Karen's Blogs

Blogs are brief, to-the-point, conversational, and packed with information, strategies, and tips to turn troubled eaters into “normal” eaters and to help you enjoy a happier, healthier life. Sign up by clicking "Subscribe" below and they’ll arrive in your inbox. 

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Still Looking for What You Didn’t Get in Childhood?

Still-Looking-for-What-You-Didnt-Get-in-Childhood
I had a middle-aged client decades ago in Boston who grew up smack in the middle of seven siblings. She never could get a word in edgewise and was trying to make up for lost time by talking nonstop as an adult. When she didn’t have the floor, she took it and when she did, she kept it. I understood her intense need to be heard and listened to, but her behavior only pushed others away, leaving her in the same boat as she was in childhood: no one wanted to listen to her, and this made her feel invisible. Here's another example. I have a lovely client who can’t recall a time when she didn’t have suffocating, overwhelming anxiety. Her grandmother and aunts who also suffered from it because it ran rampant through her family, would tell her not to make a big deal of it and that she was...
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What Is Splitting and How It Can Hurt You

What-Is-Splitting-and-How-It-Can-Hurt-You
Reading an article on maladaptive behaviors due to early abuse, I came across the term splitting. It’s used a great deal when talking about Borderline Personality Disorder, but most folks have never heard of it, which is too bad, because it’s a useful concept. Splitting happens when someone has difficulty integrating aspects of themselves or others. For example, how you’ve felt after a binge—like an entirely bad and disgusting person. In splitting, you forget all the other wonderful qualities you have, all the behaviors that make you valuable and lovable, and see only the negative ones.  Or, you meet a potential romantic partner and only see their best qualities, ignoring that they sometimes treat you poorly. You don’t see them as fully human. This happens with people who are different from us ethnically, religiously, etc. as well. We see us as good and them as bad. Or when you put someone...
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The Legacy of Trauma

The-Legacy-of-Trauma
Many people think that if they didn’t suffer trauma in childhood or adulthood, they’re trauma free. But it’s interesting to note how many of these people suffer with anxiety, depression, chemical dependency, or are victims or perpetrators of abuse. How trauma becomes intergenerational through our cells and DNA is more complex than I’m able to do justice to (though I’m reading a book on the subject and will soon blog about it). For now, I want to talk about how intergenerational trauma affects people and may be one of the causes of their dysregulated eating. Here are two examples. When Devon’s grandparents who were farmers came over from Ireland, they were dirt poor. With eight children, two of whom who died as toddlers, they could barely scrape together enough money to migrate to the U.S. when Devon’s dad was 11. All the children arrived here malnourished and were put to work...
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Sore or Scar

Sore-or-Scar
What’s the difference between a scar and a sore? In my mind, a scar is something that once hurt but is no longer painful, while a sore is something that hurts right now. You view a scar as being about something that happened to you and recognize that it isn’t happening now. A sore is different: it’s an active wound that keeps hurting. It’s helpful to think about events in life as scars or sores in order to distinguish what’s active and really needs our attention and what’s a memory to ignore. Here’s an example. My client Lloyd was the oldest of six children and their unofficial caretaker, what we call the parentified child. Growing up, his mother was on disability due to a heart condition and his father worked two jobs to support the family. Good natured Lloyd tried to do all that was expected of him, but that was...
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It’s Time to Live for What You Fought for in Childhood

Its-Time-to-Live-for-What-You-Fought-for-in-Childhood
Every once in a while a client latches onto a phrase I’ve said because it speaks to them. This happened when I suggested that it’s time for my client Jill to “live for what you fought for.” What I meant was that she’d struggled through an abusive childhood only to live like she’s still stuck on the battlefield.  The truth is that many clients feel and act this way. The war is over, but they can’t seem to climb out of the trenches and delight in freedom, clear skies, and the calm of inner peace. Dr. Jon Connelly, founder of Rapid Resolution Therapy, describes it this way: It’s as if you’re walking forward but always looking over your shoulder. How can you move ahead without looking ahead? How can you leave memories of the past behind if you’re always glancing back at them? Jill, the client referenced above, is a great...
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How to Unstick from Traumatic Bonding

How-to-Unstick-from-Traumatic-Bonding
If you’re being abused and having difficulty breaking away from your abuser, you may be experiencing traumatic bonding. A destructive form of attachment that occurs when, in spite of mistreatment, you still want to be with the person hurting you, it may happen with family, friends, or co-workers. According to Wikipedia, “Trauma bonds are emotional bonds with an individual that arise from a recurring, cyclical pattern of abuse perpetuated by intermittent reinforcement through rewards and punishments. The process . . .  is referred to as trauma bonding or traumatic bonding.” Hotline explains the difficulty of breaking free from abusers as recognizing that they “exhibit ‘good’ behaviors too.” That is, they’re not abusive all the time, but may be kind, caring and loving between abusive episodes. Some partners are even described in glowing terms when they’re not being abusive. Here’s the thing: Intermittent reinforcement is what creates the bonding part of trauma bonding,...
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Are You Desensitized to Abuse?

Are-You-Desensitized-to-Abuse
When awful things are going on around you, do you ever feel disconnected from them, as if what’s happening has nothing to do with you? Do friends or family ever try to get you to see that you’re being grossly mistreated and you insist that everything is fine or will be? These are both cases of having become desensitized to your painful emotions.  Desensitization occurs when you suppress (consciously) or repress (unconsciously) feelings of fear, anxiety, hurt or anger which are meant to warn you that something in your life is very wrong. I often blog about the difficulties of feeling too much and being too reactive in situations. Desensitization is the opposite, when you don’t feel enough. For example, a client we’ll call Don, who’s separated from his wife, has two teenage sons who frequently act out, screaming at each other and cursing their parents. Once, son #1 threatened family...
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What People Who Grew Up in (Relatively) Functional Families Know

What-People-Who-Grew-Up-in-Relatively-Functional-Families-Know
Have you heard the saying, “We don’t know what we don’t know.” If you grew up in a dysfunctional family, you likely don’t even realize all the life skills you lack and the viewpoints that those who were raised in more functional environments have that you don’t. So, here’s what you might not know but need to. You can trust people.       Obviously, you can’t trust everyone for everything. You can’t expect everyone to know how to fly an airplane, cut your hair, or advise you on investments. When we talk about trusting people, we usually mean that we can trust them emotionally: Are they honest, ethical, dependable and reliable; will they validate our feelings, be there for us and take care of us? Not everyone will, but many will try their darndest to do so.      If you grew up with parents who couldn’t (because of their upbringing)...
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Why You Can’t Use the Past to Predict the Future

Why-You-Cant-Use-the-Past-to-Predict-the-Future
Here are stories clients tell me by the truckload. “I never had any luck with dating, so I gave up eight years ago,” “I tried intuitive eating when I was younger and couldn’t do it,” or “I haven’t worked since I lost my last job because it was too stressful for me.” What do all these scenarios have in common? Each one uses the past to predict the future. Why do we do this? Although we’re the only animals we know of who have consciousness about our actions, our brains are still built to use past experience to guide current and future behavior. My cat knows that when she gets too near the pool she loves to drink from, she’s going to get a spritz of water in her face as a deterrent because she’s fallen in twice. This is how cat mind teaches itself what to do and not do....
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Healing from Parental Abuse

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Here are excerpts from a client’s letter showing her triumph over trauma from a highly abusive father. I hope her growth inspires you to continue on your path to healing. “I finally get it. I get that my father is incapable of loving me, feeling empathy by putting himself in my shoes, caring about my feelings, etc. I see that he is sociopathic and a malignant narcissist and it feels so very painful. I see that I have believed the lie that I am not worthy of being loved as he continues to put others needs over mine. I see that I have believed that I was crazy, wrong, a trouble maker, too sensitive, etc. I see that I have been abused. That my mother was abused and afraid and numb and couldn’t protect me. I see how I have been codependent in my relationships with men and friendships with women...
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Look for Answers to Today’s Problems in Yesterday

Look-for-Answers-to-Todays-Problems-in-Yesterday
“Boy,” said a client, “this childhood stuff really can mess you up!” I couldn’t help but chuckle. In fact, we had a long, shared laugh about the validity of this statement. What’s as true is that you might not realize in which ways and to what degree your upbringing is messing with you. The good news is that it’s never too late to learn. To do this, you must first erase blame from your brain. Your parents may have caused your problems, but they too had childhoods and parents, so it’s useless to point fingers at them. Who else is there, you might wonder, to blame, so you fault yourself for not realizing earlier in life that you’ve been barreling through it ill-equipped. Once you get blame out of your system, you can look objectively at how “this childhood stuff” might have messed with your head and heart. Here are some...
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When A Safety Net Turns Deadly

When-A-Safety-Net-Turns-Deadly
I haven’t been able to get a phrase out of my head that a client said a few months ago. It went something like this: “. . . and then the safety net turns into a spider’s web.” As a writer, I found the allusion to be brilliant. As a therapist, it was chilling. Sadly, my client was talking about her marriage. It’s common for victims of abuse, especially women, to partner up with abusers in same sex as well as heterosexual relationships. The path starts in childhood when, through no fault of their own, they suffer abuse as children—physical, emotional, sexual or, worse, all three. Parents or other caretakers are emotionally unhealthy and more concerned with meeting their own pathological needs than rearing healthy children.  As children, these individuals have no idea that they are not causing the abuse and, instead, are perfectly normal and whole, while their abuser is...
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Choices Beyond Abuser or Abusee

Choices-Beyond-Abuser-or-Abusee
I feel fortunate that I learned so much in social work school (thank you Simmons College in Boston) that I use now. One of the concepts is about abuse and it’s very simple. I hope it helps you see the relationship dynamics around abuse differently. The child and parent form a dyad which is the smallest social unit. When a parent abuses a child, the child makes sense of it in a certain way. And try to make sense of it we do, as humans are meaning-making creatures. We think that there are only two positions in life: abuser and abusee. Not a pleasant thought, but one that helps us understand the relationship between people.  The abused child then perceives they have two choices. They have no reason to believe there are any others. There are actually four choices, but we’ll come to them in a minute. The first choice is...
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On Rugs, Anxiety and Eating

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One day I had two sessions in a row in which clients expressed fear that the “rug would be pulled out” from under them. One talked about how anxiety about things going wrong drove her straight to the cookie jar and the other shared that it made her go over and over things she’d done and planned to do to make sure things would work out. If you ever have constant fear that a rug will be whipped out from under you, read on. I also recommend that you read my blog Are You Often Waiting for the Other Shoe to Drop. When either Mom or Dad is poorly attuned to their child’s needs, there may be loss of consistency, stability, security and predictability. Sometimes this is due to parents being narcissistic or ill-suited to having children. They tire easily with and become frustrated from having to meet the demands of...
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Do You Have Adult Post-bullying Syndrome

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Many clients with eating disorders report that they were bullied in childhood. Are you one of them? Are you sure you even know what bullying is? Truth is that many people minimize the mistreatment they had at the hands of peers or family members and don’t realize that what they endured is bona fide bullying.  Kate Baggaley in “How Being Bullied Affects Your Adulthood,” says this about adult post-bullying syndrome, or APBS (not a clinical diagnosis): “Bullying is corrosive to children’s mental health and well-being, with consequences ranging from trouble sleeping and skipping school to psychiatric problems, such as depression or psychosis, self-harm, and suicide.” She says that “roughly 1 in 3 students in the United States are bullied at school” and that “Years after being mistreated, people with adult post-bullying syndrome commonly struggle with trust and self-esteem, and develop psychiatric problems . . . Some become people-pleasers, or rely on...
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How We Become Who We Become

How-We-Become-Who-We-Become
It will help your emotional and social development to recognize the stages you’ve gone through to get to be who you are emotionally today. More importantly, it will help you understand that you can, within obvious limits, pretty much be whoever you want to be now and in the future. The point is that you can change, so why continue to struggle and suffer. Why not invent the self and life you want? Stage 1: Your thoughts and actions are determined by your parents and other adults—by what they say and don’t say and do and don’t do      When we are children, our parents and other adults seed our minds and the seeds simply, naturally grow into something we accept as us. They believe that people aren’t to be trusted and we believe it too. They act as if their needs are more important than ours and we accept...
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Why Updating the Meaning of Old Events is Crucial to Mental Health

Why Updating the Meaning of Old Events is Crucial to Mental Health
Until you make correct meanings of old, distressing events, you’ll be stuck in a mental time warp and at risk for emotional eating because you won’t feel in control when you’re triggered by them. Triggers are no more than old perceptions that something is wrong. Nothing need actually be wrong, but we think it is. Here are two examples. You were the middle child among five siblings. Your older brothers were close in age  and hung around together, your younger sisters were bubbly extroverts, and you were and remain an introvert. Your siblings teased you (though lovingly) about your shyness and mostly left you alone, and you grew up feeling invisible as if you weren’t interesting or important. When you socialize now, you view every rebuff as proof that people don’t want to talk to you or find you likable. You mostly do things alone but yearn for friends.  You could...
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How a Dysfunctional Childhood Impacts Your Behavior Today

How a Dysfunctional Childhood Impacts Your Behavior Today
Although biology and genetics play a huge role in our development, the way we were treated in childhood is foundational to our emotional well being. Here are some startling statistics from “Resurrecting therapy: putting Big Pharma on the couch” by Erick Kuelker, PhD (Psychotherapy Networker, Sep/Oct 2019, pp 45-49) showing that when it comes to mental health, we hardly grow up on an equal playing field, that is, some of us really are far more unlucky and unfortunate than others.  Such as, “Someone fortunate enough to have grown up in an emotionally healthy home had an 18% chance of developing depression by middle age. But having just one adverse child experience (ACE) boosted the risk by 50% . . . three to 84% and five or more to 340% greater risk.” (Centers for Disease Control and Prevention study by Robert Anda). Children of angry, narcissistic, unpredictable or poorly emotionally regulated parents...
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Conspicuously Absent

Conspicuously Absent
Conspicuously absent, that is what I’d call the care, attention and love that’s missing in the narratives of many dysregulated eaters toward themselves. I know this because clients come in talking about all they’re doing for everyone else in their lives and, if or when they shift to a self focus, it’s to talk up their shortcomings. I can almost see the outpouring of energy that they give to family and friends and feel how parched they are for care and attention. This manifests itself in several ways. One is that we may give others what we want but fear asking for (https://www.karenrkoenig.com/blog/giving-others-what-you-want) either because we believe we shouldn’t need it or are ashamed that we do—we give in the hope we’ll get back, rather than ask directly for help, support, care, or attention. The other issue is that people who tend to take care of others and not themselves are...
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When Old Memories Co-opt the Present

When Old Memories Co-opt the Present
A client and I spent a session getting to the roots of an upsetting reaction she couldn’t shake after a dinner out. Her intense feelings are typical of what happens to us when events that are over and done with rear their ugly heads in the present. We’re unsettled in two ways: first, by whatever happened to cause our distress and, second, by the immensity of our distress over a situation that we know intellectually is no big deal.  Here’s what happened. My client had dinner with friends at a restaurant she loved but hadn’t visited in a while. She enjoyed her selection—mahi-mahi corn tacos with jasmine rice and vegetables—and ate mostly the fish because she craved protein, thinking she’d take the rest home and eat more of it during the night or save it for another time. Satisfied and pleasantly full, she asked the waitress for a doggie bag. At...
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