Emotional Eating 101 pt 4 of 4

Emotional Eating 101 (Part 4 of 4)
by Roger Gould, M.D.

In Part 1, Part 2, and Part 3 of this series, we discussed emotional eating and food addiction—how it develops and the hope for recovery. The next logical step is to discuss what you can really do about this addiction.

Attacking The Addiction

Let me start by saying that attacking the emotional eating addiction directly is the only way that works. Trying to hold onto the emotional eating addiction and work around it never works for long.

With that said, let me briefly tell you about six different ways that people try to work around, or hold onto, their emotional eating addiction. So many of my patients follow a weight loss regimen that looks good, sounds good, and seems to work for a while, but ultimately fails. We'll take a look and see why.

You certainly know people following such regimens. Neighbor John runs five miles a day and still has a potbelly. Sister Lara goes to Weight Watchers, drops twenty pounds, and then gains it all back when her boyfriend jilts her. Uncle Ron follows the Zone Diet, although recently you noticed candy bar wrappers in his briefcase.

All these people follow weight loss methods that rely on deprivation and discipline and nicely avoid dealing with the issues that drive overeating, emotional eating and food addiction. I call such methods "the failure strategies," and if you want to avoid wasting any more of your time and energy on strategies bound to backfire, then you have to give up relying on methods like these.

Of course, everything you know about weight loss to this point in your life endorses these approaches, so it might seem odd to you to disparage them now, to reject them as doomed methods. Please notice that I'm not telling you to eat with abandon or to give up exercise—not at all! I'm simply letting you know that these approaches won't work on their own. Just remember that 99% of all diets ultimately fail.

Failure Strategies

Failure Strategy #1: Deprive and Binge
Almost every single diet book and diet plan leads to the deprive-and-binge approach, and so this is the most common strategy. It begins with deprivation. As you know, when you diet, you deprive yourself of what you really want, applying willpower and discipline to keep yourself away from the fridge. It's a painful and difficult thing to do, and unfortunately, the method doesn't work for long because you really don't want to deprive yourself. Eventually, your emotional eating patterns kick in, and then the diet ends. Willpower can only work for so long. Unless you are really addressing your emotional hunger and food addiction, this approach can never work.

Failure Strategy #2: Binge and Run
This is the approach where you allow yourself to overeat, or try to exist side by side with your addiction, but try to compensate for it with exercise. Compensating your diet with exercise is essential, but it only works if you also limit your diet and try to break your food addiction. This strategy doesn't work primarily because in order to compensate for eating excess, you have to exercise so much that you increase the risk of injury, which poses special problems if exercise is your chief weight loss method. Any time you need to stop exercising in order to heal, your weight balloons up quickly. I've seen patients in my practice who put on substantial weight after injuries and then couldn't lose it, though they had been trim athletes at one time-albeit athletes with food addiction. Also, if you continue to eat unhealthy foods in excess, you weaken your immune system no matter how much you exercise, and so the risk of illness increases, illness makes exercise difficult, and anytime the routine slackens, the weight returns.

Failure Strategy #3: Binge and Purge
The binge and purge cycle of bulimia is a very dangerous strategy, and luckily it is normally viewed as an unhealthy approach to weight management. People can die from the electrolyte imbalance that happens with chronic purging, or they can end up with chronic esophagitis and gastritis, various forms of malnutrition and vitamin deficiency, and a secret life of agonizing shame. They appear to be thin, "together" people on the outside, but they feel like frauds on the inside. Bulimia is a very "expensive way" to control weight, and it must be given up before too much damage is done. There is no possibility for success with this strategy, but people try to hang onto their food addiction by compensating for it through purging.

Failure Strategy #4: Going Public
I call the fourth failure strategy "Going Public." I've seen many variations of this strategy, including losing weight for a specific event such as an upcoming wedding or family reunion, or making a public declaration that you've started a diet, or buying clothes that fit only if you lose weight, or paying to join a support group that encourages success but rejects you if you fail. There are many other ways to set yourself up to "have to" succeed, all of which lead to failure because the basic emotional eating problem is not addressed. Try as you may, you can't fool your own emotions.

Failure Strategy #5: The Blame Game
Do you curse parental genes for giving you a slow metabolism? If so, you've fallen prey to the fifth failure method-blaming the extra pounds on your metabolism. You might say that the blame game is more of a "failure attitude" than a failure strategy, but here the watchword is "failure." As long as you believe that genetics predispose you to being fat, you can tell yourself that your hunger is written "in the stars" and indulge your emotional eating habit whenever life gets difficult, doing nothing to change the underlying pattern.

I have seen so many patients who have made this claim, supporting it by telling me how diligent they have been about exercising and how careful they have been about their intake. When I do a detailed inquiry about their exercise and eating habits, it turns out that they have simply been fooling themselves. One patient, Joe, was a real classic. He didn't bother to count the three beers at night or the daily trip to the ice cream store. Somehow those calories didn't count. Most of the others failed to count little things that added up, and almost all didn't exercise nearly enough to compensate for what they ate.

As long as you blame the extra pounds on a slow metabolism, you've fallen prey to another ruse-unless, of course, you've been diagnosed with hypothyroidism or take certain prescribed medications. Some medications do cause weight gain, either by changing your metabolic rate, making you retain fluids, or by affecting how your body converts calories to energy versus storing calories as fat. That's a different story. But if you don't have hypothyroidism or prescription drugs to blame, then your metabolic rate is in the normal range and you need to gain control over your eating habits in order to lose weight.

It might be true that you have a metabolism that's a little faster or a bit slower than your neighbor's, and beginning at age 25 it does become slightly slower over time. It is indeed more difficult to stay thin if you have the slowest metabolism on the block or if you're well into middle age. You do need to eat less and exercise more than your neighbors do in order to stay in balance, but balancing calories in and calories burned is still the only answer.

If you can't quite accept the idea that you can't blame metabolism, look at the latest research showing that high-strung people stay thin not because of metabolism, but simply because they fidget more and move around more than you do and therefore, they burn more calories. The study showed that sedentary people sat 163 more minutes a day than fidgety people, who took 7000 more steps and expended 350 more calories per day-a non-rigorous form of exercise, perhaps, but one that does, nevertheless, contribute to weight loss. And so, again, metabolism alone can't be blamed.

The limiting reality is that nature has built into us an extremely sensitive weight balancing system. If we stay almost perfectly attuned and responsive to our built-in biological hunger signals, we just barely maintain a healthy weight. If we override that attunement or misalign it because we eat to satisfy emotional hunger instead of biological hunger, the whole system goes out of whack.

The average person consumes 60 million calories during his or her lifetime. In order to stay at a steady weight you have to expend 60 million calories. That's the basic balance. If you make the slightest mistake in this balancing act, you immediately become overweight. For example, if you're an average man who needs 2700 calories to remain at a steady weight but you take in 2800 and only expend 2700, you will gain twelve pounds every year.

That's just an apple a day difference. If you make an even smaller error each day during your adult lifetime, you'll be 20 pounds overweight for every .001 error. It's very easy to be overweight.

Blaming metabolism instead of your eating habits is just a way to avoid taking responsibility or a way to avoid giving up your patterns.

Failure Strategy #6: Medicate the Hunger, Trick the Metabolism
In our culture, many seek a magic pill to dissolve cellulite, reverse weight gain, and make getting thin a breeze. This search constitutes the sixth and final failure strategy.

All the pharmaceutical companies are looking for the big blockbuster solution that will control the hunger gland. The last "miracle pill" released on the market, Phen-Phen, ended up killing people, but the drug companies haven't given up since the American public would much rather take pills that kill hunger than address the emotional source of the compulsion to overeat.

Phen-Phen wasn't the first weight loss medication to endanger health. Dexedrine, a form of speed, was commonly used for weight loss but has largely been discredited. Many people who started taking Dexedrine to lose weight ended up addicted, less hungry and less dependent on food, but more dependent on the drug. Unfortunately, as the bumper stickers say, "Speed Kills." Speed increases your resting metabolic rate so that you burn more calories without having to exercise, stimulates a more rapid heart rate, and makes you sweat more. You stay up later and you have more energy to move around, but you can't use the method for long without physical damage. The speed category includes ephedra, which was a major ingredient of many herbal appetite suppressants until the U.S. Food and Drug Administration banned it in December 2003. (A federal judge in Utah ruled against the FDA ban in April 2005, so drugs containing ephedra could still return to the market.)

The same problems exist with thyroid supplements. If your thyroid is intact, taking more to speed yourself up will work for a while, but at a cost to your natural balance.

And as long as you continue to eat too much and don't address food addiction directly, the method won't work and your health will suffer.

Reality Always Wins

Now you've seen that the six failure strategies don't work because they all attempt to stimulate weight loss while keeping the emotional eating option intact. When you follow one of the failure strategies, you make a hopeless bargain with yourself: "I will deprive myself for a while as long as I can go back to binging sometime. I will discipline myself to run, as long as I can eat as much as I want when I am anxious. I will risk my health and harbor a shameful secret of purging as long as I can stuff myself at dinner. I will suffer public shame in order to overeat again. I will mess up my insides with speed and attack my hunger rather than attack the sources of emotional eating. I will blame my metabolism for my weight and put myself at risk for obesity related diseases so I can eat what I want."

These strategies circumvent the reality of emotional eating. They keep the emotional eating habit alive in a rainy-day bank account in case you need it to cope with the next life stress. In a sense, when you use any of these strategies, you try to create a new alternative—don't surrender, don't attack, hope to win. Unfortunately, you can't win as long as you hold the eating remedy in reserve for difficult times, because reality guarantees that you'll backslide under stress, throw off that delicate "calories in-calories out" balance, and put the pounds right back on.

If you want to control you weight for a lifetime, you do have to attack and dismantle the emotional eating habit. There is no way around this.

To break the addiction to food, you will have to go through a healing process.

You will have to face down each of your sources of emotional hunger and find a way, through decisions and actions, to deal with the underlying life issues without using food to cover them up. It's not enough to simply recognize these sources. You will have to do something about them to put them to rest. You will have to include them in your conscious problem-solving mind, not stuff them down with food.

It's not something that you can do overnight. Its process you have to learn, and a life skill you have to practice.

If you have become convinced that you have to address your food addiction now, here are your alternatives.

1. Find a good therapist who understands this addiction and will guide you through the healing process.
2. Find a support group that will tackle and keep focus on the 12 motivations for overeating, and will be sophisticated enough to help you develop new skills in living in order to master these motivations.
3. Try to do it yourself.
4. Try to do it yourself with our MasteringFood program to help you.
5. Try to do it yourself with the MasteringFood program and our online counselors to help you.
6. Form your own support group online, and let the MasteringFood program become the guide and workbook for the group.

If you truly want to lose weight for life, and if you really want to break food addiction, these are your logical choices. Some are easier than others. No one can tell you what's right for you and it may take some experimentation on your part to find the right approach. Nevertheless, we urge you to choose one today and begin working on it as soon as possible. No one ever regrets trying to end food addiction. They only regret giving in.

Now that you've read this article and thought about it a little, it's time for you to personally evaluate how it applies to your life. Below are some questions and activities that you should answer and do before the next article becomes available. Taking these questions and activities seriously will help you get a better understanding of emotional eating.

1. Think back to a time when you tried to lose weight with one of the failure strategies. Describe the attempt in detail. Was emotional eating the main reason it was unsuccessful? If not, why didn't that strategy work?
2. Assume you are going to attack your emotional eating patterns by yourself. What strategies are you going to use that you haven't tried before?
3. Assume you have to choose one of the basic approaches to ending emotional eating. What are the pros and cons of each one? List them and try to come to a decision about which is best. Consider things like cost, availability, and chances for success.

Thank you for completing Emotional Eating 101. We hope you found the information and activities helpful. If you need help with emotional eating or food addiction, we are always here to help.

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Roger Gould, M.D., the creator of Mastering Food, is commonly recognized as a pioneer and expert in the field of adult development. He developed a revolutionary, interactive approach to therapy, which has been studied by UCLA and tested on over 20,000 people. The latest study, conducted by UCLA and Kaiser Permanante, found that each of Dr. Gould's Guided Sessions are about as effective as traditional in-person therapy. According to Psychology Today, "Dr. Gould's program is the only online therapy program of its kind that is based on proven research results."