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Therapist's Guide to Clinical Intervention - Sigmund Freud

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c. Protecting your food supply; hiding food<br />

d. Preoccupation with body size<br />

7. Attempts <strong>to</strong> control eating or weight<br />

a. Doc<strong>to</strong>r's diets<br />

b. Fad diets<br />

c. Diet pills or shots<br />

d. Starving, vomiting, laxative use, diuretics, or manual extraction of s<strong>to</strong>ol<br />

e. Diet clubs or fat farms<br />

f. Hypnosis, acupuncture, s<strong>to</strong>mach stapling, or gastric bypass surgery<br />

g. Spending money <strong>to</strong> control eating or weight<br />

8. Family/friend response<br />

a. To your eating patterns<br />

b. To changes in your appearance<br />

HOW TO STOP USING FOOD AS A COPING MECHANISM<br />

Some people experience difficulty expressing their emotions and resolving associated issues.<br />

Over time, they may identify food as the source of comfort hey are looking for. By this time<br />

it is quite possible that they are experiencing depression. Therefore, their use of food as a<br />

mechanism <strong>to</strong> cope has (1) created a cycle of conditioned behavior that maintains depression<br />

and (2) become a demonstration of self-medication.<br />

Emotional Internalizes Thinks about Engages in Numbs Feels<br />

distress distress food/eating compulsion out guilty/bad"]<br />

The irony of this cycle is that these individuals often do not even notice the taste or how<br />

much they are eating. The distress and emptiness cannot alleviated with food. The foods<br />

often eating under these condition are sugars and starches. These foods increase sero<strong>to</strong>nin<br />

in the brain and temporarily alleviate emotional distress. Therefore, these two issues must<br />

be confronted: (1) reconditioning, which involves learning new ways <strong>to</strong> cope and take<br />

care of yourself and (2) understanding the role of your specific brain chemistry. Consider the<br />

following information as resources for developing new coping mechanisms:<br />

1. Increase self-understanding and self-awareness. Keep a self-awareness journal<br />

that records what are you doing and why are you doing it. Keep a food<br />

journal. Write down exactly what you eat, when, and how you felt.<br />

2. Create a habit of asking yourself why you feel like eating. If you are not<br />

hungry, take responsibility for making a better choice. Create a list of<br />

behaviors you can do in an effort <strong>to</strong> get redirected.<br />

3. Identify what you are feeling. Identify what the feeling is associated with<br />

(thoughts and experiences), and identify your choices for "dealing" with<br />

the feeling.<br />

4. Acknowledge that life is never without issues <strong>to</strong> deal with. Don't ruminate<br />

about it, don't worry about it, don't procrastinate. Whatever it is, deal with it<br />

(without food) and move on.<br />

How <strong>to</strong> S<strong>to</strong>p Using Food as a Coping Mechanism 377

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