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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From an Unhealthy to a Healthy Relationship

From-an-Unhealthy-to-a-Healthy-Relationship
Having a healthy relationship doesn’t mean that both people are poster children for perfect emotional health. It means that how you respond in the relationship is appropriate and functional. So, the good news is that you often can have a healthy relationship with someone who’s still in the process of getting it together—just like you. In my blog Stages of Relationship Health, I explore how to go from being abused in a relationship to having anger about your mistreatment to leaving the relationship altogether. What I’m blogging about here is a different take on that situation: how to go from being passive about being abused to becoming angry to learning how to detach.  So many of my clients who come from dysfunctional family backgrounds took the mistreatment for far too long because they were dependent on their parents. Although some children do run away from egregious abuse, most remain in the...
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Why We View Parents Differently Than Other People

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I had an interesting discussion with my client Alexandria about how she often allows her mother to mistreat her. She’s been changing her thinking about their relationship lately, though, because she’s finally decided that she doesn’t want to be intentionally hurt repeatedly by anyone. Then again, if we felt the same way toward parents as we do toward others, there’d be no need to discuss the issue in therapy or elsewhere. A shift in thinking is natural as we grow older. Remember that our brains only fully form in our late twenties, so our emotional response to parents is based on a brain lacking adequate executive functioning: we don’t understand ourselves, others, or the world because we don’t have the cognitive ability to do so.  By the time we’re teens and making friends, we have a stronger (yet still incomplete) capacity to assess how we’re treated and decide if it’s acceptable....
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Quit Making People Projects

Quit-Making-People-Projects
Do you make fixing others your life’s work? Do you find folks with problems—the more the merrier—and feel such immense pressure to make things better for them that they become your “pet project”? While people are teaching English as a second language, refinishing a table or learning to meditate, are you spending your time fixing others? This behavior stems from co-dependence, your need for others to be okay for you to be okay. Learned in childhood, this dysfunctional dynamic makes you ignore your needs and problems and focus instead on fixing troubled and troubling people. Take Sarah-Jean who almost lost her rental apartment because she was treating it like an Air B&B. She was a magnet for people who’d been evicted or kicked out of their living quarters and swore they only needed a bed for a night or two. Never mind that they ran the gamut from substance abusers to...
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When and When Not to Care What People Think

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A common discussion I have with clients concerns their worries about what people will think of them. It’s a general attitude they carry around, rather than picking and choosing to care about what certain people think about specific certain things. While caring too much can get folks into trouble, you also don’t want to slide over to the other extreme and not care what anyone thinks about you. The goal is to figure out who’s important and why. We care what people think of us because it’s hard-wired into us. If people don’t think well of us when we are young and we can’t fend for ourselves, we might die. Ditto when we’re old or sick. We need people to think well of us if we’re to survive and thrive. So, when we hear people say, “I don’t care what anyone thinks,” assuming they really mean anyone, there’s something gravely wrong....
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What’s the Difference Between a Friend and a Therapist?

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Some people say they don’t need a therapist because they have friends, while others rely heavily on family alone. Relatives may be helpful, but we can’t rely on them to support what’s best for us because they’re often invested in themselves, in us as is, and lack distance and perspective to advise what’s in our best interest.  That’s what a therapist is for. I thought about the friend/therapist divide one day talking with an old friend. The friend in me wanted to be empathic, while the therapist in me knew that the healthiest response to what she presented as a problem was to challenge the slanted picture she was painting. Unfortunately, the therapist in me was first out of the gate until I reined her back in and, instead, switched hats (apologies for mixed metaphors) and simply offered compassion for what she was feeling. This is exactly why therapists can do...
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What Makes for a Great Childhood?

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I blog a lot about adverse environments in child-rearing, but what makes for a great childhood is equally as important. This blog is as much for those of you who still blame yourselves for your lack of success or happiness as for those thinking about how to parent future generations. According to “Children Are More Likely to Succeed If They Live in this Type of Environment”, parents can go a long way toward ensuring their progeny’s success. The main ingredient, according to the article, is positive connection, based on these categories: care, support, safety, respect and participation. If you’re thinking about your own childhood, how did things measure up? Did you feel physically and emotionally safe and well cared for? Did you receive adequate and age-appropriate support? Were your opinions and needs respected and did family members treat each other respectfully? Was there a strong sense of belonging in spite of...
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Characteristics of Dysfunctional Families

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It’s sad when clients don’t know they’re in or grew up in dysfunctional families. It’s often in therapy or through self-help books that they learn how seriously dysfunctional their families are or have been. Here are some characteristics, though I likely left some out.  Addiction kills relationships—alcohol, drugs (recreational or prescription), shopping, pornography, work, etc. When addiction comes first, it leaves family behind and some of these behaviors can change parents’ personalities for the worse.It’s unhealthy when there’s triangulation in a family which involves one member pulling in another member to discuss an issue that’s really between them and someone else. When Dad tells you to tell Mom to clean the house, he’s avoiding conflict by not telling her directly.Keeping secrets is debilitating to a family because children sense there’s something wrong but are told nothing is. I know a family in which an uncle took his own life, but the...
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How to Say Goodbye to Grievances about Your Parents

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Usually, Thanksgiving through New Year’s is the time clients grow most anxious about dealing with their parents and freak out about seeing—or not seeing—them. This year, parental panic popped up right before and after Mother’s Day, perhaps because the COVID pandemic prevented in-the-flesh get togethers until then.  So, wherever you are on the continuum of emotional separation from your parents, here are guidelines for growing yourself into having a mature, healthy relationship with them. Accept that your parents were or are anywhere from mildly to tragically flawed. Many of them suffered through rough to horrendous childhoods which left them ill equipped and unprepared to be wise, caring parents. They can’t give what they didn’t get.You deserved far better parents than you got, even if you had pretty good ones. You were an innocent child who was 100% dependent on people who may have had a hard time taking care of themselves, never mind...
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Power Over or With

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We all want to feel powerful to greater or lesser extent and there are different ways of achieving that goal. Some people build their inner resources, grow themselves to the best of their ability, and aim to share power with others. Other people try to dominate whoever they’re with to gain power over them.  Graeme Stuart says that power over “is built on force, coercion, domination and control, and motivates largely through fear . . . on a belief that power is a finite resource that can be held by individuals, and that some people have power and some people do not . . . Power with is shared power that grows out of collaboration and relationships. It is built on respect, mutual support, shared power, solidarity, influence, empowerment and collaborative decision making . . . Rather than domination and control, power with leads to collective action and the ability to...
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Why It’s Hard to Reject Unhealthy People

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One recurrent issue with clients is helping them in choosing intimates who are more emotionally evolved than they are so they can grow into better versions of themselves. For example, Jarelle works hard in recovery from alcohol, drug abuse and to overcome a childhood of sexual and emotional abuse. He’s thoughtful, insightful, a college graduate, and wants badly to have a happy life though he feels hindered by PTSD and depression. His major problem is choosing people who wind up hurting him and then feeling victimized by them. Freud called this the repetition compulsion: people try to master past traumas by recreating a painful childhood relationship in the present in order to orchestrate a better outcome—which does not happen. Instead, Jarelle picks people similar to his parents, an act we call self-sabotage.    Part of the problem is that Jarelle’s parents (nearly his entire family) weren’t very kind and caring about...
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How Co-dependence Wrecks Your Life

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Care to guess what percentage of my current clients are co-dependent? A whopping 76%. I made this count after reading an article (written for clinicians) on the subject: “The Neuroscience of Codependency for Client Understanding and Treatment.”  Due to learning maladaptive patterns in childhood, you are co-dependent if you: are overly selfless and trusting, repeatedly put others’ needs first at your expense, over-empathize and over-identify, often are taken advantage of and victimized, and surround yourself with your opposite type—narcissist or sociopath. The article’s author, Mary Joye, maintains that, “Abandonment, abuse, neglect, parental addiction, death of a parent or any childhood trauma can result in a lifetime of grasping for love like a frantic infant or to become submissive to a narcissistic or demanding partner.” Sound familiar?  Joye explains the neurobiology of co-dependence, that is, how it affects people emotionally, cognitively and physically from infancy on: “If a child does not experience...
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You’re Only as Healthy as the Company You Keep

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I’m often amazed to hear about clients’ unhealthy friends—substance abusers, unstable people with mental or physical health problems who refuse treatment, dangerous risk-takers, perpetual victims in abusive relationships who won’t acknowledge problems or leave, and narcissists who take advantage of clients financially or emotionally or both.  Clients tell me story after story about these “friends” and come up with all kinds of reasons they keep them in their lives: feeling sorry for them, having been friends for years or since childhood, their possessing many redeeming qualities, or friends having no one to care for them. Clients accuse me of being coldhearted when I suggest that these so-called friends don’t add much to their lives and take away a lot.  I explain why it’s hard to detach from friends or at least reduce contact or closeness with them. Sometimes clients have too much compassion for them. Or they overidentify with them. Or...
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The Dilemma of Parent Care

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Years ago, between writing books on eating and building my therapy practice, I tried my hand at writing novels and screenplays. Although none were published or produced, I see the story line of one script play out over and over in my clinical work: that of adult children taking care of parents who abused or neglected them in childhood. Many of these clients don’t even realize the dilemma such a difficult situation presents to them. Here's what I’m talking about. In my screenplay an insecure, introverted 20-something, raised by her widowed father who sexually abused her, ends up taking care of him when he develops Alzheimer’s. She’s never processed the rage she feels at him nor her fierce yearning for an apology for the unspeakable harm he did her. In fact, part of her reason for taking care of him is to get the love and caring he failed to give...
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Seeing is Believing

Seeing-is-Believing
I love this quote by poet and author Maya Angelou: “When someone shows you who they are, believe them the first time.” Why is that so hard for so many people to do? It seems like a simple enough concept. Here are examples of what I mean. Decades ago, I had a boss who bent over backwards to be nice to some staff and was dismissive and sarcastic to others. Naturally, the staff was split in two about how we felt about him. I was one of the people he was always nice and respectful to, but I would cringe when he tore into other staff during staff meetings and other functions.  So why was I surprised when one day he got angry at me for a perceived slight and began waging war against me? Didn’t he show me just what he was capable of by the disdain he showed to...
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Adult Children of Alcoholics and Dysfunctional Families

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I came across a list of 14 Traits of an Adult Child of an Alcoholic in our local Sarasota Herald Tribune. If one or both of your parents were addicted to drugs or alcohol (or even gambling, pornography, or the internet) or suffered from mental illness, you’re likely to have some or many of these traits. Many are traits of dysregulated eaters as well.  The Laundry List – 14 Traits of an Adult Child of an Alcoholic  We became isolated and afraid of people and authority figures.We became approval seekers and lost our identity in the process.We are frightened by angry people and any personal criticism.We either become alcoholics, marry them or both, or find another compulsive personality such as a workaholic to fulfill our abandonment needs.We live life from the viewpoint of victims, and we are attracted by that weakness in our love and friendship relationships.We have an overdeveloped sense...
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Why Parental Validation Is Essential

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Validation is another one of these subjects that I talk a great deal about with clients. It’s so crucial to healthy emotional development that I can’t believe I’ve never directly blogged about it. The topic came up when I was taking with a client about her having near constant extreme self-doubt. If you’re someone who’s always looking for the right answer and frequently engages in second-guessing, you probably suffer from a lack of childhood validation, “the recognition and acceptance of another person's thoughts, feelings, sensations, and behaviors as understandable.” Here's how the issue came up with Ming, the above-mentioned client. She said that no matter how often her boyfriend told her she was beautiful (and she is!), she never felt it. This insecurity had led to her having one quick affair and living with a constant, nagging feeling that she wasn’t attractive enough. She also admitted to being somewhat over-zealous with...
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Why It’s So Hard to Give Up Wanting Parental Love

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If you’re hoping to win your parents love and attention or change them in any way, you are not alone. One week not so long ago, I had intense conversations with five (adult) clients on this subject when they were upset by feeling rejected, abandoned, shamed, invalidated, or simply dismissed by a parent. The best news I could give them was that all 7.9 billion people on the planet, along with all our human predecessors, have struggled, to greater or lesser extent, with this very same issue, including yours truly. Although we may seek love and approval from others, yearning for it from parents is in a class by itself. We will frequently turn ourselves inside out to get a scrap of praise or avoid a tongue-lashing, far more so than we do with folks who aren’t our parents. This is true whether we live next door to them or across...
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Yes, You’re Allowed to Disappoint Other People

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Many people have the odd belief that they should never disappoint others. The belief runs rampant in the eating disorders community. While it’s clear to me how this irrational belief came about, the concept of it being okay to disappoint others often comes as a surprise to clients. If you’re an adult walking around the planet trying not to disappoint people, finding out that you no longer need to think this way may shock you too. Where else did you learn that disappointment is a no no but in childhood. Here’s an example. Say, you’re an amazing artist and an outstanding soccer player but not so great in math which disappoints your dad who hoped you’d grow up to become an accountant like him. He lets you know frequently that he’s sad/upset/disappointed and, as a child, this makes you feel terrible because you love Dad and feel like the cause of...
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How We Learn to Trust Others

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Do you trust people in general or are you wary that others won’t have your best interest at heart? Do you believe the world is a caring place or do you see it as fraught with dangers so that you need to remain on guard? Simplified, is the world safe or scary? A more relevant question may be whether you recognize that your view isn’t a matter of fact or fiction but simply what you learned from experience growing up. How else can we explain that Holocaust survivors still believe in the human capacity to be and do good or that some people will go to their graves believing that a dark cloud hangs over them although they’ve lived reasonably normal, uneventful lives?  Whether you view people as trustworthy or not and the world as safe or scary depends on what your family of origin was like. Here are some questions...
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The Good Enough Parent

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Those of you who read my blogs know that I’m all about “good enough.” No one needs to strive for perfection in parenting. Parents can be imperfect and still do a great job with their kids. In fact, The Good Enough Parent Is the Best Parent. The term “good enough mother” was coined by British psychoanalyst and pediatrician Donald Winnicott. Psychologist, scholar, public intellectual and author Bruno Bettelheim later expanded the concept to “good enough parents.” Here are some tips:  Don’t strive to be a perfect  parent or expect perfection from your children. Cut yourself and others slack and have compassion for yourself and others. Mistakes and failures are learning experiences, not character defects or self-worth arbiters. Respect your children and try to understand them for who they are. Good enough parents “see their children as complete human beings right now, and their job as that of getting to know those...
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