Showing posts with label intuitive eating. Show all posts
Showing posts with label intuitive eating. Show all posts

Thursday, May 27, 2010

"Through Thick and Thin" Kicks Off, "Women, Food and God" Weekly Support Group

Women Food and God: An Unexpected Path to Almost Everything

Hello Community,

May 12th, 2010 will go down as a very pivotal moment in history for the non-diet movement. It was on this day that Oprah had Geneen Roth on her show to discuss her new book, "Women, Food and God". Many of us have been waiting for Oprah to pick up the baton and spread the message to the global community as only she can. As I watched the interview, it felt like a victory for all of us.

I'm glad that Oprah has decided to give up her battle of the bulge and instead learn how to deeply care for herself. This was quite a leap in her rather public struggle. I know it took a great deal of courage, self-reflection, and honesty for her to come out and announce to the world at large that she will never diet again.

I enjoyed the show very much. I do wish that Geneen had more of the floor. I feel that Oprah did most of the talking and I really wanted to hear more of what Geneen had to say. Talking to many other people who saw this interview I have come to discover that this was the general consensus. I also was disappointed that the show did seem to have overtones of the diet mentality peppered throughout. Hey, I get it. Americans want to see results. It's all about the numbers. However, images of before and after shots seemed to run completely counterintuitive to the message that was being shared. It reminded me of something very pertinent that Linda Bacon said in her book, "Health at Every Size". I'm paraphrasing here, but quintessentially Linda expressed that intuitive eating approached like a diet is nothing more than a diet. I couldn't agree with her more.

With splashy images of now thin women who had used the approach outlined in Geneen's books and workshops, the general message conveyed was, "Follow this path and you too can be skinny. You can have the body you've always wanted." Sadly, I feel this does a great disservice. I would have appreciated a more well-rounded view of what this process really entails.

I heard no discussion whatsoever about the anxiety that is encountered when making the choice to never diet again. The illusion was painted that this is a seamless transition free of complication. Those of us who have spent any length of time using this approach know that it is anything but. I heard nothing of the struggle, the confusion, the emotional upheaval, or the fact that where your body chooses to happily settle may not even be in the ballpark of the fantasy view you covet of your body's natural size.

This is not a quick fix. It is the road less traveled and a long, winding road at that. However, despite the ups and downs, it is worth every step taken on the road back to you. That's what we are doing here. We are finding our way back to ourselves... our sacred selves. We are excavating our authentic life. A life that has become buried under the rubble of food and body obsession. Food and body obsession has served as a distraction in our lives. It has prevented us from feeling our emotions, owning our truth, being in contact with our true needs, and discovering the source of our passion and purpose. This is a process of reclaiming. If you think it has anything to do with the size of your dress or the silly little number on a scale, you are missing the point... big time.

Of course we all desire to be our best self. We all want health and vitality but this reality is never obtained by fixating on our weight, stepping on the scale each morning, or having our lives amount to nothing more than the pursuit of thinness. Ironically, health and well-being become the natural result when you nurture self-love and respect. When you have high regard for yourself, you want to take the very best care of you. There is no need for coercion. No dangling carrot that needs to be chased after. When you accept yourself through and through in this moment, you move from reacting, to responding. Reaction is based in fear and response in love. When you get up each morning and greet the day with excitement for the possibilities that lie ahead, you are responding. When you can look at your reflection in the mirror and smile because you know that in this moment, you are more than enough, in fact, you are quite wonderful... you are responding. When you feed your body nourishing foods and move in a way that infuses your life with pleasure and fun, you are responding. Love is the movement and from this momentum all self-care takes root and flourishes.

Diets are based on reaction. You feel crappy about yourself and your life so you react by blaming your body for all of your woes rather than tuning in and feeling out what is really going on. You feel there is no meaning and purpose in your life. Instead of getting in touch with this sense of lack and gaining understanding into your needs and how they can be met, you cling to the illusion that if you only weighed 20 lbs. less everything in your life would be perfect. It's not that carrying around a lot of excess physical baggage can't compromise your sense of wellness. As Geneen Roth states in, "Women, Food and God", if the size of your body has created a scenario where your entire life revolves around your sense of limitation, it's time to think of taking better care of yourself. If you are huffing and puffing to get up a flight of stairs, if you can't tie your own shoes, if getting up out of a chair takes a monumental effort, it is time to consider how well you are showing up for yourself. But... even in these cases, focusing on the weight will not free you from your gilded cage because you never get to the heart of the matter. You never really figure out the ways your current behavior is serving you. That emptiness inside never gets addressed and you remain in a self-perpetuating cycle of abuse. Moving toward self-love, respect, and acceptance is the path to freedom.

Despite my disappointment with certain aspects of the interview, every time that Geneen spoke I hung on every word. I was so moved by Geneen's offerings that I promptly went out that very evening and purchased a copy of, "Women, Food and God". It was the best $16.48 I ever spent. I devoured the book in a day and a half and actually felt sad when I reached the final page. Every single word in that book rang true as if it was written upon my heart. Every word on each page could have been spoken from my own lips.

This was one of those books that came to me at the perfect time in my life. Much of the information contained in its pages had begun to formulate in my mind over the past few months. For this reason, I found it an extremely validating read. I also gained some incredible insights about myself. Things that had flown under my radar and escaped my knowing but were such a pivotal part of my recovery process.

I attend weekly ANAD (Anorexia Nervosa and Associated Disorders) meetings. I call, "Women, Food and God" my portable support group because much of the information was familiar to me. We work with a lot of the techniques Geneen covers in my ANAD group. As a result, this book has been a tremendous source of support for me.

I also think that Geneen addresses a lot of topics that frequently come up on any intuitively-based path. I feel this is an extremely important read for everyone struggling with food and body image issues, no matter your history. I also think it contains a wealth of information for those who have never had to contend with such issues. There is wisdom in this book for everyone.

"Through Thick and Thin", our sister community, has decided to launch a, "Women, Food and God" support group. Beginning in June 2010, this group will meet weekly at the, "Through Thick and Thin" community forum...

http://throughthickandthin.myfreeforum.org/index.php

The intention is to work, as a group, chapter by chapter through Geneen's book. Each week will feature a chapter and focus discussion. There will also be opportunity for individuals to discuss challenges they may be facing with this approach so they can gain the support they need. Questions will also be welcomed... encouraged even. Additionally, each week will have a group exercise that can be done in between meetings in order to embody the path in each of our lives, making it more real.

This group is open to anyone who is interested. Don't let the title of the book fool you. Men are more than welcomed to participate. This book has a lot to offer the fellas too. Meetings will take place every Thursday throughout the day beginning June 3rd. There is no need to check in at any specific time. The discussion will be on-going throughout the day. Pop in as your schedule allows and contribute to the conversation. We look forward to sharing this experience with each and every one of you.

You can obtain a copy of Geneen Roth's, "Women, Food and God" by following this link...

Women Food and God: An Unexpected Path to Almost Everything

Thursday, March 18, 2010

Building a Bridge from ED to Intuitive Eating, Part 7: Finding the Balance... My experience

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Three weeks ago the, "Building a Bridge" series was launched at, "The Big Fat Lie" and "Through Thick and Thin" sites. I have been applying this approach alongside other members of our community with phenomenal results. Before I get into describing my experience with this approach, I want to take a moment to congratulate all of you who decided to give your body the gift of this care and compassion. If you have applied this approach as outlined, you are likely feeling quite a bit different than you did just three short weeks ago. If you have had anything close to the experience I have had, you have learned that food is powerful medicine.

I gained so many insights from this experience. I learned a lot about my relationship with food and my body... many elements I was completely unaware of before. Since beginning my healing process, this is single-handedly the most loving, nurturing act I have ever carried out for myself. It has also had the greatest impact in terms of my health and well-being, physically, mentally, emotionally, and yes... even spiritually. I am now on the road to wholeness. I have a newfound appreciation and respect for the gift of my body. I feel a bit like Dorothy in, 'The Wizard of Oz'. "Toto... I don't think we're in Kansas anymore." In fact, I have no point of reference for the space I find myself in now. All I know is that it feels damn good to arrive here. I haven't felt this level of vitality in over 19 years!

I realized through this experience that I have been chronically under-eating for the large majority of my life. My signals were so skewed when I first came to intuitive eating that I falsely believed I was honoring my hunger and feeding myself in a nourishing way. Boy, were my perceptions off! My body has been in a depleted, compromised, under-nourished state. This hit me hard when I first started to implement the, "Building a Bridge" approach.

First of all, I found the minimal amount a food a person needs to eat to be well-nourished absolutely staggering. I had no idea how I was going to manage eating all of that food. I almost couldn't wrap my mind around it. It seemed overwhelming to me. However, I chose to enter into this experience with a fervent desire to learn how to provide my body with the best possible care. I have never respected my body, let alone offered it the benefit of my love and attention. I felt I owed my body at least this dignity after all the years of neglect it has suffered through. A lifetime of physical self-abuse has taken its toll.

I do not want to give the impression that all my issues are now resolved. There are no magical cures. Our healing requires our commitment and the willingness to sometimes work through uncomfortable patches. The damage eating disorder has done to my body is very real. I have extensive repair work before me. However, I would be lying if I were to say the, "Building a Bridge" approach didn't change my life. It has completely altered my relationship with food in a positive way. I now have a very different experience of living in this body of mine. There is true healing taking root. The "Building a Bridge" approach has had a more transformational effect on me than intuitive eating itself.

It took me about a week to adjust to feeling fullness in my body. It was a foreign experience for me that in the beginning stages caused my anxiety to rise. This anxiety caught me off-guard. I wasn't used to feeling the nurturing warmth in my belly. It felt utterly alien to have the sensation of food sitting in my stomach. Strangely, it dawned on me that this feeling of nurturance was the source of my anxiousness. This alone provided me with plenty of fertile emotional ground to explore. Where did I develop this fear of fullness and nourishment in my life? How has this fear impacted other areas of my life... my relationships, the way I move through the world, my ability to be aware of my needs and get those needs met? I found so many connecting threads when I opened the door to explore this uncharted emotional territory. It helped clarify why I have had this contentious relationship with food and my body. I came to see the symbolism of these struggles. It lifted the veil on a whole new dimension of my life experience. Yes... all this from feeling fullness.

The meals felt quite large to me in the beginning. Remember, I was used to existing in a semi-starved state. A lone fruit smoothie could have held me over for hours on end just three weeks ago... or so I thought. Now when I sit down for breakfast that fruit smoothie is paired with scrambled eggs and a whole grain pancake. My ED mind felt this was so much food. Too much, in fact. How could I possibly eat all of this? ED put up a fight and resisted. As much as possible, I stayed out of my head throughout this process and continued to gently remind myself that I was doing repair work. This was self-care. A way of giving back to my body for all I had stripped from it. I became fully in-bodied, experiencing the unknown territory of true nourishment. It was amazing... life-changing. It's something very difficult to articulate in words. It has to be directly contacted within yourself. It may seem odd that the rote act of eating could have such a profound effect. This experience moved me and shaped me in a way I could have never anticipated. I don't think I will ever look at food and my body the same way again and that is a blessing!

At first, I had to pace myself through my meals. I would feel the point when I would normally stop eating, at 'just satiated'. The pull to stop at 'just satiated' was very strong. I became conscious that I was afraid of feeling full. I patiently worked through it. I would take breaks midway through my meal. When I felt ready to eat a little more, I would do so. I used this pacing approach to finish the food before me. Tuning into my body, I was able to discern my fullness. It felt unusual, a little awkward even, kind of like the first time you tried to walk in a pair of heels as a young girl. I also noticed that though it was an unfamiliar sensation, it was not physically uncomfortable in any way. This was completely revolutionary for me. My experience of food has always been one of extremes. I have perpetually bounced between starved/semi-starved, or sickly stuffed states. To be nourished and comfortably full was unlike anything I have ever felt inside my body before.

My body welcomed the care. Within a few days my hunger was kicking in and demanding this new level of nutrition. My fear that I would not be able to eat the minimum amount of food required for my basic nourishment was completely unfounded. My body was 100% on board and continued to request this nutrition. Not only did I eat three substantial meals and two snacks every day over the past three weeks, there were also some days I needed to throw a third snack in! This blew my mind! By week two, I was completely out of my head when it came to food. I simply had no need to think about it anymore since my basic needs were being met.

Food has returned to its proper place in my life. I now see food in a completely different way. Food is fuel. It's what keeps my body running and humming. When it's time to eat I now consider what is going to provide my body with the best quality fuel. I continue to enjoy dessert just about every day. I have always had a sweet tooth. However, since I now have sound nutrition in place, I only need a small amount to feel satisfied. A couple mini peppermint patties, or a single scoop of ice cream is more than enough to provide a pleasurable end to my dinner. Sometimes, I don't even desire dessert and find it's the last thing on my mind. This amazes me! I never imagined this could be possible, but it is my new reality. I also continue to enjoy other treats like a handful of chips, or a few fries, but really, I find nourishing food far more pleasurable. Not only do the nutritious foods taste wonderful, they also make my body feel incredible. To me, that is a win-win situation. I love everything I eat. I prepare nourishing foods in ways I find deeply satisfying and oh-so yummy. I have also discovered that the more fruits and veggies I eat, the more my body calls for them. My relationship with food is in balance for the first time in my entire life. No deprivation. No restriction. Eating is now an absolute delight. The added bonus is that my health is rapidly on the mend.

It has been almost three months since I have engaged in any eating disorder behavior. My energy levels are through the roof. I have not had this much vitality since I was 18 years old! I now understand that all these years of unrelenting fatigue were related to not eating enough quality carbohydrates. I have been to countless medical appointments over the years in an effort to address what had been diagnosed as chronic fatigue syndrome. Who knew all I needed to do to restore my energy was to eat enough carbohydrates? It seems so elementary... a no-brainer... but for me this was mind-boggling.

My blood sugar has stabilized, along with my blood pressure. I was shocked when my blood pressure registered 116/68 at a doctor's visit a week ago. Considering that at one point my blood pressure was sitting at 146/70 makes this improvement quite impressive. My mood has also lifted. I feel optimistic and generally happy. My stress levels have gone way down. I feel reconnected with my body in a way I have never experienced before. For the first time, I feel like me and my body are on the same page. I suppose that has everything to do with finally taking the time to actually listen to my body and address it's needs.

Over the past few days I have been shifting back to natural eating according to my body's signals. This transition has been completely different than it was when I first began to incorporate the intuitive eating approach about 4 years ago. I feel that this time, I am coming into this experience with a solid foundation under my feet. That alone, is making all the difference. My hunger signals are coming through like clockwork every 3-3 1/2 hours. I continue to eat three substantial meals and 2-3 snacks a day because my body is asking for that level of nourishment. I also feel a lot more satisfied when I get up from the table because instead of eating to 'just satiated' as recommended in the, "Intuitive Eating" book, I am eating until I am comfortably full. This one change alone has made an incredible difference. It has eliminated the cravings that used to be constant for me in the evening. I think the most important piece I take away from this experience is how necessary it is for our bodies to be properly nourished with a wide variety of foods and how essential it is to feel completely satisfied.

The final post in this series is going to outline how to transition from the, "Building a Bridge" plan to natural eating according to bodily signals. I strongly encourage you to give yourself at least 3 weeks on the plan for nutritional rehabilitation before transitioning into intuitive eating. If you try to take short-cuts with this, you are really only short-changing yourself. To rush this process along is to cheat yourself of it's life-enhancing effects.

Conversely, if you continue to feel disconnected from your bodily signals, you may need more than three weeks on the plan. Withhold judgment if you find this is the case in your situation. Every body is different. It may take a little more time for your signals to come forward and your body to recalibrate. There is nothing 'wrong' with this. It doesn't mean you could have done anything better. It only clearly points to how much you are in need of this nutritional rebalancing. Once your signals of hunger seem to be coming through fairly consistently you can begin to transition into natural eating.

We all heal at our own pace. There is no rush to get to an imagined finish line. All pressure with this process is self-created. Give your body the space it needs to find its equilibrium. This is one of the kindest acts you can engage in after years of inflicting your body with abuse. Practice patience. If you are not yet ready to transition from the plan, accept this. Rest assured that your body will let you know loud and clear when you are ready to move forward.

Building a Bridge from ED to Intuitive Eating, Part 8: Nature's Perfection... The way you were born to eat

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As promised, we are now going to gently guide ourselves back into a natural pattern of eating according to bodily signals of hunger and fullness. Now that a solid nutritional foundation is in place and a sense of balance has been restored, the transition into natural, instinctive eating can be carried out with a sense of ease. For those who have attempted to grasp intuitive eating in the past but found it a struggle, you will discover that you feel more supported this time around.

If you have applied the approach that has been outlined in the, "Building a Bridge" series over the past three weeks, your body has been led closer to a state of equilibrium. Physically, you feel nurtured. You have greater clarity. Your mood is lighter and clearer. You have likely noticed that the signals of hunger that eluded you in the past are now coming through consistently like clockwork. As you take these first steps to trust your body and its communication, you do so from a new foundation. What once seemed complicated will now become easy to integrate. Finally out of your head and into your body, you will simply eat. It is an amazingly freeing experience.

Much like the first phase of this approach, there is a three week transitional period. Certain elements will remain in place as a life practice of self-care. In reality, the act of eating can never be a totally intuitive experience. For a state of balance to be fostered it is necessary to blend intuition with common sense. To try to divorce one from the other is to create division within yourself. It's like rejecting part of your natural makeup. This is largely why so many intuitive approaches fail. It is also the reason fad diets mire us in the over-thinking that disconnects us from our bodily wisdom. There needs to be a marriage of common sense with intuition in order for balance to take root.

Just as you can't cut yourself off at the head and have a totally 'heady' experience, you also can't disconnect from that beautiful brain of yours. Otherwise, chaos would reign. There would be people worldwide taking long walks off short planks and wondering how they landed themselves in such hot water. In the book, "Health At Every Size", By, Linda Bacon, PhD, there is reference to the experience of cavemen. Somehow they managed to survive without best-selling diet books, nutritionists, and 'experts' to guide them in their eating practices. This is because the act of eating is a biological event. It is hardwired into our genetic makeup. It doesn't require an instruction manual. However, if those same cavemen didn't also rely on common sense they never would have survived the ravages of winter. After bringing home the bounty of the hunt they may have been tempted to wolf down their lion's share, but they understood intellectually that they may not come across such bounty so readily in the future. Game was portioned and preserved to help the tribe survive during lean times. It is clear to see that we need to use all of our faculties when it comes to our self-care.

Another point that bears mentioning is that our current climate of convenience is a far cry from what it was even 50 years ago. There have been a lot of changes in the way we produce food, along with our current ease of access. We have more food availability and options now than at any point in history. As a species, we are evolving. Our bodies adapt to their environmental circumstances. However, in terms of genetic evolution, 50 years is a mere drop in the bucket. We have not adapted physiologically to the factory produced foods that grace most Americans tables.

Back when our parents were kids, dining out was a special event, not a regular thing. Meals were cooked at home and were balanced. Fruits and vegetables regularly found their way to the table. Foods were closer to the source, not so highly processed. People sat down to eat and used meal time as an opportunity for connection with their loved ones. They weren't eating on the run, shoving food in their mouths as they rushed out the door, or chowing down absentmindedly in the car on the way to work. They weren't using food as anesthesia, zoning out in front of the TV with seemingly bottomless bags of man-made snacks engineered to make their taste buds crave more. Mom made treats for movie watching in her own kitchen. She served up wholesome goodies like homemade cookies, freshly popped popcorn, or a batch of her famous brownies.

There is also another distinct difference between the way we live now and yesteryear. There were no video games back in the day. Computers had yet to take center stage. TV viewing was limited. People got out and about more. They connected with others. They found pleasure in more social activities. Kids didn't plop down in front of the tube and waste their days away. They were outside riding their bikes, building tree forts and having outdoor adventures. Dances were a popular social pastime. People moved more. Without all the modern trappings, people had to get up and do things for themselves.

The reason why we are seeing such a decline in our health has everything to do with the way our environment has shifted, along with the damaging message of the diet industry. The spin doctors of these corporations want you to be confused. Their wallets grow fatter the more confusion prevails. You have been programmed to believe that eating is complicated and that you need a trained 'expert' or the latest 'it' diet to guide you in one of the most intimate affairs... the nurturing of your body. The truth is, eating is simple. You were born to eat in a natural, uncomplicated way, but industry doesn't want you to know this because it would affect their profits. This is why 'Big Food', the beauty myth and the diet industry will set you up for failure every time. It's nothing more than a numbers game for these snake oil purveyors. They care nothing about you or your well-being.

It is impossible to look at our current state of health without considering the environment we are living in. Again, our common sense has to come into play. To try to discard this aspect is to muddy the waters.

When you were an infant, you didn't pull out a measuring cup to portion yourself out a serving of your mother's breast milk. You also didn't concern yourself with how that milk was going to affect your body size. You ate because you were hungry and your body demanded that fuel. Without it, you would perish. When you look at it this way, it seems completely asinine. However, in kitchens worldwide millions of people feel completely lost when it comes to feeding themselves. Make no mistake. It is not an accident. This is calculated confusion.

We were never meant to eat this way. We aren't designed to waste away. We are built to survive. Our bodies will resist us tooth and nail in our vain attempt to whittle ourselves to a size that will fit in the cookie cutter mold of the prevailing beauty ideal. Rather than blaming our bodies we need to recognize that they are responding appropriately. Our bodies are doing their job. In fact, the so-called 'obesity epidemic' is largely fueled by propaganda carefully planted by industries who stand to profit from our fear. Our expanding waistlines are our natural survival reaction to existing in the climate of semi-starvation that diets have created along with a reliance on foods that our great grandmothers wouldn't even be able to recognize. What we have here is a case of wag the dog. If we all believe that our lives are in danger because of our body size and we bear the brunt of the blame, won't there be an increase in demand for the quick fix promise of a diet? After all, according to media we are the ones who have dropped the ball. The overwhelming message is that we can't be trusted and need to rely on the professionals to resolve this crisis in the state of our nation's health. Corporations are well aware of the power of fear-based marketing. Here is the truth. We need to eat to thrive and well at that. It's time to stop putting the focus on body size and instead direct our attention where it really counts... on our health.

That's where the, "Building a Bridge" series comes in. In a very real sense, this has been a reeducation. We had to unlearn all the messages the diet industry has filtered through to us via the media. Now that we understand how to nurture our bodies well we can return to the way we were born to eat.

It will be important to continue to have breakfast, lunch and dinner every day. If you are not eating these three meals, you are under-eating and doing biological harm to your body that will prevent you from restoring health. I encourage you to continue to eat your breakfast within an hour of rising. This simply makes common sense. Why work against your body when you can get your day off to a solid start? Continue to be mindful of the composition of your meals as outlined in the preceding installments of this series. A balanced meal will include quality carbohydrates, protein and produce. If you have any questions about this, review part 6 of the, "Building a Bridge" series. This portion of the presentation boiled down balanced nutrition to its purest, most accessible form. Snacks will now be optional. If you become hungry in-between meals, it makes sense to have a snack. In fact, it's helpful to always have a small, portable snack on your person such as a grab bag of nuts and dried fruit, trail mix, a granola bar, or other quick and easy fuel that won't spoil. This way, if you get caught in a pinch and your hunger catches you off-guard, you are prepared.

You will no longer be planning the timing of your meals with the exception of breakfast. It truly is the most important meal of the day, especially when an individual has a history of eating disorder. Skipping breakfast leaves the gateway open for ED behavior to enter. In order to prevent this backlash it is essential to start your day with some nourishment.

For three weeks you are going to utilize a technique that will help you adjust to listening to your bodily cues to guide your eating experiences. When you are done eating breakfast, note what time it is. Add five hours to this finish time and log the result in your journal. For example, let's say you finished eating breakfast at 8:30 am. Adding five hours to this time would give you a time of 1:30 pm. You would write 1:30 pm in your journal as a reminder to eat by this time if you have not felt your hunger kick in before then. The reason for this is that you should avoid going for more than five hours without food. At that point, all the food from your previous meal is long gone. You need to nourish your body with fuel so you don't become depleted or court blood sugar fluctuations. Every time you eat, note your finish time and add five hours, then logging the result in your journal. This will ensure that you continue to take care of your basic needs if your hunger signals remain a little foggy.

You will only need to employ this reminder technique for three weeks. Within that period of time, you will fall into your own individual rhythm and pattern with your hunger signals. There will no longer be a need to remind yourself to eat. It will be automatic. If you think about it, it's pretty exciting to consider that in only three more short weeks you will be back to eating in a completely natural body-driven way. You will simply eat. Consider this helpful tool the training wheels that will prepare you to ride free.

Another element that will come into play at this point is paying attention to your fullness. Throughout the nutritional rehabilitation period you likely experienced a reality check about the bare minimum amount of food your body needs in order to function optimally. I know this was a very awakening part of the experience for me and probably the aspect that had the greatest healing impact. Coincidentally, you are now going to be ahead of the game. Your body has recalibrated and your sense of fullness is going to be more clear to you than it was in the past. If you continue to have a little fuzziness in this area, simply try to inject more awareness into your eating experiences. Pay attention to the sensations in your body when eating. True fullness will leave you with a warmth in your belly. You will be able to feel the food in your stomach. There will be a sense of substance there. You will know you have found the groove when you feel completely satisfied and content after your meal.

If you happen to overeat a little in these beginning stages of listening to your body be patient with yourself. Try not to over-emotionalize the experience. It really is no big deal. Since you will now be eating when you are hungry, your body will balance it out. You may find your appetite is held over a little longer when you overeat. You might be used to having your hunger come forward about every three hours. A meal overeaten will likely hold you over for a bit longer than usual, edging you closer to that five hour mark. Your body will make the necessary adjustments if you allow it to lead the way. There is no need for guilt or worry.

At the end of these next three weeks take a moment to acknowledge all the progress you have made. You are now a natural eater and can get on with the rest of your life. Congratulations!

Friday, February 26, 2010

Building a Bridge from ED to Intuitive Eating, Part 1

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“Most patients who are in the throes of anorexia nervosa, bulimia nervosa, or compulsive overeating have lost touch with their innate signals of hunger and fullness and taste preference. The physical starvation is often so grave in those who are suffering from anorexia nervosa that an attempt to listen to the signals of hunger or fullness can only lead to confusion and maintenance of the underfed state. If even the smallest amount of food is ingested, the slowed stomach emptying that occurs in anorexia pushes away signs of hunger and creates a false sense of fullness.”

“In the treatment of bingeing disorders, including bulimia, patients have become so accustomed to eating quantities of food that are larger than one’s normal needs that their interpretation of fullness is highly skewed. They so often have ignored hunger by eating for many other reasons, such as boredom, loneliness, anger, etc., that asking them to listen to hunger signals feels alien and frustrating. We begin, instead, by putting on our nutritionist caps and teaching them about normal body functioning, including the concept of blood sugar fluctuations and the body’s reaction to meals that are imbalanced or inadequate in terms of energy intake.”

“So, intuitive eating is best seen as the model of eating that will ultimately become one’s own. This happens after there has been a period of time for healing the body physically and shifting the cognitive distortions that rule the mind of someone who has developed an eating disorder as a coping mechanism.” – Excerpt from, “Intuitive Eating: A Revolutionary Program That Works”, By, Evelyn Tribole, M.S., R.D. and Elyse Resch, M.S., R.D., F.A.D.A.

“Hello… I’d like you to meet my frenemy, ED”

For a long time now I have felt like there was a piece of the puzzle missing in the ultimate design of intuitive eating. Something about the process felt off. Working as an intuitive eating counselor, I have seen far more people struggle to embrace the path of intuitive eating, than I have seen readily take to it. I have experienced difficulty myself and this is after four years of believing I was an intuitive eater. In order to paint a clear picture, it’s necessary to share the story of my struggles and those of the many people all over the globe who have crossed my path on this journey.

In October of 2009 I experienced a relapse of my eating disorder issues. I have a long history of eating disorder with the first signs emerging that something was wrong when I was 10 years old. By the time I was 12, ED had me firmly in it’s grasp. I battled anorexia and purging behavior off and on over a period of 12 years. I never received any kind of professional support for my eating disorder even in my most desperate state of crisis. At that point, I was 24 years old. My weight had plummeted to a dangerously low level. At a height of 5’7”, I was a slip of a woman, somewhere in the mid 80 lb. range. I have to guesstimate my low point because I had not stepped on a scale for about three weeks and at last weigh-in I registered a mere 92 lbs. My body continued to waste away after that step on the scale, so I think it is fair to say that I was well into the mid-80 lb. range. I was vomiting blood on a daily basis. I was isolated and alone, without the necessary support I needed. Many of my friends, feeling fearful and not understanding the gravity of the situation, turned their backs on me. The abandonment and rejection was almost more than I could bear. The intensity of the shame and humiliation I felt is beyond words. Somehow, in the darkness of that bleak space I was able to strike a match. That inner light, however small, illuminated the possibility of hope burning brightly in the distance. I reached for it with both hands like a moth drawn to a flame. I clawed my way out of that dark tunnel and nurtured myself back to some semblance of health. It would be many years before I would notice that ED was still hanging out in the background, lurking in the shadows of my consciousness.

I had a brief period of stabilization. Life felt good for awhile. I was out of the danger zone health-wise and things were looking up in my life. I finally found the courage to stand up for myself and leave behind abusive situations. I left a dead-end job in the dust and moved on to a new career as a therapeutic massage therapist, working alongside doctors, providing physical therapy for their patients. It felt deeply rewarding to be earning a right livelihood by helping others find healing. In restoring others, I felt renewal in my own soul. Call it karma yoga. I took a leap of faith and manifested a lifelong dream, opening up my own practice and business was booming. I found instant success. Within my first month of opening doors I recovered all my starting costs plus found myself securely in the black with a handsome profit. It only continued up from there. I was working hard, but for the first time in my life I had financial security and was able to treat myself to the finer things. Within a few months, everything I had worked so hard for was reduced to nothing more than ash when a practitioner who shared space with me left a hot plate burning that set a fire, quickly consuming the building. I’ll never forget standing in the charred remains of what used to be my treatment room. How quickly life can completely change on the drop of a dime and leave you reeling senseless. I was not able to salvage a single thing except for a large statue of a fairy that I had sitting in the corner who somehow managed to survive the fire, her face glowing pearly white against a backdrop of blacken ash. I kept her as a reminder that even within darkness, there is light.

After this event, I hit the wall. Truth be told, the fire was a rather symbolic moment in my life. I was burned out. The field of rehabilitative massage is a taxing one. I didn’t do what therapists have dubbed ‘club rubs’. You know, those massages you get at the frou-frou spas where they pet you into submission. I did deep tissue, neuromuscular retraining, Heller work, sports massage and action release/trigger point therapy. This kind of work exacts a major toll on the body. I was in high demand and often found myself grinding through 60 hour work weeks. I was spent. My body depleted, I collapsed. I struggled for many years and saw a reactivation of my eating disorder issues, but this time it took a different form… non-purging bulimia. I used excessive exercise and tight eating as my compensatory behavior for the binges that were becoming ever more frequent. My weight escalated and I quickly became morbidly obese at over 300 lbs. I never really discovered my highest point because it got too depressing to see the rising numbers after awhile. I felt completely powerless against my body which only made my anxiety rise. This was a new experience for me. I had never been a large woman. I had gone through periods of being softer, fleshier, but never to the extent that it was difficult for me to function.

“Off with her head!”

Physically, this was a scary place to be. I was constantly getting winded and could barely make it around the block without having to stop to catch my breath. I was scared to sleep. When I laid down for bed I could feel this crushing weight on my chest. It felt suffocating. The worst part was that my ED tricks were no longer working. No amount of compensation could unravel the cascade of biological events that were happening in my body. This is the part of eating disorders that many people don’t talk about and I think it’s time we did. Eating disorders do serious physical damage to your body. They wreak havoc on your digestive system and once that damage has been done, it takes a long time and much effort to repair your internal terrain. When your digestion heads south, watch out! You become vulnerable to a whole slew of physical health complications. Unable to assimilate the nutrients from food, your state of well-being quickly deteriorates. It may seem like ED is helping you obtain the coveted prize of a thinner body but you can rest assured, there will come a time when you have to pay the piper and the price exacted will be your heavy head. Take it from someone who knows. It’s not worth it.

My body was in constant pain because of depleting bone mass. I had a bone density screening and the nurse practitioner was highly disturbed by my results. She informed me that I was only 3 points away from being like an 80 year old woman with osteoporosis. She had never seen a woman in her twenties with these results in all her years of practice. I found myself having to visit my dentist frequently for dental caries. My immune system was shot. I seemed to get every cold and flu that would come around the bend. It was very common during those days for me to be laid out sick for weeks on end. Every time I tried to exercise to address my escalating weight it was like throwing a match into a barrel of kerosene. My body was on fire and it was screaming at me, “Stop! Please stop! Be gentle with me. Be kind. I can’t take this abuse anymore!” My body was in the trenches of eating disorder, raising the white flag of surrender, but sadly, for many more years the battle raged on. Ultimately, my energy was completely snuffed out. I blew out my thyroid.

Many people are unaware that a major contributor to hypothyroid conditions is a history of chronic dieting. It’s no wonder that thyroid disease has reached almost epidemic proportions in the United States with our cultural diet obsession. The irony is, the longer you restrict, yo-yoing back and forth between feast and famine, the more your body will put up a fight for self-preservation. This is why many people find that despite the small amount of food they eat and the more strenuously they exercise their body only holds onto fat stores for dear life. This is because in a very real sense biologically, it is a life or death struggle. After years of abuse and self-neglect of basic needs, our bodies remain in a state of high-alert, never knowing when the next meal will come. Despite being fed, this uncertainty will linger. How long will this food be available? When will the next famine arrive? To the average person trying to live up to societies’ one-note beauty ideal this pursuit may seem harmless. Intellectually, you may understand that you are choosing to forgo food in favor of thinness, but this is completely irrational to your body. The body adapts in these situations and will slow everything to a grinding halt, including metabolism. This is why it is very common for restrictive eaters, chronic dieters and those who have battled anorexia to deal with overweight/obesity conditions later in life. We can’t blame our bodies. They are responding accurately to a lack of food security. We have to stop working against our bodies and instead work with our natural biological drives if we ever hope to have lasting healing.

There’s a Light in My Attic

After 9 more years of struggle with bulimia, beaten down and spent, I finally made the decision to give up the fight. I made a commitment to never diet again. I wanted to reconnect with my body. Even though I was a very large woman, I couldn’t be concerned about my body size. I was just so tired of the constant struggle. The fight that came every morning when first opening my eyes and wondering if today was going to be a good day or a bad day. Most were bad days. I couldn’t take the sheer disappointment… the numbness and apathy… of living that way a moment longer.

I decided to embrace intuitive eating. The first year was challenging. I continued to exhibit bulimic behavior, but I was seeing slow and steady improvement. My second year into intuitive eating, my binges fell away. However, an air of restrictiveness remained. I couldn’t see this at the time, but looking back now, it is very clear to me. I will share how this restrictiveness stayed in place in hopes that it may help others to recognize destructive patterns within themselves. I was very conscious about eating just to the point of satiation. This is something that is recommended in the book, “Intuitive Eating”. Unfortunately, since I never received any help for my eating disorder I had certain distorted perceptions about food, hunger and satiety imbedded in my brain. Adhering to this guideline kept me in a state of perpetual underfeeding. Additionally, I continued to over-exercise. Not to the extent that I once did at the most exacerbated points in my ED history, but imbalanced nonetheless. I frequently hit periods of over-training and injury. I summed this up to being the end result of trying to exercise as a heavy woman and something I just needed to push through.

After two and a half years binge-free, I felt better than I had in 10 years. A doctor’s appointment confirmed that I had released 70 lbs. effortlessly. My energy was improving. My health was on the mend. I had a new respect for my body and felt a peace around food that I never had at any point in my life. During this period of time I became certified as an intuitive eating counselor by going through the training program designed by, Evelyn Tribole and Elyse Resch, the authors of, “Intuitive Eating”. I was listed on the national directory and made the decision to pay it forward by founding, “Through Thick and Thin”. My vision was to establish a sacred space in the format of an online community where the support would be free and all who entered could feel welcome, accepted as they are, and be gifted with tools that could help them in their recovery. It was a lofty vision because that level of integrity is rarely seen on the internet, but we have somehow managed to hit the mark. Every time I hear a member express that the, “Through Thick and Thin” community is one of the only places they feel free to be themselves, accepted and safe, it reminds me of the importance and value of the work we are doing collectively as a community. I felt like I had mastered recovery.

Building a Bridge from ED to Intuitive Eating, Part 4

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The Missing Piece of the Puzzle

Then it all crystallized. I found the missing piece to the puzzle. I finally understood why so many people were not finding complete recovery through intuitive eating. Quintessentially, the intuitive eating approach puts the cart before the horse. It works on the basis of assumption that most do not deal with any degree of eating disorder, when sadly, this is far from the truth. The reality is actually the mirror opposite. Evelyn Tribole and Elyse Resch have hit the nail on the head when they express the challenges that someone faces in integrating an intuitive eating approach when they are contending with eating disorder. They outline the importance of educating individuals about how to properly nourish their bodies and in many cases, employ a rehabilitative plan that will provide the safety of a certain level of structure. This allows the individual to gradually release distorted behaviors and perceptions around food as they are nurtured back to health physically and cognitively. Once this balance has been developed, the individual can be guided gently into learning how to listen to their body’s internal cues to lead their eating experiences. Intuitive eating is the ultimate destination, but a large majority of people coming to this path may need to take a detour and first learn how to properly care for themselves, addressing the internal imbalances that result from a history of ED/EDNOS or chronic dieting.

I can hear it now… “Wait a minute! I know what’s healthy. I could probably school my doctor in nutrition. I’ve read so many books on how to eat. I’ve been on countless plans. How is this supposed to help?! Isn’t a plan just another diet?” What many neglect to acknowledge is that the vast majority of their nutritional information has come from faulty sources. Most have received their nutritional ‘education’ from fad diets and the media who is always quick to jump on the bandwagon of the latest food hype. Tell me I’m wrong. We’ve all heard the never-ending droning of the media machine extolling the virtues of acai berries and mangosteen. For every ‘It’ girl in Hollywood we have a corresponding ‘It’ food… the flavor of the moment… and it sucks people in. First coffee is ‘bad’ for us, and then it is ‘proven’ to prevent dementia. How many foods have been put into the penalty box only to be redeemed a few short months later? Remember how we demonized carbs? That screwed up many people’s ideas about this important fuel source. Now we are being encouraged to bring grains back to the table.

The funny thing is the core nutritional information for building a foundation of health hasn’t really shifted all these years despite these ever-changing ‘fashion’ trends. I can read your thoughts… “Oh great… here we go with the Food Pyramid and the dreaded countdown of servings a day. Here come back the measuring cups, food scales and the lists of ‘good’ and ‘bad’ foods. I knew it!” Wrong again. “Through Thick and Thin” would never pull the rug out from under you like that. Besides, there is much room for improvement when it comes to the Food Pyramid. Marion Nestle agrees.

Marion Nestle is Paulette Goddard Professor in the Department of Nutrition, Food Studies, and Public Health at New York University. She chaired the Department of Public Health from 1988-2003. She holds degrees in molecular biology and an M.P.H. in public health nutrition issued by UC Berkley. She has schooled physicians, residents and medical students at the UCSF School of Medicine. She has served as a member on the FDA Food Advisory Committee and Science Board, the USDA/DHHS Dietary Guidelines Advisory Committee and American Cancer Society that establish nutritional protocol for cancer prevention. This is the short list of her numerous contributions to the field of nutrition. She is a highly regarded professional and you would be hard-pressed to find a member of the medical/dietetic communities willing to go head to head with her. She knows her stuff and has poked many holes in the value of the Food Pyramid.

If you feel compelled to learn more about nutrition I encourage you to read Marion Nestle’s book, “What to Eat” where she sorts through the ‘Big Food’ hoopla to reveal the simple truth. It’s not complicated, but the food corporations have made it that way. In fact, the current Food Pyramid is more strongly influenced by commercial gain than by public interest. If you have any doubt about this I welcome you to read Marion Nestle’s telling book, “Food Politics: How the Food Industry Influences Nutrition and Health”. What I appreciate about Marion Nestle is that she presents an informed, well-rounded view. She knows both sides of the story and is able to present the facts free from bias. I view her approach to nutrition as integrative. Unshackled by the conventional approach, she is open to applying alternative nutritional therapies where they have merit. Neither too far on the left, nor right side of the fence, she can meet the public in the middle and provide a balanced view.

If any food pyramid were to be employed in the design of our plan, “Through Thick and Thin” favors the, “Food For Thought Pyramid – How to REALLY Enhance Your Health” created by, Laura McKibbin, LICSW that is founded on the HAES (Health At Every Size) approach. The, “Food For Thought Pyramid” features:

  • Genetics, Luck (6-11 servings)
  • Socioeconomic Factors: Country of birth, race, gender, income, access to healthcare, freedom from violence (6-11 servings)
  • Relationships and Social Support: People, pets (3-5 servings)
  • Purpose and Meaning: Spirituality, altruism, contact with nature, forgiveness (2-4 servings)
  • Humor, Optimism, Play (2-3 servings)
  • Emotional Resilience: Healthy management and expression of anger and other emotions, ability to take action (2-3 servings)
  • Exercise (1 serving)
  • Nutritional Advice (Use Sparingly): Instead, rely on internal cues

Sources: Dean Ornish, Jon Kabat-Zinn, Bernie Siegel, The Buddha, Gloria Steinem, Viktor Frankl, Glenn Gaesser, Mother Teresa, Martin Seligman, Jesus of Nazareth, Jon Robison, Larry Dossey, Jean Baker-Miller, the World Health Organization, my Mom, your gut intuition.

As described on the website the, “Food For Thought Pyramid” was, “Designed as a tongue in cheek response to and criticism of the FDA’s Food Guide Pyramid.” There are, “Food For Thought Pyramid” posters available for purchase at:

http://www.food-for-thought-pyramid.com/

In a spirit of paying it forward, for every poster purchased 20% of the proceeds will be donated to the Ecumenical Food Shelf of Alberta Lea, MN. Or if preferred, you can provide the name of a food bank in your area that you would like the funds to be distributed to and they will make a donation to your chosen facility in your name. The poster would be a great way to visually remind yourself to keep all things in perspective on your journey and to heed your counsel as the input that carries the most weight in your decisions when it comes to your recovery.

Our ultimate destination is intuitive eating. Those who are currently struggling with ED/EDNOS issues may need a helping hand to rehabilitate their bodies so they can get back to a balanced place biologically and once again rely on their internal cues. For those who have been coming up against a wall of resistance in implementing intuitive eating, this approach may prove beneficial for you too. Please be mindful that this is a temporary means. The intention is not for you to fall back on this plan indefinitely. The idea is to help you get reconnected with your personal rhythms and bodily signals. I encourage you to give yourself at least 3 weeks to work with this technique so you can experience the rebalancing benefits that come from nourishing your body deeply.

This approach is being outlined for those dealing with eating disorder. If you have found your transition into intuitive eating to be a smooth, seamless one and your formerly imbalanced behaviors around food have stabilized… congratulations. It’s empowering to reconnect with your body and inner sense of knowing. There is no need for you to make any alterations. This approach is not for you. I ask that there is respect for those in our community who may need to rely on this transitional technique. If this plan is not for you, it does not mean that it is not needed by another who feels disconnected from their body. It is important to be mindful of the counsel...

“Be kind, for everyone you meet is fighting a hard battle.” – Plato

Building a Bridge from ED to Intuitive Eating, Part 5

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“Planning is bringing the future into the present so that you can do something about it now.” – Alan Lakein

In keeping aligned with the, “Food For Thought Pyramid” we are going to use nutritional counsel sparingly. I am going to provide you with some general guidelines and show you how you can tailor a personal ‘plan’ to help meet your individual needs and aid you in building a bridge between where you are now, to becoming a natural, intuitive eater. We will discuss some basic nutrition but we will not be getting into the areas of portions sizes, except in an extremely simplified sense. This area is going to be covered so there can be an understanding of the minimal amount of food that needs to be eaten in order to foster a sense of health and well-being. Those with ED often have faulty perceptions in this area. Much like Goldilocks, they are used to seeing the cup as verging on empty or teetering toward being overfull in their attempt to find their 'just right'. The vast majority with ED exhibit some form of restrictive eating. This statement applies whether the individual struggles with anorexia, bulimia, binge eating disorder, compulsive overeating, or all the many shades of ED in between. Those who tend toward bingeing/chronic overeating often have periods of restriction where meals are skipped or only small amounts of food are eaten in order to make an attempt to make amends for their ‘out of control’ eating. Additionally, when people binge or chronically overeat, rarely is it on nourishing foods. Binge foods stereotypically lean toward those of the play food variety… candy, pastries, chips, fast food, ice cream, and the like. These foods, though tasty, are pleasure foods. They provide little nutritional benefit. Pleasure foods are important for satisfaction. There’s room for a little pleasure in every day. However, it’s best to think of these foods as spices and seasonings. They provide variety, interest and enjoyment to our meals. They fall short when serving as the main course. This is how even someone who falls into the morbidly obese category can become nutritionally undernourished, despite their body size. In essence, many bingers and compulsive overeaters are restricting nourishing foods. All of these factors create a physiologic environment where the body is in an underfed state. This is the one element that all eating disorders have in common. Although, this will be more readily apparent in cases where an individual is chronically under-eating, restricting and in a state of semi-starvation, we have learned this applies across the board in all ED conditions.

Until this state of internal deficiency is addressed, it will be next to impossible to rely on bodily signals to guide eating choices. It’s kind of like the telephone game you used to play as a kid where you would whisper a phrase in a friend’s ear and they would pass it along. The further down the line of friends the phrase traveled, the more distorted the end message became. This is exactly the case when it comes to someone with ED being able to decipher their bodily signals. Something gets lost in translation. This is largely related to two contributing factors… severe blood sugar fluctuations and nutritional deficiencies which lead to both physical and cognitive imbalances. Until these two factors are addressed the dysfunction will remain in place. There is no way for a balanced relationship with food and body to build on that foundation. The material outlined here will help you build a new foundation that will support you fully in your recovery, improving your health physically, mentally, and emotionally.

Before I get further into this information I want to make it very clear that if you are dealing with ED/EDNOS, it is vital to get the necessary support and to work with a recovery team who specializes in eating disorder. A nutritionist who has experience working with eating disorders can be a very valuable member of your team. The knowledge I am sharing here is in no way intended to replace the counsel and guidance of an eating disorders specialist. The approach I am outlining is for informational purposes only. What you choose to do with this information is your choice alone. I encourage those who are working with nutritionists to share what is presented here. Have your nutritionist look over it to make sure it is a fit for you and your recovery program. My intention is to help those who are struggling understand that in making the transition from ED to intuitive eating, it is often necessary to build a bridge in order to get to the other side.

This ‘plan’ has an intuitive element and that’s intentional. I think it’s very important to begin the process of reconnecting with your inner guidance right off the bat, with a little structure and assistance along the way. I will not be telling you what to eat, when, or how much. I will be sharing what sound nutrition is. I will be explaining how to compose your meals to stabilize your blood sugar and moods. I will be outlining the minimum amount of food needed for the body to function. This is not a limiting factor. You are free to eat more if that is what your body requires. All foods are on the menu. You are free to eat whatever you like. In fact, I encourage you to regularly include the pleasure foods that you enjoy into your ‘plan’. This will up your satisfaction factor. I will be presenting a road map, but you are the one in the driver’s seat and it is up to you which route you take to get to the final destination.

If you want to implement this approach I strongly urge you to commit to it for at least three weeks. Your body needs some time to rebalance and for you to experience the beneficial effect that deep nourishing can bring. Give yourself that gift. Trying this out for a day or two will not do much for you. This should be viewed as part of your process toward becoming an intuitive eater.

Building a Bridge from ED to Intuitive Eating, Part 6

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What is sound nutrition?

Sound nutritional nourishment is created when the majority of food choices come from plant sources. These include:

  • Starchy Complex Carbs: Whole grains, whole grain/sprouted grain breads, whole grain cereals, pastas and crackers, brown rice, grits, polenta, potatoes, yams
  • Non-Starchy Complex Carbs: Fruits (fresh and dried), 100% fruit juices, vegetables, 100% vegetable juices
  • Protein: Beans, lentils, split peas, tofu, nuts, nut butters, seeds, soy/nut milks
  • Fats/Oils: Olives, olive/vegetable oils

That’s right folks… carbs are the foundation of sound nourishment. They are not the ‘bad guys’ they have been made out to be. Despite what you may have heard in recent years, this one nutritional tenet has never changed. Our bodies need nourishing carbs and plenty of them in order to function properly. This includes starchy carbs, not just fruits and veggies. Without this essential nutrient, our energy plummets and our health suffers. Most Americans get plenty of fast absorbing carbs in the form of highly-processed white flour products, sugar and sweets. This is how carbs have gotten put in the penalty box. We have all seen the detrimental effect an excess of these foods can create. Our escalating diabetes rates clearly demonstrate the effect a steady stream of simple carbs can have on our bodies. However, we largely turn to simple carbs because we are so deficient in complex carbohydrates. It’s akin to a dog chasing its own tail.

Complex carbohydrates provide a vast array of essential nutrients and one that is sorely lacking in the Standard American Diet (SAD)… fiber. Fiber is an essential nutrient in disease prevention. One of the best things you can do for your body is up your fiber. Now, does this mean you can never enjoy simple carbs? Absolutely not! However, you will be best served by letting the majority of your choices come from complex carbohydrate sources. For our intents and purposes of nutritionally rehabilitating the body, I encourage you to make at least half of your choices from complex carbohydrate sources before you fall back on highly-processed foods. The more you favor complex carbohydrates, the more you will see your energy increase. Your moods will stabilize as the brain-fog begins to clear. Bingeing/compulsive overeating will start to fall away. You’ll also notice a distinct reduction in cravings for sweets.

Now, you may be wondering, “Where are the meat, dairy and eggs? Are you asking me to become a vegetarian?” Nope… try again. We are going to get into that in just a minute. First however, I want to assure you that you can get all the protein you need from plant sources. Plants provide all the essential amino acids. In the old days they used to believe that in order to make a complete protein out of plant sources you had to food combine… combining rice with beans is an example of this old food philosophy. We now know that the body will balance out the amino acid intake throughout the day on its own and food combining to get complete protein is no longer necessary. This statement is in fact supported by the ADA (American Dietetic Association).

Vegetarians who are getting all of their protein from plant sources need to be mindful of keeping up their vitamin C intake. This is because there are two types of protein, heme and non-heme. Meat is the only heme protein source and this bears mentioning because heme proteins provide essential iron. Heme sourced iron is also more easily absorbed by the body than it is from plant sources. In fact, meat eaters absorb on average 15-35% of the iron from this heme protein, whereas vegetarians, including lacto-ovo vegetarians who continue to consume eggs and dairy products, only absorb 2-20% of the iron from non-heme sources. This is important to consider because iron deficiency can lead to anemic conditions. There is no reason for concern though because this reduction in absorbability can easily be addressed by getting plenty of vitamin C rich foods. Vitamin C facilitates more complete iron absorption from non-heme protein sources. Foods rich in vitamin C are:

Sweet red bell peppers, parsley, broccoli, cauliflower, strawberries, mustard greens, papaya, grapefruit, kiwi, oranges, cantaloupe, cabbage, tomatoes, raspberries, celery, spinach, pineapple, watermelon, tangerines, limes, cranberries, guava

Realistically, most vegetarians are getting a wide variety of these vitamin C rich foods so the great iron debate can be set to rest. A plant-based way of eating can absolutely fulfill all of your nutritional requirements, so long as you are being mindful of nourishing yourself from a variety of nutritional sources. I’m sure this now raises some questions regarding calcium. Don’t you need milk in order to get the calcium needed to strengthen bones? The short answer is no. Plenty of plant foods contain highly-absorbable calcium. Plant foods high in calcium are:

Green leafy vegetables, nuts, oranges, kidney beans, lima beans, whole grains, Swiss chard, lentils, raisins, broccoli, kale, celery, tofu, romaine lettuce

In fact, it is a myth that you need to consume dairy in order to fulfill your calcium need. You may be thinking… “What about osteoporosis? Don’t I have to get 3 servings of dairy products a day in order to stave off bone loss?” Wrong again. In examining nutritional guidelines it is important to remember the politics of food. Food industries dish out a lot of cash to take up more space on the USDA Food Pyramid. Keep that in mind before allowing yourself to be blindly led. Many people are lactose intolerant and have difficulty eating dairy foods. In fact, in some of the healthiest societies in the world, very little, if any dairy is consumed. This is evident in rural China where the population consumes about one third the amount of dairy that most Americans do. They also have virtually no cases of osteoporosis. In fact, the highest incidence of osteoporosis corresponds with countries consuming the largest amounts of meat and dairy products including the United States, New Zealand, Britain and Sweden. The reason... excess animal protein consumption leaches the calcium from bones.

Does this mean you should avoid meat, dairy and eggs if these are foods you enjoy? Not a chance! We have to stop looking at things in such black and white terms. The key here is that excess animal protein intake can create calcium deficiency. This is another way that the low-carb fad diet trend has promoted harmful misinformation. It has skewed people’s thinking about balanced nutrition. Especially in fitness communities the macro-nutrient, protein, is over-emphasized and excessively valued. Remember, you can get all the protein you need from plant sources and plant protein will not deplete your calcium stores. If healthy, strong bones are important to you, and they should be, consume animal proteins more moderately. This can be easily achieved by going for the regular burger instead of the triple-decker, putting a little less meat in that chili and enjoying a slice or two of cheese, not half the brick. Our bodies really don’t need 16-oz. steaks, giant burgers, and heaping plate-full’s of Buffalo wings. We also don’t thrive off head-size hunks of cheese. The fast-food industry has greatly played into this portion distortion with their super-sizes and plates of food that can easily feed an entire family. Our whole idea about what constitutes a reasonable portion of food is off.

Those who struggle with restrictive eating disorder behaviors are probably used to seeing a plate as half empty and falsely believing this is a reasonable amount of food, while those with bingeing/compulsive overeating disorders often have eyes that are bigger than their stomachs. Here is the only portion guidance I am going to give. I share this not as a limiting element, but to help those who may have confusion understand what a reasonable portion of food is and the bare minimum amount of food that needs be consumed at meals for general health. I’m not going to ask you to pull out the food scale or your measuring cups. Those are the tools of the dieter and there is no need for those anymore. I’m also not going to break down serving sizes into their measurement equivalents by listing how many cups or ounces of food ‘should’ be consumed. I personally find that kind of information triggering. I think this is where nutritional professionals have really missed the mark. They understand the importance of sharing this information but present it in a manner that automatically breeds resistance and can be activating for ED issues. That’s not our intention here, so we are going to keep it simple. Want to know what a reasonable portion of food looks like? Put out your hand and make a fist… that’s it. A serving of protein, starchy carbs, fruits or veggies, is about the size of your fist. Use fats in small amounts to add flavor, while increasing both the enjoyment and nutritional content of your meals. A little butter can be a great thing! This is not an exact science, but it comes close enough to hit the mark.

The final nutritional area I want to cover is pleasure foods. Don’t worry… I didn’t forget about those treats we all love. What would life be without a cookie, scoop of ice cream, grab-bag of chips, or basket of fries from time to time? Boring and bland and we don’t want any part of that. I think each one of us will have our hands raised high when I ask the question, “How many of you are sick and tired of being told to avoid the foods that you love?” Pleasure should be considered an essential nutrient. Like a multi-vitamin, we should take one a day… at least. Pleasure is required to feel a sense of satisfaction. Feeling satisfied is an underrated component of ending bingeing, compulsive overeating and restricting behaviors. We need to learn the art of receiving pleasure. We also need to understand that pleasure comes through more sources than just food. I encourage you to include a little pleasure in each day from a variety of sources. In terms of sweets and treats, include reasonable amounts at the end of your meals or build them into your meals, if you so desire. This will allow you to experience the pleasure of the treats you love while also bringing your relationship with these foods into balance. Rather than viewing them as the main event, you will begin to see them realistically, as extras. Treats serve the purpose of providing dimension and interest to your meals. Biologically, this will also prevent blood sugar spikes. Since the bodily need for nourishment will take precedence it will foster an internal equilibrium that will allow you to experience satisfaction with smaller amounts of these foods. When it comes to reasonable portions of treats, once again, look to your hand. If it wouldn’t fit in your hand, it is more than your body needs to feel supported… a cookie or two, a handful of chips, a scoop of ice cream… all sensible amounts. You can enjoy these foods every day! Build them into the meal ‘plan’ you are going to create. It’s important that you have enjoyable eating experiences. Many of you have been denied this pleasure for far too long. It’s time to welcome all foods back to the dining table.

Additionally, consider inviting other sources of pleasure into your day, as well. Make time to take a relaxing bath. Allow yourself 15 minutes to take a cat nap. Treat yourself to a warm cup of tea and a page-turning novel. Make a play-date with your best girlfriend. Make time for you. You deserve it!

Finally, make sure you are getting plenty of water. Carry a water bottle with you and sip on it throughout the day to keep yourself well-hydrated.

How to Create Your ‘Plan’

In order to get your blood sugar levels stabilized, reduce bingeing/compulsive overeating, sugar cravings and create a sense of food security that will allow your body to find physical and cognitive balance, it is going to be imperative that you feed yourself consistently and regularly with adequate nourishment. In order to achieve these aims you will be creating a ‘plan’ that will include 3 substantial meals and 2-3 snacks each day eaten no more than 4 hours apart from one another. Your snacks will be smaller than what you normally consume in a meal. It is also necessary to get a nurturing breakfast in every day within an hour of rising. Skipping breakfast invites in too many physiological responses that trigger ED behavior. This meal is going to be an essential component of your recovery process. This may seem like a task at this point, but I promise it will do amazing things for your body. You’ll be surprised how much this single step can improve your overall well-being.

This is not about putting yourself on a mini-meal plan, which has been a recent popular diet trend. This is about nourishing your body with essential fuel. When preparing your meals, think of including at least a fist-sized portion each of starchy complex carbohydrates, protein, and a fruit or veggie. Balanced snacks will include a little complex carbohydrates (starchy or fruits/veggies) and protein. At first, this may seem like a lot of food to you and believe me, I understand. I was taken back when I saw the minimum amount of food I would need to be eating in order to repair and replenish my body. At first, I thought there was no way that I could do this, but in a very short time, I have been proven wrong. It makes me all too aware of how much I have been restricting and under-eating.

I am feeling much better physically, mentally, emotionally, and energy-wise since implementing my own ‘plan’. I now really get that I was carb-deprived. This rise in energy level and improvement in mood were probably the two changes I noticed first. I was able to experience this within a few days. Initially, it took a little time for me to adjust to this amount of food. I had been used to eating to the ‘just satiated’ point with intuitive eating and was not familiar with a sense of being truly full and nourished. This was an adjustment for me. If you are like me and have been eating to the ‘just satiated’ point, you have probably been under-eating. This is likely a great contributing factor in the continuation of your ED behavior. Under-eating promotes bingeing and compulsive overeating. It also increases your cravings for sugar, sweets and highly-processed foods. This is because simple carbs are quickly absorbing into your bloodstream and with a lack of adequate complex carbohydrates, (this is the nutritional food source most restrict and under-consume) the body is going to scream for emergency fuel. I have always had a major sweet tooth. Since getting these consistent feedings my desire for sugary foods has all but vanished. I continue to include a little dessert each day but find a very small amount satisfies me. I now realize that my body was so pulled to those foods because I was undernourished. It’s been a transformational experience for me. I continue to enjoy all of my favorite foods, including takeout, but a real balance is developing. I’m finding that the reward of feeling deeply nurtured with solid nutrition is more attractive to me than flooding my body with play foods.

Set Your Feeding Schedule on a Day To Day Basis

Every night before you go to bed, think about what the next day has in store for you. Pull out a notebook or journal to record your ‘plan’. I like to use a dry-erase board because I work out of the home and it serves as a visual reminder to me that I need to remember to take care of myself by eating. This alone has been an amazing tool to ending my restricting/starving behavior.

In creating your ‘plan’ for the next day, it is vital to consider certain elements. When will you be rising? Schedule your breakfast within an hour of your wake-up time. When will you be able to break for lunch? Write your lunch time down. When will you reasonably be able to prepare yourself dinner? Schedule that time in, as well. Now that you have the basic template for your meals pinned down, it’s time to think about adding those 2-3 snacks. Is there more than 4 hours time lapsed between breakfast and when you will be having lunch? Schedule a mid-morning snack somewhere in there. Do you frequently experience an energy slump in the afternoon, or do you find your cravings for sweets tend to escalate later in the day? If so, schedule an afternoon snack. Are you a nighttime binger? Make sure to schedule yourself an after dinner snack. Whether you choose to have 2 or 3 snacks is totally up to you and based on your personal needs and ED patterns.

There is no need to plan what you are going to eat. This will allow you to begin to get in touch with your intuitive bodily signals. Simply keep in mind to think about having a portion of starchy complex carbs, protein, and a fruit or veggie with each meal and a complex carb/protein combo for snacks. You are merely setting reminders to feed yourself consistently and in a nourishing way. Amazing things will happen for you physically, mentally, and emotionally when your body begins to get the signal that food is available in abundance and that its needs will be met. Your entire being will begin to come into balance. Food is powerful medicine!

The great thing about a ‘plan’ like this is that it is all about you. It provides just enough structure to create a sense of safety for those transitioning from ED to intuitive eating. The planning also allows individuals to begin to reconnect with their own inner knowing in terms of food choices and how to best support their nutritional needs by working around their daily schedules and responsibilities. It fosters an awareness that providing your body with this essential care is equally important, if not more so, than the other obligations in your life. The schedule allows you to stop thinking about food so much and release the obsession. You will now be able to rest assured that you have a ‘plan’ in place and can begin to direct your attention toward other meaningful pursuits. Finally, it addresses common areas of concern that usually arise with newcomers to intuitive eating like how to work around work and school schedules.

Our responsibilities shift from day to day. By setting your schedule the night before, you will be able to take these varying elements into consideration and plan accordingly. Your ‘plan’ does not have to be static. It can shift and grow with you and your needs. Perfection is also not required. Do your best to stick with your ‘plan’. If you have a meal or snack where you fall behind what you have scheduled a bit, don’t beat yourself up over it. Simply get back on track to the best of your ability. The only thing not allowed on this ‘plan’ is guilt. Also, as you begin to feed yourself consistently, you will begin to see your hunger cues coming forward regularly and predictably. As this occurs, take this into consideration when creating your ‘plan’. For example, let’s say you note that you tend to get hungry in between breakfast and lunch consistently. There are a couple of ways you could alter your ‘plan’ to address this issue. You could opt to go for 3 snacks instead of 2 and add one in mid-morning. You could also choose to schedule your lunch a little earlier if you are able to accommodate that. Brilliantly, this begins to get you used to tuning into you own internal rhythms. Think of it as the first stirrings of the intuitive eater awakening.

There is a second piece to this puzzle which involves how to transition away from this ‘plan’ into becoming the natural eater you were always meant to be. Consider what has been presented here to be part one of this recovery process. I am refraining from posting the second part of this information purposefully until three weeks have lapsed. There is a reason for this. This is going to be new and unfamiliar for many of you. You need to give yourself time to adjust to regular, nourishing feeding. It is also necessary to allow space for your bodily signals to begin to come forward consistently. If I were to present the transitional information now, there would be a natural human tendency to want to rush ahead and that would defeat the purpose of this approach. Be patient and give yourself some time to experience the many improvements feeding your self soundly will bring. In three weeks I will present the second part of this process and we will begin to reclaim our natural, intuitive eater within.