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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. 

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Guest Blog: Healing a Negative Body Image by Mary Anne Cohen, LCSW

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The actress Kate Upton once declared, “To me, what’s sexy is when you look like you’re having a good time.”  Many girls and women try to look like they feel sexy. They dress provocatively and carry themselves seductively. One girl wore pants to her therapy session with the word “juicy” scrolled in rhinestones on her backside, and another girl came to her session in four-inch stilettos.  But if you are happy in your body, you don’t need to turn it into a billboard advertising your wares. Authentic good body image comes from inner self-satisfaction.  Because the pain of body image dissatisfaction is emotional, we can improve our body image through psychological change. Making peace with body image distress and enhancing our self-acceptance involves a three-prong approach:  Awareness + Action = Acceptance  Awareness. Become aware of your unique triggers that make you feel bad about your appearance. Are there certain people, places, or situations that especially cause you unhappiness about...
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Ain’t No Wagon to Fall Off Of

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I’m sure I’ve had conversations with clients about falling off the proverbial wagon before, but a recent one really got my dander up. Where does this analogy come from and how come we use it so much? Is it helpful to think of recovery with wagon analogies or might the concept actually be hurtful? Can you guess where I stand on the idea? The phrase came into usage around the end of the 19th century and referred to people who said they preferred to drink from a water wagon than imbibe alcohol. The analogy has been used freely in the field of addictions ever since though it’s actually a dangerous concept implying, as it does, the tight control one needs to remain on a moving wagon and the disaster it would be if one fell off one.  There is no wagon when it comes to recovering from an eating disorder because...
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Weight, Vaccines and the COVID-19 Pandemic

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I wonder if higher weight people are feeling more under siege than ever during the COVID-19 pandemic. I don’t mean because of heightened stress, feeling home bound, or battling with increased emotional eating, although they are all factors to be considered. I mean feeling under siege due to the comments of others about higher weight people being at greater risk for becoming seriously ill with the virus. If you’ve been on the receiving end of such comments, don’t for a minute let people shame you. I’m not going to go into numbers about the relationship between COVID and weight because that is besides the point. The point is that blaming higher weight people for “letting themselves get the virus” (one way I heard it put) is simply more weight stigma coming at ya. It’s infuriating for me to hear such remarks when week after week I sit with clients who are...
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How to Unstick from Traumatic Bonding

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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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Tips on Changing Habits

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I blog a great deal about changing habits because, at base, that’s what going from dysregulated to “normal” eating is all about—exchanging one set of behaviors for another. How to Build Lasting Habits for a Better Life has some excellent practical ideas on how to get this done.  Katy Milkman, professor at the University of Pennsylvania’s Wharton School of Business and co-founder and co-director of Wharton’s Behavior Change for Good Initiative, studies habits and explains why habits are hard to break: “We know from lots of research that people are very resistant in general to making a change. We’re comfortable in our ways. Any deviation from what we’re used to doing feels like a loss, and losses tend to loom larger than gains.”  She recommends that you surround yourself with people who have the habits you wish to have and observe what they do. Talk to them about how they acquired...
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It’s Time to Make Waves

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The fact that I live in Sarasota, Florida, a lovely city with panoramic ocean views, has nothing to do with the title of this blog. Rather, it comes from a session with a client in which we were talking about her desire to tighten boundaries with her family by confronting them on various issues. She described being afraid of “making waves” and I suggested that she not only make them but “swim in them.” I suggested she do so by reframing her fears. I know that her major fear was that by making waves she’d metaphorically drown. She has allowed herself to become dependent on family members who also get something out of her dependence. Her fear is that by confronting them about mistreating her, they’ll withdraw their support.  I’d wager that nearly everyone who fears making waves was raised in a family that didn’t support their authenticity or encourage them...
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Book Review – Savor Every Bite

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Savor Ever Bite: Mindful Ways to Eat, Love Your Body and Live with Joy by Lynn Rossy, PhD takes you by the hand and teaches you how to eat mindfully. More than that, it shows you how to be more mindful in all of life because you can’t simply choose one area to be mindful in and expect an improved relationship with food. Regarding eating, Rossy lays out five steps for becoming more mindful: Step 1: Slow down and explore your senses Step 2: Soothe (instead of eat) your emotions Step 3: Surrender limiting thoughts Step 4: Smile and create your own happiness Step 5: Savor every moment Think about these steps and how much sense they make. I’ve never met anyone who overeats or eats mindlessly who doesn’t tell me that they eat too quickly and get so absorbed in doing so that the whole world drops away. Rossy tells...
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Why We Dwell on Suffering

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During a session, a client mentioned a habit she was trying to break: conjuring up the worst possible scenarios she could imagine, in this case with romantic partners, and making herself totally miserable thinking about what dreadful things might happen. Although she recognized that she was spiraling down the rabbit hole, she said she felt as if she couldn’t stop herself from doing so and wondered why. Her words: “I’d sit on the floor and cry and feel sorry for myself 20 years ago, like in a dramatic movie, wishing someone could see me like that and feel sorry for how my boyfriends mistreated me. Now I feel like I get tough/angry/icy when I think about how my exes acted and realize that I allowed myself to be treated like that. I couldn't fathom how anyone could be so mean to me. But I’m learning that those people act the way...
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Practice Radical Acceptance

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Clients often balk at the idea of accepting their bodies or behaviors because they think that acceptance means being okay with things as they are. I’ve blogged about how we can embrace both acceptance and accountability. A movement called Radical Acceptance takes the concept a step further and is worth learning about. “Radical acceptance means recognizing your emotional or physical distress . . . and wholeheartedly practicing acceptance.” (“5 ways to become more accepting,” Sarasota Herald Tribune, 5/18/21, 6E) Why throw yourself all in? Because radical acceptance actually makes you feel better. It helps you recognize that humans are complicated, fragile creatures who have complex feelings and thoughts. When you’re 100% with and for yourself, you’re being your most human no matter what’s going on with you. When you radically accept your thoughts and feelings, you don’t deny or minimize them. They may make you uncomfortable and you may not like...
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Your Inner Voice

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As a child, when my parents wanted me to speak quietly, they’d tell me to talk with my “inside voice,” the kind you’d use in a library or a movie theatre. But there’s a voice that’s even more hushed and personal than that one and it’s called your “inner” voice. According to The Inner Voice by Philip Jaekl, “That voice isn’t the sound of anything.” He explains that this voice replaces that of our parents and other adults as we gradually engage in a dialogue with it, that is, a conversation with authentic selves. According to research, between the ages of two and eight we begin what’s called “private speech.” In fact, “Studies showed that during imaginative play, children’s self-talk helps them guide their own thoughts and behaviour and exert true self-control.” The research of Russell Hurlburt, professor of psychology at the University of Nevada, concludes that ” inner speech consumes...
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This website is owned and operated by Karen R. Koenig, M.Ed., LCSW. It contains material intended for informational and educational purposes only, and reasonable effort is made to keep its contents updated. Any material contained herein is not to be construed as the practice of clinical social work or of psychotherapy, although adherence to applicable Florida States, Rules, and Code of Ethics is observed. Material on this website is not intended as a substitute for medical or psychological advice, diagnosis, or treatment for mental health issues or eating disorder problems, which should be done only through individualized therapeutic consultation. Karen R. Koenig, LCSW disclaims any and all liability arising directly or indirectly from the use of any information contained on this website. This website contains links to other sites. The inclusion of such links does not necessarily constitute endorsement by Karen R. Koenig, LCSW who disclaims any and all liability arising directly or indirectly from the use of any information contained in this website. Further, Karen R. Koenig, LCSW, does not and cannot guarantee the accuracy or current usefulness of the material contained in the linked sites. Users of any website must be aware of the limitation to confidentiality and privacy, and website usage does not carry any guarantee or privacy of any information contained therein.  Privacy Policy