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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]

To Understand Yourself, Understand Your Legacy

  Most of us receive some sort of legacies from family members—a ring from Mom, Dad’s fishing pole, or Grandma or Grandpa’s car which is old but still running. These are obvious inheritances. The ones I’m talking about aren’t tangible or material. They’re the experiential legacies of the people who raised us. One of my clients was reading an old classic I’d loaned her, Dr. Patricia Love’s The Emotional Incest Syndrome , and started thinking about her mother’s mixed bag of a life growing up. Another client brought her father into therapy to improve their relationship and sessions often consisted of her hearing for the first time about the horror of Dad’s early years in foster care. Another client discovered that her aunt was actually her sister because her grandmother didn’t want anyone to know that Mom had an “out of wedlock” child when she was only 15 years old (a...
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You Don’t Need to Know Your Whole Future Today

  One of the best ways to drive up anxiety is to try to plan for your whole future today. It’s fine to have general goals like wanting to be a surgeon, travel the world, or be able to send your kids to college, but it’s absolutely unnecessary to think you need to know every bend and turn in the road for your future right now. If you lean in this direction of trying to control everything that’s going to happen to you in your many tomorrows, you’re setting yourself up for heightened anxiety and turning to food to reduce it. Here’s why. If you’re still under 30, you may not realize that life has a way of doing what it wants regardless of your desires. Maybe your life has gone swimmingly so far. You’ve been fortunate enough to have a great family, no major losses, enjoyed friends and getting your...
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The Child’s versus the Adult’s View of Events-Part 2

  In order to stop being triggered by painful memories, we need to recognize that our stories about events change as we age and learn. Fortunately, our brains mature and add new features that make us see things in a different light. When we’re 4, we may believe in Santa Clause, but this is unlikely at 14 because we understand and know more about life. If you’re older than 25 and still buy into an interpretation of harsh events you formed as a child, it’s time to update your story to better sync with reality. Our interpretation of events at any age drives our actions adaptively to survive. Childhood interpretations are simplistic, naïve, and lack complex, critical thinking. Because our frame of reference is narrow due to circumscribed life exposure, especially before we enter school, we often know little more of the world than our family’s dynamics—we generalize and conclude that...
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The Child’s versus the Adult’s View of Events-Part 1

  If painful memories trigger you turning to food for comfort, recognize that your memory of an event is a recording of how you perceived it at whatever age it occurred —4, 11, 15. The memory is your immature brain’s interpretation or story of and feelings about the event at the time. The mature brain, which develops in the late 20s, provides a more realistic and valid explanation of human nature and mental health and reinterprets painful events more rationally and accurately. Here are examples of childhood events and their “immature child” and “mature adult” interpretations, meanings and emotions. You’re 7 years old and Dad has promised to take you to the circus—again. You’ve rarely seen him since your parents’ divorce, begged him for weeks to get circus tickets, and are excited about the outing even though Dad didn’t want to go and yelled at you to stop nagging him it....
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What Is Your Dysregulated Eating Saying to the World?

  Most people think that dysregulated eating and body size is all about choosing the “wrong” foods and eating them in excess. But eating disorders therapists recognize that behaviors often speak louder than words and convey our innermost thoughts, even ones that are hidden away from ourselves. Here are some messages that dysregulated eaters may struggle to express to someone or to the world. Starvation: I don’t need you or anyone. I have such supreme powers that I don’t even need nourishment. I’m special and can live on air. My will power is exceptional. Don’t look at me. I don’t want you to see or notice me except for what I want to be noticed for which is my ability to control my world. Help me, feed me, and take care of me because I can’t take care of myself. Look at me. I can do what you can’t. I’m better...
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The Bad and the Ugly about Ultra-processed Foods

  If you eat ultra-processed food (UPF), here’s another excellent reason to give it up. Although my expertise is in the why and how of eating, it’s important to understand how harmful UPFs are for you—especially in a way that might surprise you. According to “It’s Not Just Salt, Sugar Fat: Study Finds Ultra-Processed Foods Drive Weight Gain” (NPR, “The Salt, 5/16/19, accessed 5/17/19) UPFs can cause weight gain, exactly what most of you are fighting against. “Ultra-processed foods include more than just the obvious suspects, like chips, candy, packaged desserts, and ready-to-eat meals. The category also includes foods that some consumers might find surprising, including Honey Nut Cheerios and other breakfast cereals, packaged white bread, jarred sauces, yogurt with added fruit, and frozen sausages and other reconstituted meat products. Popkin says ultra-processed foods usually contain a long list of ingredients, many of them made in labs. So, for example, instead...
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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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