Today's Articles

Aaron Beck, Founder of Cognitive Therapy, Receives Coveted Lasker Award

Question:

My hero!  I’ve written several articles on Beck and spent some quality time with him, and also with his wife (a well known federal judge in PA). What a guy… wish he were my pdoc. Thanks for posting this, Jackie.  I’ll make sure it gets to the folks at Beck’s (and my) alma mater.   :-) xxoo Anne — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Aaron Beck, Founder of Cognitive Therapy, Receives Coveted Lasker AwardAaron T. Beck, M.D., Professor Emeritus of Psychiatry at the University of Pennsylvania, the founder of cognitive therapy, and a long-time NIMH grantee, was named the recipient of the prestigious Lasker Award for Clinical Medical Research on September 17, 2006. The Lasker Foundation recognizes "scientists, physicians, and public servants whose accomplishments have made major advances in the understanding, diagnosis, prevention, treatment, and even cure of many of the great crippling and killing diseases of our century." Seventy-one recipients of the Lasker Award have gone on to win the Nobel Prize for their work, most within two years of receiving the Lasker Award. Dr. Beck has received NIH support for more than 40 years, with a total of 13 grants, of which NIMH awarded 11. Trained as a psychiatrist and interested in neurology, Dr. Beck is perhaps most noted for developing cognitive therapy and building the evidence-base for its use in mental health. Through his work spanning more than 50 years, he managed to fundamentally change the classification and treatment of psychiatric disorders. He helped define disease characteristics and developed a vital form of psychotherapy that is used to treat a variety of illnesses, including depression, anxiety disorders, panic disorders, alcoholism, drug abuse, eating disorders, suicidal behavior, and personality disorders. Dr. Beck also helped develop 19 diagnostic scales for measuring symptom severity, including one of the most widely used scales in clinical practice and research, the Beck Depression Inventory. These scales have been critical in bringing about greater rigor in basic research as well as in clinical trials. In addition, Dr. Beck has published more than 500 research articles, authored or co-authored 17 books, and received numerous research awards and honors. In 1994, Dr. Beck and his daughter, Dr. Judith Beck, founded the Beck Institute for Cognitive Therapy and Research near Philadelphia, a natural outgrowth of his research center at the University of Pennsylvania. Dr. Beck has also been named, in separate instances, one of the "Americans in history who shaped the face of American Psychiatry"1 and one of the "five most influential psychotherapists of all time."2 1Talbott, J.A. (2002). Dix Personalit

IF YOU ARE SUFFERING FROM DRUG SIDE-EFFECTS…

Question:

There are numerous problems with the warning information provided by the makers of SSRI drugs.  This information is intentionally misleading, inaccurate and insufficient compared with the actual risks and occurrences of increased thoughts of suicide, suicide attempts, self-harm, violence, hallucinations, addiction and eating disorders. Seidenfeld Associates is currently seeking individuals who believe they may have suffered from increased risks and occurrences of these or other adverse effects due to the use of SSRI drugs. Our goal is to gather individual case histories to establish possible lawsuits that will: (1)     Expose the practice of providing deceptive and misleading warning information by the makers of SSRI drugs. (2)     Force the makers of SSRI drugs to change its current practice of providing information that is intentionally misleading and harmful to users of these products. (3)     Recover substantial monetary damages on behalf of those individuals who have suffered adverse effects due to the use of SSRI drugs because of insufficient or misleading information supplied by the manufacturers. If you have taken SSRI drugs and believe you may have suffered from increased risks and occurrences of thoughts of suicide, suicide attempts, self-harm, violence or other adverse effects, contact us about joining as a plaintiff with no cost to you.  We are dedicated to keeping you informed and helping you to collect damages if you have been injured by misleading and insufficient information.

Response:

omg, your goal is to make money, and this should just NOT be a place where you are.  unfortunately, i can’t legislate that.  if somebody needs a lawyer, they can ask around, or look in the freakin’ yellow pages.  it is lawyer scum that drive the cost of medical care up, cause totally un-necessary fears and distrust between patients and caregivers, and ultimately will probably destroy the entire profession.  either you or the big pharma industry that you claim to hate, but really you thrive on their money – they have a deep pocket.  how disgusting. The data does not corroborate your ‘actual risks’.  There are plenty of ‘actual risks’ of being depressed and un-treated, suicide comes quickly to mind.

– Hide quoted text — Show quoted text – There are numerous problems with the warning information provided by the makers of SSRI drugs.  This information is intentionally misleading, inaccurate and insufficient compared with the actual risks and occurrences of increased thoughts of suicide, suicide attempts, self-harm, violence, hallucinations, addiction and eating disorders. Seidenfeld Associates is currently seeking individuals who believe they may have suffered from increased risks and occurrences of these or other adverse effects due to the use of SSRI drugs. Our goal is to gather individual case histories to establish possible lawsuits that will: (1) Expose the practice of providing deceptive and misleading warning information by the makers of SSRI drugs. (2) Force the makers of SSRI drugs to change its current practice of providing information that is intentionally misleading and harmful to users of these products. (3) Recover substantial monetary damages on behalf of those individuals who have suffered adverse effects due to the use of SSRI drugs because of insufficient or misleading information supplied by the manufacturers. If you have taken SSRI drugs and believe you may have suffered from increased risks and occurrences of thoughts of suicide, suicide attempts, self-harm, violence or other adverse effects, contact us about joining as a plaintiff with no cost to you.  We are dedicated to keeping you informed and helping you to collect damages if you have been injured by misleading and insufficient information.

Response:

PDocs or Beauty Consultants?

Question:

The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre

Hi Deirdre, I found the responses more encouraging It shows that there are many people who recognise the issues raised in the article for what they are. I went through a stage where my weight increased on ADs. It was preferable to depression. Meryl — The charter is available at: http://readystump.algebra.com/~asapm

Response:

In my opinion, the pdoc`s treatment choices, or shall we say, choice to "not" treat is a reflection of society on a whole when it comes to women and beauty. The message is clear, women are nothing if they aren`t beautiful and have the perfect body. I`m not saying everyone thinks this way, but some do. There is so much emphasis on physical beauty and flawless figures. That`s why so many women have eating disorders, that`s why the most popular graduation gift for a girl is a breast job. The bottom-line, it`s okay to be insane, as long as your beautiful and have a knock-out body. Don`t hate me because I`m crazy and beautiful :) Jackie

Err, is this a touchy subject for you? :) I agree 100%.  Women do get the short end of the stick when it comes to looks.  A guy can have a big ole` belly, have one yellow-corn-cob-toothand have cronic halitosis and be "attractive" if he has $MONEY$.  A women has to be some hollywood-bimbo to be "attractive". I served in the USMC a number of years ago and I was pretty shocked when I recently found out that all personnel in the US Armed force can now get face-lifts, nose jobs, breast enlargements, liposuction, or any other kind of elective cosmetic alteration, at taxpayer expense! Too much vanity in the USA :( Jim — The charter is available at: http://readystump.algebra.com/~asapm

Response:

The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre

The doctors had as many problems as their patient. — Ron P I’m an EXPERT….a has-been under pressure<;-) — The charter is available at: http://readystump.algebra.com/~asapm

Response:

About-Face facts on BODY IMAGE Compiled by Liz Dittrich, Ph.D. Interesting Fact: In 1920, women attained the right to vote. This was also the first year of the Miss America Pageant. (Source: WAC STATS: Facts about women). Prevalence A poll conducted by a popular women’s magazine found that 75% of women thought they were "too fat" (Glamour,1984). A large scale survey conducted by Garner (1997) found body dissatisfaction to be "increasing at a faster rate than ever before" among both men and women (p. 34). He found that 89% of the 3,452 female respondents wanted to lose weight. Many women suffer from body dissatisfaction, and assiduous dieting and the relentless pursuit of thinness has become a normative behavior among women in Western society (Rodin, Silberstein & Striegel-Moore,1984). Thinness has not only come to represent attractiveness, but also has come to symbolize success, self-control and higher socioeconomic status. Marketdata Enterprises, Inc. estimated the size of the weight loss industry for 1994 at $32,680 billion. Body image dissatisfaction and eating disorders are more prevalent among females than males. This gender specificity is apparent in that over 90% of patients with anorexia nervosa or bulimia nervosa are women (American Psychiatric Association, 1994). Body image dissatisfaction and dieting behavior isn’t restricted to adolescents or adults. In a study of almost five hundred schoolgirls, 81% of the ten-year-olds reported that they had dieted at least once (Mellin, Scully & Irwin, 1986). A study of 36,000 students in Minnesota found that girls with negative body image were three times more likely than boys of the same age, to say that they feel badly about themselves and were more likely to believe that others see them in a negative light. The study also found that negative body image is associated with suicide risk for girls, not for boys (American Association of University Women, 1990). Wooley and Wooley (1980) found that girls are more influenced and thus more vulnerable to cultural standards of ideal body images, than boys are. A recent national health study, that studied 2,379 9yr and 10 yr old girls (approximately half White and half Black) found that 40 % of them reported that they were trying to lose weight (Striegel-Moore et al, 1996). http://www.about-face.org/r/facts/bi.shtml Sunil – Hide quoted text — Show quoted text – The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre The doctors had as many problems as their patient. — Ron P I’m an EXPERT….a has-been under pressure<;-)

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre

You’re quite right of course. One tends to think that it’s not serious but apparently it is. Philip — The charter is available at: http://readystump.algebra.com/~asapm

Response:

The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre

I’ve had something like that happen to me :/ At one point, my anxiety was pretty bad. So I decided to see a psychiatrist and get some help. After taking my history he came to the conclusion I needed to switch medication from mirtazapine (Avanza/Remeron) to Prozac. Now this had several problems: 1. Avanza actuallly worked for me and lifted my depression. I felt motivated and wanted to look after myself/my house/my life etc. 2. Prozac doesn’t work for me. I’ve had it poop out on me once before, and I just felt dead on it. To put it simply, I just stopped caring about EVERYTHING (not good). His rationale for this? Oh the Prozac will help you lose weight (I put on about 20kg while on Avanaza), and that will help you get a boyfriend.   Thats what you need to make you feel better. This is despite me saying that I don’t want to come off Avanza, it works for me, I feel better (depression wise) than I have for a long time. I didn’t want to go back on Prozac, I don’t like that drug. "Oh no", he said, "Avanza is really bad for weight gain and the Prozac will work just as well plus it will help you lose weight". After a couple of sessions with him, I discontinued seeing him. I got sick of having to but heads with him over the whole Prozac/Avanza issue. My mental health is more important to me than my physical appearence. I know for me, it was more important to get the head straightened out first, then the body :)  I’ve had boyfriends..I’ve already proven to myself that I can get on..so at that stage in my life it was a non-issue. Yet, the doc thought differently. And of course.. he knows best..I mean, what would I know? I only have to live in my body 24/7, he only saw me like 15mins once a fortnight. I’m still on Avanza (which I suppliment with Valium as needed..which is rare now) and I have managed to work through the majority of anxiety to the point where is very under control :) . And..I’ve managed to lose alot of the weight I’ve gained with Avanza too :D I haven’t had a boyfriend for a long long long while now..but in all honesty, I don’t feel the need for one. I’m quite happy trotting along to the beat of my own drum :) I think there can be too much focus on physical appearence to the detriment of mental health. Sometimes I want to give some doctors a good swift kick up the backside :D Zoe — What you don’t own a rat? What kind of freak are you? — The charter is available at: http://readystump.algebra.com/~asapm

Response:

The following link is to a blog entry that very nicely sums up a news article that infuriates me.   The link for the blogger’s source to the article is in the blog entry. http://blog.iblamethepatriarchy.com/2006/02/07/to-be-hot-and-nuts/ I’d love to hear what you all have to say about the doctors’ decisions and so on. Deirdre — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Disability looking better by the minute

Question:

On 29 Sep 2005 19:10:11 -0700, "Luke Flyswatter" <chewie_r…@hotmail.com> wrote: >I’m taking 40mg in morn and at night.  I tried taking 80mg, but I was >too jumpy – like a crack addict needing a fix

I understand.  I’m taking three times that!  It seems whenever something goes wrong, the psychiatrist wants to up my dosage!  I plan to scale back if that is alright with my doc. Buther Boy — Remove the word Spam from my e-mail to contact me… http://www.PrivacySig.com/SIGbutherboySpam-gmail-black.png ~

Response:

I wonder how much the othe side of the world is overmedicated.  The thing about schiz is the complete cure isn’t in a pill – yet.  Docs can only guess what works for you.  One has to be their best doc.  Let the real docs get the scripts.

Response:

I’m a security guard.  I took the job 3 years ago.  Was a temp, but jobs became scarce when the economy went to shit.  I’m trying to get back into the office gig.  I was making good money at one post, but they got rid of me when I let someone on site who shouldn’t have been there.  Now I’m making the same as I would if I was disabled.  I want to work, don’t get me wrong, just somewhere else.

Response:

I’m taking 40mg in morn and at night.  I tried taking 80mg, but I was too jumpy – like a crack addict needing a fix

Response:

I take 60 mg of geodon at night and 20 mg in the morning.  Anymore than that and I become hyperactive also,  I can’t stop pacing. penguin

Response:

Alas, you need to avoid any income, and still survive for 5 moths to get SSDP. "Luke Flyswatter" <chewie_r…@hotmail.com> wrote in message

news:1127999589.270620.311330@g14g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> Don’t mean to flood the group but I’m freaking out.  I’ve had so many > interviews to get a new job.  The job I have is making me sick.  Maybe > I’m a little more sensitive now that I’m on Geodon, but I’ve got my > life back.  No more sleeping 12+ hours.  No more binge eating.  I’ve > got motivation to have all the sex I want.  It’s definitely not like > being off meds.  I missed a dose and freaked out for a couple of days > (if you’ve missed my posts – big hug to ya!).  I hate my boss.  I’ve > had daydreams of murder, etc. (about him) on seroquel, but now I see > that THIS IS NOT GOOD FOR ME on Geodon.  Perhaps since the only thought > in my brain isn’t : mmmm, hungry or mmmm, sleepy time > You guys are very intelligent, and I would like your advice. > Oh, I’ve been on Geodon for about 2 weeks now.

Response:

Don’t mean to flood the group but I’m freaking out.  I’ve had so many interviews to get a new job.  The job I have is making me sick.  Maybe I’m a little more sensitive now that I’m on Geodon, but I’ve got my life back.  No more sleeping 12+ hours.  No more binge eating.  I’ve got motivation to have all the sex I want.  It’s definitely not like being off meds.  I missed a dose and freaked out for a couple of days (if you’ve missed my posts – big hug to ya!).  I hate my boss.  I’ve had daydreams of murder, etc. (about him) on seroquel, but now I see that THIS IS NOT GOOD FOR ME on Geodon.  Perhaps since the only thought in my brain isn’t : mmmm, hungry or mmmm, sleepy time You guys are very intelligent, and I would like your advice. Oh, I’ve been on Geodon for about 2 weeks now.

Response:

Authority figures can cause heart attacks.

Response:

what is your job?

Response:

How high of a dose are you on? On 29 Sep 2005 06:13:09 -0700, "Luke Flyswatter" <chewie_r…@hotmail.com> wrote: >Don’t mean to flood the group but I’m freaking out.  I’ve had so many >interviews to get a new job.  The job I have is making me sick.  Maybe >I’m a little more sensitive now that I’m on Geodon, but I’ve got my >life back.  No more sleeping 12+ hours.  No more binge eating.  I’ve >got motivation to have all the sex I want.  It’s definitely not like >being off meds.  I missed a dose and freaked out for a couple of days >(if you’ve missed my posts – big hug to ya!).  I hate my boss.  I’ve >had daydreams of murder, etc. (about him) on seroquel, but now I see >that THIS IS NOT GOOD FOR ME on Geodon.  Perhaps since the only thought >in my brain isn’t : mmmm, hungry or mmmm, sleepy time >You guys are very intelligent, and I would like your advice. >Oh, I’ve been on Geodon for about 2 weeks now.

– Remove the word Spam from my e-mail to contact me… http://www.PrivacySig.com/SIGbutherboySpam-gmail-black.png ~

Response:

All clients have the right ~

Question:

"AnComm is an encrypted web based messaging service that opens two-way lines of communication between students and school administrators. As an early warning system, it addresses topics of concern and identifies solutions. The dialogue it creates is critical in eliminating race, religious, social or gender biases. More importantly, it gives the unreachable child a voice and breaks the code of silence through anonymous communication. Ancomm, Inc. purchased the non-profit Safety Organization for Schools (SOS) in 2005. SOS originally developed the service as a response to increasing media reports of tragic events occurring in America’s schools, such as the Columbine and Pearl High School tragedies. Beta testing began in 2001 at James Bowie High School in Austin, Texas. The students actively participated in developing the software to fit an educational environment. Within two weeks of implementing SOS, an impending suicide was reported and prevented. Since that time, our service has helped children deal with numerous issues,

Hilary Duff

Question:

>Is this how she looks now?

http://www.askmen.com/women/actress_60/76_melissa_joan_hart.html    Yes, she’s already got one of those hardened looks like most of the female alcoholics have.

Response:

>Hey, that Gilmartin dude is with you there.  He’d like to give you

attractive autistic teen >girls.  Of course he’s a complete nutter…    The Astrology part of his book was kind of crazy.

Response:

>Because you’re a filthy pervert who wants to >degrade women with his schlang?

Doesn’t everybody?

Response:

>She used to be cute. >What happened?

  She has one of those faces that ages rather quickly.

Response:

>She used to be cute. >What happened?

   Kirsten Dunst is the same way, she was adorable from 14-20 and then started going downhill fast. Some women are only attractive for a very small portion of their lives.

Response:

Chris wrote: > She used to be cute. > What happened?

Reminds me of the actress who played Sabrina witch … cute as a teen but then got ugly in her 20s.  Course I’m not one to critique as I’ve been ugly since birth.

Response:

>Reminds me of the actress who played Sabrina witch … cute as a teen but

then got ugly in her >20s.   You are right, Melissa Joan Hart’s looks declined severely and much of it was caused by her alcoholism. She turned into a chubby drunkard.

Response:

Yeah she used to be fun to masturbate to,just not in public.Too much make-up and no real friends,yeah Hilary Duff dont look so sweet anymore. – Hide quoted text — Show quoted text -"Chris" <ckc1…@netzero.com> wrote: >X-No-Archive: yes >She used to be cute. >What happened?

Response:

How does anyone keep abreast of all these teen starlets?  They seem to roll off the assembly line at a phenomenal rate and I get them confused with one another, that is, if I know who they are at all. Aren’t all of their movies/albums/whatever marketed to 13 year old girls?

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She develpoed an eating disorder. She looks sick. KC

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"MrWigglesworth" <mrwigglesworth2…@nospam.hotmail.com> wrote in news:d50050f3eb441bfae3f447166d896e50@localhost.talkaboutsupport.com: > How does anyone keep abreast of all these teen starlets?  They seem to > roll off the assembly line at a phenomenal rate and I get them > confused with one another, that is, if I know who they are at all. > Aren’t all of their movies/albums/whatever marketed to 13 year old > girls?

Why do I always find it so funny when someone uses the phrase "keep abreast"?  Anyway, good post.

Response:

>How does anyone keep abreast of all these teen >starlets?

   A lot of shy guys who missed out on dating in their teen years remain kind of fascinated by what is described as the normal social/sexual developmental process of adolescence. Have you ever been to the Dr.Gilmartin/Love Shyness group on Yahoo? In that group there is a guy who is over 40 but he was a huge fan of the teen soap opera "Dawson’s Creek" when it was on the air. Comedian/TV star Conan O’Brien admitted to being a big "Saved By The Bell" fan until he was almost 30.     The shy guy in his mid-late 20’s therefore feels more connected to younger people who are still trying to find themselves just as he is. This comes down to them not feeling mature enough to relate to adults and therefore they are not on the same developmental timetable.     I still watch shows made for teenagers, "Smallville" is my favorite right now. >Aren’t all of their movies/albums/whatever >marketed to 13 year old

girls?   Yes

Response:

I love Laguna Beach on MTV. Check it out sometime. KC

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>I love Laguna Beach on MTV. Check it out sometime.

  What time is it on? It is completely normal for us to like these shows because we are basically only about 16-17 RIGHT NOW in terms of social development.

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>What time is it on? It is completely normal for us >to like these shows because we are basically only >about 16-17 RIGHT NOW in terms of social >development.

LOL!  Whatever helps you sleep at night.

Response:

>LOL!  Whatever helps you sleep at night.

  You think that we are actually our proper ages in terms of social development? I doubt that anyone will agree with you on that.

Response:

>You think that we are actually our proper ages in >terms of social development? I doubt that anyone >will agree with you on that.

Oh, I agree with that part.  I don’t think it’s a valid excuse to watch teenage sugarfluff soap operas.  Unless you’re 16 years old mentally as well.  And a girl.

Response:

>Oh, I agree with that part.  I don’t think it’s a valid excuse to watch

teenage sugarfluff soap operas. Unless you’re 16 years old mentally as >well.  And a girl.

  KC will probably disagree with you, he’s already said that he is learning a lot about relationships by watching that show "Laguna Beach" on MTV. I’ve watched a bunch of soaps so I don’t really have anything else to learn from them now. If I watch a soap opera now it is usually to stare at the beautiful women and rub my tallywhacker.

Response:

>   KC will probably disagree with you, he’s already said that he is > learning a lot about relationships by watching that show "Laguna Beach" on > MTV. I’ve watched a bunch of soaps so I don’t really have anything else to > learn from them now. If I watch a soap opera now it is usually to stare at > the beautiful women and rub my tallywhacker.

I think there should be a treatment program for people like us. I am mentally 13 years old… so I should be given a 13yo girl to kiss. Then, a 14yo to fuck, then 15 and so on up until my real age.

Response:

aabne <aa…@death.com> wrote in news:43046df2$0$4749$afc38c87@news.optusnet.com.au: >>   KC will probably disagree with you, he’s already said that he is >> learning a lot about relationships by watching that show "Laguna >> Beach" on MTV. I’ve watched a bunch of soaps so I don’t really have >> anything else to learn from them now. If I watch a soap opera now it >> is usually to stare at the beautiful women and rub my tallywhacker. > I think there should be a treatment program for people like us. I am > mentally 13 years old… so I should be given a 13yo girl to kiss. > Then, a 14yo to fuck, then 15 and so on up until my real age.

Hey, that Gilmartin dude is with you there.  He’d like to give you attractive autistic teen girls.  Of course he’s a complete nutter…

Response:

In news:Xns96B5D2C0134FDeh3du@localhost, Troll <tr…@master.com> wrote : > "F

I need to lose weight..now what?

Question:

Hey, whats up, I’m a 23/female from Minneapolis, MN. I am 5′6 and weigh approximately 155 pounds or more. (At last check, I was 151, but I am assuming I’ve moved up to at LEAST 155. I don’t own a scale. I’m pretty sure I’m still under 160 though.) Anyway although I know I am not obese or anything, I’m sick of always feeling chubby, esp. in the stomach, and I would like to tone up and get down to the 135-140 area, and STAY THERE. So heres my problem….I have *no idea&* how. I mean sure, I know that veggies and fruits, grains etc etc are the best things to eat, I know avoiding fattening foods (the GOOD ones lol) would help, and that I have to start exercising a lot more. But the problem is that as much as I say it, I’ll do it for one day, and than the next day….work is over, I’m starving, theres the drive-through at mcdonalds…. I seem to be completely unable to motivate myself in a positive way. Once upon a time I considered myself an expert. But I know now that most of my "expertise" on weight loss was really part of the eating disorders I had when I was a teenager. It really took over my whole life. At my lowest I was 107 pounds, but I’d still look in the mirror and see an extremely fat person. At one point when I was 14, I went two weeks without eating. Looking back, I don’t know how I was able to function while doing that to myself. So somehow, I’m not sure exactly how, I managed to stop pretty much on my own. I’m proud to say I haven’t starved myself or forced myself to throw up since I was 17. And going down that path is the last thing I ever want to do again. I think thats where some of my fear of dieting comes from; I’m afraid it will trigger some of those old fears that used to rule my life. But now, I would like to be healthy. I know I’ll never weigh 120 pounds again, and god I don’t even want to, I’d have no boobs! lol But I guess my main question is that of motivation. How do you keep yourself motivated to get where you want, in a positive way? I say in a positive way because when I started out dieting (when I wasn’t even fat) all the ways I "motivated" myself to lose weight were negative. Some included looking at pictures of models (that I now know are anorexic and air-brushed) or here was one: squatting down and staring at my thighs and thinking of how fat they are. See, I dont’ want to do any of that. And I know that diets just *DON’T WORK*. So what do you do to keep yourself motivated to just, eat healthy, avoid the bad (yummmyyyy lol) foods, drink water and above all else EXERCISE????? I really need some good suggestions. I’m a pretty busy person most of the time; I work and I’m a full-time college student. So I think thats part of the problem; its just all too easy to go through the drive-through or order a pizza when you are busy and/or studying. I enjoy fattening foods like Pizza (mostly pizza!), cheese sticks, french fries, steak, nachos with cheese and sour cream, burgers, fried chicken, etc etc…..I try to avoid it but I cave at least 3 times per week. I love low-fat stirfry’s, but its so hard to find time to make them. I bought like 10 low-fat yogurts two weeks ago, figuring i would take one with me each day and have it sometime in the afternoon so I wouldn’t get so hungry. So far, I’ve had one. Today I went to mcdonalds. who really wants yogurt instead of a cheeseburger? Anyway this is LOOOONGGGGGGGGG sorry! Just venting and looking for some advice!:-) — Anyanka420

Response:

*Bumping my message up* lol sorry:-) — Anyanka420

Response:

Oh my, I wish I was as thin as you.   20 years ago I weight 155 and I’m 5′6, damn I wish I was that again.  That is your idea weight unless you are small boned, then maybe 135-140.  You are not far from a perfect weight.  Just kick up the exercise, walking, take stairs as often as possible. What you described is a problem with your body image the same that anorexic people have– seeing someone fat that isn’t fat.  When you were 107, that was way way too thin even if you didn’t see it.  You should talk to a nutritionist and they will help you determine how you should eat, and if you have an eating disorder, or potential for one. I’ll say it again, you are NOT fat!

Response:

Is anyone else just starting out?

Question:

- Hide quoted text — Show quoted text – I am tired of being overweight, tired of thinking about food so much. Also, maybe if I’m going to think about food all the time, I might as well eat in a healthy/fuel way, instead of thinking about it all the time and eating unhealthy. I consider that I have a disordered relationship to food, but not an eating disorder. I realized, with some dismay, that I envied two co-workers who lost a lot of weight this past year. One had gastric bypass surgery, and the other has a very dangerous illness that makes her unable to eat much (scleroderma). And yet I envy them. I consider this pretty messed up, disordered thinking. Well, it would be more messed up if you decided to do stupid stuff to yourself to promote weight loss.  Instead you have a sane and sensible approach without the pain.

What she said. — jmk in NC

Response:

Thanks for the suggestions. Part of my problem is trying to please evreyone, getting frustrated & not doing anything, and eat to alm myself down. I just have to say the heck with everyone sometimes, I need to take care of myself. I’ll need to involve the kids with the exercise. I’m trying to get them to like flavors of ice cream I’m not crazy about. I tried eating ice cream till I was sick of it, but that didn’t work :)

Response:

Take my word for it that after five years at goal, every day is still like just starting out. I have to give some thought to what I’ll be eating during the day and rmind myself to snap back if there is an occasional or sequential splurge. — Diva ****** There is no substitute for the right food

Response:

– Hide quoted text — Show quoted text – Hi All,   I’v been lurking for awhile.. trying to figure out something that will work.  I identify with the tiredness, night binging.  I’ve gotten into a really bad rut.  Too tired to exercise. I work full time with 3 young kids, my mom lives with us (stressfull). I’ve been dealing with tiredness, & stress by eating.   I’ve been on vacation & actually lost weight this week. We’re away from home, I’m getting enough sleep, and gotten alot of exercise that I don’t normally get.  I need to find some way to incorporate some of this into my everyday life.   One suggestion here that I’m going to try is numerous small meals a day. I tend not to be hungry early in the day, maybe trying to shift my eating from late night. And somehow find a way to padlock the ice cream freezer :)

I can relate to the ice cream.  It was one of my trigger foods.  I just don’t bring it into the house anymore.  If I want it I have to go to an ice cream palor where I can get just a small cone. Are your kids old enough to be included in your exercise?  I used to take mine out walking with me.  I would let them ride their tricycles or pull them in their wagon.  As they became older we often went bike riding together, Young kids love to imitate their parents.  Mine would always join me when I used an exercise video.  I would give them a small dumbbell (1-2lb) and have them follow along with me.  I’m sure you can come up with several exercises they can do with you. Beverly

Response:

Hi All,   I’v been lurking for awhile.. trying to figure out something that will work.  I identify with the tiredness, night binging.  I’ve gotten into a really bad rut.  Too tired to exercise. I work full time with 3 young kids, my mom lives with us (stressfull). I’ve been dealing with tiredness, & stress by eating.   I’ve been on vacation & actually lost weight this week. We’re away from home, I’m getting enough sleep, and gotten alot of exercise that I don’t normally get.  I need to find some way to incorporate some of this into my everyday life.   One suggestion here that I’m going to try is numerous small meals a day. I tend not to be hungry early in the day, maybe trying to shift my eating from late night. And somehow find a way to padlock the ice cream freezer :)

Response:

Hi Mary, I have been slowly starting over the past 4 months or so. I have been lurking here for a while, and have read some great inspiration. I started with exercising in Feb. Going for hour long walks a few times a week, and it was cold!! So, in March, when the local Curves gym was advertising a cheap memebership, I signed up with my mom. I have been dedicated to exercising since then, going 2-5 times a week, depending on my schedual (I am a shift worker). The weight loss has been slow, but I will admit that my diet has pretty much stayed the same. I am slowly trying to change little things in my diet to decrease the amount of calories I eat every day. I am really struggling with this, but I am optimistic that I will eventually figure it out. I have tried numerous diets in the past, and have just gained the weight back and then some, so I am going about this a bit more slowly, and hoping to have longer effects from it. Thanks to everyone here for the inspiration that I get from you in reading daily posts. Andrea 267/259/180 – Hide quoted text — Show quoted text – We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Just wondering! Mary

Response:

I am tired of being overweight, tired of thinking about food so much. Also, maybe if I’m going to think about food all the time, I might as well eat in a healthy/fuel way, instead of thinking about it all the time and eating unhealthy. I consider that I have a disordered relationship to food, but not an eating disorder. I realized, with some dismay, that I envied two co-workers who lost a lot of weight this past year. One had gastric bypass surgery, and the other has a very dangerous illness that makes her unable to eat much (scleroderma). And yet I envy them. I consider this pretty messed up, disordered thinking.

Well, it would be more messed up if you decided to do stupid stuff to yourself to promote weight loss.  Instead you have a sane and sensible approach without the pain. Recently I was diagnosed with esophagitis and the amount and types of food I can eat are limited.  First thing that ran through my mind was "hey great, this will help me stick to my WOE."  Maybe it’s messed up or maybe I’m trying to find something positive from the experience cause it’s a pretty sucky way to stick to a WOE. — the volleyballchick

Response:

We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Just wondering! Mary

Even though I’ve kept it off a considerable amount of weight for a few years, I have more to go.  Only recently I’ve had some resolution of illnesses and injuries that were taking my focus from weight loss so now I’m "starting over" at least in the sense that my focus is back on losing rather than maintaining.  It would be nice to lose two pants sizes by the end of the year but I would live with one. :) — the volleyballchick taking a cue from the tortoise

Response:

I’ve also read that sleep deprivation raises cortisol levels which helps to build and retain visceral tummy fat.

Thank you for your suggestions. I sleep a lot, but there is still a tiredness that comes with working nights. And yes, you’re right about cortisol. I do find that, if daylight hits me at the end of a night shift (as opposed to a gray day) I feel like I really want to eat, even if it’s not possible that I’m actually blood sugar-hungry. I think it’s cortisol. Night shift people tend by about 30% more than others to be overweight, have heart/GI trouble, heart attacks, etc. I’m sure it’s a chemical loading that leads to the bad habits. I do find the Nutrisystem foods are high enough in fat/protein/carbs to actually be filling. I do most of my eating at work (and most of my fending off bad eating right after work). My days off, sometimes I don’t care to eat at all. Sufficient sleep, I imagine. REM sleep. Thanks again for your comments. Ilene B

Response:

We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Just wondering!

/raising hand I feel like it’s a long way to go. Probably will post my numbers after a while. My plan right now is to K.I.S.S. (Keep It Simple, Stupid ;) ) That is, exercise more days a week than not *and* avoid junk food. My "start" date is rapidly approaching. I alternate between excitement and fear. I could just cry because I am so tired of being fat. And I think I have some sort of inverted body image disorder…in my head, I don’t really feel fat/feel like I look fat. Of course, photos prove my body image is distorted. My goal for now is to commit for a year. I figure, practice makes perfect, right? And I’ve never stuck with habitual exercise and healthy eating for more than 4 or 5 months. (I realize this goes against the "new WOE/WOL" philosophy, but I’m hoping that it will work to keep me motivated.) I figure, if I lose a pound a week, I will be at/near goal within a year. By that time — which seems like a miracle at this point — shouldn’t I have sufficient motivation to keep going with what will have been proven to work? I mean, in a way, I’m thrilled to think that, this time next year, I could be the thin person I’ve always wanted to be. — Asia

Response:

- Hide quoted text — Show quoted text – I’m just starting, too.  I lost a bunch of weight (75 lbs) healthily my freshman year of college (took up running, ate less and better), but I got injured during this past winter (my sophomore year) and let the pounds accumulate with the injury and depression. I found a comfortable weight at ~160 lbs last summer, and I think I’m about 20 or 30 pounds above that right now.  This time, I want to get down to around that size (not weight, necessarily) while holding on to more muscle (I’m generally rather scarily muscular and have a large frame, hence the relatively high weight of 160 lb for a 5′6" girl).  I don’t keep up with weight (or BMI) much, but I do have in mind a level of muscle definition and curves that I want. Working out regularly is easy for me, but the food defeats me every time.  I’m learning how to eat as a non-vegetarian (sufficient protein, not so heavy on the carbs), but more importantly, limiting portion amounts.  That’s the clencher for me–if I’m eating something good, I want to *keep* eating it, regardless of what signals my body is sending me about not being hungry anymore, being full, being stuffed… I need to learn how to listen to my body’s signals again.  It’s weird, because I can do it with regards to exercising, but it’s so damn hard to do it with food.  I also figure I better figure this out and get it down while I’m young and have a few extra advantages. I started tracking my eating a couple of weeks ago (I bought FitDay) and have decreased my caloric intake, but the focus is more finding out what my ideal caloric intake is based on the triggers I should be listening to.  That’s what’s going to take a minute to figure out. So I’m not on a particular system, but I am just starting out on figuring out what my body  needs right now for fuel. I’ve been watching your recent posts and following along, Mary, because what you’ve been writing and asking have been wonderful for helping me out, too.  Thanks. Lissa http://irrsinn.net

Lissa, I’m 5′6" and have a lot of muscle, too.  I’m pretty fit at 165, though my butt and thighs are still dumpy.  You can see pictures at: http://www.bodyforlife-tracker.com/searchprofile.cfm?id=10797 I found that Mistress Krista had a lot of really useful things to say to me as a woman with more-than-average LBM.  I mean, work with what you’ve got, right? http://www.stumptuous.com/weights.html Dally 244/165/155

Response:

I consider myself perpetually starting out, LOL. I have a lifetime of being overweight and just a few short years of being anything close to normal … so I’m right there with you on "starting out" with this 20 lbs. I have to lose. I am just starting again with my food journal and that is a sobering experience. I haven’t kept one for more than two years because I hate it and it makes me feel like a baby and I hate having to write down everything and not being able to mindlessly stuff food in my mouth without any accountability. But compared to maintaining a 180-lb. weight loss, guess what’s more important to me! So I’ll keep the food journal. At least for this month. :-)

I also feel like I have to cycle back to the beginning from time to time.  Drinking my water and logging on fitday and getting enough sleep… I come back to those skills as a touchstone whenever I want to restart fat loss.  I don’t have to keep the food journal going, but it is important to just reacquaint myself with what portion sizes are and how my macronutrient ratio is breaking out. Dally

Response:

- Hide quoted text — Show quoted text – We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Hi Mary!  I’m sort of just starting out. I began my new way at the end of February.  I’m down 31, but I still have 40 more to go — I figure that at my current rate (about 1 pound a week) I’m looking at a year before I’ll be to where I want to be.   I’m trying not to be impatient because I have to eat this way for the rest of my life, so if it takes a pound a week, or a pound a month, eventually it will all come off. Anyway, hi! Donna  

Donna, it’s good that you aren’t in a rush, because my experience is that it’s a never-ending journey.  Others might have reached goal and stopped, but I’ve reached goal and changed goals several times.  :-) I’ve been on this transformation kick for over three years now and I’m glad I didn’t wait to live until I reached goal.  I read a great book called "Slow, Fat Triathlete: Living An Athletic Life in the Body You Have Now" and it was empowering and inspiring.  My point is that life is a journey, not a destination.  Living as a slender person doesn’t have to wait until you’re slender! Another thing I’d point out now is that linear weight loss isn’t really all that important, desireable or even achievable.  Much more likely is weight loss followed by long stalls.  I tend to lose in the last two weeks of my menstrual cycle but nothing in the first two weeks.  And I tend to gain all of April and December and spend every May and January just undoing the damage from the previous months.  And sometimes I don’t put any effort into changing and just do what I call "practicing maintenance."  I think it’s very helpful to do that. Dally

Response:

- Hide quoted text — Show quoted text – Are you looking to lose a few, or do you have a loooong way to go, like I do? I am just starting, meaning I am still wrapping my mind around the facts and pinpointing my weak spots. I might have always eaten for entertainment. I don’t remember, because I never gained weight significantly until almost 40, when I went back to night shifts and found myself eating almost wildly after a shift. I gained weight very rapidly. Have never tried "diets" (that is, fads, etc.) and consider myself well informed on the facts of weight loss/exercise. I used to exercise more but got more and more tired from my night shifts and overweight. So I find myself at 52, with about 75 pounds to go to a realistic healthy weight for my size and age. I believe in the idea that one has to develop new habits. For instance, the tooth-brushing idea. I am trying to develop the habit of not grabbing food just because it is there (while shopping or at my job, where there is often a lot of treats around. Then again, everything looks like a treat at 3am). I just started the Nutrisystem food, and have lost four pounds in the four weeks. I have still grabbed food at work, but less so. I am also calculating how much money I can save by not buying stuff on the way home from work, like a sub sandwich or pizza. The donut urges seem gone- they give one heartburn after a night shift. (So does the other stuff…) I am tired of being overweight, tired of thinking about food so much. Also, maybe if I’m going to think about food all the time, I might as well eat in a healthy/fuel way, instead of thinking about it all the time and eating unhealthy. I consider that I have a disordered relationship to food, but not an eating disorder. I realized, with some dismay, that I envied two co-workers who lost a lot of weight this past year. One had gastric bypass surgery, and the other has a very dangerous illness that makes her unable to eat much (scleroderma). And yet I envy them. I consider this pretty messed up, disordered thinking. So yes, I’m just starting out. If I don’t make the conscious effort, my bad habits will win out and it’ll only be more downhill. I certainly am concerned about health effects and am disappointed in myself for being on blood pressure medication. I want to eat for fuel, not for entertainment/soothe from annoyance/night shifts. Etc. Thanks for asking. Ilene B

Ilene, after reading this I saw one overriding theme: you’re tired. That’s one of my big triggers for eating; to get an energy boost from the food.  I wanted that little extra mental sharpness (to drive safely home, to get one more thing done, to help concentrate). Finding a successful way of eating meant that I had to make it work for my energy needs.  I found that a couple of things helped with this problem. First of all, get lots of sleep.  Sleep is really, really important for fat loss.  Sleep deprivation – in me – is associated with eating-badly-for-energy the next day, as well as being too tired to exercise.  I’ve also read that sleep deprivation raises cortisol levels which helps to build and retain visceral tummy fat. Next, PLAN to eat when you need that energy boost.  Don’t undermine yourself by not allowing yourself to eat, just PLAN a heathy snack for then with a balance of carbs, protein and healthy fats.  My experience is that junky carbs magically appear when I’m hungry, but lean proteins only show up if I planned for them and put them there.  Start having a myoplex lite shake at 3 am or a hardboiled egg and a small apple.  My experience is that equal portions of fiber-rich carbs and lean proteins in about 200 to 300 calorie doses goes a long ways towards sating me and giving me energy while approriately fueling my body.  Other ideas would be cottage cheese and fruit, or wasa crisps with low-fat cheese & ham, or a Balance Bar. The third thing is caffeine.  I love caffeine.  I buy generic No-Doz tablets and a pill cutter and medicate myself with caffeine deliberately throughout the day.  Not too late in the day or I can’t sleep, and not so much that I get jittery, but 50 mg of caffeine at 3 pm makes all the difference in me getting through the final push of the day.  I realized one day that I was reaching for a chocolate bar then because I craved the sugar/caffeine combo.  A caffeine tablet (or an iced coffee) meets that need with a lot less calories. I hope this helps. Dally 244/165/155

Response:

Mary schreef: We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do?

If you do, take your ‘before’ pictures NOW, if you haven’t done so yet. You may hate to see them now, but you’ll *love* being able to see the difference later! Berna (101.5/67/64 kg) — ( )_( ) Berna M. Bleeker-Slikker / http://www.volksliedjes.nl

Response:

I’m just starting, too.  I lost a bunch of weight (75 lbs) healthily my freshman year of college (took up running, ate less and better), but I got injured during this past winter (my sophomore year) and let the pounds accumulate with the injury and depression. I found a comfortable weight at ~160 lbs last summer, and I think I’m about 20 or 30 pounds above that right now.  This time, I want to get down to around that size (not weight, necessarily) while holding on to more muscle (I’m generally rather scarily muscular and have a large frame, hence the relatively high weight of 160 lb for a 5′6" girl).  I don’t keep up with weight (or BMI) much, but I do have in mind a level of muscle definition and curves that I want. Working out regularly is easy for me, but the food defeats me every time.  I’m learning how to eat as a non-vegetarian (sufficient protein, not so heavy on the carbs), but more importantly, limiting portion amounts.  That’s the clencher for me–if I’m eating something good, I want to *keep* eating it, regardless of what signals my body is sending me about not being hungry anymore, being full, being stuffed… I need to learn how to listen to my body’s signals again.  It’s weird, because I can do it with regards to exercising, but it’s so damn hard to do it with food.  I also figure I better figure this out and get it down while I’m young and have a few extra advantages. I started tracking my eating a couple of weeks ago (I bought FitDay) and have decreased my caloric intake, but the focus is more finding out what my ideal caloric intake is based on the triggers I should be listening to.  That’s what’s going to take a minute to figure out. So I’m not on a particular system, but I am just starting out on figuring out what my body  needs right now for fuel. I’ve been watching your recent posts and following along, Mary, because what you’ve been writing and asking have been wonderful for helping me out, too.  Thanks. Lissa http://irrsinn.net

Response:

I consider myself perpetually starting out, LOL. I have a lifetime of being overweight and just a few short years of being anything close to normal … so I’m right there with you on "starting out" with this 20 lbs. I have to lose. I am just starting again with my food journal and that is a sobering experience. I haven’t kept one for more than two years because I hate it and it makes me feel like a baby and I hate having to write down everything and not being able to mindlessly stuff food in my mouth without any accountability. But compared to maintaining a 180-lb. weight loss, guess what’s more important to me! So I’ll keep the food journal. At least for this month. :-) Mary

– Hide quoted text — Show quoted text – We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Just wondering! Mary

Response:

We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do?

Hi Mary!  I’m sort of just starting out. I began my new way at the end of February.  I’m down 31, but I still have 40 more to go — I figure that at my current rate (about 1 pound a week) I’m looking at a year before I’ll be to where I want to be.   I’m trying not to be impatient because I have to eat this way for the rest of my life, so if it takes a pound a week, or a pound a month, eventually it will all come off. Anyway, hi! Donna

Response:

 Are you looking to lose a few, or do you have a loooong way to go, like I do?

I am just starting, meaning I am still wrapping my mind around the facts and pinpointing my weak spots. I might have always eaten for entertainment. I don’t remember, because I never gained weight significantly until almost 40, when I went back to night shifts and found myself eating almost wildly after a shift. I gained weight very rapidly. Have never tried "diets" (that is, fads, etc.) and consider myself well informed on the facts of weight loss/exercise. I used to exercise more but got more and more tired from my night shifts and overweight. So I find myself at 52, with about 75 pounds to go to a realistic healthy weight for my size and age. I believe in the idea that one has to develop new habits. For instance, the tooth-brushing idea. I am trying to develop the habit of not grabbing food just because it is there (while shopping or at my job, where there is often a lot of treats around. Then again, everything looks like a treat at 3am). I just started the Nutrisystem food, and have lost four pounds in the four weeks. I have still grabbed food at work, but less so. I am also calculating how much money I can save by not buying stuff on the way home from work, like a sub sandwich or pizza. The donut urges seem gone- they give one heartburn after a night shift. (So does the other stuff…) I am tired of being overweight, tired of thinking about food so much. Also, maybe if I’m going to think about food all the time, I might as well eat in a healthy/fuel way, instead of thinking about it all the time and eating unhealthy. I consider that I have a disordered relationship to food, but not an eating disorder. I realized, with some dismay, that I envied two co-workers who lost a lot of weight this past year. One had gastric bypass surgery, and the other has a very dangerous illness that makes her unable to eat much (scleroderma). And yet I envy them. I consider this pretty messed up, disordered thinking. So yes, I’m just starting out. If I don’t make the conscious effort, my bad habits will win out and it’ll only be more downhill. I certainly am concerned about health effects and am disappointed in myself for being on blood pressure medication. I want to eat for fuel, not for entertainment/soothe from annoyance/night shifts. Etc. Thanks for asking. Ilene B

Response:

We’ve heard from the successful people (you guys rock and are truly motivating!) but now I’m curious to know who else is on here and is starting out just like me.  Anyone?  Are you looking to lose a few, or do you have a loooong way to go, like I do? Just wondering! Mary

Response:

Question for Margrove

Question:

Dr. LM: I still have this miserable choking phobia (or is it OCD?) and it’s getting very old.  I’m able to force down only two or three cups of water every day, so I feel weak and tired all the time.  Soups, puddings, and Jello are just as difficult to get down.  Drinking in front of another person is out of the question.  I have a little trouble with some solid foods, but have only lost a few pounds, not 30 like the last time this got bad. The Paxil worked for me for years, but this year my phobia came back along with the winter depression, though I am still free of panic and my social anxiety has disappeared.

Depression can lead to an increased level of anxiety. Which could account for the recurrance of the choking phobia. Are you using the light box? Pdoc added Lexapro three weeks ago, and I’m up to 10 mg.

I’ve never heard of taking two SSRIs at once. I would have increased the dose of Paxil, or increased the dose of Ativan, or added a norepinephrine reuptake inhibitor such as desipramine so your meds are directly manipulating both serotonin and noreipinephrine. I know I have to wait longer to see if it works, but even if it does, I don’t like being at the mercy of another drug that might also "poop out" in a few years.

I’m not sure your Paxil has pooped out. You have an increase in anxiety and/or stress so you’re getting symptom breakthough (choking phobia). And why does the Paxil still work for the panic and social anxiety and not for the choking phobia?

Maybe the choking phobia is a stronger fear. And harder to treat. How do I go about finding a cognitive therapist who can treat this?  I want someone who has successfully treated other patients with the disorder.  I’m so afraid of getting a bumbling idiot who will only make me worse.  Is it possible to be treated over the phone?

Check online to see if there is an organization of cognitive behavior therapists, and see if they have a list of individuals in your area. You may have to phone a few to see if they have treated people with choking phobia. Or is there somewhere a protocol that I can learn and treat it myself?  A paper maybe?

Does the David Burns’ book (Feeling good the new mood therapy) give you any ideas on how to challenge your thoughts? This really cramps my style and I’m down to being able to drink only from one "special" cup and the water has to be heavily iced, Any ideas?  I’m desperate and don’t want to go all the way to Seattle for treatment, but will if there is no other way.  Nearest big city is Tacoma, Washington. Any ideas?  Thanks, Margrove.

((((Dot)))) Chip — The charter is available at:

I did it again

Question:

all of us have been where you are, some of us have gone for counseling, most of us have tried everything, the fact is that you must do it, for you, having a man who cares either way is a big help.  Just worry about today’s food, not losing, and not the long haul, just eating right today, welcome and good luck, Lee

– Hide quoted text — Show quoted text – Hi-my name is Karin, I live in Ontario, Canada. I’m  43 and have lost the same 10, then 20, pounds over and over again. I’ve been ‘dieting’ since I am 12. Is there ever an end in sight? I felt really good earlier this year, I had lost 20 pounds (the healthy way – balanced food and exercise, felt really sexy again for a change), with another 10 or  15  to go, and then I don’t now what happened – I just  ate and ate. Now I  have gained 25 back – in 15 weeks! i just could not stop!  I am totally in the dumps – I am going on vacation  in 10 days visiting friends that last saw me last 14 years and 30 pounds ago (as their Aerobics instructor!!!). How can I face them?  I almost don’t want to go anymore, but of course that would be silly. My man loves me at a size 10 or 16 (I am 5"10) – it’s me that can’t stand the rolls. I’ve done it so many times, I feel like throwing in the towel – what’s the point in losing it again, if I just gain it back? Well,  I am sure most of you know and lived or are living the story. What is this need to  stuff one’s face? Did anyone ever  seek  counseling because of their weight problem? I have tried everything under the sun at least twice, and of course always lost some of the weight. I know  the healthy approach and about support and the lifestyle change and all of that – theoretically I am a 135 pounds.. :) – why can’t I live it? Sorry for venting here, but I am getting on every body’s nerves with the same old story  at home (including my own). It does not help  that I am the only one amongst my family and friends who  has the weighty issue – they love me, but they are not willing to gain 20 pounds to commiserate with me! :) So..how can I lose 30 pounds in 10 days… ??? :) ) (just kidding) Karin

Response:

Hi-my name is Karin, I live in Ontario, Canada. I’m  43 and have lost the same 10, then 20, pounds over and over again.

Hi, Karin.  I’m really good at the yo-yo routine myself, although I like to go more dramatic and gain and lose around 40 or 50 lbs.  :)  (I’m down 45 this time and having to bite my tongue not to tell everyone that it won’t last.  If I have that defeatist attitude, I’m sure it won’t!  I -am- hopeful, because I’ve never done WW before, and I’ve learned a lot about food choices that I never knew before.) <snip I’ve done it so many times, I feel like throwing in the towel – what’s the point in losing it again, if I just gain it back?

Well, I can’t answer for you, but for me the point is to keep the gaining from going higher and higher and higher.  I am not the sort to level off. If I leveled off at 15 or 20 pounds above my ideal weight, I might well choose to stay there rather than risk my immune system with the yo yo (if the Journal of the American Dietetic Association is right).  Since I don’t seem to level off, I tend to consider my diets a success of a different sort…the time I spent losing was time I could have spent gaining instead, and the weight I put on is returning me to my former weight rather than adding onto it. <snip Did anyone ever  seek  counseling because of their weight problem?

I’ve never counseling for that, but I have an Obsessive Compulsive Disorder, and one of my therapists was an eating disorder specialist as well.  We never discussed dieting, but I know his practice thrived.  I suspect there are a lot of reasons why people get psychologically tangled up in food.  If you look at the government publication on "Binge Eating Disorder," which is believed to be the most common eating disorder, they totally waffle on the causes, though they do discuss a few commonalities. ( http://win.niddk.nih.gov/publications/binge.htm ) Anyway, good luck with your meeting with your friends.  I know it can be awkward getting together with people who know the thinner you.  One good thing I’ve personally encountered is that while people generally comment freely on my weight loss, very few of them say a thing about my weight gain. :) Angela

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:o ) if you can’t vent here where can you vent ? First welcome to our group !!!!! Second.. welcome to the club.. *grin* we’ve all been there believe me ! My view on it ? don’t "diet to loose weight" just "change your lifestyle to make it healthier" the weight loss will follow and since it’s a permanent change, the lbs will stay off.. What we do is we diet, loose the weight.. then start feeling deprived.. and boom… all h… break loose ! Make this a lifestyle change.. not a diet ! — Will~ "… so that’s how liberty ends, in a round of applause." Queen Amidala Personal goal 125 lbs / 56.7 Kg

– Hide quoted text — Show quoted text – Hi-my name is Karin, I live in Ontario, Canada. I’m  43 and have lost the same 10, then 20, pounds over and over again. I’ve been ‘dieting’ since I am 12. Is there ever an end in sight? I felt really good earlier this year, I had lost 20 pounds (the healthy way – balanced food and exercise, felt really sexy again for a change), with another 10 or  15  to go, and then I don’t now what happened – I just  ate and ate. Now I  have gained 25 back – in 15 weeks! i just could not stop!  I am totally in the dumps – I am going on vacation  in 10 days visiting friends that last saw me last 14 years and 30 pounds ago (as their Aerobics instructor!!!). How can I face them?  I almost don’t want to go anymore, but of course that would be silly. My man loves me at a size 10 or 16 (I am 5"10) – it’s me that can’t stand the rolls. I’ve done it so many times, I feel like throwing in the towel – what’s the point in losing it again, if I just gain it back? Well,  I am sure most of you know and lived or are living the story. What is this need to  stuff one’s face? Did anyone ever  seek  counseling because of their weight problem? I have tried everything under the sun at least twice, and of course always lost some of the weight. I know  the healthy approach and about support and the lifestyle change and all of that – theoretically I am a 135 pounds.. :) – why can’t I live it? Sorry for venting here, but I am getting on every body’s nerves with the same old story  at home (including my own). It does not help  that I am the only one amongst my family and friends who  has the weighty issue – they love me, but they are not willing to gain 20 pounds to commiserate with me! :) So..how can I lose 30 pounds in 10 days… ??? :) ) (just kidding) Karin

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Willow said it all.  Don’t diet.  Change your eating habits and lifestyle to one that will result in a thinner, healthier, happier you. If you were an aerobics instructor you can get back to the exercise.  I have a friend who was in the same situation as you, former aerobics instructor who let the eating get out of control.  Just take it slowly, I think Fred said one bite at a time.  You just have to keep working at it. Audrey

– Hide quoted text — Show quoted text – :o ) if you can’t vent here where can you vent ? First welcome to our group !!!!! Second.. welcome to the club.. *grin* we’ve all been there believe me ! My view on it ? don’t "diet to loose weight" just "change your lifestyle to make it healthier" the weight loss will follow and since it’s a permanent change, the lbs will stay off.. What we do is we diet, loose the weight.. then start feeling deprived.. and boom… all h… break loose ! Make this a lifestyle change.. not a diet ! — Will~ "… so that’s how liberty ends, in a round of applause." Queen Amidala Personal goal 125 lbs / 56.7 Kg Hi-my name is Karin, I live in Ontario, Canada. I’m  43 and have lost the same 10, then 20, pounds over and over again. I’ve been ‘dieting’ since I am 12. Is there ever an end in sight? I felt really good earlier this year, I had lost 20 pounds (the healthy way – balanced food and exercise, felt really sexy again for a change), with another 10 or  15  to go, and then I don’t now what happened – I just  ate and ate. Now I  have gained 25 back – in 15 weeks! i just could not stop!  I am totally in the dumps – I am going on vacation  in 10 days visiting friends that last saw me last 14 years and 30 pounds ago (as their Aerobics instructor!!!). How can I face them? I almost don’t want to go anymore, but of course that would be silly. My man loves me at a size 10 or 16 (I am 5"10) – it’s me that can’t stand the rolls. I’ve done it so many times, I feel like throwing in the towel – what’s the point in losing it again, if I just gain it back? Well,  I am sure most of you know and lived or are living the story. What is this need to  stuff one’s face? Did anyone ever  seek  counseling because of their weight problem? I have tried everything under the sun at least twice, and of course always lost some of the weight. I know  the healthy approach and about support and the lifestyle change and all of that – theoretically I am a 135 pounds.. :) – why can’t I live it? Sorry for venting here, but I am getting on every body’s nerves with the same old story  at home (including my own). It does not help  that I am the only one amongst my family and friends who  has the weighty issue – they love me, but they are not willing to gain 20 pounds to commiserate with me! :) So..how can I lose 30 pounds in 10 days… ??? :) ) (just kidding) Karin

Response:

Hi-my name is Karin, I live in Ontario, Canada. I’m  43 and have lost the same 10, then 20, pounds over and over again. I’ve been ‘dieting’ since I am 12. Is there ever an end in sight? I felt really good earlier this year, I had lost 20 pounds (the healthy way – balanced food and exercise, felt really sexy again for a change), with another 10 or  15  to go, and then I don’t now what happened – I just  ate and ate. Now I  have gained 25 back – in 15 weeks! i just could not stop!  I am totally in the dumps – I am going on vacation  in 10 days visiting friends that last saw me last 14 years and 30 pounds ago (as their Aerobics instructor!!!). How can I face them?  I almost don’t want to go anymore, but of course that would be silly. My man loves me at a size 10 or 16 (I am 5"10) – it’s me that can’t stand the rolls. I’ve done it so many times, I feel like throwing in the towel – what’s the point in losing it again, if I just gain it back? Well,  I am sure most of you know and lived or are living the story. What is this need to  stuff one’s face? Did anyone ever  seek  counseling because of their weight problem? I have tried everything under the sun at least twice, and of course always lost some of the weight. I know  the healthy approach and about support and the lifestyle change and all of that – theoretically I am a 135 pounds.. :) – why can’t I live it? Sorry for venting here, but I am getting on every body’s nerves with the same old story  at home (including my own). It does not help  that I am the only one amongst my family and friends who  has the weighty issue – they love me, but they are not willing to gain 20 pounds to commiserate with me! :) So..how can I lose 30 pounds in 10 days… ??? :) ) (just kidding) Karin

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