BDS
Summer 2012
 Volume 4, Issue 3
 deb and Judy
In This Issue
Is a Calorie Not a Calorie?
Ask the Diet Program Coordinator
Mary's Success Story
Best of Facebook
Is a Calorie Not a Calorie? Does it Really Matter?

An article published in the New York Times entitled, "What Really Makes Us Fat," puts to the test the old maxim that "a calorie is a calorie." It describes a study conducted by Dr. David Ludwig of Boston Children's Hospital. He and his team took obese subjects and reduced their caloric intake until they'd lost 10 to 15 percent of their weight. They then split the subjects into three groups: For one month, the first group followed a diet that was low-fat and high in carbo-hydrates, the second group followed a diet that had a low glycemic index, and the third group followed a diet low in carbohydrates and high in fat and protein (commonly referred to as the "Atkins diet"). 

 

The surprising results of this study indicated that the composition of the one month maintenance diet influenced how many calories the dieters burned at rest. Those who ate the Atkins-type diet burned more calories than those in the other two groups. At least one researcher, however, disagrees with the conclusions of this study. 

 

While we think this study is very interesting and has some potentially significant ramifications, we have a major reservation. The article does not discuss the health and nutritional components of the three diets used in the study.  While a diet that is very high in protein and fat and very low in carbohydrates may enable an obese dieter to maintain his or her weight loss better (at least in the short run), we don't know whether it's the best diet, in terms of nutritional value and promotion of good health. And, practically speaking, is it one that a dieter can follow for the long term? Our philosophy has always been: Find a diet that is both healthy and one that you can stick with for life.  While it seems possible that a diet that is very high in protein and very low in carbohydrates might allow one to reach their lowest weight possible most easily, is it practical for the average person to maintain this type of diet, indefinitely? (It may or may not be; more research is required.)

 

In our minds, it is simply not worth following a diet that is not maintainable because, although you will achieve weight loss, you'll inevitably end up gaining back the weight you lost once you revert to a more manageable eating pattern.  So, if someone loses a lot of weight eating a high protein, low carbohydrate diet, the moment she starts eating bread and pasta again is likely to be the moment she starts to gain some weight back. There is no universally perfect diet that will enable you to lose weight and keep it off because the "perfect" diet may not be perfect for you. As soon as you stray from it, its effects won't last.  When dieters accept that there is no dieting magic bullet and no one perfect combination of foods, they can more easily begin to look for and formulate a diet that works for them and, most importantly, is maintainable for them.

 

Still, we can take away some practical advice from this study.  People trying to lose weight or maintain their weight loss may indeed benefit from trying to increase their protein levels and reduce their carbohydrate intake - as long as they don't do it in an all-or-nothing manner.  It is certainly reasonable (and, with work, probably maintainable) to have the goal of limiting carbohydrates, as long as dieters are able to consume a certain amount of carbs that prevents their feeling deprived or too unsatisfied. 

 

The bottom line: This study is interesting and provides some important data, but at the end of the day, it doesn't matter what diet you follow if you're unable to maintain it. And, while a diet that is higher in carbs may not be considered the "optimal" diet in terms of weight loss or weight maintenance, it maybe the optimal diet for long-term weight loss maintenance for some people.



Congratulations to Liz Gurevitch (Atlanta, GA) who lost 60 pounds using the 

Beck Diet Solution program!

 

Liz is featured in the August 2012 issue of

Good Housekeeping.

 

There she explains that she became intrigued when her mother gave her

 The Beck Diet Solution.

   Based on the principle that you can change what you desire by changing your thinking, Liz says, "I learned that I could enjoy food but not overeat."

 

Congratulations on your achievement, Liz!

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Ask the Diet Program Coordinator: Why Give Yourself Credit?  

 

Question: I don't really understand the notion of "giving yourself credit" when it comes to dieting.  Why is it so important? And do you have any suggestions for someone like me who is really terrible at giving herself credit most of the time?

 

Answer: Giving yourself credit means acknowledging every time you do a positive diet or exercise-related behavior. Typically dieters give themselves credit by telling themselves something like, "Good job," "That was great," or "I really deserve credit for that."  This skill is one of the most important components of our program. Giving yourself credit, day after day, will help raise your dieting confidence.  The more you recognize the things you do well, the more you'll build your sense of self-efficacy, simply because you'll have proof that you can do it.  And, like many things in life, once you have more confidence in your ability to stick to your dieting consistently, the easier it will become.

 

Imagine that you're going to a party at your friend's house.  You know she's a very good cook and there's going to be lots of delicious food.  If, before you go, you say to yourself, "This is going to be really hard. I don't know how I'm going to stay in control and not overeat.  I'm really worried," you might go to the party and have a hard time staying in control. By contrast, if you say to yourself, "Okay, this might be more difficult than my usual dinner but I know I can do it- I've followed my plan on similar occasions and I've felt great, so this should be no different," you're likely to have an easier time staying in control. In both scenarios, the situation is the same, but what you say to yourself, and your confidence level, are  different.  The only way to raise your dieting confidence is by consciously proving to yourself that you can stick to your plan.   

 

Another important aspect of giving yourself credit is keeping mistakes in perspective. Let's say it's 4:00pm and you go to the break room at work.  You see that your co-worker brought in cookies and you end up eating one.  You might say to yourself, "Oh, it's so terrible that I've just eaten that. Today is such a failure, I might as well just continue eating off track and start again tomorrow."  But, if you've been giving yourself credit all throughout the day and you're aware that you've already engaged in many positive dieting behaviors, such as eating sitting down, reading your Advantages List and Response Cards, following an eating schedule, and eating slowly and mindfully, it will be much easier to say to yourself, "Ok, I made this one mistake but, I've already done 20 other positive things today. The scales are still clearly tipped in the favor of things I've done well.  I need to just get back on track right now and I'll be fine."

 

If you only notice your faults and slip-ups, it makes sense that any one mistake would feel like a catastrophe (or a reason to give up for the day) because it's the only aspect of your experience that you're focusing on.  Giving yourself credit helps you to notice the things you're doing well. And it helps you realize that, in any given day, you're probably engaging in many more helpful than unhelpful behaviors. 

 

Have I convinced you yet that giving yourself credit is important?  Let's discuss how you can get yourself to use this crucial technique throughout the day, every day.  Many dieters that we've worked with over the years initially had difficulty giving themselves credit.  In fact, most of them were masters of the opposite: They would focus primarily on the one or two mistakes they made in a day and lose sight of the positive things they did.  Many had never even considered giving themselves credit when they did something well. Instead, they were in the habit of ignoring their positive behaviors and lambasting themselves when they made a mistake.  But like everything else in our program, giving yourself credit is a skill. The more dieters practice this skill, the better they get at it. 

 

One of the biggest hurdles in successful weight loss are unhelpful thoughts, especially those that contain the word "should."  "I don't deserve credit for this because I should have already been doing it." "I'm not giving myself credit because this should already be easy."  "I shouldn't give myself credit until I reach my goal."  These sabotaging thoughts are not true! We tell dieters in no uncertain terms: No, you shouldn't already be doing these things because you never knew how to get yourself to do them before. And no, they shouldn't already be easy for you. If losing weight or maintaining weight was easy, then no one would be overweight and everyone who has lost weight on a diet would be able to keep it off.  But that's simply not the case!  It's critical to give yourself credit now, in the moment, and not wait until you achieve your goal.  Doing so is counter-productive.  To get to your goal in the first place, you need to master the skill of giving yourself credit, raising your confidence, and proving to yourself that you can do what needs to be done.  Then you'll get there.

 

Another common hurdle is remembering to give yourself credit. In our sessions, we ask dieters about their positive dieting experiences.  Our follow-up question is, "Did you give yourself credit for that?" The most common response (initially) is, "No, I guess I forgot to."  Here are some strategies that you can use to remember to give yourself credit:

 

1. Wear a reminder.  Our dieters may put on a bracelet they don't normally wear, place a rubber band around their wrists, or put their watch on the opposite wrist.  Every time they notice this unusual cue, they ask themselves, "What have I done in the past few minutes/hours that I deserve credit for?" 

 

2. Write it down.  We ask dieters to write down at least three things, every night, that they did that day for which they deserve credit.  It's important to make sure that you write down "big" things (like staying in control at a party, resisting a craving, etc.) as well as "small" things (like reading your Advantages List, eating something sitting down or slowly and mindfully, etc.) so that you build an awareness of everything you're doing. Remember: The small things are just as important as the big things, because mastering them is what enables you to move forward and tackle harder dieting skills.

 

3. Make and read credit-related Response Cards.  Especially if you're someone who is good at only focusing on mistakes (and has credit-interfering beliefs), it's very important to make credit Response Cards such as the following:

  

  diet response card i deserve credit  

 diet response card its important credit

 

And every time you read the cards, give yourself credit for having done so.

 

4. Set a "credit" alarm on your phone to chime several times throughout the day. Every time it chimes, think of a positive dieting behavior that merits giving yourself credit. 

 

I hope that this will be helpful in both convincing you that you do deserve credit and in getting yourself to actually do it.  As I said in the beginning, giving yourself credit is a critical skill in long term weight loss and maintenance, and it can't be overlooked.  Good luck!

 

Mary's Success Story                                     


Recently, we received an email from a dieter named Mary, thanking us for our work and explaining how well she was doing (and how great she was feeling). Because we know how much dieters benefit from reading others' experiences, we asked Mary if she would be willing to write about her journey to losing weight and maintaining her weight loss. This is what she sent us:

 

Hi Dr. Beck and Debbie:

 

As promised, I am writing to tell you and Dr. Beck how much I appreciate the ideas and exercises presented in Dr. Beck's books.  Overall, I believe these skills worked for me because they make so much sense.  There is something very logical and no-nonsense about the CBT skills.  The idea that brought it home for me was the one that reminded me that achieving success in dieting is like achieving success in other aspects of my life (like advancing my career, maintaining good health, raising healthy children, etc.). In each of these life scenarios, I am likely to face challenges, but I am also capable of overcoming obstacles to reach my goals. The idea of taking skills and behaviors we have used in other areas of our lives and translating them into dieting skills is just brilliant!  Learning new skills and practicing them to improve, feels practical and honest and something anyone can do.  Plus, the reward of maintaining a healthy weight actually seems possible in my lifetime!

 

Two exercises/tools that have been particularly helpful are:

 

1. Weighing in every day.  Weighing myself every morning helps me face reality and is a motivator, even when the number on the scale goes up.  In fact, I'm even more motivated to stick to my plan when the number goes up.

 

[Note from Debbie and Dr. Beck:  Mary must have really learned that the number on the scale is supposed to go up at times, even when she's been following her plan. She must have learned how to respond to sabotaging thoughts when she sees a higher number.]

 

2. Creating my own version of a "No Choice" card.  Mine says "I will not go back."  Since this is my second time around, it is especially important to me to stick to my plan.  These are the first words I read when I take out my cards and I just KNOW they are true.  I know I will not go back to the weight I was before.

 

[Note from Debbie and Dr. Beck: How great that Mary took a crucial concept and translated it into words that resonated better for her.]

 

The biggest challenges for me are (and I work on them daily):

 

1. Creating the time AND MENTAL ENERGY it takes to diet successfully every day.  I work full time, have a family, and have hobbies and lots of interests so this is always a challenge.  I had to make learning and practicing dieting skills my #1 priority, every day, as odd as that sounds.  My work life, my home life, and my friends have all survived anyway. 

 

[Note from Debbie and Dr. Beck: Wow, Mary has really figured out that she deserves to make dieting a priority for herself. And it's wonderful she recognizes that nothing terrible has resulted.]

 

2. Weekends and traveling.  I continue to work very hard on my skills during these times.  It takes constant vigilance, honestly.  I read and re-read my Response Cards, I get out of my kitchen and find other things to do.  Most of the time it works, sometimes it doesn't work.  All I keep thinking, though, is that the only way my resistance muscle will get stronger is to work it.

 

3. Those hours of the weekday when my time is less structured (kind of like weekends).  For me, these times are 4pm and 8pm because my cravings are strongest.   I use my Distractions List and, lately, I've been adding more structure to these times.  For example, instead of just hanging out after finishing the dishes, I will try to have something planned, like a trip to the local library, a special movie that my husband and I want to watch, even a bit of housework (if I'm really desperate!). 

 

There were so many ideas, skills, and tools in Dr. Beck's books, that it was hard to choose only a few.  I am trying to turn these routines and behaviors into habits and it takes constant work.  But, as you so skillfully put in one of your newsletters, we are either burdened with the work of dieting, or we are burdened with extra weight.  We're burdened either way.  At least the burden of dieting carries a reward.  Brilliant!

 

Thank you,

Mary

 

Thank you so much for your helpful and insightful letter, Mary!

 

Best of Facebook 

 

Dieting is not all-or-nothing. It's not as if your only two options are to eat absolutely no food you really want, or to eat every bite of food you want, every moment you want it. There is SO MUCH middle ground between those two things and successful dieting/healthy eating is about finding a balance that works for you.

 

Sabotaging Thought: The scale was down so it's okay to loosen up today, I can get away with it. Response: I may be able to get away with eating extra for a short period of time, but guaranteed it will catch up with me at some point and undo my progress. Once I accept the fact that I can't "get away with things" where dieting is concerned, it will be easier for me to just do what I need to do.

 

If you were driving on the highway and missed your exit, you wouldn't think, "Well, I've blown it now," and continue driving four more hours in the wrong direction. No! You'd get off at the very next exit and turn around. The same is true for dieting - the moment you make a mistake, turn yourself around and get right back on track.

 

If you want to lose weight and keep it off, you can't turn to food every time you're upset. Not only will that not solve the problem, you will end up with two problems: the original one and now feeling bad about your eating. When you're upset, you DO deserve to be comforted but you DON'T deserve to feel bad about your eating.


You wouldn't expect to be able to run a marathon if you've never run a mile. Dieting is the same - don't set yourself up for failure by trying to take too many big steps all at once. Start with a few small changes, work until you master them, and then institute more. After all, small steps eventually add up to really big ones.

 

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