Abandonment Anxiety – Video doctor Snipes

 This episode was pre-recorded as part of a live continuing   education webinar on-demand CEUs are still available for this presentation   through all CEUs registered at all CEUs comm slash counselor toolbox I’d like to welcome everybody today to the presentation love me doesn’t leave me addressing   fears of abandonment the purpose of this presentation is really to help us help clients   increase their awareness of their story including beliefs about behavioral reactions to situations   that trigger their fear of abandonment so how do we do that well the first thing we need to   figure out is what fear of abandonment is and how can we identify it in a clinical set setting then   we’re going to explore the concept of schemas or core beliefs and these are things that are formed   in early childhood you know if you remember prior classes we’ve talked about early childhood   cognition is generally very dichotomous in children Young children can’t look at   that gray area so these schemas if they’ve gone unchecked can lead to some very extreme belief   patterns which lead us into common traps in thinking reacting and relationships if your   schemas are based on all-or-nothing you either love me or you’re going to leave me hence the   name of the book then your reactions are going to tend to be more extreme and more all-or-nothing   which increases anxiety because then anytime a person who perceives any amount of disapproval is going to go to that extreme so we want to talk about bringing it more toward the   middle line and helping people learn to appreciate and love themselves for themselves while they may   not approve of the behaviors of other people they can still love other people so just because somebody   doesn’t approve of your behavior doesn’t mean necessarily that they’re going to abandon you so   we’re going to talk about that and then we’ll learn skills necessary to help people accept   their past as part of their story maybe they do have a lot of abandonment issues and you know   some people do and it is painful it cuts to the core especially when those abandonment   issues occur in early childhood when kids going what that does so we’re going to talk about that   and help people learn how to integrate it into their present and we’ll learn the skills necessary   to acknowledge that their past does not have to continue to negatively impact them in the present   so if they were abandoned when they were a child you know we need to deal with that however if they   continue to expect that every significant person in their life will abandon them notice I use the   word every because we’re still in those extremes then they’re going to think that the past is negatively   impacting them in the present so we’ll talk about how to sort of moderate those belief systems how   does this impact recovery whether you’re talking about addiction or mental health issues connection   is a basic human need we are not meant for the most part to be Hermits in the middle of the   woods there are introverts and in my husband’s an introvert he has a couple of excellent friends   he needs quiet time each day he doesn’t need to be surrounded by people and he’s fine but I mean   we’ve got human connection he’s not going to be one that’s just going to you know move out to the   middle of nowhere I’m an extrovert on the other hand and I tend to have a lot of acquaintances   and a lot of friends I draw energy from being around other people so just because   someone doesn’t have 150 acquaintances doesn’t necessarily mean they don’t need connections so   we want to recognize that connection is a basic human need when infants are born they are put   on their mother’s chest when we embrace each other whether it’s mother and child or friends   or whatever a chemical called oxytocin is released and it’s our bonding chemical we are programmed we   are hardwired for connection and oxytocin is a very rewarding chemical so we want to recognize   this that if people are so afraid of abandonment that they push everybody away what are they losing   as far as quality of life as infants and children survival is dependent upon the relationship with   the primary caregiver so if mom or dad wasn’t happy if mom or dad was rejecting the young   child was pretty much helpless to think about a child who’s growing up in a family that’s just riddled   with addiction and mental health issues and the primary caregiver or caregivers are completely   emotionally unavailable they may be physically there but they may be so high or so depressed or   so psychotic that they cannot attend to the child’s needs what does that communicate to   the child the child feels abandoned the child feels a sense of neglect for people’s beliefs about   other people and relationships were formed largely based on their interactions with their caregivers   so if this child was going Mom I’m hungry and nothing happened or worse yet child was going Mom I’m terrified and nothing happened or they were just given a pacifier and told to shut up   then that is they were told they were communicated to that, their beliefs their feelings their wants, and their needs were not important so they were being rejected healthy relationships serve up as   a buffer against stress so even if they had all these negative experiences in early childhood teenage years you know maybe up until they walked into your office it doesn’t mean it   has to continue and how much can they gain from having healthy relationships with a lot of clients   that I work with who have pretty significant abandonment issues can’t even fathom trusting   someone enough to be in a healthy relationship so we’re going to talk about how to sort of ease into   that because you’re not going to say don’t let your past influence your future and we’ll wave   a magic wand and they’re ready to trust people even once you point out that what happened in   the past was largely not their fault or maybe not even if their fault at they they’re still going   to have difficulty not accepting responsibility and going everybody leaves me so what talk about   that addressing beliefs that formed as a result of these relationships the past dysfunctional   relationships we can help people create a new understanding of events was mom or dad or   caregiver being rejecting were you being abandoned emotionally and physically because of   you or because mom or dad just was able to do what they needed to do to be a caregiver then they were doing the best they could with the tools they had but it wasn’t enough to meet   your needs so we want to talk about alternate explanations for why parents and caregivers may have   behaved in that way if you have a young child well an adult now but who was put up for adoption or   abandoned by their caregivers at a young age the a young child was probably very confused because   one moment their caregiver was there in the next moment they were in the system so they were   trying to figure out what did they do wrong and why doesn’t that person love me anymore it must be   me because children really can’t see well you know mom is not able to function as a parent   right now or dad is having difficulty coping we want to help people better understand themselves   in their reactions so that when they start getting this urge to just cut all ties and be like you   know what fine you know I’ll take my ball and go home no problem what does that mean at there’s a   certain point in all relationships in all healthy relationships that you know sometimes people have   to distance themselves from one another because it’s becoming dysfunctional but for the most part, people will in relationships encounter hiccups will encounter disagreements but in   healthy relationships, they can work through them in relationships with people who fear   abandonment there are going to be two extremes there’s going to be complete compliance and   please don’t leave me or complete disengagement and whatever I don’t care the final thing we want   to do is help make people more conscious of what they’re doing so they can make healthy   decisions in their current relationships so when they get that urge to either comply or disengage   is that a healthy normative reaction right now or are you reacting out of your past experiences the abandonment experience in childhood survival depends on caregivers a four-year-old left alone   for five days is not going to do so well you know they may be able to scavenge food but   once the food runs out where do they get it you know there’s only so much that a child   can do an infant can’t even get food so survival depends on their caregivers and if   their caregivers fail to meet those needs there are high levels of anxiety and I will refer regularly   to emotionally unavailable caregivers and emotionally absent in addition to physically   unavailable or absent because some parents and I worked in the field of co-occurring disorders for   over two decades and some parents just they are so overwhelmed and so paralyzed by life itself they   can’t even attend to anything else that’s going on they’re doing good just to be breathing but   if they have a child and that child’s needs are getting neglected and fear of abandonment is a natural   survival response when your food source goes away what happens you start to freak the freak out so   this is normal we look at this and say that that’s that’s natural if a child thinks about the first   time you take a child to kindergarten or pre-k or daycare or whatever it is and you drop the   child off even if they’re securely attached what do they cry because they’re afraid that   mom or dad won’t come back and they’re afraid of this new situation that’s changed securely attached   children will you know to adjust and then be happy to see mom or dad when they come back but the point   is there’s that initial oh crap reaction meeting biological needs and safety are key triggers for   anxiety at any age so we’re talking about housing we’re talking about safety we’re thinking about   Maslow’s hierarchy if somebody is not meeting the child’s needs or if the person is not getting   their needs met then they may have high levels of anxiety and I add to the safety concept not   only physical safety but also emotional safety people need to feel safe in their heads and   they need to be free from emotional abuse when focused on survival people can’t focus elsewhere   so if they’re not getting their physical needs met guess what you know if you take somebody who   is in pain who is sick who is hungry and who is homeless are they going to work on self-esteem   are they going to work on relationship skills no, they’re focused on survival they need to have   those basic needs met they need to have a certain sense of security if they are in a situation that   is dangerous physically obviously they’re not going to be focusing on how I can better myself   when they’re worried about somebody coming in and hurting them physically likewise, it’s hard to   focus on how can I better myself when everywhere they turn they perceive someone telling us you’re   not okay you’re stupid you’re lazy you’re bad you were the worst decision I ever made in my   life they can’t focus on personal growth when all they’re getting is these verbal beatdowns all the time so people need to have acceptance if they don’t have acceptance kind the opposite of   acceptance is abandonment two kinds of extremes again we’ll bring it back to the middle every   stressful situation becomes a crisis the in securely attached child now you can go back to   and read Bowlby’s work on secure and all that kind of stuff great reading but for the short version   of this presentation remember that certs securely attached children feel anxiety when their parents   leave but then they can adjust and they’re happy to see the parents return in securely attached   children feel a great amount of anxiety when their parents leave and are terrified that mom or   dad won’t come back and then when mom or dad does come back it’s your very very clingy or very very   rejecting so with this child that’s in securely attached it’s just like one to a hundred as soon   as something happens that they think they may be abandoned you see this pattern again in adults who   are still struggling with these abandonment issues that schema that they’ve formed and I’m getting a   little ahead of myself that schema that they form says if you let this person at your site or if   this person disagrees with you or if this person criticizes you they’re rejecting you and they’re   going to abandon you so we want to you know check in with those cognitions and look for trying to   make those thoughts a little bit more helpful in infancy or early childhood if caregivers were away   for long periods because of work because of the military if they were in jail if they just   chose to be away or if they passed away children may experience some abandonment issues now if   the parents are away because a parent is a way because of work or military or even jail and the   other parent can help the child work through it there’s much less drama if you will there’s much   less issue with abandonment issues in totality now if it’s whatever parent it is if the pay   if the father happened to be the one went away that person may have some residual issues with   adult figures in their life that they need to deal with but they may not know I’m not saying that   every child of a soldier or a service person is going to have abandonment issues that are so   not true however if the experiences of the time apart was not handled in a way where the child   felt secure then it could have consequences that are going into the present day if in early childhood   caregivers were consistently or unpredictably physically or emotionally present so think about   a parent who has major recurrent major depressive disorder addiction or is just ill-equipped to deal   with a child when I was working at the treatment center in Florida I had 14 15 16 year old young   women coming in and having babies and you know what does a 14-year-old know about giving birth   and raising a child it’s not that they weren’t necessarily trying you know they didn’t have great   role models raising them in most cases and so they don’t have anything to work with they don’t know   how to be a parent they’ve never been taught so it’s not always I don’t want to pathologize or   make the parents look like bad people because I believe that people do the best they can with   the tools they have at any given time parents don’t choose to be sucky parents sometimes it   happens but I don’t believe they choose to anyhow off my soapbox in later childhood as the   child becomes elementary school middle school age if they’re a poor family fit or they feel   like they’re the black sheep they just don’t have the same beliefs that the other people do   they don’t seem to have the same interest that their family does they may not feel accepted   especially if the family’s going no that’s wrong to believe and invalidate them so going back to   that psychological safety if they’re constantly being told their ideas are stupid they’re wrong   they have the wrong point of view and they can feel very isolated something can happen that   ruptures the relationship with the primary care giver whether it’s abuse or you know some other trauma and introduction of a new less emotionally or physically safe caregiver can also   lead to abandonment if the child feels like the biological caregiver chose a new spouse over him   or her say if you see where I’m going with that because if this new person comes in and is less   safe is abusive in some way emotionally physically sexually it doesn’t matter the child is going to   feel like they didn’t have a voice the child is going to feel like the biological caregiver   didn’t care and brought this other person in any way which leads to feelings of rejection   and abandonment so what are the reactions fight-or-flight whenever there’s a threat we   fall back to fight or flight or freeze but we’ll talk about that when there’s a threat our anxiety   goes up and we say in the past in these kinds of situations, if I fought, did I succeed if so then   we’ve got fights in the past did I succeed, and if the answer’s no then the response is to flee pretty simply so anger towards someone unavailable if they got angry and felt like it got them   some sort of acceptance from somewhere that might be the prevailing reaction sadness when someone   goes away a sense of helplessness this person just left me shame or self-anger about feeling   needy or about pushing someone away with fears related to rejection and isolation, nobody will ever love my loss of control or the unknown everybody always leaves see how I’m using these extreme   words again and fear of failure I can’t maintain a relationship nobody wants to be with me because   I’m not good enough so the questions for clients in these situations what caused these fears as a   child so when someone starts to have these fears about a relationship, if the relationship starts   to get rocking first question is what is it that you’re afraid of in this situation if you stay   together what is it that you’re afraid of if this the person leaves what is it you’re afraid of and how   likely is it that this person is going to leave based on whatever is going on right now so let’s   get some objective evidence here and another the tool you can use is the challenging questions   worksheet in cognitive processing therapy if you google it challenging questions worksheet   CPT or cognitive processing therapy helps people walk through the logic in some of their   cognitions and identify some known as unhelpful distortions so then after you figure out kind of   what the fear is then we say what caused that as a child in the past when you felt like this what   caused that and how was this reasonable or helpful you know in the past when you felt like this and   you reacted in anger what was the outcome and how was it helpful in some sort of way you know   did it get somebody to pay attention to you did it gets somebody to come to comfort you, okay so you   were identifying the function of the current behaviors and then we want to say what causes   these fears now a lot of times it’s the same symp or similar stuff but we could say how are these   reactions now unhelpful because as independent you know adult-type people we can fend for ourselves   we can put food on the table we can go to work we can do we can function independently whereas this   is a child we couldn’t you know there were just some barriers to that does that mean again that   we should live in isolation and say well I don’t need anybody no that’s not what I’m   saying what I’m saying is is these fears that are overwhelming about abandonment that causes   people to push others away or cling on like you know whatever clings on uh are these reactions   helpful in the present day you know do you still need to hold on to people like there’s no tomorrow temperament based on their temperament children need different types and amounts of caregiver   interaction um some children are wide open and easily overstimulated you know my son was that   way when he was born well to this very day um when he’s awake he is like the Energizer Bunny   on methamphetamine I’m he’s just going going going and talking and talking to himself and   he needed a lot of structure and he would get overstimulated easily but we were able to help   him figure out how to handle that instead of getting mad at him for what seemed to be acting   out we were able to help him channel and figure out when he needed to take a break the introvert   may not need as much one-on-one attention with the caregiver may need a comforting word   here and there but they may not need the amount of the attention that an extrovert may need an extrovert   tends to need more interaction with parents with family with other people because they draw energy   and they think while they talk and they think while they talk with other people so they feel   a lot more isolated if they are isolated so we want to understand the person’s temperament and   how they may or may not have gotten their needs met how they may have been told they were wrong   and invalidated when they were younger and you can hear some of this is kind of going towards   Linda hands DBT environment um but what we want to look at what you need now how can we create   an environment that’s accepting and welcoming to you now based on their needs and caregivers’ reactions children form schemas or core beliefs about the world and others so if they state their   opinion and it’s squashed or it’s ridiculed then they’re going to form this core belief that it   is not safe ever to share my opinions because I am always wrong now we’re talking about children here   but a lot of times think back for yourself there I think most of us have at least some all-or-nothing   dichotomous thoughts that come in every once in a while and you know we can catch them but if   these dichotomies go unaddressed the person starts feeling very lost and very abandoned because it’s all-or-nothing important points about children under 7 from 8 to 12 children are developing   alternative cognitive skills they’re starting to be able to think abstractly they’re   starting to be able to see the gray area and alternate explanations but even you know during   that period so zero to 12 children are having difficulty envisioning all the possibilities   so anything that happens before that we want to encourage them to look at the schemas that were   formed and challenge them to examine whether they are currently accurate and helpful children think   dichotomously when they’re that young it’s all or nothing it’s good or bad it’s not kind of sort   of something it is what it is I mean even think about thinking back to grades that we would get   it was satisfactory or unsatisfactory there was no ABCD F when we were in elementary school and   I don’t remember middle school then it was a dichotomous grading scale you either did it or you   didn’t children are egocentric so whatever happens they say what was it about me that made this   happen if mom’s in a bad mood what did I do if you know Mom is rejecting stupid well I’m   stupid children are very egocentric so you take all or nothing combined with all about me and you   can see we’re creating the perfect storm of children can only focus on one aspect at a time when I work   with adult clients you know they come in and they tell me that they had an interaction with their   boss he was walking down the hall and he was in a bad mood and I just knew I did something and so   we talked about that and I’m like how do you know that because he had it he had an angry look on his   face okay what are some other possibilities what else might have been going on with him then and a lot of times we can brainstorm ideas about a call he just got or where they just   left a meeting that didn’t go so well or who knows what else in this day and time when we’ve   got our cell phones and PDAs and everything there are a lot of things that can trigger a   mood besides just whoever you pass in the hallway children can’t think about those other things that   might have triggered the mood they see somebody unhappy and they’re like I’m sorry um so we want   to encourage as adults we want to encourage them to say all right what are the other possibilities even as children I try to work with my kids to encourage them to look at alternate reasons   why somebody may be acting a certain way children can’t think abstractly and consider those possible   options um even with kids you know knee-high to a grasshopper if you’re in a situation and   maybe in a store and somebody behaves not kindly to you, you can talk about that later with the kids   and say you know that was kind of unpleasant to go through what you think might have caused that   and brainstorm three ideas my favorite number is three I don’t know why but brainstorm three ideas   for alternate explanations for why that person may have been in an unpleasant mood if children   learn to do this when they’re younger it’s a a lot easier to transition to as adults schemas   are a broad way of perceiving things based on memories feelings and thoughts it’s   our go-to perception of what something’s going to be like we have schemas about everything if   you go to church you have a schema about what’s going to happen when you go to your mother’s   house you have a schema about how mom’s going to behave and what’s going to happen we form these   it’s our brain’s short shortcut instead of having to analyze every situation it says oh I remember   this been here before it’s probably going to be like X Y Z unfortunately sometimes things change   and one of the things we see in addictions treatment as is as caregivers into recovery and get a hold on it and start working that a new way of life and sobriety and all that stuff   old family members or family members still expect that old behavior they have that schema that when   Jane comes in this is what’s going to happen because they’re remembering how she behaved and   acted in her addictive self so we want to help people identify their schemas and check them   sometimes they’re still accurate sometimes not so much schemas that trigger abandonment fear center   around the cell acceptability is this person going to like me which is one of the reasons we do a lot   of self-esteem work in reducing abandonment fears because we want to reduce the need for people to   solicit external validation we want them to say I’m all that and a bag of chips and I would love   to play with you but if you don’t want to play I’m okay with that love ability if they were   told they were unlovable if they perceived they were unlovable then in the present, they   may fear isolation they may fear that they’re not lovable so they will try to do whatever they can   or likewise they will build a lead wall that is 5 feet thick around them so nobody can   hurt them they may have fears about their own competence you know thinking back to Erikson   you never thought some of these theorists from the past would keep coming up even in current practice   but they do if a child going through that period of industry versus inferiority Erik Erikson’s   stages of psychosocial development and they felt like a failure all the time or they were never   good enough the parents never recognized their positive achievements then they may question their competence and feel like a failure if they feel like a failure they may feel they may believe   that nobody wants to be around them so they will leave so if I fail they will leave and fears may   center around adaptability some people are not able to tolerate any loss of control they’re just   like that they’re holding on with a death grip to the relationship to anything that’s going on and   it starts to go wonky they are going to freak out so we want to look at what does it mean if you’re   not in control of everything what does it mean if you trust that this person is going to do the   next right thing if you are doing the next right thing as well schemas that trigger abandonment   fears can also be sent around center around others if someone is rejecting distant cold or is unable to   handle the person’s needs then the person may not feel acceptable so if they are in relationships   with people like this then we need to look at is Is it you who’s not acceptable or is something else   going on with that person that may be making them unable to deal with anybody else’s stuff   right now the person may feel isolated if other people are absent if people fail to keep promises   they may feel like nobody’s ever there for them competence if other people are always critical   then the person will question their competence and if others are unpredictable a lot of the time   when people who have anxiety about abandonment they come from situations where other people have   not been predictable or if they were they were unpredictably absent and relationship of self to   others if they are afraid about their ability to relate with others if they’re afraid of rejection   if they’re afraid that if they start to love they will be rejected and then they will be isolated   forever if they are afraid of the unknown and they I just want consistency more than anything and   as soon as consistency starts to waver a little bit because as we grow things change and people   with abandonment issues don’t like things to change because that’s not predictable and that’s   not consistent so they may have difficulty if one the person starts to change what they do I see this   a lot not saying that it’s an abandonment issue necessarily but when law enforcement officers   retire you know because they can retire after 20 years so they may start a new career and   that causes a lot of change schedule changes they’re not law enforcement anymore and the   spouse sometimes has culty adjusting to it as does the retired officer but controllability   if the person holds on to relationships and everything in their life with white knuckles   because they’re so afraid if they let go of control that they are going to disappear or   disintegrate then if something seems like it’s not in their control, it’s going to be a catastrophe so attachment Styles secure if there’s an emotionally available caregiver the child   will seek the caregiver for comfort and guess what the caregiver will be there and will more   often than not meet the need for comfort with the the correct type of comfort so hungry cold scared kind   of following the child’s upset when the caregiver leaves especially in new situations but the child   gets over it it’s not a child that’s going to sit there and cry for eight hours and then the child’s   happy when the caregiver returns in this kind of attachment the child learns to trust others will   be responsive to their needs and validate their needs a child learns to be self-reliant and try   new things but if they fail they know they can return to the home base they can go out and go well   that didn’t go as planned and the caregiver will be there to say alright let’s figure out what to do   next not You are such a failure the child learns to adapt to a variety of situations because when   they’ve been faced with something that’s a little scary caregivers have been there to kind of coach them   on and go you got this it’s scary I got it but you can do it the child learns to deal with   stress because the caregivers are there to coach them or to process it with them afterward because the   caregiver is not always physically there but if you’ve got children you know sometimes they’ll   come home from school and they’ve had a really bad day and you’d pull them aside and go you know   what’s going on let’s talk about it so in this way the child learns to deal with stress and the child   learns to have accurate expectations of others in the secure attachment, emotionally available   situation remember children are egocentric so if mom’s upset the child goes what did I do or Oh my gosh I hope mom’s not going to leave in a secure situation sometimes the parent has to   say something like Mommy had a really bad day at work today has nothing to do with you I need to go   take a timeout that helps a child understand that you know what it’s not all about me and   I can understand that sometimes moms upset for something besides me and I can understand that   if moms Up said it doesn’t mean she’s going to leave so obviously, this is the ideal situation   avoidant attachment styles the rejecting or harsh caregiver the person depends less on the caregiver   for security because every time they go saying mom Mom I had a nightmare can I come into bed with you   they’re met with going back to your bed and the caregiver rolls over it’s not oh I’m sorry you had   a nightmare let me walk you back to your room when the child is separated from the caregiver   there’s little response when the caregiver leaves or returns because the kids like what uses that   person to me the child learns not to depend on a caregiver for comfort connection or security   now imagine yourself a four-year-old child or a six-year-old child thinking I can’t count on my   caregivers for comfort connection or security that must be a terrifying place to be and I   can see why you would develop some pretty strong defense mechanisms the ambivalent relationship between the   cave caregiver is inconsistent or can bow can’t talk caregiver is inconsistent or chaotic this   is true in a lot of homes where there are at least one parent who is battling some sort of   addiction or mental health issue so the parent may or may not be available you don’t know what   the good days are going to be you don’t know what the bad days are going to be so the child may be   anxious and afraid to try new things or explore because they’re like things are going good right   now I don’t want to top will be an applecart just going to sit here and ride it out a child may be   clinging and demanding trying to elicit a response remembering negative attention is better than no   attention at all and the child is upset when the caregiver leaves but also inconsolable when the   caregiver returns because you know I was upset I was scared you went away but you came back and   that’s good but I don’t know when you’re going to go away again and if you’re going to come   back so it’s this constant anxiety of abandonment core abandonment beliefs all people leave so we   want to challenge that by identifying exceptions mistrust people will hurt reject take advantage   of me or just not be there when I need them you know what that’s true sometimes because people   have their stuff so when this happens let’s look at whether it’s happening all the time and/or   let’s also look at what else might be going on with that person that caused them to hurt reject   take advantage or not be there when you needed the emotional deprivation I never get the love I   need nobody understands me cares about me or even ever tries to meet my needs here how dramatic and   extreme that is so one of the things as clinicians we can do is say if you are getting the   love you needed what would it look like what would be different what is it that you need   that you’re not getting once we identify then we can create a plan to get it but a lot   of times other people don’t understand or may not be able to interpret what you need so let’s help   let’s try to figure out how to make this happen nobody understands me alright let’s talk about   why that might be and you know let’s look at some people who’ve kind of gotten a grasp sometimes   with clients with abandonment beliefs nobody understands me translates to I don’t give a buddy   a chance and I cut them off as soon as they become confused and because they associate confusion with rejection so we might talk about communication skills we might work on what it is that people   don’t understand and how to better communicate that and where to find people who have similar   interests nobody ever even tries to meet my needs you know where I would look for exceptions   but I would also challenge the person and I would say when do you meet your needs what do you do   to take care of yourself a lot of times clients with abandonment beliefs are so freaked   out and afraid of being abandoned that they’re not taking care of themselves either they’re   just living and paralyzed going back to fight flee or freeze they’re living a paralyzed state   of I want to be loved but if I love I’m gonna get hurt and I don’t know what to do they don’t even   love themselves so we want to start talking about if you had your best friend you know create this   best friend persona what would he or she say to you what would he or she do right now let’s try to   help you understand yourself with mindfulness exercises are good here because a lot of times these   clients don’t understand themselves they’ve got so much anxiety they’re so afraid and they don’t   know where it’s coming from because a lot of it has been going on for so long defectiveness   if people knew me they would reject me you know not everybody’s going to like you why do you need   everybody to like you why is it important that everybody likes you and failure I don’t measure   up and I’m not able to succeed I usually put pull out the obnoxious quote that if you haven’t failed   you haven’t tried and we talked about what it means to get outside your comfort zone and you’re   not going to be perfect at everything you’re not going to be Michael Phelps you’re not going to be   the president of the United States that doesn’t mean that you’re a failure that doesn’t mean you’re a failure so what things are you good at what can you and have you succeeded at and   go back and look over things like you graduated high school not everybody does that you know   raised a family, not everybody does that so we want to challenge all nothing’ languages we   want to look for exceptions and we want to look for in what ways can you provide yourself the   validation so you don’t fear abandonment you don’t need other people to tell you you’re okay because   guess what you’re telling yourself I’m okay and before I go on to unhelpful reactions I do want   to point out that if we tell people to tell themselves you know I’m okay that sounds great   but if they don’t believe it if it’s not supported with evidence, it’s probably going to slow   their growth because they’re sitting there going telling themselves I’m okay and in the back of   their head going you know you’re not so we need to get that internal critical voice to kind of   hush up by providing the person with the objective evidence of why they’re okay why they’re good   enough and that’s a slow process it’s not going to happen overnight but encourage people to figure   out why they believe what they believe and then you can work from there okay unhelpful reactions   fighting with someone you don’t want to leave me because so the person may engage in a dominant   sort of posturing behavior aggression hostility blaming and criticizing trying to tear down the   other person to say you know what I don’t care and it would help if you were grateful that I’m in your life recognizing and seeking to get attention and validation or approval so if they feel something’s going   wrong in a relationship they may start trying to do something to gain recognition to prove that   they’re worthy of a relationship for what they do versus who they are manipulation and exploitation   said lying justifying I did this because you made me so sometimes we all occasionally do things that   aren’t the nicest people who fear abandonment have difficulty saying you know what I screwed   up and they’re more likely to go you made me do I wouldn’t have done it if you would have X   Y & Z people again who are worried about a relationship is going to fall apart and may also make excuses for   other people’s inappropriate behavior it’s like you know I hate what this person does but   if I don’t make excuses for it if I condemn it then this person is going to leave in counseling   we can talk about the difference between loving a person and loving a person’s behavior you know I   love my kids to death there is no question about that but some of their behavior makes me want to   climb a wall I’m very clear to separate from them the difference between the behavior that I dislike   and them because you know like I said I love them to pieces and we want to help people start making   this differentiation if they don’t do it already and clinging and chasing is the other fight   reaction stalking and messaging somebody 47 times on Facebook in an hour all these kinds of behaviors   and even online bullying those sorts of things can be fight reactions in response to feeling like   there’s a threat of abandonment flight is more of the I don’t care if you leave so the person   will withdraw physically and emotionally and maybe even numb themselves with some sort of   addictive behavior or distract themselves with something completely different or find a new   person just proof that you know what I didn’t need you because I’ve got this new person now questions for clients about core beliefs all people leave okay so what does it look   like if somebody’s available to you if they don’t abandon you who in your past left you   or was unavailable emotionally now a lot of I find it helpful for mental health   and addiction clients to have them write an autobiography because then we can go back   and kind of review it and identify the core people at certain stages in a person’s life what did the person who left you do to make you feel rejected or abandoned in retrospect   you know it was hard to see the difference what was going on back then because you were a kid in   retrospect what are the alternate explanations for why this may have happened was it you or was it more about them who in your past has been available to you emotionally most of   the time people can point to one maybe two people who have generally been there it’s unreasonable to   expect someone always to be there who in your present is available to you emotionally you   know maybe they’ve only been in your life for six months or a year but they are available and I say   emotionally because you know not everybody can be available physically all the time we’ve got   jobs kids all that kind of stuff but can you pick up the phone and call them or text them and say   hey you know what I’m struggling right now what do you do in your current relationships that cause people to leave do you push them away if so how what are alternatives to pushing them away cutting all ties and just saying fine be that way I wipe my hands off you if you cling how do you do   this in what ways do you perceive yourself as being clinging and what are some alternatives   to holding on with all desperation and mistrust people will hurt reject or take advantage of me or just   not be there when I need them so again what does it looks like when somebody’s or what does it feel   like when someone is trustworthy and safe who in your past was untrustworthy or unsafe what do they   do they taught you this and what are alternate explanations who in your past has been trustworthy   and safe who in your present is available and trustworthy What do you do to yourself that   is unsafe or dishonest that’s one of those tricky questions you’re there talking about other people   other people then it’s like what do you do to yourself how do you lie to your   self or how are you mean and hateful to yourself how does your distrust of other people or even   yourself impact your current relationships some people distrust their internal intuition so   much that they don’t want to make friends with other people, they’re like I can’t tell who’s   going to hurt me and who won’t so just yeah I’m going to wipe my hands of it all what could you   do differently what do you think you could do to start building trust and what does   it look like to build trust because Trust doesn’t just appear it builds gradually emotional deaths   deprivation I don’t get the love I need nobody understands me so again what does it look like   when somebody understands you and meets your needs who in the past failed to meet your needs   emotionally and how can you deal with that now you know it may have been mom it may have been   ex-husband it may have been you know who knows how can you deal with it now yourself so you can   put it to rest who in your past is understood you who in your present understands you how   can you start again better understanding yourself because it’s hard for other people to understand   us when we don’t even understand ourselves and what can you do to start getting your needs met one of the things was starting to get your own needs met is to figure out what your needs are and   this is one of the exercises I have people do as a homework assignment they keep track of what is   it they want daily keep a log and then let’s talk about what common themes were seeing   if people knew me they would reject me okay so how do you know when you’re accepted or acceptable to   someone who when you’re past may make you feel defective are there alternate explanations and   how can you silence those old tapes because that person that statement stays as a heckler   in the gallery we need to hush the heckler what can you do part of it could be talking back and   saying you know what I’m not going to listen or I don’t have time for this right now who’s   been accepting and supportive who is in your life that’s accepting and supportive and how can you   start accepting yourself and being compassionate so some compassion focus training mindfulness work   to help people understand themselves and start being compassionate with themselves understanding   their vulnerabilities and cutting themselves some slack I don’t measure up I’m not able to succeed   okay that’s a pretty big success you know what is what success means success means different   things to different people so what does it look like to you to be successful let’s kind of hammer   that out what is it if you are successful what would be different what in your past has made   you feel like a failure what are some alternate ways of viewing it such as a learning experience   or something I had to go through to grow or you know brainstorming alternate explanations for   why people fail they don’t have a response to sometimes I ask them to kind of take on   a flip role and say pretend you’re a parent and your child comes home and they’ve tried out for   the football team and they didn’t make the team they failed what are you going to tell on what   have you succeeded at doing in the past what are you good at in the present and we want to   pay attention to minimization here because a a lot of our clients are not good at identifying   their strengths what does being successful mean in terms of your relationship with others do you have   to be successful to be loved and be a good relationship you know you’re going   to be successful in a relationship if you’re but do you have to be financially successful and powerful whatever you define success as in order to be in healthy relationships who are   three successful people you know and what makes them successful in your eyes does success equal   happiness you can do a whole group on that and what do your kids need to do to be successful   in life you know we want our kids to succeed we want our kids to be happy so what is it that I   envision my child’s life to be 10 to 15 years from now triggering relationships the abandoner is   unpredictable unstable and unavailable the abusive relationship is untrustworthy and   unsafe the deprived err depriving relationship the a person is detached or withholding the Devastator   is always judgmental rejecting and critical and the critic is critical and narcissistic usually   a lot of times people replay their past to try to kind of get it right the second time so we want   to look at do you have a habit of getting into relationships with people who are not safe we can   also ask them how do you exhibit these behaviors in what ways are these behaviors present your   current relationships and in what ways were these present and your primary caregiver relationships behavioral triggers abandonment and mistrust if somebody starts acting differently they change   their behavior in some way a person who fears abandonment goes oh that’s not good if they’re   not getting constant reassurance that’s that external validation can trigger   abandonment fears so again we want to work on internal validation and why is it that you   feel you need constant reassurance from the other person’s relationships feel threatening so   work relationships those sorts of things the a person who has abandonment issues won’t want   their significant other around other people and they become hyper-vigilant to rejection   and disconnection even if it’s just somebody going I had a really bad day I need 20 minutes   and go into the room and shut the door the person with abandonment issues will likely   have a high level of anxiety so we want to ask how these behaviors have threatened them in the   past what are alternate explanations for why this is happening with this person right now and what   would be a helpful reaction to these behaviors now so this is happening what would be a helpful   reaction instead of assuming that the sky is going to fall defectiveness and failure so if   somebody is critical if they have unexplained time apart there’s absent or inconsistent reassurance   or if the person tells them they’re a failure these or they fail at something these could   all be behavioral triggers they could be like I failed at something I’m not getting reassurance   this relationship is fixin’ to end questions how is this threatened you in the past alternate   explanations and what would be a helpful reaction to this particular situation right now envisioning activity what does a healthy the relationship looks like presence versus abandonment   acceptance versus rejection emotional support versus emotional unavailability trustworthy   versus untrustworthy and safe versus harmful these are extremes what does it look like to   be a middle ground there are going to be exceptions you know things are going to happen so what does   a healthy relationship look like and how do you deal with exceptions if somebody’s not always   present how can you create this relationship with yourself that’s the big one and then how can you   create this relationship with others’ mindfulness questions what am I feeling what’s triggering it   am I safe right now and if not what do I need to is this bringing up something from the past if   so how is this different how am I different then I was when I was six or four and how   can I silence my inner critic and finally what would be a helpful reaction that would move me   more toward my goals and a positive emotional experience summary core beliefs   about the self and others are formed in early life due to children’s lack of knowledge of other   experiences and primitive cognitive abilities these core beliefs are often very dichotomous   core beliefs can be formed around events or experiences outside of the conscious memory   identifying and being mindful of abandonment triggers in the present can help people choose   alternate more helpful ways of responding in the present in Secure and Loved loved me   don’t leave me are two excellent books there are Google previews if you want to look   at them to see if it’s something that you like but they do take what we talked about in this   presentation and expand upon it a whole bunch more if you enjoy this podcast please like and   subscribe either in your podcast player or on YouTube you can attend and participate in our   live webinars with Doctor Snipes by subscribing at all CEUs comm slash counselor toolbox, this   episode has been brought to you in part by all CEUs com provides 24/7 multimedia continuing   education and pre-certification training to counselors therapists and nurses since 2006 used coupon code consular toolbox to get a 20% discount off your order this month you As found on YouTubeSeanCooper🗯 The Shyness & Social Guy ⇝ The 3 WORST Mistakes You Must AVOID If You Want To Overcome Shyness (PLUS: 1 weird trick that targets the root biological cause of shyness so you can stop being nervous, awkward, and quiet around people…) http://flywait.darekw.hop.clickbank.net/ By Sean Cooper, The Shyness & Social Anxiety Guy. The fact that you’re reading this article tells me you may have already reached a point where you feel your shyness is NOT going away on its own… or you fear it’s getting worse and worse. And I don’t want you to waste one more day living a life where you feel left out, bored, or depressed because you don’t have the relationships which would make you happy. That’s why I’ve put together this page to help you avoid the worst mistakes that keep many people stuck with shyness for years… often giving up hope of ever improving as you watch other people have interesting “normal” lives without you. Yet this doesn’t have to happen.732d01adf780998f105af3460737a431

Abandonment Anxiety– Video corrupted See https://www.youtube.com/watch?v=XQWUYWeiHB0

 
 this episode was pre-recorded as part of a live continuing   education webinar on-demand CEUs are still available for this presentation   through all CEUs registered at all CEUs comm slash counselor toolbox I’d like to welcome everybody today to the presentation love me doesn’t leave me addressing   fears of abandonment the purpose of this presentation is really to help us help clients   increase their awareness of their story including beliefs about behavioral reactions to situations   that trigger their fear of abandonment so how do we do that well the first thing we need to   figure out is what fear of abandonment is and how can we identify it in a clinical set setting then   we’re going to explore the concept of schemas or core beliefs and these are things that are formed   in early childhood you know if you remember prior classes we’ve talked about early childhood   cognition is generally very dichotomous in children young children don’t have the ability to look at   that gray area so these schemas if they’ve gone unchecked can lead to some very extreme belief   patterns which lead us into common traps in thinking reacting and relationships if your   schemas are based on all-or-nothing you either love me or you’re going to leave me hence the   name of the book then your reactions are going to tend to be more extreme and more all-or-nothing   which increases anxiety because then anytime a person who perceives any amount of disapproval   obviously is going to go to that extreme so we want to talk about bringing it more toward the   middle line and helping people learn to appreciate and love themselves for themselves while they may   not approve of the behaviors of other people they can still love other people so just because somebody   doesn’t approve of your behavior doesn’t mean necessarily that they’re going to abandon you so   we’re going to talk about that and then we’ll learn skills necessary to help people accept   their past as part of their story maybe they do have a lot of abandonment issues and you know   some people do and it really is painful it cuts to the core especially when those abandonment   issues occur in early childhood when kids going what that does so we’re going to talk about that   and help people learn how to integrate it into their present and we’ll learn the skills necessary   to acknowledge that their past does not have to continue to negatively impact them in the present   so if they were abandoned when they were a child you know we need to deal with that however if they   continue to expect that every significant person in their life will abandon them notice I use the   word every because we’re still in those extremes then they’re going that the past is negatively   impacting them in the present so we’ll talk about how to sort of moderate those belief systems how   does this impact recovery whether you’re talking about addiction or mental health issues connection   is a basic human need we are not meant for the most part to be Hermits in the middle of the   woods there are introverts and in my husband’s an introvert he has a couple of really good friends   he needs quiet time each day he doesn’t need to be surrounded by people and he’s fine but I mean   we’ve got human connection he’s not going to be one that’s just going to you know move out to the   middle of nowhere I’m an extrovert on the other hand and I tend to have a lot of acquaintances   and a lot of friends I draw energy from being around other people so just because   someone doesn’t have 150 acquaintances doesn’t necessarily mean they don’t need connections so   we want to recognize that connection is a basic human need when infants are born they are put   on their mother’s chest when we embrace each other whether it’s mother and child or friends   or whatever a chemical called oxytocin is released and it’s our bonding chemical we are programmed we   are hardwired for connection and oxytocin is a very rewarding chemical so we want to recognize   this that if people are so afraid of abandonment that they push everybody away what are they losing   as far as quality of life as infants and children survival is dependent upon the relationship with   the primary caregiver so if mom or dad wasn’t happy if mom or dad was rejecting the young   child was pretty much helpless to think about a child who’s growing up in a family that’s just riddled   with addiction and mental health issues and the primary caregiver or caregivers are completely   emotionally unavailable they may be physically there but they may be so high or so depressed or   so psychotic that they cannot attend to the children’s need what does that communicate to   the child feels abandoned the child feels a sense of neglect for people’s beliefs about   other people and relationships were formed largely based on their interactions with their caregivers   so if this child was going mom I’m hungry and nothing happened or worse yet child was going   mom I’m terrified and nothing happened or they were just given a pacifier and told to shut up   then that is they were told they were communicated to that their beliefs their feelings their wants   and their needs were not important so they were being rejected healthy relationships serve up as   a buffer against stress so even if they had all these negative experiences in early childhood teenage years you know maybe up until they walked into your office it doesn’t mean it   has to continue and how much can they gain from having healthy relationships with a lot of clients   that I work with who have pretty significant abandonment issues can’t even fathom trusting   someone enough to be in a healthy relationship so we’re going to talk about how to sort of ease into   that because you’re not going to say don’t let your past influence your future and we’ll wave   a magic wand and they’re ready to trust people even once you point out that what happened in   the past was largely not their fault or maybe not even their fault at all they’re still going   to have difficulty not accepting responsibility and going everybody leaves me so what talk about   that addressing beliefs that formed as a result of these relationships the past dysfunctional   relationships we can help people create a new understanding of events was mom or dad or   caregiver really being rejecting were you being abandoned emotionally and physically because of   you or because mom or dad just was able to do what they needed to do to be a caregiver at that point   in time they were doing the best they could with the tools they had but it wasn’t enough to meet   your needs so we want to talk about alternate explanations for why parents and caregivers may have   behaved in that way if you have a young child well an adult now but who was put up for adoption or   abandoned by their caregivers at a young age the a young child was probably very confused because   one moment their caregiver was there in the next moment they were in the system so they were   trying to figure out what did they do wrong and why doesn’t that person love me anymore it must be   me because children really can’t see well you know mom is not able to function as a parent   right now or dad is having difficulty coping we want to help people better understand themselves   in their reactions so that when they start getting this urge to just cut all ties and be like you   know what fine you know I’ll take my ball and go home no problem what does that mean at there’s a   certain point in all relationships in all healthy relationships that you know sometimes people have   to distance themselves from one another because it’s becoming dysfunctional but for the most part, people will in relationships encounter hiccups will encounter disagreements but in   healthy relationships, they can work through them in relationships with people who fear   abandonment there are going to be two extremes there’s going to be complete compliance and   please don’t leave me or complete disengagement and whatever I don’t care the final thing we want   to do is help make people more conscious of what they’re doing so they can make healthy   decisions in their current relationships so when they get that urge to either comply or disengage   is that a healthy normative reaction right now or are you reacting out of your past experiences the abandonment experience in childhood survival depends on caregivers a four-year-old left alone   for five days is not going to do so well you know they may be able to scavenge food but   once the food runs out where do they get it you know there’s only so much that a child   can do an infant can’t even get their own food so survival depends on their caregivers and if   their caregivers fail to meet those needs there are high levels of anxiety and I will refer regularly   to caregivers who are emotionally unavailable and emotionally absent in addition to physically   unavailable or absent because some parents and I worked in the field of co-occurring disorders for   over two decades and some parents just they are so overwhelmed and so paralyzed by life itself they   can’t even attend to anything else that’s going on they’re doing good just to be breathing but   if they have a child and that child’s needs are getting neglected and fear of abandonment is a natural   survival response when your food source goes away what happens you start to freak the freak out so   this is normal we look at this and say that that’s that’s natural if a child thinks about the first   time you take a child to kindergarten or pre-k or daycare or whatever it is and you drop the   child off even if they’re securely attached what do they cry because they’re afraid that   mom or dad won’t come back and they’re afraid of this new situation that’s changed securely attached   children will you know adjust and then be happy to see mom or dad when they come back but the point   is there’s that initial oh crap reaction meeting biological needs and safety are key triggers for   anxiety at any age so we’re talking about housing we’re talking about safety we’re thinking about   Maslow’s hierarchy if somebody is not meeting the child’s needs or if the person is not getting   their needs met then they may have high levels of anxiety and I add to the safety concept not   only physical safety but also emotional safety people need to feel safe in their own heads and   they need to be free from emotional abuse when focused on survival people can’t focus elsewhere   so if they’re not getting their physical needs met guess what you know if you take somebody who   is in pain who is sick who is hungry and who is homeless are they going to work on self-esteem   are they going to work on relationship skills no, they’re focused on survival they need to have   those basic needs met they need to have a certain sense of security if they are in a situation that   is dangerous physically obviously they’re not going to be focusing on how can I better myself   when they’re worried about somebody coming in and hurting them physically likewise it’s hard to   focus on how can I better myself when everywhere they turn they perceive someone telling us you’re   not okay you’re stupid you’re lazy you’re bad you were the worst decision I ever made in my   life they can’t focus on personal growth when all they’re getting is these verbal beatdowns all the time so people need to have acceptance if they don’t have acceptance kind of the opposite of   acceptance is abandonment two kinds of extremes again we’ll bring it back to the middle every   stressful situation becomes a crisis the in securely attached child now you can go back to   and read Bowlby’s work on secure and all that kind of stuff great reading but for the short version   of this presentation remember that certs securely attached children feel anxiety when their parents   leave but then they can adjust and they’re happy to see the parents return in securely attached   children feel a great amount of anxiety when their parents leave and are terrified that mom or   dad won’t come back and then when mom or dad does come back it’s your very very clingy or very very   rejecting so with this child that’s in securely attached it’s just like one to a hundred as soon   as something happens that they think they may be abandoned you see this pattern again in adults who   are still struggling with these abandonment issues that schema that they’ve formed and I’m getting a   little ahead of myself that schema that they form says if you let this person at your site or if   this person disagrees with you or if this person criticizes you they’re rejecting you and they’re   going to abandon you so we want to you know check in with those cognitions and look for trying to   make those thoughts a little bit more helpful in infancy or early childhood if caregivers were away   for long periods of time because of work because of military, if they were in jail if they just   chose to be away or if they passed away children may experience some abandonment issues now if   the parents are away because a parent is a way because of work or military or even jail and the   other parent can help the child work through it there’s much less drama if you will there’s much   less issue with abandonment issues in totality now if it’s whatever parent it is if the pay, if the father happened to be the one, went away that person may have some residual issues with   adult figures in their life that they need to deal with but they may not know I’m not saying that   every child of a soldier or a service person is going to have abandonment issues that are so   not true however if the experiences of the time apart was not handled in a way where the child   felt secure then it could have consequences that are going into present-day if in early childhood   caregivers were inconsistently or unpredictably physically or emotionally present so think about   a parent who has major recurrent major depressive disorder addiction or is just ill-equipped to deal   with a child when I was working at the treatment center in Florida I had 14 15 16-year-old young   women coming in and having babies and you know what does a 14-year-old know about giving birth   and raising a child so it’s not that they weren’t necessarily trying you know they didn’t have great   role models raising them in most cases and so they don’t have anything to work with they don’t know   how to be a parent they’ve never been taught so it’s not always I don’t want to pathologize or   make the parents look like bad people because I believe that people do the best they can with   the tools they have at any given time parents don’t choose to be sucky parents sometimes it   happens but I really don’t believe they choose to anyhow off my soapbox in later childhood as the   child becomes elementary school middle school age if they’re a poor family fit or they feel   like they’re the black sheep they just don’t have the same beliefs that the other people do   they don’t seem to have the same interest that their family does they may not feel accepted   especially if the family’s going no that’s wrong to believe and invalidate them so going back to   that psychological safety if they’re constantly being told their ideas are stupid they’re wrong   they have the wrong point of view and they can feel very isolated something can happen that   ruptures the relationship with the primary care giver whether it’s abuse or you know some kind   of other trauma and introduction of a new less an emotionally or physically safe caregiver can also   lead to abandonment if the child feels like the biological caregiver chose a new spouse over him   or her say if you see where I’m going with that because if this new person comes in and is less   safe is abusive in some way emotionally physically sexually it doesn’t matter the child is going to   feel like they didn’t have a voice the child is going to feel like the biological caregiver   didn’t care and brought this other person in any way which leads to feelings of rejection   and abandonment so what are the reactions fight-or-flight whenever there’s a threat we   fall back to fight or flight or freeze but we’ll talk about that when there’s a threat our anxiety   goes up and we say in the past in these kinds of situations, if I fought, did I succeed if so then   we’ve got fights in the past did I succeed and if the answer’s no then the response is to flee pretty simply so anger towards someone who’s unavailable if they got angry and felt like it got them   some sort of acceptance from somewhere that might be the prevailing reaction sadness when someone   goes away a sense of helplessness this person just left me shame or self-anger about feeling   needy or about pushing someone away fears related to rejection and isolation, nobody will ever love my loss of control or the unknown everybody always leaves see how I’m using these extreme   words again and fear of failure I can’t maintain a relationship nobody wants to be with me because   I’m not good enough so the questions for clients in these situations what caused these fears as a   child so when someone starts to have these fears about a relationship if the relationship starts   to get rocking first question is what is it that you’re afraid of in this situation if you stay   together what is it that you’re afraid of if this the person leaves what is it you’re afraid of and how   likely is it that this person is going to leave based on whatever is going on right now so let’s   get some objective evidence here and another the tool you can use is the challenging questions   worksheet in cognitive processing therapy if you google it challenging questions worksheet   CPT or cognitive processing therapy really helps people walk through the logic in some of their   cognitions and identify some know unhelpful distortions so then after you figure out kind of   what the fear is then we say what caused that as a child in the past when you felt like this what   caused that and how was this reasonable or helpful you know in the past when you felt like this and   you reacted in anger what was the outcome and how was it helpful in some sort of way you know   did it get somebody to pay attention to you did it gets somebody to come comfort you, okay so you   were identifying the function of the current behaviors and then we want to say what causes   these fears now a lot of times it’s the same symp or similar stuff but we could say how are these   reactions now unhelpful because as independent you know adult-type people we can fend for ourselves   we can put food on the table we can go to work we can do we can function independently whereas this   is a child we couldn’t you know there were just some barriers to that does that mean again that   we should live in isolation and say well I don’t need anybody no that’s not what I’m   saying what I’m saying is is these fears that are overwhelming about abandonment that causes   people to push others away or cling on like you know whatever clings on uh are these reactions   helpful in the present day you know do you still need to hold on to people like there’s no tomorrow temperament based on their temperament children need different types and amounts of caregiver   interaction um some children are wide open and easily overstimulated you know my son was that   way when he was born well to this very day um when he’s awake he is like the Energizer Bunny   on methamphetamine I’m he’s just going going going and talking and talking to himself and   he needed a lot of structure and he would get overstimulated easily but we were able to help   him figure out how to handle that instead of getting mad at him for what seemed to be acting   out we were able to help him channel and figure out when he needed to take a break the introvert   may not need as much one-on-one attention with the caregiver may need a comforting word   here and there but they may not need the amount of the attention that an extrovert may need an extrovert   tends to need more interaction with parents with family with other people because they draw energy   and they think while they talk and they think while they talk with other people so they feel   a lot more isolated if they are isolated so we want to understand the person’s temperament and   how they may or may not have gotten their needs met how they may have been told they were wrong   and invalidated when they were younger and you can hear some of this is kind of going towards   Linda hands DBT environment um but what we want to look at what do you need now how can we create   an environment that’s accepting and welcoming to you now based on their needs and caregivers’ reactions children form schemas or core beliefs about the world and others so if they state their   opinion and it’s squashed or it’s ridiculed then they’re going to form this core belief that it   is not safe ever to share my opinions because I am always wrong now we’re talking about children here   but a lot of times think back for yourself there I think most of us have at least some all-or-nothing   dichotomous thoughts that come in every once in a while and you know we can catch them but if   these dichotomies go unaddressed the person starts feeling very lost and very abandoned because it’s all-or-nothing important points about children under 7 from 8 to 12 children are developing   alternative cognitive skills they’re starting to be able to think abstractly they’re   starting to be able to see the gray area and alternate explanations but even you know during   that period so zero to 12 children are having difficulty envisioning all the possibilities   so anything that happens before that we want to encourage them to look at the schemas that were   formed and challenge them to examine whether they are currently accurate and helpful children think   dichotomously when they’re that young it’s all or nothing it’s good or bad it’s not kind of sort   of something it is what it is I mean even think about thinking back to grades that we would get   it was satisfactory or unsatisfactory there was no ABCD F when we were in elementary school and   I don’t remember middle school then it was a dichotomous grading scale you either did it or you   didn’t children are egocentric so whatever happens they say what was it about me that made this   happen if mom’s in a bad mood what did I do if you know Mom is rejecting well that was stupid I’m   stupid children are very egocentric so you take all or nothing combined with all about me and you   can see we’re creating the perfect storm of children can only focus on one aspect at a time when I work   with adult clients you know they come in and they tell me that they had an interaction with their   boss he was walking down the hall and he was in a bad mood and I just knew I did something and so   we talked about that and I’m like how do you know that because he had it he had angry look on his   face okay what are some other possibilities what else might have been going on with him at that   point in time and a lot of times we can brainstorm ideas about a call he just got or where they just   left a meeting that didn’t go so well or who knows what else in this day and time when we’ve   got our cell phones and PDAs and everything there are a lot of things that can trigger a   mood besides just whoever you pass in the hallway children can’t think about those other things that   might have triggered the mood they see somebody unhappy and they’re like I’m sorry um so we want   to encourage as adults we want to encourage them to say all right what are the other possibilities even as children I try to work with my kids to encourage them to look at alternate reasons   why somebody may be acting a certain way children can’t think abstractly and consider those possible   options um even with kids you know knee-high to a grasshopper, if you’re in a situation and   maybe in a store and somebody behaves not kindly to you, you can talk about that later with the kids   and say you know that was kind of unpleasant to go through what you think might have caused that   and brainstorm three ideas my favorite number is three I don’t know why but brainstorm three ideas   for alternate explanations for why that person may have been in an unpleasant mood if children   learn to do this when they’re younger it’s a a lot easier to transition to as adults schemas   are a broad way of perceiving things based on memories feelings and thoughts basically it’s   our go-to perception of what something’s going to be like we have schemas about everything if   you go to church you have a schema about what’s going to happen when you go to your mother’s   house you have a schema about how mom’s going to behave and what’s going to happen we form these   it’s our brain’s short shortcut instead of having to analyze every situation it says oh I remember   this been here before it’s probably going to be like X Y Z unfortunately sometimes things change   and one of the things we see in addictions treatment as is as caregivers into recovery and   really get a hold on it and start working that a new way of life and sobriety and all that stuff   old family members or family members still expect that old behavior they have that schema that when   Jane comes in this is what’s going to happen because they’re remembering how she behaved and   acted in her addictive self so we want to help people identify their schemas and check them   sometimes they’re still accurate sometimes not so much schemas that trigger abandonment fear center   around the cell acceptability is this person going to like me which is one of the reasons we do a lot   of self-esteem work in reducing abandonment fears because we want to reduce the need for people to   solicit external validation we want them to say I’m all that and a bag of chips and I would love   to play with you but if you don’t want to play I’m okay with that love ability if they were   told they were unlovable if they perceived they were unlovable then in the present they   may fear isolation they may fear that they’re not lovable so they will try to do whatever they can   or likewise they will build a lead wall that is 5 feet thick all the way around them so nobody can   hurt them they may have fears about their own the competence you know thinking back to Erikson   you never thought some of these theorists from the past would keep coming up even in current practice   but they do if a child going through that period of industry versus inferiority Erik Erikson’s   stages of psychosocial development and they felt like a failure, all the time or they were never   good enough the parents never recognized their positive achievements then they may question their   own competence and feel like a failure if they feel like a failure they may feel they may believe   that nobody wants to be around them so they will leave so if I fail they will leave and fears may   center around adaptability some people are not able to tolerate any loss of control they’re just   like that they’re holding on with a death grip to the relationship to anything that’s going on and   it starts to go wonky they are going to freak out so we want to look at what it means if you’re   not in control of everything what does it mean if you trust that this person is going to do the   next right thing if you are doing the next right thing as well schemas that trigger abandonment   fears can also be sent around center around others if someone is rejecting distant cold or is unable to   handle the person’s needs then the person may not feel acceptable so if they are in relationships   with people like this then we need to look at is Is it you who’s not acceptable or is something else   going on with that person that may be making them unable to deal with anybody else’s stuff   right now the person may feel isolated if other people are absent if people fail to keep promises   they may feel like nobody’s ever there for them competence if other people are always critical   then the person will question their own competence and if others are unpredictable a lot of the time   when people who have anxiety about abandonment they come from situations where other people have   not been predictable or if they were they were unpredictably absent and relationship of self to   others if they are afraid about their ability to relate with others if they’re afraid of rejection   if they’re afraid that if they start to love they will be rejected and then they will be isolated   forever if they are afraid of the unknown and they I just want consistency more than anything and   as soon as consistency starts to waver a little a bit because as we grow things change and people   with abandonment issues don’t like things to change because that’s not predictable and that’s   not consistent so they may have difficulty if one the person starts to change what they do I see this   a lot not saying that it’s an abandonment issue necessarily but when law enforcement officers   retire you know because they can retire after 20 years so they may start a new career and   that causes a lot of change schedule changes they’re not law enforcement anymore and the   spouse sometimes has culty adjusting to it as does the retired officer but controllability   if the person holds on to relationships and everything in their life with white knuckles   because they’re so afraid if they let go of control that they are going to disappear or   disintegrate then if something seems like it’s not in their control, it’s going to be a catastrophe so attachment Styles secure if there’s an emotionally available caregiver the child   will seek the caregiver for comfort and guess what the caregiver will be there and will more   often than not meet the need for comfort with the the correct type of comfort so hungry cold scared kind   of following the child’s upset when the caregiver leaves especially in new situations but the child   gets over it it’s not a child that’s going to sit there and cry for eight hours and then the child’s   happy when the caregiver returns in this kind of attachment the child learns to trust others will   be responsive to their needs and validate their needs a child learns to be self-reliant and try   new things but if they fail they know they can return to the home base they can go out and go well   that didn’t go as planned and the caregiver will be there to say alright let’s figure out what to do   next not you are such a failure the child learns to adapt to a variety of situations because when   they’ve been faced with something that’s a little scary caregivers been there to kind of coach them   on and go you got this it’s scary I got it but you can do it the child learns to deal with   stress because the caregivers are there to coach them or to process it with them afterward because the   caregiver is not always physically there but if you’ve got children you know sometimes they’ll   come home from school and they’ve had a really bad day and you’d pull them aside and go you know   what’s going on let’s talk about it so in this way the child learns to deal with stress and the child   learns to have accurate expectations of others in the secure attachment, emotionally available   situation remember children are egocentric so if mom’s upset the child goes what did I do or   oh my gosh I hope mom’s not going to leave in a secure situation sometimes the parent has to   say something like mommy had a really bad day at work today has nothing to do with you I need to go   take a timeout that helps a child understand that you know what it’s not all about me and   I can understand that sometimes moms upset for something besides me and I can understand that   if moms up said it doesn’t mean she’s going to leave so obviously this is the ideal situation   avoidant attachment styles the rejecting or harsh caregiver the person depends less on the caregiver   for security because every time they go saying, mom mom, I had a nightmare can I come into bed with you   they’re met with going back to your own bed and the caregiver rolls over it’s not oh I’m sorry you had   a nightmare let me walk you back to your room when the child is separated from the caregiver   there’s little response when the caregiver leaves or returns because the kids like what uses that   person to me the child learns not to depend on a caregiver for comfort connection or security   now imagine yourself a four-year-old child or a six-year-old child thinking I can’t count on my   caregivers for comfort connection or security that must be a terrifying place to be and I   can see why you would develop some pretty strong defense mechanisms the ambivalent relationship between the   cave caregiver is inconsistent or can bow can’t talk caregiver is inconsistent or chaotic this   is really true in a lot of homes where there are at least one parent who is battling some sort of   addiction or mental health issue so the parent may or may not be available you don’t know what   the good days are going to be you don’t know what the bad days are going to be so the child may be   anxious and afraid to try new things or explore because they’re like things are going good right   now I don’t want to top will be an applecart just going to sit here and ride it out a child may be   clinging and demanding trying to elicit a response remembering negative attention is better than no   attention at all and the child is upset when the caregiver leaves but also inconsolable when the   caregiver returns because you know I was upset I was scared you went away but you came back and   that’s good but I don’t know when you’re going to go away again and if you’re going to come   back so it’s this constant anxiety of abandonment core abandonment beliefs all people leave so we   want to challenge that by identifying exceptions mistrust people will hurt reject take advantage   of me or just not be there when I need them you know what that’s true sometimes because people   have their own stuff so when this happens let’s look at whether it’s happening all the time and/or   let’s also look at what else might be going on with that person that caused them to hurt reject   take advantage or not be there when you needed the emotional deprivation I never get the love I   need nobody understands me cares about me or even ever tries to meet my needs here how dramatic and   extreme that is so one of the things as clinicians we can do is say if you are getting the   love you needed what would it look like what would be different what is it that you need   that you’re not getting once we identify then we can create a plan to get it but a lot   of times other people don’t understand or may not be able to interpret what you need so let’s help   let’s try to figure out how to make this happen nobody understands me alright let’s talk about   why that might be and you know let’s look at some people who’ve kind of gotten a grasp sometimes   with clients with abandonment beliefs nobody understands me translates to I don’t give a buddy   a chance and I cut them off as soon as they become confused and because they associate confusion with the rejection so we might talk about communication skills we might work on what it is that people   don’t understand and how to better communicate that and where to find people who have similar   interests nobody ever even tries to meet my needs you know here I would really look for exceptions   but I would also challenge the person and I would say when do you meet your needs what do you do   to take care of yourself a lot of times clients with abandonment beliefs are so freaked   out and afraid of being abandoned that they’re not taking care of themselves either they’re   just living and are paralyzed going back to fight flee or freeze they’re living a paralyzed state   of I want to be loved but if I love I’m gonna get hurt and I don’t know what to do they don’t even   love themselves so we want to start talking about if you had your best friend you know create this   best friend persona what would he or she say to you what would he or she do right now let’s try to   help you understand yourself with mindfulness exercises are really good here because a lot of times these   clients don’t understand themselves they’ve got so much anxiety they’re so afraid and they don’t   know where it’s coming from because a lot of it has been going on for so long defectiveness   if people knew me they would reject me you know not everybody’s going to like you why do you need   everybody to like you why is it important that everybody likes you and failure I don’t measure   up and I’m not able to succeed I usually put pull out the obnoxious quote that if you haven’t failed   you haven’t tried and we talked about what it means to get outside your comfort zone and you’re   not going to be perfect at everything you’re not going to be Michael Phelps you’re not going to be   the president of the United States that doesn’t mean that you’re a failure that definitely   doesn’t mean you’re a failure so what things are you good at what can you and have you succeeded at and   go back and look over things like you graduated high school, not everybody does that you know   raised a family not everybody does that so we want to challenge all nothing’ languages we   want to look for exceptions and we want to look for in what ways can you provide yourself the   validation so you don’t fear abandonment you don’t need other people to tell you you’re okay because   guess what you’re telling yourself I’m okay and before I go on to unhelpful reactions I do want   to point out that if we tell people to tell themselves you know I’m okay that sounds great   but if they don’t believe it if it’s not supported with evidence, it’s actually probably going to slow   their growth because they’re sitting there going telling themselves I’m okay and in the back of   their head going you know you’re not so we need to get that internal critical voice to kind of   hush up by providing the person with the objective evidence of why they’re okay why they’re good   enough and that’s a slow process it’s not going to happen overnight but encourage people to figure   out why they believe what they believe and then you can work from there okay unhelpful reactions   fighting with someone you don’t want to leave me because so the person may engage in dominant   sort of posturing behavior aggression hostility blaming and criticizing trying to tear down the   other person to say you know what I don’t care and you should be grateful that I’m in your life recognition seeking to get attention validation or approval so if they feel something’s going   wrong in a relationship they may start trying to do something to gain recognition to prove that   they’re worthy of a relationship for what they do versus who they are manipulation and exploitation   said lying justifying I did this because you made me so sometimes we all occasionally do things that   aren’t the nicest people who fear abandonment have difficulty saying you know what I screwed   up and they’re more likely to go you made me do I wouldn’t have done it if you would have X   Y & Z people again who are worried about a relationship is going to fall apart and may also make excuses for   other people’s inappropriate behavior it’s like you know I really hate what this person does but   if I don’t make excuses for it if I condemn it then this person is going to leave in counseling   we can talk about the difference between loving a person and loving a person’s behavior you know I   love my kids to death there is no question about that but some of their behavior makes me want to   climb a wall I’m very clear to separate from them the difference between the behavior that I dislike   and them because you know like I said I love them to pieces and we want to help people start making   this differentiation if they don’t do it already and clinging and chasing is the other fight   reaction stalking and messaging somebody 47 times on Facebook in an hour all these kinds of behaviors   and even online bullying those sorts of things can be fight reactions in response to feeling like   there’s a threat of abandonment flight is more of the I don’t care if you leave so the person   will withdraw physically and emotionally and maybe even numb themselves with some sort of   addictive behavior or distract themselves with something completely different or find a new   person just proof that you know what I didn’t need you because I’ve got this new person now questions for clients about core beliefs all people leave okay so what does it look   like if somebody’s available to you if they don’t abandon you who in your past left you   or was unavailable emotionally now a lot of I find it helpful for mental health   and addiction clients to have them write an autobiography because then we can go back   and kind of review it and identify the core people at certain stages in a person’s life what did the person who left you do to make you feel rejected or abandoned in retrospect   you know it was hard to see the difference what was going on back then because you were a kid in   retrospect what are the alternate explanations for why this may have happened was it really   you or was it more about them who in your past has been available to you emotionally most of   the time people can point to one maybe two people who have generally been there it’s unreasonable to   expect someone to always be there who in your present is available to you emotionally you   know maybe they’ve only been in your life for six months or a year but they are available and I say   emotionally because you know not everybody can be available physically all the time we’ve got   jobs kids all that kind of stuff but can you pick up the phone and call them or text them and say   hey you know what I’m really struggling right now what do you do in your current relationships that cause people to leave do you push them away if so how what are alternatives to pushing them away cutting all ties and just saying fine be that way I wipe my hands off you if you cling how do you do  this in what ways do you perceive yourself as being clinging and what are some alternatives   to holding on with all desperation and mistrust people will hurt reject or take advantage of me or just   not be there when I need them so again what does it looks like when somebody’s or what does it feel   like when someone is trustworthy and safe who in your past was untrustworthy or unsafe what do they   do they taught you this and what are alternate explanations who in your past has been trustworthy  and safe who in your present is available and trustworthy what do you do to yourself that   is unsafe or dishonest that’s one of those tricky questions you’re there talking about other people   other people then it’s like what do you do to yourself how do you lie to your  self or how are you mean and hateful to yourself how does your distrust of other people or even  yourself impact your current relationships some people distrust their own internal intuition so  much that they don’t want to make friends with other people they’re like I can’t tell who’s  going to hurt me and who won’t so just yeah I’m going to wipe my hands of it all what could you  do differently what do you think you could do in order to start building trust and what does  it look like to build trust because Trust doesn’t just appear it builds gradually emotional deaths  deprivation I don’t get the love I need nobody understands me so again what does it look like  when somebody understands you and meets your needs who in the past failed to meet your needs  emotionally and how can you deal with that now you know it may have been mom it may have been   ex-husband it may have been you know who knows how can you deal with it now yourself so you can   put it to rest who in your past is understood you who in your present understands you how   can you start again better understanding yourself because it’s hard for other people to understand   us when we don’t even understand ourselves and what can you do to start getting your needs met you one of the things was starting to get your own needs met is to figure out what your needs are and   this is one of the exercises I have people do as a homework assignment they keep track of what is   it they want on a daily basis keep a log and then let’s talk about what common themes were seeing   if people knew me they would reject me okay so how do you know when you’re accepted or acceptable to   someone who when you’re past may make you feel defective are there alternate explanations and   how can you silence those old tapes because that person that statement stays as a heckler   in the gallery we need to hush the heckler what can you do part of it could be talking back and   saying you know what I’m not going to listen or I don’t have time for this right now who’s   been accepting and supportive who is in your life that’s accepting and supportive and how can you   start accepting yourself and being compassionate so some compassion focus training mindfulness work   to help people understand themselves and start being compassionate with themselves understanding   their vulnerabilities and cutting themselves some slack I don’t measure up I’m not able to succeed   okay that’s a pretty big success you know what is what success means success means different   things to different people so what does it look like to you to be successful let’s kind of hammer  that out what is it if you are successful what would be different what in your past has made  you feel like a failure what are some alternate ways of viewing it such as a learning experience  or something I had to go through to grow or you know brainstorming alternate explanations for   why people fail they don’t have a response to sometimes I ask them to kind of take on   a flip role and say pretend you’re a parent and your child comes home and they’ve tried out for   the football team and they didn’t make the team they failed what are you going to tell on what   have you succeeded at doing in the past what are you good at in the present and we really want to   pay attention to minimization here because a a lot of our clients are not good at identifying   their strengths what does being successful mean in terms of your relationship with others do you have   to be successful in order to be loved and be a the good relationship you know obviously you’re going   to be successful in a relationship if you’re but do you have to be financially successful and powerful all whatever you define success as in order to be in healthy relationships who are   three successful people you know and what makes them successful in your eyes does success equal  happiness you can do a whole group on that and what do your kids need to do to be successful  in life you know we want our kids to succeed in us want our kids to be happy so what is it that I  envision my child’s life to be 10 to 15 years from now triggering relationships the abandoner is  unpredictable unstable and unavailable the an abusive relationship is untrustworthy and  unsafe the deprived err depriving relationship the a person is detached or withholding the Devastator  is always judgmental rejecting and critical and the critic is critical and narcissistic usually   a lot of times people replay their past to try to kind of get it right the second time so we want   to look at do you have a habit of getting into relationships with people who are not safe we can   also ask them how do you exhibit these behaviors in what ways are these behaviors present your   current relationships and in what ways were these present and your primary caregiver relationships behavioral triggers abandonment and mistrust if somebody starts acting differently they change  their behavior in some way a person who fears abandonment goes oh that’s not good if they’re   not getting constant reassurance that’s that external validation can trigger   abandonment fears so again we want to work on internal validation and why is it that you   feel you need constant reassurance from the other person’s relationships feel threatening so   work relationships those sorts of things the a person who has abandonment issues won’t want   their significant other around other people and they become hyper-vigilant to rejection   and disconnection even if it’s just somebody going I had a really bad day I need 20 minutes  and go into the room and shut the door the person with abandonment issues will likely   have a high level of anxiety so we want to ask how these behaviors have threatened them in the   past what are alternate explanations for why this is happening with this person right now and what   would be a helpful reaction to these behaviors now so this is happening what would be a helpful   reaction instead of assuming that the sky is going to fall defectiveness and failure so if   somebody is critical if they have unexplained time apart there’s absent or inconsistent reassurance   or if the person tells them they’re a failure these or they fail at something these could   all be behavioral triggers they could be like I failed at something I’m not getting reassurance that this relationship fixing to end question how is this threatened you in the past alternate   explanations and what would be a helpful reaction to this particular situation right now envisioning activity what does a healthy the relationship looks like presence versus abandonment   acceptance versus rejection emotional support versus emotional unavailability trustworthy   versus untrustworthy and safe versus harmful these are extremes what does it look like to   be a middle ground there are going to be exceptions you know things are going to happen so what does   a healthy relationship look like and how to do you deal with exceptions if somebody’s not always   present how can you create this relationship with yourself that’s the big one and then how can you   create this relationship with others’ mindfulness questions what am I feeling what’s triggering it   am I safe right now and if not what do I need to is this bringing up something from the past if   so how is this different how am I different then I was when I was six or four and how   can I silence my inner critic finally what would be a helpful reaction that would move me  more toward my goals and toward a positive emotional experience summary core beliefs  about the self and others are formed in early life due to children’s lack of knowledge of other  experiences and primitive cognitive abilities these core beliefs are often very dichotomous   core beliefs can be formed around events or experiences outside of the conscious memory   identifying and being mindful of abandonment triggers in the present can help people choose   alternate more helpful ways of responding in the present in secure and loved me   don’t leave me are two really excellent books there are google previews if you want to look   at them to see if it’s something that you like but they do take what we talked about in this   presentation and expand upon it a whole bunch more if you enjoy this podcast please like and   subscribe either in your podcast player or on YouTube you can attend and participate in our   live webinars with doctor Snipes by subscribing at all CEUs comm slash counselor toolbox, this   episode has been brought to you in part by all CEUs com provides 24/7 multimedia continuing   education and pre-certification training to counselors 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Emotional Eating Signs and 7 Tips Cope | Making Peace with Food | Counseling Techniques

This episode was pre-recorded as part of a live continuing education webinar on demand. Ceus are still available for this presentation through all CEUs registered at allies com, counselor toolbox, hi everybody, and welcome to today’s presentation on emotional eating and making peace with food during the next hour.So we’re going to define emotional eating and differentiate it really from eating when to celebrate and when it’s a problem and also differentiate, differentiating it from eating disorders will explore emotional eating in terms of its, beneficial functions and rewards and discuss.Why restrictive diets, don’t resolve emotional eating a lot of times? People will say you know, I have been on this diet forever and it doesn’t seem to be working or I can’t seem to stick to any diet that I try and we’re going to look at different reasons why this might Be what is emotional eating and it’s exactly what it sounds like it:’s eating in response to emotions and feelings other than hunger.So if you’re eating, because you’re bored, if you’re eating at someone and sometimes especially if you are angry at someone or disappointed in someone, you may eat and sort of be eating and thinking you made me do this so eating At someone eating to forget or distract yourself eating, to feel better because when you eat, regardless of what you’re eating, but especially if you eat high sugar high-fat foods, you’re going to release serotonin and dopamine eating out of boredom.You know hand to mouth bang, eating out of habit and, as I said a few minutes ago, not all emotional eaters have an eating disorder um and we want to differentiate that.Does it mean that their eating is not problematic to them? No, not at all.OIP-28If they’re telling you it’s a problem, then it’s a problem.They may not meet the criteria for binge eating disorder or bulimia, but it’s important to address it because they understand that they’re eating for a reason.Other than hunger, they want to stop because they want to eat, for hunger, but not otherwise, and for us as clinicians.The first thing we need to do is understand: why is it that they’re eating? Is it boredom? Is it a habit, so they need to keep a food log or a food journal for over a week or two weeks, and sometimes when people come in for an assessment, especially if that’s one of their main presenting issues? I’ll start by just doing a retrospective of the last three days to get an idea of what may be triggering some of their eating episodes.And then we can look at some of the habits or bad habits, maybe that they’ve gotten into, and start talking about ways to address those remembering that Rome wasn’t built in a day this isn’t going to go away overnight.But a lot of times, if you give people some tips, tricks, and tools to think about implementing when they walk out of your office after the assessment before the first official session, it provides them some hope and gets the momentum going and again you don’t Have to binge to be an emotional eater, some people graze all day long.Some people will eat and it’s not what would be considered technically a binge, but it’s more than they had anticipated.Maybe they go back for second helpings or third helpings when they weren’t hungry, but it was good.So why is eating so soothing? There are a lot of reasons.Now there’s obvious it’s, tastes good, so that’s.You know the big obvious bonus, but thinking about the function eating serves, we have to eat to survive.When you were an infant, it eating involved a closeness with your parental unit, which could release oxytocin, and I say, parental unit because even if it was dad feeding the baby a bottle there was that connection.There was that contact that caused the infant and the parent to release oxytocin. This is our bonding chemical, so eating was associated early on with bonding food may also have been associated with sleep.If the infant or child was given a bottle every night to go to sleep, then they may start thinking or they may be in the habit of eating to wind down or calm down, and we need to help them figure out different ways to do That as a toddler, what eating mean think about when you went from well, we probably don’t, remember that, but think about when your kids went from eating.You know food out of a jar to even their first Cheerios.That was a huge figure out.How to pick up that little cheerio and get it in their mouth and it involved exploration and mastery.They were discovering all different types of textures and tastes and figuring out what smell went with what taste, and it was a cool and exciting time for kids, and I mean think about it.They’re like a year old, so it doesn’t take much to amuse them, but this was the rewarding reward.Equals dopamine equals let’s do that again.It involved power and control of the child.At this point was starting to be able to feed himself or herself and was starting to be able to be somewhat independent of the parent when it came to the basic physiological function of eating. So eating itself had its rewards and it was self-esteem building because the child started learning.You know how to feed yourself and how to ask for what he or she wanted, at least in terms of food.There are formations of memories around foods, even as early as toddlerhood.You know we have celebrations, we have birthdays, we have different things and most children have certain foods that they like, and it could be because the first time that ate that food was a really happy experience or it could be just that’s, their favorite Food and that’s all they want to eat, but they remember that food and they remember when they ate it, they felt good.They felt happy so as an adult there,’s a part of their brain going chicken nuggets.Make me happy now that’s, how the toddler thought as an adult.We can understand that chicken nuggets themselves, aren’t making you happy, but you see the connections that we’re making.Here there’s been an association between happiness and chicken nuggets unhealthy foods, especially for children when, as adults, we’re still able to control what they eat.Your sugary foods and your unhealthy foods are usually reserved for treats or rewards.So when you’re feeling like you need to be rewarded when you’re feeling like you want to feel good, sometimes you’ll resort to those things. When you were a kid that made, you feel good like chocolate, chip, cookies, Haagen Dazs, or whatever it was for you.We’ve talked in the past, about associations and conditioning, and this is all coming back kind of full circle now because we need to understand that our brain has associated pleasure and reward with food for a lot of different reasons.Not just because of nourishment looking at the reasons why your patient eats is going to help you understand what underlying issues you may need to address in treatment.Culturally, we associate eating with caring and celebration and think about birthdays and holidays.What do we get together? We have buffets, we have pot Luck,’s.When someone passes away.What do you bring food over when somebody’s sick? What do you bring food over to in our culture? There is a lot of emphasis put on eating and nourishing, and that’s, true of a lot of different cultures.Low blood sugar can cause feelings of depression and anxiety which are quelled by food.So if somebody typically doesn’t eat well during the day, you know they go long periods without eating or if they have blood sugar issues, to begin with, and then they eat they feel better.So when they start feeling not so good, what do you think their first reaction is, let me eat and see if that helps evolution, predisposes the human body to crave high sugar, high fat, high-calorie foods for quick energy and to prepare for a famine. Our bodies are cool and frustrating at the same time because you know your body takes in this these foods and it says we’re going to secrete, the most amount of dopamine and the most amount of reward for these high-calorie foods because We want to make sure we’re prepared in case there’s a famine back.You know in the day many many many years ago, hundreds of years ago we couldn’t guarantee.We would have a meal every day, let alone three meals every day.So the body prepared – and it said alright – we need to get whatever we can when we can.So we’re going to make this higher fat higher calorie food more rewarding.Now I said it:’s also can be a blessing and a curse.Today, there’s still a little part of our primordial brain.That says, if it thinks there’s a famine, it will slow down your base metabolic rate, which causes people to gain weight.We see this a lot in people with eating disorders, who tend to not take in very many calories, or if they take them in they purge them.So the body goes well. I can’t guarantee I’m gon to get enough food.I’m going to get enough energy to survive.So I’m just going to turn down the thermostat a little bit and turn down the base metabolic rate, which compounds the problem for the person with the eating disorder.So it’s important to understand that the brain is somewhat active in what’s going on.So I keep saying we need to figure out what’s behind or underlying the craving.First, we need to rule out physical causes for some people.It’s as simple as this.If they’ve got low blood sugar because they’re not eating too often and obviously as counselors, we’re not going to diagnose this their doctor or their nutritionist will, but we can start exploring and go.It sounds like you might need to look at having your blood sugar checked or talk to your doctor about how frequently you need to eat because some people – and I know I’m – are very guilty of it.If I get into it into a groove doing something I’ll eat breakfast and then I’ll get into a groove and before I know it, it’s 3 00 in the afternoon and I haven’t eaten for like a whole bunch of Hours I’m not doing math today and my blood Sugar’s low and I’m starting to get foggy, headed and irritable and tired. So it’s a real, simple fix there in our society we are so driven and we are so.We get so caught up in things because that’s such a fast pace that it’s easy to forget to eat or is easy to avoid eating so that’s.The first thing we want to rule out.Are you eating in response to low blood sugar, which is making eating, seem more rewarding when you eat in response to low blood sugar a lot of times, people who do that end up eating more than they normally would because they start eating fast.It’s like I’m going to shovel, in as much as I can.Your brain doesn’t register you’re eating for 20 minutes or so so, before their brain, even registers.What’s gone on and gets the blood sugar back up? They’ve already eaten a whole ton of food.Why is this under-emotional eating? Well because generally, when they go in to just start eating, yes, they’re hungry, but they’re, also cranky and irritable, and most of the time they’re.Not thinking about I’m eating for the nourishment it’s, I’m eating, feel better lack of sleep, and this is so true for shift workers as well.As you know, new parents and college students, and anybody who’s not getting enough sleep. If we are surviving on sugar and stimulants, we’re going Peak and Lower Valley, Peak, and Lower Valley, and you just keep going up and down until you just crash, because every time you crash you crash a little bit lower.So if somebody’s on that roller coaster, they’re going to feel worse between you know: eating episodes they’re going to feel tired.They’re going to feel a flood of sluggish irritable fatigued and, to a certain extent, maybe depression, and they may be missing attribute those feeling, those emotional feelings to emotions versus physical causes, and likewise we also want to make sure that you know we’re addressing The emotional causes because there’s probably stuff there too, but if they’re not getting enough sleep and they’re living on sugar and stimulants their body is kind of in a state of hyper-vigilance, a lot of times it’s exhausted.So they’re going to be tired and cranky.So those are a couple of things that we want to look at.Those are relatively easy fixes or at least relatively easy things to point out and go let’s think about this.One of the things that I suggest for a lot of my clients is just to take a week and mindfully and it is difficult but try to eat healthfully.You know try to eat a few times a day.You know try to eat like three meals a day and get enough water and try to get enough sleep and try not to overdo it.On the stimulants at the, beginning I, 39, am not going to say cut out anything because that 39, is not, realistic and it’s not fair, and they 39, are probably already struggling if they’re coming in to see me, so if I go hey Let’s just turn your world upside down and guess what you’re not going to drink any caffeine anymore. It’s not going to create a happy person, so I asked them to try to make some small changes and see if that starts, to help dehydration causes fogginess and symptoms of depressionWe want to make sure that they rule that out and too many stimulantsAlso causes dehydration, so you know we’re looking at some of the physical causes of irritability and fatigue and cravings because again we’re going back to when I felt this way before not looking at it.Why I felt this way.But when I felt irritable depressed cranky, what made me feel better and generally food, and generally it’s, not good food.For me, it’s M Ms.I love my M Ms, especially the ones with almonds, but I digress.Nutritional causes of cravings, high carbohydrate, and high starch foods caused a greater release of serotonin and endorphins.So if you’ve got somebody who’s depressed for whatever reason that they may crave these kinds of foods to increase their serotonin level or increase the endorphins, their energy levels, chocolate people who crave chocolate may be low in magnesium.It also um the level of magnesium affects how much serotonin is available again. Just I keep saying this just for legal reasons.We want to make sure their doctor or nutritionist goes in and makes this diagnosis, but if there are particular foods that they do crave, they need to bring that up with their medical provider if they’re craving fatty foods.Now again, fatty foods are just good.I love fried foods, but it also could mean that they’re not getting enough Omega threes, Americans, typically don’t and interestingly, if they crave soda, they may be calcium deficient, who knew so?These are things to take a look at to ask people.You know if they’re craving soda, maybe cutting back on their soda a little bit and seeing what happens and or getting blood work done.R-1Once we’ve ruled out the obvious physical causes.They’ve gone to the doctor.Gotten blood work done everything I’m coming back happy.They’re getting enough sleep, but they’re still eating when they’re, not hungry, we need to rule out habits. Is there a particular time or activity that makes you crave this food? When I was growing up, I would go to the grocery store with my mother, and on the way back home from the grocery store.She would always we would always get junk food and she would get a bag of chips and put them in the front seat.It was like a 20-minute drive from the grocery store to our house and by the time we would get back to the house.We would have put a good dent in those potato chips.That being said, I got into the habit of whenever I went to the grocery store.I would get something out of the bag and put it in the front seat and eat on the way home.Now am I paying attention to what I’m eating? No likely am I eating, because I was hungry, probably not so.We want to look at habits.A lot of people will eat when they are watching TV.It’s a huge one. So we want to not do that or if you’re going to eat when you’re watching TV make sure you sit at the table.At least that makes you a little bit more mindful so think about whether are there particular times or activities that you eat and you’re just not hungry.Are there particular times that you mindlessly eat, like, like, I said when you’re driving or when you’re watching television? Those are both habits and can be mindless because you’re not paying attention to how much is going in your mouth.You’re not probably paying attention to the taste and you’re not paying attention to whether you’re full or not.So if you’re mindlessly eating, then there’s going to be a lot more calorie consumption.In addition to the fact that you’re not eating because you’re hungry, you’re just eating to eat, are you going too long between meals than needing a sugar boost which leads to a sugar crash? So again that’s a physical cause? But we want to rule it out.These are bad habits that we can tend to get into other things that can be construed as bad habits are eating without putting food on a plate.If you eat straight out of the bag, you’re going to eat.More than if you put it on a plate, so put it on a plate, sit down, try not to watch TV, all the things that your grandmother would have told you.So what do we do about it? Emotional eating interventions? I talked earlier about the food diary. Do a retrospective during the assessment if they want to get a jumpstart on things, but have them keep a food diary, preferably for the duration of treatment, but at least for a week.What time did they eat? Were they craving just any old food or something salty, something that was sweet, something that was sour? This will give you a general idea and can give their medical provider a general idea if there are any nutritional imbalances or if there are particular associations.What emotion or state were you in, I say state because being exhausted is not necessarily really an emotion.Were you happy sad, mad glad exhausted drained whatever state feels like it would work, and then, because of why were you feeling this way it doesn’t have to be a dissertation? It can be short and sweet, but I encourage clients to write down everything.They eat before they eat it during the first week, or you know, like I said, preferably throughout the entire course of treatment why, before they eat it because it’s a stop, remember we’ve talked before about how we have an urge.We have a craving, we have an urge and then we engage in the behavior oftentimes without stopping mindfully.Think is this what we want to do this provides that stop.It says: okay, I’ve got it to write down the time, and then I’ve got to think about why I’m eating, and honestly a lot of clients notice, a reduction and their habit of eating when they have to do this, just because they don’t want to record-keeping that up for a month or two months helps break some of the habits, eating that they might do like.I said before when they’re eating, I encourage them to use a plate.Sit down. Don’t walk around don’t stand at the counter, eliminate distractions as much as possible and focus on the food you’re eating that goes with mindfully eating.What does it taste like? Is it good to take small bites when my son was young, I think I’ve shared this before he had gastric reflux and we would sit down at the table and I would shovel in food as fast as I could get it in my mouth because He couldn’t be put down for too long before he would start to get fussy, at least until we figured out that he had gastric reflux and Zantac was just a lifesaver.I developed that habit when he was little and I kept it up for a while.It took a while to learn for me to learn to go back to take.You know reasonable bites and tasting my food, and even today, if I’m not paying attention too much, I’ll eat my dinner fast and then I’ll sit there and I’ll be like well.Yes, I’ll taste that a little bit later, because I didn’t taste it when I ate it encourage clients to be aware of their eating habits, and try to avoid setting up a binge by restricting certain foods.Now.Does that mean you have to have cakes and candy and whatever your trigger foods are in your house all the time and in your face? No, I would encourage people not to do that, but to say you know, I said for me M Ms, is one of my favorite reward foods.If you will, I don’t keep them in the house, but I will allow myself occasionally to buy a small snack-size pack of M Ms, when I’m out or I will get a regular-size pack and I’ll share it with my daughter, so I’m not restricting it.I’m not saying I can never M. Ms again, I’m just not making it available to myself when I might have some unrestricted time, try to avoid buying a bunch of comfort foods and keeping them around the house, and when you’ve got kids when you’ve got family, it’s not entirely possible, usually to not have some of that stuff around but try to avoid having the things that you particularly used for comfort, because if it’s not readily available, then you’ve got to focus on guess what dealing with the emotions.Instead of stuffing them with food, try not to go too long without eating.Like I said earlier, if you go too long, then by the time you get to the food, your blood, Sugar,’s low and you’re just shoveling it as fast as you can initially distract.If you know that you’re getting you’re eating and you’re, like I’m – really not hungry, but I want to eat, take a bath, take a walk, call a friend, heaven forbid get on Facebook.Whatever it is, you can do to distract yourself for 10 or 15 minutes if, after 10 or 15 minutes, you’re still going, I want whatever it is, then you can decide what to do about it.Then, most of the time when people stop and go, I’m not hungry.Let me distract myself.They get caught up in that distraction and before they know it, they’ve forgotten about the craving, and identify the emotions.If you know that you’re not hungry, but you want to eat, then say: okay, what’s going on what’s going on with me? It doesn’t mean that the person is never going to eat when, when they’re upset, because a lot of people do, and is it the end of the world, probably not necessary if they can start reducing the frequency of times that they eat.In response to emotional distress that’s, what we want, we want to progress, not perfect if it’s, depression, what’s causing them to feel hopeless or helpless right now, if it’s, stress, anxiety, or anger, remember our big kind of lump together stuff. What are they stressing out about? Do they feel like they’re overwhelmed? Are they afraid of failure, rejection, and loss of control of the unknown? We’ve gone through those things.We want them to identify what’s going on with them, and then they can make better choices about how to deal with it.So general coping helps them develop, alternate ways of coping with distress.Distract we’ve, already kind of gone over that one.I encourage people – and you know it’s – one of those DBT things – that a lot of therapists encourage their clients to keep a list of things.They can do to distract themselves because it’s not always practical to get up and go on a walk.If you’re at work or it’s, you know two in the morning.So what else can you do to distract yourself? Talk it out with a friend with yourself with your dog? Sometimes you just got to get it out.People who are more auditory will prefer talking it out as opposed to journaling it now.If they talk it out with themselves, they can record it if they want to, or sometimes it’s just better to have a dialogue with themself. If it worked for Freud, it can work for other people journaling.If your clients are inclined to journal, encourage them to write it down.Sometimes just getting stuff out of your head and onto paper will help the feelings dissipate a little bit.So you’re not mulling them over and obsessing over them and getting stuck in those thoughts and feelings.Additionally, while you’re distracted talking it out or journaling, this is also your break.Your stop between the urge and the behavior make a pro and con list of the de-stress, not the eating whatever it is, that’s stressing you out and how can you fix it or what are the pros of this situation and what are the downsides To this situation, encourage them to focus on the positive.You know.If something stressing you out at work, you know you’ve got a big meeting coming up or something you don’t want to do or what it is.You can get stuck on focusing on that or you can focus on the positive that you do have a job.That meeting only comes around once a month. You can it’s time you don’t have to be doing paperwork whatever the pros are for that person encourage them to focus on the positive.If you’re distressed because of some kind of a failure or perceived failure, figure out what you learned from it, whether it was a relationship failure, or maybe you learned what not to do in a relationship anymore. Maybe you learned things that you may have ignored.Maybe you learned what you should have done instead, but how can it be a learning opportunity, instead of somewhere to stay stuck and finally, if something’s making you upset if something’s causing anxiety, depression, hopelessness, helplessness, whatever the negative feeling figure out.If it’s worth your energy to get stuck here, is it worth the turmoil? Is it worth you know having to pacify yourself with food or whatever? It is a lot of times people say you know what now it’s, just it’s, not even worth my effort.It’s not worth moving me away from my goals, because my goal is to stop emotional eating.My goal is to eat for hunger, so I can go to dinner with people and feel comfortable.I can be at a party where there’s a buffet and not feel stressed out that I’m going to go and eat half the stuff on the buffet that’s my goal so is holding on to whatever this de-stress is getting me Closer to being able to do those things and generally the answer:’s no develop alternate ways of coping with the stress the ABCs, the a is the activating event.What is stressing you out and what’s causing the de-stress C is the emotional reaction.Angry depressed stressed, whatever be: are your behaviors? What behaviors or B are your beliefs? Sorry, what are the beliefs that are in there that may need to be addressed? What kind of things are you telling yourself, and, and how can you counter them? Cognitively eliminate your vulnerabilities.You knew we couldn’t get through a presentation without talking about vulnerabilities. If someone is well-rested.Well, the fed has a good social support network, not stretch timewise.Then it will be easier to deal with stress or stressors when they come your way.You’ll have more energy to deal with it, so there won’t be this overwhelming feeling of I just want to bury my head in a jar of peanut butter, be compassionate with yourself.Some days, you know you’re, just going to feel anxious.You’re going to feel depressed.You’re going to get angry.You can beat yourself up over it and you know a lot of people do.Is that the best use of your energy or can you be compassionate? Can you learn from it? Can you give yourself a break and go? You know what I’m having a bad day today and that’s okay, I’m not going to unpack and stay here, but I’m not going to fight.It either helps clients learn how to urge surf help. They understand that, just like a panic attack just like a wave just like a lot of other things in life, it will come, it will crest and it will go out again, so they can sort of identify where they are on the energy of that Urge other tools people can use close the kitchen once I have the kitchen cleaned and you know all the dishes are done and it looks pretty.I hate going in there and finding dishes in the sink again now I’ve got teenagers, so we always have dishes in the sink.But before I had children, you know at seven o’clock.I finished all the dishes and closed the kitchen, and that would be enough motivation for me to not go in there and at least not use plates and stuff to eat.So if we’re saying that we’re going to only eat using utensils plates and sitting and all that stuff that we already talked about, then once you close the kitchen, you’re not going back in, there turn off the light.That also helps so you’re not being attracted to the pretty lights, and you know all the goodies that are in the kitchen to brush your teeth.This is something my grandmother used to do and it works.There’s some research behind it.Minty flavors reduce our appetite.So if you brush your teeth, you get all the other flavors out of your mouth and it reduces your urges to eat because it again it’s clean and fresh. And do you really want to brush your teeth again, and meditate, sometimes just getting in a space where you’re, not obsessing about anything, can help people get past that urge to self-soothe by eating a CT for emotional eating.What am I feeling or thinking about what’s going on with me right now? What is important to me? So if I am thinking I want to eat, I want to you know just dive into this jar of peanut butter, and then I think about what’s important to me.Is it important to me to get control of this? Is it important to me to you know, be able to fit into my clothes in six months or not? So what is it in? What way is controlling my eating habits and eliminating emotional eating important to me, and how does that get me closer to other things that are important to me, and what other things could I do? That would get me closer to my goals.So if the goal is to have improved relationships, be able to feel more comfortable around food reduce the stress around going out to eat, and just around food in general, what else can you do when you are stressed out? Somebody also suggested that adding a blue light in the refrigerator decreases the appeal of foods, which is interesting because yellow red and orange, and browns, I think Pizza Hut – are all foods that increase people’s, hunger and desire to eat.But blue is just a completely different primary color, and adding a blue hue seems like that would be effective, so cool thanks for that.Little tidbit there holiday help, and you know we’re coming into the holidays.So I’ve got to bring that up at every single glass and choose lower-calorie foods.If you tend to get stressed out or caught up or mindlessly eat when you are at family gatherings.Okay, you know cut yourself a break, know that that’s, probably going to happen, and fill up on the lower-calorie foods.The carrot sticks the broccoli, the white meat, turkey, anything that’s available, that’s, not like sweet potato pie or brownies, keep water or low-calorie beverage. In your hand, if you’ve got your hand full, you can’t eat at the same time.So you know if you walk around with a cup in your hand, it helps talk to people.Hopefully, you don’t talk with your mouth open or talk with food in your mouth.So if you’re talking to people, you’re not going to be as inclined to go and get something to eat because you’re wanting to stay engaged in that conversation.Stay away from the buffet, especially if you know that it could get stressful, or maybe you know for me, I turn into a pumpkin at like 7 30 at night.I get up at 4 00, but I turn into a pumpkin at 7, 30 and a lot of times holiday parties and those sorts of things are at eight, nine, o’clock at night, and you know I’ve already turned into a pumpkin.So I know that if I go to those I’m going to be more likely to eat just to kind of stay away because I’m tired and it’s a bad habit.It’s not because I’m hungry.So I know I need to stay away from the buffet during those times we rehearse refusal skills.If somebody says. Oh, you, I’ve got to try it by two.This figure out how you’re going to address that ahead of time, because there’s generally probably a lot of really good foods, and you may really want to taste some, but sometimes people who emotionally eat know if they start eating.If they start eating high-fat high calorie foods, they’re going to want to eat everything.So if I start with one bite of a brownie, I’m going to want to eat every suit that’s on the table.If they know that, then they may want to choose to not even go down that road at that juncture, encourage people to stay mindful of their distress meter before they go back for another helping and ask themselves, am I hungry? Am I just wanting to taste what’s here and how do I feel about that? Or am I eating just because I don’t want to be here and I’m bored and I want to fill the time? Have people keep an index card with their coping mantra and two reasons they don’t want to emotionally eat, so I need to be here.I can do this whatever the mantra is that’s going to get them through the night, whatever they’re.Telling themselves that it’s going to help them plow through and make the right choices, but also two reasons that they don’t want to eat, or they’re going to get around it.Maybe they’ve got something at home that they can eat when they get home eating before they go to.The party may also help prevent some grazing holidays, bringing out a lot of emotions in people.Some people struggle with depression, anxiety, jealousy, grief, and anger. You know the whole gamut during this time and during this time there’s food everywhere I mean starting at Halloween when your kids bring home the Halloween candy, which usually lasts about a week in our house baby.Oh, Halloween candy followed by getting ready for Thanksgiving, followed by doing all the baking or whatever you do, and the holiday parties coming up on the December holiday season.There’s just food everywhere, so it’s really easy to cope.If you will, with stress being overwhelmed with being tired by not eating enough healthy food by binging on unhealthy and soothing food if you will so it’s, encouraged it’s important to encourage people to stay.Mindful of why they’re eating what they’re eating, when constantly bombarded with high-fat high carbohydrate foods, people are tempted to eat to feel calm yeah.I challenge anybody to say that they’ve never eaten and go okay.You know I’m.Just focused on this right now I’m not thinking about everything out here and it feels good um.I’m good now, good, probably not the word I should use, but it does help people distract themselves sometimes when they eat, especially those high-intensity foods.You feel happier serotonins are released. Dopamine is released.You’re, like oh, that’s good.I want to do that again or you just feel numb.You can get into a zone where you’re just eating and not caring about it’s.Not that you’re feeling calm, you’re just not feeling anything, and a lot of times when people get into that zone.They’re not tasting the food either.They’re just kind of on autopilot for emotional eating, like most other escape behaviors.Never addresses the underlying emotions and their causes, so we need to look at them.Are you feeling anxious? Are you feeling jittery? Are you feeling depressed because your blood Sugar’s low, because you’re nutritionally deficient because you’re not getting enough sleep or because there’s something cognitive going on, or all of the above emotional eating, often results in physical issues like weight gain Poor sleep and reduced energy weight gain, are you know in and of itself a few pounds here and they’re not a big deal, but some people can start emotionally eating to feel better.They gained a lot of weight. Then they start feeling less energetic.It starts being harder to move around.They get to the point where they are clinically obese.Then they’re going.I’m never going to take all this weight off.They feel hopeless and helpless.You see where this is going, so they eat some more.Can cause poor sleep apnea, it’s hard to get it’s also hard to get comfortable.Sometimes, if you’ve eaten a whole bunch of food right before you go to bed, you know your bellies are all full, and little you wake up.The next morning and your belly are still awful, which means you probably didn’t, sleep very well the night before and emotional eating often results in reduced energy because the foods we binge on the foods we eat for self-soothing often end up causing a sugar Crash some people try to undo emotional eating by restricting other calories which can lead to nutritional deficits and more cravings. I had a girlfriend when I was in high school and you know think back to I don’t know if they still do it, but when we were in high school there was always some kind of candy sale going on and she would always forgo all Other food, so she could have two chocolate bars each day and you know we’re not going to get into the all the other issues surrounding only eating two chocolate bars.But the point I’m making it right now is the fact she wasn’t getting protein.She wasn’t getting it.You know most of her vitamins and minerals and stuff that her body needed to make the neurotransmitter.So she could feel happy and she was contributing to a sugar crash, but I also know that it’s common around the holidays for people to do this.They’ll let go all day without eating because they know they’re going to a party tonight and there’s going to be a lot of really good food doing that once in a while.Not a big deal doing that 10 or 15 times in a month could start to have problems.Emotional eaters need to first find a way to stop before they eat, so, whether it’s writing in a journal or adding.There are a lot of apps on your phone that you can put your food in, even if you’re, not writing about your emotions and your cravings and all that kind of stuff.Sometimes it’s enough to make people stop before they reach. For the food – or you know, kind of an extreme way to go is to not keep pre-processed or prepackaged foods in the house.So anything that you’re going to eat you’ve got to make second identify the underlying reason for your eating figure out.Do I generally eat in response to and then address the thoughts and emotions leading to the urges?So if you figure out the underlying emotions for your eating or your depression, then what thoughts are maintaining that depression? And how can you address it once you address the underlying issues, some of the emotional eating will go away, but some of its habits?We’re going to have to break that habit and, throughout you know, the past couple of decades of working with people.My experience has been the majority of the time people don’t want to hear.Well, once you deal with your emotional issues, the emotional eating will go away now.They’re there because they want to stop that behavior right now.So, yes, we need to work on all the underlying issues but give them a tip or a trick or a tool whatever you want to call it to use before they walk out of your office after every single session.That way, they have something else they can put in their toolbox and feel more empowered to have control over what’s going on with them. And what’s coming their way, having the knowledge of what and why is 80 of helping them get to the recovery point now, if there’s co-occurring or if the eating issues are more than just emotional eating, if there’s, the person meets The criteria for binge eating disorder, bulimia or anorexia.There are a lot of other underlying issues they’re going to have to be dealt with.So I don’t want to trivialize that, but I do want people to feel like they’ve got some hope over what’s going on.Are there any questions? If you enjoy this podcast, please like and subscribe either in your podcast player or on YouTube, you can attend and participate in our live webinars with doctor Snipes by subscribing at all CEUs comm slash counselor toolbox.This episode has been brought to you in part by all CEUs com providing 24 7 multimedia, continuing education, and pre-certification; training to counselors therapists, and nurses, since 2006 use coupon code consular toolbox to get a 20 discount off your order.This month,As found on YouTubeAnimated Video Maker – Create Amazing Explainer Videos | VidToon™ #1 Top Video Animation Software To Make Explainer, Marketing, Animated Videos Online It’s EASIER, PRODUCTIVE, FASTER Get Commercial Rights INCLUDED when you act NOW Get Vidtoon™

Emotional Eating Signs and 7 Tips Cope | Making Peace with Food | Counseling Techniques

this episode was pre-recorded as part of a live continuing   education webinar on-demand CEUs are still available for this presentation   through all CEUs register at allceus.com/counselortoolbox hi everybody and welcome to today’s presentation on emotional eating making peace with food during   the next hour so we’re going to define emotional eating and differentiate it really from eating   when to celebrate and when it’s a problem and also differentiate differentiating it from   eating disorders will explore emotional eating in terms of its beneficial functions and rewards and   discuss why restrictive diets don’t resolve emotional eating a lot of times people will   say you know I have been on this diet forever and it doesn’t seem to be working or I can’t seem   to stick to any diet that I try and we’re going to look at different reasons why this might be   what is emotional eating and it’s exactly what it sounds like it’s eating in response to emotions   and feelings other than hunger so if you’re eating because you’re bored if you’re eating at someone   and sometimes, especially if you are angry at someone or disappointed in someone you may   eat and sort of be eating and thinking you made I do this so eating at someone eating to forget   or distract myself from eating to feel better because when you eat regardless of what you’re eating but   especially if you eat high-sugar high-fat foods you’re going to release serotonin and dopamine   eating out of boredom you know hand-to-mouth bang eating out of habit and like I said a few minutes   ago not all emotional eaters have an eating disorder um and we want to differentiate that it means that their eating is not problematic to them no not at all if they’re telling you   it’s a problem then it’s a problem they may not meet the criteria for binge eating disorder or   bulimia but it’s important to address it because they understand that they’re eating for a reason   other than hunger and they want to stop because they want to eat for hunger but not otherwise and   for us as clinicians the first thing we need to do is understand why is it that they’re eating is   it boredom is it a habit so they need to keep a food log or a food journal over a week or   two weeks and sometimes when people come in for an assessment especially if that’s one of their main   presenting issues I’ll start just doing a retrospective of the last three days to get   an idea of what may be triggering some of their eating episodes and then we can look at some of   the habits or bad habits may be that they’ve gotten into and start talking about ways to address those remember that Rome wasn’t built in a day this isn’t going to go away overnight but a lot   of times if you give people some tips tricks and tools to think about implementing when they walk   out of your office after the assessment before the first official session it provides them some hope   and gets the momentum going and again you don’t have to binge to be an emotional eater some people   graze all day long some people will eat and it’s not what would be considered technically a binge   but it’s more than they had anticipated maybe they go back for second helpings or third helpings when   they weren’t hungry but it was good so why is eating so soothing there are a lot of reasons   now there’s obvious it tastes good so that’s you know the big obvious bonus but thinking about   the function the eating serves we have to eat in order to survive when you were an infant it eating   involved a closeness with your parental unit which could release oxytocin I say parental   unit because even if it was dad feeding the baby a bottle there was that connection there was that   contact which caused the infant and the parent to release oxytocin this is our bonding chemical so   eating was associated early on with bonding food may also have been associated with sleep if the   infant or child was given a bottle every night to go to sleep then they may start thinking or they   may be in the habit of eating to wind down or calm down and we need to help them figure   out different ways to do that as a toddler what an eating means to think about when you went from well we   probably don’t remember that but think about when your kids went from eating you know food   out of a jar to even their first Cheerios that was huge figuring out how to pick up that little   cheerio and get it in their mouth and it involved exploration and mastery they were discovering   all different types of textures and tastes and figuring out what smell went with what taste and   it was a cool and exciting time for kids and I mean think about it they’re like a year old   so it doesn’t take much to amuse them but this was the rewarding reward equals dopamine equals let’s do   that again it involved power and control of the child at this point was starting to be able to feed him   or herself was starting to be able to be somewhat independent from the parent when it came to the basic physiological function of eating so eating itself had its rewards and it was self-esteem   building because the child started learning you know how to feed himself and how to ask for what   he or she wanted at least in terms of food there are formations of memories around foods even as   early as toddlerhood you know we have celebrations we have birthdays we have different things and most   children have certain foods that they really like and it could be because the first time   that ate that food was a really happy experience or it could be just that’s their favorite food   and that’s all they want to eat but they remember that food and they remember when they ate it they   felt good they felt happy so as an adult there’s a part of their brain going chicken nuggets make me happy now that’s how the toddler thought as an adult we can understand that chicken   nuggets themselves aren’t making you happy but you see the connections that we’re making here there’s   been an association between happiness and chicken nuggets unhealthy foods especially for children   when as adults we’re still able to control what they eat your sugary foods your unhealthy foods   are usually reserved for treats or rewards so when you’re feeling like you need to be rewarded   when you’re feeling like you want to feel good sometimes you’ll resort to those things when you   were a kid that made you feel good like chocolate chip cookies or Haagen-Dazs or whatever it was for   you we’ve talked in the past about associations and conditioning and this is all coming back kind   of full circle now because we need to understand that our brain has associated pleasure and reward   with food for a lot of different reasons not just because of nourishment looking at the reasons why   your patient eats is going to help you understand what underlying issues you may need to address in treatment culturally we associate eating with caring and celebrating think about birthdays and holidays what do we do we get together we have buffets we have pot Luck’s when someone passes   away what do you do you bring food over when somebody’s sick what do you bring food   over so in our culture there is a lot of emphases put on eating and nourishing and that’s true of a   lot of different cultures with low blood sugar can cause feelings of depression and anxiety which   are quelled by food so if somebody typically doesn’t eat well during the day you know they   go long periods without eating or if they have blood sugar issues to begin with and then they   eat they feel better so when they start feeling not so good what do you think their first reaction   is let me eat and see if that helps evolution predisposes the human body to crave high sugar high-fat high calorie foods for quick energy and to prepare for a famine our bodies are cool   and frustrated at the same time because you know your body takes in these foods and   it says we’re gonna secrete the most amount of dopamine and the most amount of reward for these high-calorie foods because we want to make sure we’re prepared in case there’s a famine back   you know in the day many many many years ago hundreds of years ago we couldn’t guarantee we   would have a meal every day let alone three meals every day so the body prepared and it   said alright we need to get whatever we can when we can so we’re going to make this a higher fat   higher calorie food more rewarding now I said it’s also can be a blessing and a curse today   there’s still a little part of our primordial a brain that says if it thinks there’s a famine   it will slow down your base metabolic rate which causes people to gain weight we see this a lot   in people with eating disorders who tend to not take in very many calories or if they take them   in they purge them so the body goes well I can’t guarantee I’m gonna get enough food I’m gonna get   enough energy to survive so I’m just gonna turn down the thermostat a little bit to turn down the   base metabolic rate which compounds the problem for the person with an eating disorder so it’s   important to understand that the brain is somewhat active to what’s going on so I keep saying we   need to figure out what’s behind or underlying the craving first we need to rule out physical   causes for some people it’s as simple as this if they’ve got low blood sugar because they’re not   eating too often and obviously as counselors we’re not going to diagnose this their doctor or their   nutritionist will but we can start exploring and go it sounds like you might need to look at having   your blood sugar checked or talk to your doctor about how frequently you need to eat because some   people and I know I’m very guilty of it if I get into it into a groove doing something I’ll   eat breakfast and then I’ll get into a groove and before I know it it’s 3:00 in the afternoon and I   haven’t eaten for like a whole bunch of hours I’m not doing math today and my blood Sugar’s low and   I’m starting to get foggy-headed and irritable and tired so it’s a real simple fix there in   our society we are so driven and we are so we get so caught up in things because that’s such a fast   pace that it’s easy to forget to eat or easy to avoid eating so that’s the first thing we want to   rule out are you eating in response to low blood sugar which is making eating seem more rewarding   and when you eat in response to low blood sugar a lot of times people who do that end up eating   more than they normally would because they start eating fast it’s like I’m gonna shovel in   as much as I can your brain doesn’t register you’re eating for 20 minutes or so so before your brain even registers what’s gone on and gets the blood sugar back up they’ve already eaten a   whole ton of food why is this under emotional eating well because generally when they go in   to just start eating yes they’re hungry but they’re also cranky and irritable and most   of the time they’re not thinking about what I’m eating for the nourishment it’s I’m eating feel better after lack   of sleep and this is so true for shift workers as well as you know new parents and college students   and anybody who’s not getting enough sleep if we are surviving on sugar and stimulants we’re going   Peak and Lower Valley Peak and Lower Valley and you just keep going up and down until you just   crash because every time you crash you crash a a little bit lower so if somebody’s on that roller   coaster they’re going to feel worse between you know eating episodes they’re going to feel tired   they’re going to feel a flood of sluggish irritable fatigued and to a certain extent maybe depressed   and they may be missing attributing those feeling those emotional feelings to emotions versus   physical causes and likewise we also want to make sure that you know we’re addressing the emotional   causes because there’s probably stuff there too but if they’re not getting enough sleep   and they’re living on sugar and stimulants their the body is kind of in a state of hyper-vigilance a   lot of times it’s exhausted so they’re going to be tired and cranky so those are a couple of things that we want to look at those are relatively easy fixes or at least relatively easy   things to point out and go let’s think about this one of the things that I suggest for a lot of my   clients is just to take a week and mindfully and it is difficult but try to eat healthfully you know   try to eat a few times a day you know try to eat like three meals a day and getting enough water and trying to get enough sleep and try not to overdo it on the stimulants at the beginning I’m not   going to say cut out anything because that’s not realistic and it’s not fair and they’re probably   already struggling if they’re coming in to see me so if I go hey let’s just turn your world upside   down and guess what you’re not going to drink any caffeine anymore it’s not going to create a happy   person so I asked them to try to make some small changes and see if that starts to help dehydration   causes fogginess and symptoms of depression we want to make sure that they rule that out and   too many stimulants also causes dehydration so you know we’re looking at some of the physical causes   of irritability and fatigue and cravings because again we’re going back to when I felt this way   before not looking at why I felt this way but when I felt irritable depressed cranky what has made me   feel better and generally food and generally it’s not good food for me it’s M&Ms I love my M&Ms, especially the ones with almonds but I digress nutritional causes of cravings high carbohydrate   and high starch foods caused a greater release of serotonin and endorphins so if you’ve got   somebody who’s depressed for whatever reason that they may crave these kinds of foods to increase their serotonin level or increase the endorphins in their energy levels chocolate people   who crave chocolate may be low in magnesium it also um the level of magnesium affects how   much serotonin is available again just keep saying this just for legal reasons we want to   make sure their doctor or nutritionist goes in and makes this diagnosis but if there are particular   foods that they do crave it’s important for them to bring that up with their medical provider if   they’re craving fatty foods now again fatty foods are just good I love fried foods but it also could   mean that they’re not getting enough Omega threes Americans typically don’t and interestingly if   they crave soda they may be calcium deficient who knew so these are things to take a look   at to ask people you know if they’re craving soda maybe cutting back on their soda a little bit and   see what happens and or getting blood work done once we’ve ruled out the obvious physical causes   they’ve gone to the doctor gotten blood work done everything I’m comes back happy they’re getting   enough sleep but they’re still eating when they’re not hungry we need to rule out habits is there a   particular time or activity that makes you crave this food when I was growing up I would go to the   grocery store with my mother and on the way back home from the grocery store she would always we   would always get junk food and she would get a bag of chips and put them in the front seat it   was like a 20-minute drive from the grocery store to our house and by the time we would get back to   the house we would have put a good dent in those potato chips that being said I got into the habit   of whenever I went to the grocery store I would get something out of the bag and put it in the   front seat and eat on the way home now am I paying attention to what I’m eating no likely am I eating   because I was hungry probably not so we want to look at habits a lot of people will eat when   they are watching TV it’s a huge one so we want to not do that or if you’re going to eat when   you’re watching TV make sure you sit at the table at least that makes you a little bit more mindful so think about their particular times or activities that you eat and you’re just not   hungry are their particular times that you mindlessly eat like like I said when you’re   driving or when you’re watching television those are both habits and can be mindless because you’re   not paying attention to how much is going on in your the mouth you’re not probably paying attention to the   taste and you’re not paying attention to whether you’re full or not so if you’re mindlessly eating   then there’s going to be a lot more calorie consumption in addition to the fact that you’re   not eating because you’re hungry you’re just eating to eat are you going too long between   meals than needing a sugar boost which leads to a sugar crash so again that’s a physical cause but   we want to rule out these bad habits that we can tend to get into other things that can   be construed as bad habits are eating without putting food on a plate if you eat straight   out of the bag you’re gonna eat more than if you put it on a plate so put it on a plate sit   down try not to watch TV all the things that your grandmother would have told you so what do we do   about it emotional eating interventions I talked earlier about the food diary do a retrospective   during the assessment if they want to get a jumpstart on things but have them keep a food   diary preferably for the duration of treatment but at least for a week what time did they eat   were they craving just any old food or something that was salty sweet sour this will give you a general idea and can give their medical provider a general   idea if there are any nutritional imbalances or if there are particular associations with what emotion or   state were you in and I say state because being exhausted is not necessarily really an emotion where you are happy sad mad glad exhausted drained whatever state feels like it would work and   then because of why were you feeling this way it doesn’t have to be a dissertation it can be short and sweet but I encourage clients to write down everything they eat before they   eat it during the first week or you know like I said preferably throughout the entire course of   treatment why before they eat it because it’s a stop remembering we’ve talked before about how we   have an urge we have a craving we have an urge and then we engage in the behavior oftentimes without   stopping to mindfully think is this what we want to do this provides that stop it says okay I’ve   got it to write down the time and then I’ve got to think about why I’m eating and honestly, a lot of   clients notice a reduction and their habit of eating when they have to do this just because they don’t   want to record-keeping that up for the period of a a month or two months helps break some of the habits eating that they might do like I said before when they’re eating I encourage them to use a plate sit   down don’t walk around don’t stand at the counter eliminate distractions as much as possible and   focus on the food you’re eating that goes with mindfully eating what does it taste like is it   good take small bites when my son was young and I think I’ve shared this before he had gastric   reflux and we would sit down at the table and I would shovel in food as fast as I could get   it in my mouth because he couldn’t be put down for too long before he would start to get fussy   at least until we figured out that he had gastric reflux and Zantac was just a lifesaver I developed   that habit when he was little and I kept it up for a while, it took a while to learn for me to   learn to go back to take you to know reasonable bites and tasting my food and even today if I’m   not paying attention too much I’ll eat my dinner rest and then I’ll sit there and I’ll be   like well yes I’ll taste that a little bit later because I didn’t taste it when I ate it encouraging   clients to be aware of their eating habits and try to avoid setting up a binge by restricting certain   foods now does that mean you have to have cakes and candy and whatever your trigger foods are   in your house all the time and in your face no I would encourage people not to do that but to say   you know I said for me M&Ms is one of my favorites reward foods if you will I don’t keep them in the   house but I will allow myself occasionally to buy a small snack-size pack of M&Ms when I’m out or   I will get a regular-size pack and I’ll share it with my daughter so I’m not restricting it   I’m not saying I can never M&Ms again I’m just not making it available to myself when I might   have some unrestricted time to try to avoid buying a bunch of comfort foods and keeping them around   the house and when you’ve got kids when you’ve got family, it’s not entirely possible usually to not   have some of that stuff around but try to avoid having the things that you particularly used for   comfort because if it’s not readily available then you’ve got to focus on guess what dealing   with the emotions instead of stuffing them with food try not to go too long without eating as I said earlier if you go too long then by the the time you get to the food your blood Sugar’s low   and you’re just shoveling it as fast as you can initially distract if you know that you’re   getting you’re eating and you’re like I’m really not hungry but I want to eat take a bath take a   walk call a friend heaven forbid get on Facebook whatever it is you can do to distract yourself   for 10 or 15 minutes if after 10 or 15 minutes you’re still going I rant whatever it is   then you can decide what to do about it then most of the time when people stop and go I’m not hungry let me distract myself they get caught up in that distraction and before they know   it they’ve forgotten about the craving to identify the emotions if you know that you’re not hungry   but you want to eat then say okay what’s going on what’s going on with me it doesn’t mean that   the person is never going to eat when they’re upset because a lot of people do and is it the end   of the world probably not necessary if they can start reducing the frequency of times that they   eat in response to emotional distress that’s what we want to progress, not perfect if it’s   depression that’s causing them to feel hopeless or helpless right now if it’s stress anxiety   or anger remember our big kind of lump together stuff what are they stressing out about do they   feel like they’re overwhelmed are they afraid of failure rejection loss of control of the unknown   we’ve gone through those things we want them to identify what’s going on with them and then they   can make better choices about how to deal with it so general coping helps them develop alternate ways   of coping with distress distract we’ve already kind of go over that one I encourage people   and you know it’s one of those DBT things that a lot of therapists encourage their clients to   keep a list of things they can do to distract themselves because it’s not always practical to   get up and go on a walk if you’re at work or it’s you know two in the morning so what else can you   do to distract yourself talk it out with a friend with yourself with your dog sometimes you just got   to get it out people who are more auditory will prefer talking it out as opposed to journaling   it now if they talk it out with themselves they can record it if they want to or sometimes it’s   just better to have a dialogue with themself if it worked for Freud it can work for other people journaling if your clients are inclined to journal encourage them to write it down sometimes just   getting stuff out of their head and onto paper will help the feelings dissipate a little bit   so you’re not mulling them over and obsessing on them and getting stuck in those thoughts and   feelings additionally while you’re distracting talking it out or journaling is also your   break stop between the urge and the behavior make a pro and con list of the de-stress, not the   eating whatever it is that’s stressing you out and how can you fix it or what are the pros of   this situation and what are the downsides to this situation encourages them to focus on the   positive you know if something stressing you out at work you know you’ve got a big meeting   coming up or something you don’t want to do or what it is you can get stuck on focusing   on that or you can focus on the positive that you do have a job that meeting only comes around once   a month you can it’s time you don’t have to be doing paperwork whatever the pros are for that   person encourage them to focus on the positive if you’re distressed because of some kind of a   failure or perceived failure figure out what you learned from it whether it was a relationship   failure maybe you learned what not to do in a relationship anymore maybe you learned things   that you may have ignored maybe you learned what you should have done instead but how can it be a   learning opportunity instead of somewhere to stay stuck and finally if something’s making you upset if something’s causing anxiety depression hopelessness helplessness whatever the negative   feeling figure out if it’s worth your energy to get stuck here is it worth the turmoil is   it worth you know having to pacify yourself with food whatever it is a lot of times people say you   know what now it’s just it’s not even worth my effort is not worth moving me away from   my goals because my goal is to stop emotional eating my goal is to eat for hunger so I can   go to dinner with people and feel comfortable I can be at a party where there’s a buffet and   not feel stressed out that I’m gonna go and eat half the stuff on the buffet that’s my goal so is   holding on to whatever this de-stress is getting me closer to being able to do those things and   generally, the answer’s no develop alternate ways of coping with the stress the ABCs the a is the   activating event that is stressing you out what’s causing the de-stress C is the emotional reaction   angry depressed stressed whatever we are your behaviors what behaviors or B are your beliefs   sorry what are the beliefs that are in there that may need to be addressed what kind of things are   you telling yourself and how can you counter them cognitively eliminate your vulnerabilities   you knew we couldn’t get through a presentation without talking about vulnerabilities if someone   is well-rested well-fed has a good social support the network does not overstretch timewise then it will be   easier to deal with stress or stressors when they come your way you’ll have more energy to deal with   it so there won’t be this overwhelming feeling of I just want to bury my head in a jar of peanut   butter be compassionate with yourself some days are you know you’re just gonna feel anxious you’re   gonna feel depressed you’re gonna get angry you can beat yourself up over it and you know a lot   of people do is that the best use of your energy or can you be compassionate can you learn from it   can you give yourself a break and go you know what I’m having a bad day today and that’s okay I’m not   gonna unpack and stay here but I’m not gonna fight it either help clients learn how to urge   surf helps them understand that just like a panic the attack is just like a wave just like a lot of other   things in life it will come it will crest and it will go out again so they can sort of identify   where they are on the energy of that urge Panic-loop-3 other tools people can use close the kitchen once   I have the kitchen cleaned and you know all the dishes are done and it looks pretty I hate going   in there and finding dishes in the sink again now I’ve got teenagers so we always have dishes in   the sink but before I had children you know at seven o’clock I finished all the dishes and closed   the kitchen and that would be enough motivation for me to not go in there and at least not use   plates and stuff to eat so if we’re saying that we’re going to only eat using utensils plates and   sitting and all that stuff that we already talked about then once you close the kitchen you’re not   going back in there turn off the light that also helps so you’re not being attracted to the pretty lights and you know all the goodies that are in the kitchen brush   your teeth this is something my grandmother used to do and it works there’s some research   behind it minty flavors reduce our appetite so if you brush your teeth you get all the other   flavors out of your mouth and it reduces your urges to eat because it again it’s clean and   fresh and do you want to brush your teeth again meditate sometimes just getting in a space   where you’re not obsessing about anything can help people get past that urge to self-soothe   with eating a CT for emotional eating what am I feeling or thinking about what’s going on with me right   now and what is important to me so if I am thinking I want to eat I want to you know just dive into   this jar of peanut butter and then I think about what’s important to me is it important to me to   get control of this is it important to me to you know to be able to fit in my clothes in six months or   not so what is in what way is controlling my eating habits and eliminating emotional   eating important to me and how does that get me closer to other things that are important to   me and what other things could I do that would get me closer to my goals so if the goal is to   have improved relationships and be able to feel more Being comfortable around food reduces the stress around   going out to eat and just around food in general what else can you do when you are stressed out somebody also suggested adding a blue light in the refrigerator decreases the appeal of foods   which is interesting because yellow red and orange and browns I think Pizza Hut are all foods   that increase people’s hunger and desire to eat but blue is just a completely different   primary color and adding a blue hue seems like that would be effective so cool   thanks for that little tidbit their holiday help and you know we’re coming into the holidays so   I’ve got to bring that up at every single glass choose lower-calorie foods if you tend to get   stressed out or caught up or mindlessly eat when you are at family gatherings, okay you know cut   yourself a break know that that’s probably gonna happen to fill up on the lower calorie foods the   carrot sticks broccoli the white meat turkey anything available that’s not like sweet   potato pie or brownies keeps water or low calorie beverage in your hand if you’ve got your hand full   you can’t eat at the same time so you know if you walk around with a cup in your hand it helps   talk to people hopefully you don’t talk with your mouth open or talk with food in your mouth so if   you’re talking to people you’re not going to be as inclined to go get something to eat because you’re   wanting to stay engaged in that conversation stay away from the buffet especially if you know that   it could get stressful or maybe you know for me I turn into a pumpkin at like 7:30 at night I get up   at 4:00 but I turn into a pumpkin at 7:30 and a a lot of times holiday parties and those sorts of   things are at eight nine o’clock at night and you know I’ve already turned into a pumpkin so   I know that if I go to those I’m gonna be more likely to eat just to kind of stay away because   I’m tired and it’s a bad habit it’s not because I’m hungry so I know I need to stay away from   the buffet during those times we rehearse refusal skills if somebody says oh you’ve got to try it by   two this figure out how you’re going to address that ahead of time because there’s generally   probably a lot of really good foods and you may want to taste some but sometimes people who   emotionally eat know if they start eating if they start eating high-fat high calorie foods they’re   gonna want to eat everything so if I start with one bite of a brownie I’m gonna want to eat every   suite that’s on the table if they know that then they may want to choose to not even go down that   road at that juncture and encourage people to stay mindful of their distress meter before they go   back for another helping and ask themselves am i hungry am I just wanting to taste what’s here   and how do I feel about that or am I eating just because I don’t want to be here and I’m   bored and I want to fill the time have people keep an index card with their coping mantra   and two reasons they don’t want to emotionally eat so I need to be here I can do this whatever   the mantra is that’s gonna get them through the night whatever they’re telling themselves that   it’s gonna help them plow through and make the right choices but also two reasons that they   don’t want to eat or they’re going to get around maybe they’ve got something at home that they   can eat when they get home eating before they go to the party may also help prevent some grazing   holidays bring out a lot of emotions in people some people struggle with depression anxiety   jealousy grief anger you know the whole gamut during this time and during this time there’s   food everywhere I mean starting at Halloween when your kids bring home the Halloween candy which   usually lasts about a week in our house baby Oh Halloween candy followed by getting ready   for Thanksgiving followed by doing all the baking or whatever you do and the holiday parties coming   up on the December holiday season there’s just food everywhere so it’s really easy to cope if you   will with stress being overwhelmed by being tired by not eating enough healthy food by binging   on unhealthy and soothing food if you will so it’s encouraged it’s important to encourage people to   stay mindful of why they’re eating what they’re eating when constantly bombarded with high-fat high carbohydrate foods people are tempted to eat to feel calm yeah I challenge anybody to say that   they’ve never eaten and go okay you know I’m just focused on this right now I’m not thinking about   everything out here and it feels good um I’m good now goods are probably not the word I should use but   it does help people distract themselves sometimes when you eat especially those high-intensity foods   you feel happier serotonins release dopamine is released you’re like oh that’s good   I want to do that again or you just feel numb you can get into a zone where you’re just eating and   not caring it’s not that you’re feeling calm you’re just not feeling anything and a lot   of times when people get into that zone they’re not tasting the food either they’re just kind of on an autopilot emotional eating like most other escape behaviors never address the underlying   emotions and their causes so we need to look at it are you feeling anxious are you feeling   jittery are you feeling depressed because your blood Sugar’s low because you’re nutritionally   deficient because you’re not getting enough sleep or because there’s something cognitive going on or   all of the above emotional eating often results in physical issues like weight gain poor sleep   and reduced energy weight gain is you know in and of itself, a few pounds here and they’re not a big   deal but some people can start emotionally eating to feel better they gained a lot of weight then   they start feeling less energetic it starts being harder to move around they get to the point where   they are clinically obese then they’re going I’m never going to take all this weight off they feel   hopeless and helpless you see where this is going so they eat some more can cause poor sleep apnea it’s hard to get it’s also hard to get comfortable sometimes if you’ve eaten a whole   bunch of food right before you go to bed you know your bellies all full and little you wake up the   next morning and your belly still awful which means you probably didn’t sleep very well the   night before and emotional eating often results in reduced energy because the foods we binge on   the foods we eat for self-soothing often end up causing a sugar crash some people try to undo   emotional eating by restricting other calories which can lead to nutritional deficits and more   cravings I had a girlfriend when I was in high school and you know think back to I don’t know if   they still do it but when we were in high school there was always some kind of candy sale going on   and she would always forgo all other food so she could have two chocolate bars each day and you   know we’re not going to get into the all the other issues surrounding only eating two chocolate bars   but the point I’m making it right now is the fact she wasn’t getting protein she wasn’t getting you to know most of her vitamins and minerals and stuff that her body needed to make the neurotransmitter   so she could feel happy and she was contributing to a sugar crash but I also know that it’s common   around the holidays for people to do this they’ll let go all day without eating because they know   they’re going to a party tonight and there’s going to be a lot of really good food doing that once in   a while is not a big deal doing that 10 or 15 times in a month could start to have problems emotional   eaters need to first find a way to stop before they eat so whether it’s writing in a journal   or adding there are a lot of apps on your phone that you can put your food in even if you’re   not writing about your emotions and your cravings and all that kind of stuff sometimes it’s enough   to make people stop before they each for the food or you know kind of an extreme way   to go is to not keep pre-processed or prepackaged foods in the house so anything that you’re going   to eat you’ve got to make a second identity the underlying reason for your eating figure   out do I generally eat in response to and then address the thoughts and emotions leading to the   urges so if you figure out that the underlying emotions for your eating or your depression then   what thoughts are maintaining that depression and how can you address it once you address the   underlying issues of some of the emotional eating will go away some of its habits we’re going to   have to break that habits and over the course of you know past couple of decades of working with   people my experience has been the majority of the time people don’t want to hear well once you deal   with your emotional issues the emotional eating will go away now they’re there because they want   to stop that behavior right now so yes we need to work on all the underlying issues but give them   a tip or a trick or a tool whatever you want to call it to use before they walk out of your office   after every single session that way they have something else they can put in their toolbox and   feel more empowered to have control over what’s going on with them and what’s coming their way knowing what and why is 80% of helping them get to the recovery   point now if there’s co-occurring or if the eating issues are more than just emotional   eating if there’s the person meets the criteria for binge eating disorder bulimia   or anorexia there are a lot of other underlying issues they’re gonna   have to be dealt with so I don’t want to trivialize that but I do want people   to feel like they’ve got some hope over what’s going on are there any questions if you enjoy this podcast please like and subscribe either in your podcast player or   on YouTube you can attend and participate in our live webinars with doctor Snipes by   subscribing at all CEUs comm slash counselor toolbox this episode has   been brought to you in part by all CEUs com providing 24/7 multimedia continuing   education and pre-certification training to counselors therapists and nurses since 2006 used coupon code consular toolbox to get a 20% discount on your order this monthAs found on YouTubeHuman Synthesys Studio It’s Never Been Easier To Create Human Spokesperson Videos. 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