Creating New Habits

Binge Eating Disorder

 

Binge Eating Disorder (BED) is a type of eating disorder that is characterized by recurrent binge eating without the regular use of compensatory measures to counter the binge eating.

Symptoms

  • Frequent episodes of consuming very large amount of food but without behaviors to prevent weight gain, such as self-induced vomiting.
  • A feeling of being out of control during the binge eating episodes.
  • Feelings of strong shame or guilt regarding the binge eating.
  • Indications that the binge eating is out of control, such as eating when not hungry, eating to the point of discomfort, or eating alone because of shame about the behavior.

Health Consequences of Binge Eating Disorder

The health risks of BED are most commonly those associated with clinical obesity.  Some of the potential health consequences of binge eating disorder include:

  • High blood pressure
  • High cholesterol levels
  • Heart disease
  • Diabetes mellitus
  • Gallbladder disease
  • Musculoskeletal problems

About Binge Eating Disorder

  • The prevalence of BED is estimated to be approximately 1-5% of the general population.
  • Binge eating disorder affects women slightly more often than men–estimates indicate that about 60% of people struggling with binge eating disorder are female, 40% are male
  • People who struggle with binge eating disorder can be of normal or heavier than average weight.
  • BED is often associated with symptoms of depression.
  • People struggling with binge eating disorder often express distress, shame, and guilt over their eating behaviors.
  • People with binge eating disorder report a lower quality of life than non-binge eating disorder.

The National Eating Disorders Association (NEDA)
http://www.nationaleatingdisorders.org/who-we-are

Do You Have an Anxious Brain? Feeling Depressed?

Check out interesting information at www.hendersoncounselingservices.com
under the “Depression/Anxiety” tab

Depressed?

This Is Scientific Proof That Happiness Is A Choice

The Huffington Post  |  By

 

Start the New Diet Off Right

christmas platterHere we are again….another Christmas come and gone, and a post worth repeating…..

I think if I have one more cookie, I’ll turn into one of the Keebler elves!  Having said that however, let me just say I have enjoyed the Holiday season immensely and am looking forward to New Years celebrations with friends, family and…..wait for it…..food!  

If you’re like me, while you’re appreciative of all the beautiful looking tasty dishes and hard work that everyone has put into their favorite wonderful Holiday foods, you’re probably also tired of feeling bloated and slightly overwhelmed by the constant onslaught of delicious eating and ongoing temptations.

Partaking in all that wonderful food can leave you feeling a little sluggish but the upside is, this is the time of year when we typically start to feel more motivated – motivated to ‘lose weight’ and to really start to eat well.

You know how it goes. All that bargaining you do with yourself. You’ll eat right starting today, then you only have New Year’s Eve (maybe New Year’s Day) to get through and THEN you’ll start eating right or dieting at the beginning of the year.

Hey, don’t worry about it, we all do that. The ‘January 2nd’ diet is nothing new.

2013 2014What may be new to you is looking at dieting from a psychological perspective.  I encourage you to check out the weight loss classes starting in January.

You have to change the way you think about dieting before your dieting behaviors will change.

This is a perfect time to start thinking about your weight loss goals and building your skills to help you lose those first 5 pounds!

 

An After-Thanksgiving Thought

“Tell me what you eat, and I will tell you what you are.”
Anthelme Brillat-Savarin, The Physiology of Taste, 1825

(a stuffed turkey??!)

Diets, Food, & Lifestyle Change

overweightThink of all the interesting food plans or diets you’ve been on in the last….let’s say, in the last year. Are you still able to maintain that food plan? If not, why?

It’s easy to jump on the bandwagon when someone else loses weight and you want to mimic their success with the food plan they were on.

Or you hear of a diet – for example, I just heard recently of the Inflammation Diet – and because you have some physical alignment, you convenience yourself that THAT diet will eliminate any physical woes you experience. So off you go to research it, convince yourself that you could tolerate the foods they’re suggesting, and then make a trip to the grocery store to stock up with the ‘right’ kinds of food.

Real change comes from within. NOT THE FOOD PLAN.

Don’t get me wrong the right diet-of-life can significantly make you feel better, and lose weight.

If your ultimate goal is a significant lifestyle change, like weight loss, think lifestyle change, not short-term diet.

Various popular diets can help to jump-start your weight loss, but permanent changes in your lifestyle and food choices are what work in the long run.

Dieting & Depriving Yourself

deprivedWouldn’t it be wonderful to ban the word “dieting” from our vocabulary.

The word alone always implies something you go off of at a certain point rather than developing a healthy lifestyle of eating throughout your life.

People always feel they have to be good during their diet, and, often part of that thinking is that you have to give up certain foods….for the rest of your life!!

Here’s the good news: making treats totally off-limits could sabotage your weight-loss goals, research from the University of Toronto suggests.

Dieting women who were deprived of chocolate for a week had more intense cravings than those without any food restrictions, and they consumed twice as much chocolate as they usually did when they were finally permitted to eat it.

The smarter strategy is to allow yourself a small portion of the treats you love. You won’t feel so deprived, or obsess about what you can’t have!

Depression & Weight Gain

Postmenopausal Depression & Weight Gain Linked to Chronic Disease

By Senior News Editor
Reviewed by John M. Grohol, Psy.D. on June 14, 2013

Postmenopausal Depression and Weight Gain Linked to Chronic Disease Researchers have made a connection between postmenopausal women who use antidepressant medication and suffer from depression,  a large waist circumference, and inflammation with an increased risk of diabetes and cardiovascular disease.

In the study, published in the American Journal of Public Health, University of Massachusetts Medical School researchers investigated whether elevated depressive symptoms and antidepressant use are associated with biomarkers for glucose dysregulation and inflammation, BMI, and waist circumference.

The three main findings indicate that both elevated depressive symptoms and antidepressant use are each significantly associated with higher BMI and waist circumference.

Elevated depressive symptoms are associated with increased levels of insulin and insulin resistance. Antidepressant use is associated with higher leves of C-reactive protein (CRP), a marker of inflammation which increases the risk of type-2 diabetes and cardiovascular disease.

“It may be prudent to monitor post-menopausal women who have elevated depression symptoms or are taking antidepressant medication to prevent diabetes and cardiovascular disease,” said Yunsheng Ma, PhD, MD, MPH, lead researcher.

Postmenopausal women were recruited into the study from 1993 to 1998, and data for this analysis were collected at regular intervals through 2005. Using data from 1,953 women who completed all relevant assessments, the study found that elevated depressive symptoms were discovered to be significantly associated with increased insulin levels and measures of insulin resistance.

Researchers found that throughout the entire 7.6 years, women enrolled in the study with depressive symptoms (or taking antidepressants) had a higher BMI and waist measurements than those without depressive symptoms, with the strongest association for waist circumference.

Analysis of data from 2,242 women showed that both elevated depressive symptoms and antidepressant use were associated with higher CRP levels.

“Identifying these markers in women is important for diabetes prevention because they can be monitored for possible action before progression to full-blown diabetes,” said Ma.

Few studies have examined the association of BMI, waist circumference, and biomarkers of glucose dysregulation and inflammation with depression, antidepressant medication use, or both.

The current study included a large, racially and ethnically diverse sample of post-menopausal women.

Because the analysis was epidemiological, it could not determine a causal relationship, so further study is needed to confirm the results through clinical trials.

Source: University of Massachusetts Medical School

Obesity is a Disease?

overweightThis past summer the American Medical Association has officially recognized obesity as a disease, a move that could induce physicians to pay more attention to the condition and spur more insurers to pay for treatments.

“Recognizing obesity as a disease will help change the way the medical community tackles this complex issue that affects approximately one in three Americans,” Dr. Patric Harris, a member of the association’s board, said in a statement. She suggested the new definition would help in the fight against Type 2 diabetes and heart disease, which are linked to obesity.

One could argue for or against calling obesity a disease. The reality is, we are an obese and overweight society.  And the truth of the matter is childhood obesity is at an all time high:

  • Approximately 17% (or 12.5 million) of children and adolescents aged 2—19 years are obese.
  • Since 1980, obesity prevalence among children and adolescents has almost tripled.

Ouch! Things have got to change – obviously.  Thinking about weight loss is so much more than just what diet you’re going to try. A lifestyle change is re-evaluating your level of movement, your food intake, your self-talk, and your physical and emotional health.

Being overweight or obese is costly.

Depression – Teens & Adults

Depression is an equal opportunity illness for youth, teens, and adults. When depression takes hold, it can be very discouraging for some.

And there can be all kinds of reasons for depression.  When I think of Michigan and all the beauty it holds in the Spring and Summer, I’m also reminded of the emotional struggles that people can experience in our Fall and, typically, Winter months.

Which makes me think of one kind of depression……Seasonal Affective Disorder (SAD).

Seasonal affective disorder can also affect individuals as the Seasons change and days feels longer and darker. Serious mood changes can shift your sleeping patterns, energy levels, and eating depressionpatterns.  More on this later….

A colleague turned me on to this article, and what researchers have found according to two new studies and the value of cognitive behavioral therapy. I think you might find interesting.

Psychotherapy a Powerful Tool to Fight Depression, Studies Show

 

Cognitive behavioral therapy worked as well or better than antidepressants, other care at preventing depression or relapse

By Dennis Thompson
HealthDay Reporter

THURSDAY, Sept. 5 (HealthDay News) — Cognitive behavioral therapy can be a powerful tool for preventing depression, equaling or exceeding the effectiveness of antidepressants and other types of care, according to two new studies.

Follow-up cognitive therapy can be as effective as antidepressant medications in preventing a relapse for patients at high risk for another bout of depression, researchers reported in the first study, which was published online Sept. 4 in the journal JAMA Psychiatry.

Adults coming out of acute depression are less likely to suffer a relapse if they receive an additional eight months of either cognitive therapy or the antidepressant Prozac (fluoxetine) after finishing an initial round of cognitive therapy, the report concluded.

“Everybody did better than they would have if they hadn’t had treatment,” said study author Robin Jarrett, the Elizabeth H. Penn Professor of Clinical Psychology at the University of Texas Southwestern Medical Center in Dallas. “If you treat a patient with cognitive therapy and they do well, then the patient would have a choice: You could treat them with either fluoxetine or therapy.”

In the second study, also published online Sept. 4 in JAMA Psychiatry, researchers from Boston Children’s Hospital found that cognitive behavioral therapy did better than usual forms of care in preventing depression in at-risk teens.

Teens who received cognitive-behavioral therapy were significantly less likely to suffer a depressive episode than those who were referred to therapists for usual care, which typically involves either standard therapy or medication, said Dr. William Beardslee, director of Baer Prevention Initiatives at the hospital and the Gardner/Monks Professor of Child Psychiatry at Harvard Medical School.

“People at risk for depression often have a very gloomy sense of the future and will misinterpret communications: I’m being rejected or those people don’t like me or what I do makes no difference,” Beardslee said. “What one tries to do is show that actions do make a difference, and do that in a gentle, supportive way.”

The first study involved 241 adults who had responded well to cognitive therapy but were at high risk of relapse for depression. They received treatment at the University of Texas Southwestern Medical Center and the University of Pittsburgh Medical Center.

Researchers broke the group roughly into thirds. The first two thirds received eight months of continuing treatment, either through additional cognitive therapy or by taking Prozac. The final third received a placebo pill.

The people who received continuing treatment had relapse rates that were half that of the placebo group — about 18 percent for either cognitive therapy or fluoxetine, compared with 33 percent for placebo pills.

The protective effect, however, wore off after treatment ended. Two and a half years later, all three groups had similar relapse rates, although rates in the placebo group still tended to be slightly higher.

Dr. Sudeepta Varma, a clinical assistant professor of psychiatry at the NYU Langone Medical Center in New York City, said there is a higher likelihood of depression reoccurring with each episode of depression.

“For example, with individuals who have had three or more episodes, there is a 95 percent chance of reoccurrence,” Varma said.

“I hate to break the bad news when my patients ask about this, but I tell them that there are some people who fall in this category who are going to need treatment indefinitely given their prior history of multiple depressive episodes and perhaps previous incomplete remission histories,” she said.

The second study involved 316 teenagers who were at risk for depression because either their parents suffered from depression or they themselves showed symptoms or had prior instances.

The teens received cognitive-behavioral group therapy in eight weekly 90-minute group sessions followed by six monthly continuation sessions at sites in Boston, Nashville, Pittsburgh and Portland, Ore.

“We try to get kids to think of a range of options,” Beardslee said. “State what the problem is — let’s say they can’t get over a relationship and they feel persistently sad — then try to get them to the goal by brainstorming all the possible solutions and trying some.”

During a 33-month follow-up period, the kids who received the therapy had significantly fewer depressive episodes than those who were referred for usual psychiatric care.

“We wanted to see if this intervention could be delivered systematically and reliably in four different sites in the U.S., and the answer is yes,” Beardslee said. “It’s a step on the way to eventually disseminating the intervention widely.”

There was one drawback. Kids who underwent cognitive behavioral therapy at the same time their parents were suffering depression received no benefit.

“This speaks to the fact that the parental depression must also be simultaneously addressed, and I imagine both individually but also in the family context through family therapy,” Varma said. “This study says that [cognitive behavioral therapy] prevention is highly effective, but we need to look at the big picture. And this makes sense. Depression for young people does not exist in a bubble, and if we can support the family we can help the adolescent.”