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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. 

[No unsolicited guest blogs accepted, thank you]

Weight Stigma and the President

  I try not to wade into political waters on Facebook or in blogging, but Donald Trump has stepped onto my territory and my job of addressing weight stigma and fat-shaming. His comments at an August rally are perfect examples of fat bullying, groupthink, and the psychological defense mechanism called projection. Here’s what happened. Reports CNN, “At a 2020 campaign rally in New Hampshire on Thursday night , a protest broke out. A Trump supporter sought to remove the protesters. And as that was happening, the President of the United States yelled this into the microphone: ‘That guy's got a serious weight problem. Go home. Start exercising. Get him out of here, please. Got a bigger problem than I do. Got a bigger problem than all of us. Now he goes home and his mom says, 'What the hell have you just done?'” (“Donald Trump bullied a man as overweight, then...
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How Emotional Vulnerability Improves Mental Health

When I encourage clients to be emotionally vulnerable, I usually get a response such as, “Why would I want to bare my emotions?” or “If I do that, I’ll get hurt,” or “That will give people too much power over me.” They don’t realize that being open and authentic has nothing to do with what other people might say or do to us. Rather, it has everything to do with who we want to be and who we want to share our intimate lives with. Expressing emotional vulnerability may be useful in helping others engage more fully with us, open up and share their hurts, be less defensive and combative, and improve communication. In business or politics, exposing your tender emotions may be done to get others to let down their guard, to take them off guard, or to strategically shift the balance of power toward ourselves. But none of that...
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Chronic Pain and Food Seeking

Whether you have pain that’s short-term, say a severe headache or a broken bone, or chronic and long-term, as can happen with fibromyalgia or neuropathy, you may be using food as a crutch to get you through the day. Being in pain can steer you toward the refrigerator in several ways, but you can learn not to let it do so—and improve your health at the same time. You may turn to unhealthy food: · For comfort from pain because you hurt badly and wish to feel better. Who could blame you for that? However, food is not meant for comfort, except occasionally. Especially if you’re suffering is ongoing, you may be telling yourself it’s okay to eat lots of sweets and treats because you feel so miserable. Or because life’s not fair. But, it’s not okay to mistreat your body when it’s already feeling awful. It’s far better to find...
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Why You keep Ping-ponging Between Diets and Bingeing and Purging

Sometimes I miss the obvious. I treat many clients who were raised by parents (most often mothers) who either excelled at dieting and food restriction or modeled nothing but emotional, mindless or binge eating. Or parents bounced from one extreme to the other—one week tossing out any foods that contained carbs or sugar and the next week bringing all those same foods into the house in bingeing on them. Now, even when dysregulated eaters come to therapy desperately wanting to stop dieting or bingeing, they have no clue how to do it. Not one real clue. As children, they learned specific eating behaviors like denying themselves food when they were hungry, eating less caloric foods than others in their family, eating out of deprivation, seeking food for comfort, ignoring appetite signals, or a combination of all of these strategies. Sometimes they were criticized when they reached for food and other times...
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Get in the Zone More Often to Improve Your Relationship with Food

I know when I’m in “the zone” and I love being there. When I’m with clients I try to throw myself into to the process of therapy and get lost in their stories, even running over our session time because I forget to look at the clock. When I write I’m usually in the zone, letting ideas and sentences take shape unconsciously. When I’m reading a book that fascinates or grips me, I’m in the zone. How often are you in “the zone”? And why is an eating disorders therapist rhapsodizing about the zone? The answer is that when you turn to food and eat when you’re not hungry, I have a hunch that you’re trying to enter the zone. You’re looking to, as Geneen Roth says, “go unconscious.” You want to shut out the worries of the world and whisk yourself to another reality full of so much peace or...
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How Parents Harm Children

Whether it’s done heartlessly or from too much love, certain ways of parenting will likely ruin the parent-child relationship (and the child). It pays to know the no no’s if you’re a parent raising children, one whose progeny have left the nest, or are an adult dealing with your parents. Here are some harmful behaviors that parents engage in from “How to Get Your Kids to Hate You” by Judith Newman (AARP Magazine, Apr/May 2019, pp 58-61), along with some ideas of my own added in. The no no’s: · Don’t maintain appropriate boundaries and demand that your children share every aspect of their lives in detail. Micro-manage all their decisions and make sure to repeatedly give them your opinion when they do something you think is wrong. · Hold your children hostage to the gifts you give them. Whenever you give them one, let them know that they owe you....
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What to Do to Feel Contentment and More

I spend a good deal of therapy time talking with clients about how to self-soothe and talk themselves down from the ledge when they feel heightened anxiety. Ours is not at heart a culture that teaches or helps us do that in spite of all we hear about meditation, yoga, and cognitive-behavioral therapy. We’re not exactly a deep feeling culture. We’re externally rather than internally focused. But Norwegians seem to have found a way to do what we need to take classes to learn. The word they use to describe what they call their national pastime is “koselig.” (“Why are Norwegians so happy? In a word: ‘koselig’” by David Allan, CNN online, 5/1/19, accessed 5/1/19). Allan says, “You could roughly translate koselig (pronounced "koosh-lee"), as ‘coziness,’ but that leaves out crucial components of it, like enjoying the company of others and a connection with nature.” Neither of these pastimes should be...
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What to Do When Life Takes an Unexpected Turn

I can’t believe I’ve lived this long and never heard of the essay, “Welcome to Holland” written by Emily Kingsley in 1987 (Texas Parent to Parent, Austin, TX, accessed 4/30/19.) When you read it, you’ll see why it needs no introduction other to say the author is talking about having a child with a disability. Here it is: “When you’re going to have a baby, it’s like you’re planning a vacation to Italy. You’re all excited. You get a whole bunch of guidebooks, you learn a few phrases so you can get around, and then it comes time to pack your bags and head for the airport. Only when you land, the stewardess says, ‘WELCOME TO HOLLAND.” You look at one another in disbelief and shock, saying, “HOLLAND? WHAT ARE YOU TALKING ABOUT? I SIGNED UP FOR ITALY.” But they explain that there’s been a change of plan, that you’ve landed...
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Body Acceptance Doesn’t Mean Not Wanting to Change

Whether you have pain that’s short-term, say a severe headache or a broken bone, or chronic and long-term, as can happen with fibromyalgia or neuropathy, you may be using food as a crutch to get you through the day. Being in pain can steer you toward the refrigerator in several ways, but you can learn not to let it do so—and improve your health at the same time. You may turn to unhealthy food: · For comfort from pain because you hurt badly and wish to feel better. Who could blame you for that? However, food is not meant for comfort, except occasionally. Especially if you’re suffering is ongoing, you may be telling yourself it’s okay to eat lots of sweets and treats because you feel so miserable. Or because life’s not fair. But, it’s not okay to mistreat your body when it’s already feeling awful. It’s far better to find...
Continue reading

What Science Says about Anxiety

Unfortunately, many dysregulated eaters suffer from anxiety. When it muddles your thinking, your life (and those of people around you) is made harder. It can suck the pleasure out of everyday existence when it causes rumination, discomfort with uncertainty, social isolation, fears, and phobias. Patterns of anxiety begin in childhood and understanding the kind you have will help you recognize and manage it better. According to Sujata Gupta in “Young and Anxious: Seeking ways to break the link between preschool worries and adult anxiety” (Science News, 4/27/19, pp. 18-23), preschoolers may have one or more of these anxiety types: · Separation: beyond the second year of life, fear of being separated from caregivers · Social: fears of being negatively judged in social situations · Generalized: unwarranted excessive anxiety about the future · Phobias: excessive fears of specific things such as snakes, water, germs, etc. Then there’s how anxiety works in some...
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