emotional triggers of their overeating, they’ll be able to control their behavior and lose weight. We tend to build strategies around nutrition, portion control, and exercise habits. But more often than not, the pursuit of weight loss typically triggers and sustains overeating. My focus with clients who have overeating and weight concerns is to help them learn how to have a healthy relationship with food. We therapists need to recognize that when we reinforce the notion of weight loss as a marker of success, we set our clients up to leave therapy with even more shame about one more failure.
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