Q&A Series: Cleanses

Q&A Series: Cleanses

Kayla Waler, MFT Intern at Potentia: So, we’ve recently tackled pertinent topics such as Paleo and gluten-free diets. My friends have expressed interest in a Q&A about juice fasts and cleanses. I know juice fasts and cleanses are popular, especially around certain times of the year…what can you tell me about this practice?

Megan Holt, RD, MPH, Ph(c) and Coordnator of Nutrition and Wellness at Potentia: In my experience, people tend to be interested in cleansing for one of four reasons: 1) weight loss, 2) detoxification, or 3) as a means of hitting a ‘reset’ button when they’re feeling particularly bad about their current diet or 4) for an energy boost. Cleanses usually involve one or more of these components: 1) a fast 2) some sort of product or regimen purported to remove toxins from the body, or 3) a colon cleanse.

Kayla: Let’s start by talking about fasting…

Megan: I tend to discourage fasting because it can reactivate disordered eating behaviors–whether that’s restriction or feeling out of control with food or feeling disconnected from hunger and fullness cues when one does start to eat again. I generally recommend against it for anyone who has suffered from disordered eating in the past. But for someone without a history of disordered eating, there’s really no harm in doing a juice fast or any fast for one or two days, as long as the person is hydrating appropriately. Beyond a few days, there’s no way one can really meet his/her micro and macronutrient needs for vitamins, minerals, fat, fiber, and protein through a fast (including a juice fast). So, if the fast is prolonged, say for two weeks, he/she will start to break down muscle tissue, resulting in a weight loss (muscle tissue is heavy and dense, about 1.7 or 2 times the weight of fat mass). This can’t be sustained without becoming malnourished, nor is it ideal to waste muscle tissue and lose strength. In such a state a person can expect to be in ketosis, a state characterized by elevated levels of ketones in one’s urine or a fruity or acetone-like smell in one’s breath. Ketosis is one of the hallmarks of starvation/malnutrition.

Kayla: I know detoxification is a trendy concept. What are the toxins people are trying to rid from their bodies?

Megan: Usually the claims about detoxification on these products are overstated and generalized/non-specific. Most refer to PCBs, lead, heavy metals, or environmental toxins like food additives, food coloring, pesticide residue, etc.

Kayla: And would a cleanse rid the body of these toxins?

Megan: Actually, there’s no evidence that a cleanse or fast would (although, as long as one is fasting, one is likely taking in less of these compounds, though they’re reintroduced once the fast ends). There seems to be nothing about a cleanse that is as beneficial as adopting a good quality of diet consisting primarily of plants and whole foods. But there isn’t much research out there; there haven’t been many high quality studies on cleanses because higher preliminary studies show no benefit. Cleanses are typically promoted by testimonials given by celebrities or people who have no training/educational background (major red flag).

One problem with cleanses/detox diets is that if someone had a poor diet before doing on a cleanse, they usually revert back to that diet afterward, as they often don’t build skills to enable sustainable changes. So, unless he/she makes a concerted effort to change diet and lifestyle, he/she will return to feeling just as poorly as prior to the cleanse.

Kayla: …because he/she is just reintroducing all the old stuff…?

Megan: Right. The benefits are not sustained and not sustainable. So if you wish to feel better, or are seeking the reported benefits of something like a cleanse or detox diet, the best bet is really working on changing quality of diet and increasing activity, both of which sustainably promote feelings of well being (without undesirable side effects).

And it’s most important to note that not everyone reports feeling better during or after a cleanse. Most people report feeling disorientated or lethargic, dizzy, weak, a little confused or groggy because they’re malnourished and not getting enough glucose to the brain to fuel proper cognitive processes and physical functioning. Some people often report feeling lighter, and I can see that because one may lose weight in the form of fluid and stool bulk primarily (and perhaps a smaller proportion of fat mass and muscle mass depending on how the cleanse or fast lasts). But most often, participants complain of weakness, confusion, or just feeling “out of it.”

Kayla: Then why do people believe a cleanse is beneficial?

Megan: In part due to the power of testimonials—some people do report feeling better. Certainly people can report feeling better after adhering to a really nutrient-dense juice cleanse for several days in a row. But when someone is coming from a place where their diet is poor, of course they are going to feel better when diet improves. The problem is that it’s short term. We know that fad diets don’t work in terms of sustaining weight loss, and cleanses/detox diets are not exceptions.

Some people notice that a one or two-day cleanse or fast helps them to break habits of mindless eating and get back to a cleaner quality of diet. For example, someone who takes a one or two-day fast or cleanse after the holidays. Having said that, if you’re someone who is willing to stick to a juice fast or cleanse for just a few days as a means of hitting a ‘reset’ button, then you’re probably also apt to resume your pre-holiday eating style without doing the cleanse/fast.

Kayla: I know fasting can be dangerous because of the risk of malnourishment. Are there other risks? Can a cleanse regimen be dangerous?

Megan: Cleansing and fasting can be especially difficult and contraindicated for people with altered nutrient needs due to illness (diabetes, kidney disease, etc.). So, prior to participating in a cleanse or fast, I’d suggest consulting first with your physician.

Kayla: Earlier, you mentioned colon cleansing. Will you explain what a colon cleanse is? Why do people do it, and what are the pros and cons?

Megan: A colon cleanse is usually performed with an enema, commonly salt water or purified water injected into the colon. The idea is to remove any metabolic waste that the colon hasn’t removed on its own. Conventional physicians usually don’t support colon cleanses because there isn’t evidence to support the reported benefits. The colon is self-cleaning… it does a really good job of getting rid of metabolic waste on its own. So, we don’t need a procedure to cleanse the colon. In fact, introducing a foreign object into the colon can actually be pretty risky. Perforation of the bowel is another big risk with colon cleansing, as are infections and electrolyte disturbances.

Proponents of the colon cleanse will say they are introducing higher levels of good bacteria and getting rid of “bad” bacteria in the intestines, but there is really no evidence of that being the case, and the introduction of good bacteria is something you can get from eating probiotic-containing foods and a primarily whole-food plant based diet.

Also, we have a liver and other important organs that perform that function for us without prompting. Environmental toxins can not be metabolized or cleared by a cleanse or fast, unfortunately. If you are looking to make a change to feel better, my advice is to follow something that is sustainable for you, preferably a nutrient-dense, plant-based diet—though not necessarily vegetarian—with a high intake of whole foods: fruits, vegetables, whole grains, legumes and plant based fats.

What are your experiences with cleanses and fasts?  Have they been helpful or triggering of disordered eating thoughts and behaviors?

And thanks so much for your interest in this Q&A series.  Please keep us posted on future topics you would like us to cover in future Q&A posts.  Thanks for reading!

In good health – Megan and Kayla

Q&A Series: Gluten-Free Diet Unpacked

Unpacking Gluten-Free Diet
Unpacking Gluten-Free Diet

After getting the scoop on the Paleo Diet, I sat down with Megan Holt, DrPh(c), MPH and Registered Dietitian, to get more information about another popular diet craze–the gluten-free diet.  –Kayla

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Kayla: So, what exactly is gluten, and what is the gluten-free diet?

Megan: Gluten is a protein found in wheat and other grains, but it has been incorporated into a lot of different food products.  Rye, barley, bulgur, triticale, some oats (due to cross contamination), and wheat products, of course, contain gluten, as do many sauces and meat tenderizers or seasonings.  Gluten tends to slip its way into many products because of its elastic structure and ability to act as a thickener. A gluten-free diet is simply an exclusion of gluten, which means the diet rules out all of the pastas, breads, pastries, and cookies that are gluten-containing, but also many other sauces and seasonings.

Kayla: I know that I’ve heard a lot about gluten-free products and the gluten-free diet within the last year or two, but how long has this diet been around?

Megan: The idea of a gluten-free diet gained popularity about 5 years ago, but it really exploded about two years ago in conjunction with the Paleo diet.  A number of studies have supported benefits of a gluten-free diet for certain subsets of the population, and largely as a result of the popularity, we have an increased awareness (and an increase in the number of people being tested).  We are now more aware of the symptoms of gluten sensitivity, and, given the availability of gluten-free products on menus in stores, sticking to a gluten-free diet is far less stigmatizing and isolating than it was in the past.  These are real benefits for people who are genuinely gluten-sensitive.

Kayla: What are the benefits of gluten?

Megan: There are decades of research that supports the use of whole grains in our diet.  High intake of whole grains are protective in terms of lowering risk of major causes of death in the United States:  cardiovascular disease, type II diabetes, metabolic syndrome (in part due to the fact that low intake of whole grains is associated with higher abdominal fat and obesity).  Breads, grains, and pastas make up the bulk of the western diet (for better or worse), so one benefit of gluten intake in the US is that many of our grain products (which are gluten containing) are vitamin-fortified.  So, we tend to get a lot of vitamins and minerals, like folate, fiber, iron, and zinc, from gluten-containing products.  Of course, there are other, sometimes better sources for these vitamins, but gluten-containing products are a really common accessible source in the US.  Finally, whole grains themselves are very satiating, and they contribute to sustaining normal levels of blood sugar, even more so than a lot of the gluten-free counterparts.  One example would be whole wheat pasta versus (gluten-free) brown rice pasta.  Whole wheat pasta is a little more stabilizing and has more fiber and protein than brown rice pasta.  That’s just one example of a not-necessarily-healthier gluten alternative.

Kayla: Can you explain gluten sensitivity? What is the difference between that and celiac disease?

Megan: So, with the explosion of the gluten-free fad, we’ve become better at recognizing the symptoms of gluten sensitivity, which is milder than celiac disease and usually characterized by physical symptoms, with no damage to the small intestine.  Symptoms can include: diarrhea, bloating, abdominal pain, rashes, joint pain, and other inflammatory symptoms.  Celiac disease is characterized by an immune response to gluten, which can lead to the destruction of the villi in the small intestine, which can be severe and debilitating.  Many of these folks suffer from serious nutrient deficiencies just because they can’t absorb what they’re eating, so the removal of gluten from their diets is imperative.  But true celiac disease affects less than 1% of the population.

Kayla: How does one confirm gluten sensitivity or celiac disease?

Megan: Well, the gold standard to check for celiac disease is a biopsy of the small intestine to look for flattening of the villi.  Some doctors will perform an endoscopy to actually look for damage to the small intestine, but some look to blood tests that reveal the level of antibodies that have developed.  If these antibodies are outside a normal range (high), it may indicate a gluten intolerance or celiac disease.  But usually people will just try an elimination diet–eliminating gluten and then reintroducing it and looking for symptoms.

Kayla: But that only works if you’re only eliminating gluten, not adding in other things, or completely changing your diet…

Megan: Exactly.  Most of the people I see are just starting to pay attention to quality of diet or trying to improve their quality of diet and may feel like one the markers of improving their diet would be excluding gluten.  When I see people who want to follow a gluten-free diet, what I typically ask them to do is see their physician to check if they can get a test to confirm non-celiac gluten sensitivity or celiac disease if that’s what they suspect.  If there’s no confirmation, we work for a few weeks to clean up the overall quality of diet and I ask them to pay attention to the appreciable benefits they experience from simply improving the quality of diet.  Then, we can exclude the gluten-containing foods, substituting them for something comparable for a month or so before reintroducing gluten and noting any symptoms.  Changing the overall diet while excluding gluten is not ideal.

Kayla: Are there any benefits of a gluten-free diet for people without gluten sensitivity?

Megan: None that are evidence-based.  If we’re just excluding gluten or substituting whole grains for gluten-free grains, then no, there’s no benefit.  Moving away from genetically-modified foods and toward organic foods is beneficial, and this is a shift that is often made at the same time as one decides to go gluten-free.  But generally, gluten-free products tend to be more highly processed and are not fortified, compared to many gluten-containing grains, so you actually get less fiber and have a higher intake of processed foods when you’re just swapping out whole grains for gluten-free grains–unless you have legitimate gluten sensitivity.  That’s always the exception to the rule.  For most of the clients I see, those who don’t have gluten sensitivity, reintroducing gluten after elimination brings on no symptoms, other than perhaps a bit of an adjustment to a higher intake of fiber.

Kayla: So how can someone going gluten-free for a legitimate reason do so in a healthy way?

Megan: There are ways to be gluten-free more healthfully, that are more than just swapping out the gluten-containing grains for gluten-free ones.  For example, someone can get a lot of nutrients from beans, lentils, and other whole grains that are gluten-free like brown rice, amaranth, quinoa, and gluten free oats, or from fruits and vegetables.  Using these foods as staples is very healthy.  I’m a firm believer that you can have a balanced diet that excludes things you don’t want to eat or things that don’t make you feel well, but you have to be intentional about adding other food sources to make up for what you’re losing.  You have to take a balanced approach.

Kayla: How can I tell if someone going gluten-free is really struggling with disordered eating?

Megan: Unfortunately, I often see people using the gluten-free diet in the service of disordered eating, that is, as a reason for restricting their eating.  Then, if weight loss happens, it’s because of the restriction, not because their diet is gluten-free.  If you’re concerned about someone going gluten-free, you can always suggest that they see their physician for confirmatory testing.  Other red flags:  Is he/she restricting food /calories outside of those that are gluten containing? Has there been an undue or unnecessary weight loss? Is he/she unable to enjoy food or participate in activities involving food?

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We would love your thoughts on our conversation about the gluten-free diet. Post your thoughts and any additional questions for us in the comments section below. Also, let us know if there are any other diet or wellness trends you would like unpacked in future Q&A blog posts.

In good health –Megan and Kayla

A Twist on Dealing with Negative Body Image

Negative Body Image.

In my tribe of Eating Disorder Treatment Specialists, we often say negative body image is the first to come and the last to leave in the treatment of food and body issues.

And that is a pretty constant truth from the many recovery journeys I have witnessed over the years.

My clients have taught me some more nuanced facts about body image, regardless of whether they have had a full blown eating disorder or not.

Everyone has (at least) a bad body image day.

Depending on where you fall, if at all, on the disordered eating spectrum, dealing with dark, obsessive, and/or negative thoughts and compulsions regarding your body is a part of the gig when dealing with disordered eating.

You may recognize all too well some of these reccurring negative thoughts used to bully and shame yourself – just fill in the blanks with your own words to customize these statements to your experience:

My ____ is so ____.
I feel so ______.
I am so ______.
My _____ looks so ____.
I just need to___.
When I _____ I will be _____.
I hate my_____.
My _____ will always/never be_____.

Ugh.

So many try to manage these thoughts and feelings by stuffing them and putting on their “I love my body” and “It’s all good” masks of virtue, hiding the truth that they are living at war with their body. Others externalize these thoughts and add to the cacophony of negative body talk and diet talk.

And this is where things often spiral.

Many try to manage the pain of being in their skin and their body shame by:

  • over exercising
  • restrictive eating
  • dieting
  • mindless, emotional eating
  • comparing
  • competing
  • shaming
  • all of the above

And this can lead to a dark journey into the world of eating disorders and disordered eating.  Yet, many hover in this place of emotional ickiness where they cannot shake the uneasiness of living in their skin and make genuine, though harmful, attempts to get relief.

For many of you, this battle really is not about your body.

If my client is stable emotionally and physically, and her needs are met nutritionally, then I often look at negative body image as a sign of something bigger.

Like when you get that scratchy throat feeling.  It is a sign you are on the verge of getting really sick; it is not just about the sore throat.  You know you need to rest, to take some extra Vitamin C, drink some tea, ask for help with projects, cut back on your social calendar.

When the yuck of a bad body image moment comes up, it is often a sign of something else going on in your life.  I move my clients away from the laser focus obsessions on what needs to change with their body and pull back the blinders to look at what else is going on in their life.

If you are feeling this way, it is important to asses:

  • if you are you getting enough rest,
  • how you are adjusting to weight restoration or weight loss (yes, weight loss can be very triggering)
  • stressors
  • social support — safe, sustainable, available social support
  • if you daily activities are life giving or draining
  • dieting behaviors
  • traumatic or distressing life events that have gone untreated
  • if your temperament is perfectionistic, obsessive-compulsive, cares big, and feels emotions intensely
  • labs taken within the last month and making sure all physical systems are operating well and your body’s needs are being met

I have learned that setting the expectation to always be comfortable in your skin is a set up for continual frustration and feelings of hopelessness.  (Not helpful…)

The key is not to focus on the goal of eradicating negative body image days (though the parallel process is to decrease the frequency and intensity of those days, for sure)  but instead to respond on those days, weeks, months when you are feeling crappy in your skin DIFFERENTLY.

Instead of defaulting to negative food and body obsessions and action, I work with my clients on how to acknowledge what they are really feeling and what they are really thinking in that moment. 

Then we focus on respecting those thoughts and feelings in the moment.  I also emphasize the truth in how my clients feel.  What they feel is always real but rarely is it ever fact.

Finally, we focus on how to respond differently when body hatred arises.  Instead of stuffing, minimizing or denying — which only fuel the negative thoughts and coping tools — I work with my clients on accessing new tools and strategies when the dreaded body yuck surfaces.

When there is too much focus on feeling better in your body and not looking at the correlation with bad body image to other factors — physical, emotional, social, and spiritual — then I think we are limiting the potential of experiencing true health and true healing.

And it is ok not to love your body all the time.

But I think it is imperative to focus on respecting your body and being grateful for your body — even when you do not like it.

You can actually dislike your body while also showing your body respect and gratitude.  Eventually, respect and gratitude will win if you hang in there.

For example, there are a good handful of people I know that I do not care for but I respect them, treat them with dignity and kindness, and find space for being genuinely grateful for the challenging relationship.

Consider this strategy in your relationship with your body.

With heavy doses of respect and gratitude in addition to responding differently to your bad body image days, the feeling of your body never being enough may dissipate, and an eventual truce with your body may be declared.

And if one of those days surfaces again, the hope is you do not shame yourself for backsliding in your recovery but see your body image woes as a clue, a hint to investigate what is out of sorts in your life.

All the while administering generous doses of respect and gratitude.

How do you deal with your bad body image days?
Do you agree that it is not realistic to achieve a space where you never have a bad body image day?

With respect and gratitude –

Rebecca

 

Seeking True Health in a Health Obsessed Culture

TrueHealth2013 jpeg
True Health

Is your definition of health keeping you unhealthy?

Maybe. Maybe not. But I recommend taking a critical look at how you define health in your life and to reflect on how your definition of health is impacting your overall wellness.

When you say something or someone is healthy, what drives your sentiment?

I usually hear the following impacting this statement the most:

  • Looks
  • Weight
  • Fashion
  • Food choices
  • Fitness routines

And by the frenzy of advertisements everywhere about all of the above, the definition of health in our culture has been skewed to meet the needs of for-profit industries while also fueling disconnection and shame about the food we eat, our bodies, and our stories.

It is time to start thinking critically about the messages we are integrating into our definition of health.

Any person, book, or program that touts drastic weight loss, cutting out major food groups, or specific results is a wolf in sheep’s clothing. None of these diets or “lifestyle choices” are sustaining after 1-2 years. The facts show weight cycling from dieting, disordered eating, and serious eating disorders are continuing to wreak havoc on our health.

I respect and totally get the desire to look good and feel good. Yet, there is a dark side to these pursuits when the meaning and motivations are based on fear, obsession, and untruths.

I am troubled by the loud chorus of people in the medical and wellness fields that are getting on the bandwagon of fear of fat and an over-focus on the number on the scale as a measure of true health.

And I am even hearing health preached from the pulpit. Yet when people in faith communities are equating virtue with the number on the scale or whether you eat certain foods, it only results in more anxiety, confusion, and discontent. Shaming people to lose weight or eat well in the name of God hits below the belt and increases psychological and spiritual wounds.

I am surprised how many people are still using the archaic BMI (Body Mass Index) as an indicator of health. It is simplistic, formulaic, and reductive. The BMI does not take into account your genetics, unique physical makeup, and lifestyle. Yet it is still used as the gold standard for whether someone needs to lose or gain weight.

And I am still skeptical of the FDA standards of the BMI knowing that many of the people on the board have or have had connections to the diet industry. If the BMI is a part of your definition of health, I encourage you to take a step back and reconsider its role.

We do have some serious issues to address regarding wellness in our country, but the myopic focus on weight + good food/bad food is missing so many other factors that contribute towards true health. And until we have a multidimensional view of health, we will keep spinning.

I talk a lot about what health is NOT.

I believe health is not:

  • determined only by the number on the scale;
  • achieving the “perfect” body or striving for unhealthy perfection;
  • eating food restrictively or based on a “good” food or “bad” food mentality;
  • unsafe relationships;
  • an obsession with eating healthy where there is no room for flexibility;
  • dieting and demonizing foods and food groups;
  • shaming, blaming, or judging self or others.

I also talk a lot about how I define health.

I believe true health is:

  • finding something you are passionate about and striving to spend most of your waking hours in this space. When people are bored or feel trapped in jobs or situations that drain them of their creativity, their motivation, and ability to sit in vulnerability, this has a negative impact on mental and spiritual health which in turn can develop into physical ailments.
  • having a relationship with money where you are living within in your means and have enough to give and save. Leaning too heavily on finances as a means of control or comfort gives money way too much power over your peace of mind. And using money as a means to medicate can create chaos and a cycle of stress that negatively impacts mental, physical, and spiritual health.
  • involvement in your local community. So many people are disconnected from the places they live, but emotional wellness comes when we feel safe, have purpose, and community.
  • having a faith + regular spiritual practice. Understanding we are loved beyond measure and there is a greater purpose for your life gives perspective and meaning in all circumstances.
  • having a deep soul connection with a special few individuals who you can be real with, share your fears, mistakes, dreams, and hopes. Feeling heard and understood creates connection. Connection breeds empathy and gratitude. Gratitude impacts how our brains fires and improves our well-being, body, and soul.
  • living in a body that has energy, its needs met, is rested, moves well, and is free from pain. And when many are living in chronic pain or have chronic illness, practicing the previous five points can actually help improve their physical health. The only numbers of real concern are on your labs checking your bloodwork and other internal functions.

In the days and weeks to come, I will dig even deeper into these components of true health.

I am curious: How do you define health in your life? What do you think of my definition of health?  I look forward to and value your thoughts and feedback on this important and controversial topic.

Rebecca

 

Holding the Numbers Lightly

lifetooshort

 

Numbers.

I have a lot of conversations about numbers in my line of work. And not the numbers that my accountant or financial planner talk with me about (ugh) but the numbers that are used to help us measure our physical health.

My clients over the last decade have taught me that these numbers can be destructive, shaming, and spike their inner drill sergeant to start screaming awful things about their worth + value.

Working with those who struggle with eating disorders, negative body image, and disordered eating has taught me a lot about some numbers and how they can be draining and all-consuming.

I am referring to the number:

on your scale
of the size of your pants
of calories or points of a food item
on your labs (I like these numbers but they can often be used incorrectly)
of calories burned

While I believe our emotional, relational, and spiritual health are deeply enmeshed with our physical health, I want to address these numbers — particularly the number on your scale — and how you use them as you seek to make changes in your physical well-being.

When it becomes clear to me that these numbers are toxic to my clients and are preventing any real change from happening, I often ask them to take a big risk and leap of faith.

I ask them to get rid of their scale.

Sometimes they are not ready to get rid of it, so I hold it at my office (you should see the space under my couch) or they put it in the trunk of their car or have a trusted friend hold it or hide it.

Afraid of losing control without their scale, my clients ask:

What if I gain a ton of weight?
How will I know if I am making progress?
What will motivate me for change without the scale?

I always respect this resistance. I get it.

It’s a frightening idea to let go of this measure that helps them manage their anxiety + fear and has been serving as an emotional container for some time. But if they are in my office, I suspect this means of containing has reached capacity.

The scale simply does not serve as an effective means of control and in fact spikes obsessive thoughts about weight, food, numbers, and what other people think.

Stepping on the scale fuels the “never enough” crazy-making because:

  • If it is higher than you would like, you feel anxious, depressed, ashamed.
  • If it is right where you want it to be, you are excited but also paralyzed by fear of doing anything that will change that number in the wrong direction.
  • Even If you have achieved a weight in the range that is best for your body, sometimes the desire to go even lower gives a rush that is hard to resist.

Contrary to the many messages we are inundated with in our culture, weight is not a direct correlation to our health.  Last week, the results of a meta-analysis study of weight and mortality revealed those deemed overweight were associated with significantly lower all-cause mortality.

This study is more indication of the need to rethink how we define overweight and obese. I want to be clear, the results of this study are not a pass for those who need to make changes in how they care for their body. But shaming people to make changes to better their well-being is not effective and is destructive.

Determining our well-being is way more complex than a number on a scale or an antiquated formula or chart. These faulty formulas are pervasive in our culture and prey on those who are feeling pretty crappy about themselves, who are desperate for change and relief.

When the number on the scale is the primary measure of your success in achieving your goals, you are vulnerable to a shame spiral.

When this number has power over your worth and value, it is time to get off the scale until you can recalibrate that way of thinking and learn how to bench negative emotion so you respond to your pain in ways that are not harmful to yourself and others.

Many clients report a positive emotional benefit after taking a break from the scale. They report less anxiety and that their inner drill sergeant has dialed back the volume.

Let me be clear: I think it is important to own all of these numbers…

…at the right time in your healing journey.

At the wrong time, shame, perfectionism, impatience, and fear can take these numbers and wreak havoc on your sense of worth, your mood, your focus.

Megan Holt, Potentia’s Coordinator of Nutrition + Wellness, often monitors the numbers on the scale for our clients while working with them on strategies towards true health that are customized for each individual. (Note: We all need a Megan in this culture!)

When our worth gets tied up in numbers, we make changes — often needed changes — for reasons that do not support sustaining change.

Our goal is to help people really discover where their bodies have the most energy and function the best. We support people discovering their food preferences and moving away from calling food good or bad. It is so amazing to see people find a way to enjoy food while still nourishing well.

When we use eating, restricting, or eliminating food in unsafe ways to take away the pain or to numb, dull, and repel, we do not allow ourselves to develop the emotional muscle to bench the hard stuff in life.

Food — eating it or restricting it — is powerful. It can be fun + enjoyable, too.

But for many, tolerating joy is very triggering and even less tolerable than shame and fear. Going back to the dark space, albeit uncomfortable, is known. And our brains like known.

So, if you are starting off this new year and food + body issues are one of your primary goals to tackle this year, awesome.

But please hold the numbers lightly.

And if you notice the numbers on your scale or on food items you are eating or the size of clothes giving fuel to your inner drill sergeant, then take a pause.

Ask your dietician, your nurse, or doctor to do blind weigh-ins for a while and not to talk about numbers for a bit as you seek to recalibrate your thinking.

These numbers are one of many factors that measure your progress on the journey towards true health, but they are not the sole indicator of progress as they may fluctuate for a variety of reasons.

Hold the numbers lightly as you seek true health in your life, and fiercely guard your heart from believing your worth is tied into a number.

Cheering you on —

Rebecca

New Year’s Eve Soap Box (and good tidings, too)

 

I am a big fan of this time of year.  There is something about the beginning of a new year that brings with it rejuvenated hope, a fresh start, space to dream.

This time of year is also when everything media is saturated with promises to help you with your resolutions about exercise, weight loss, nutrition + wellness, relationships and more.

In particular, the diet industry along with fitness, health and personal improvement gurus are promoting the heck out of their various programs to help you make 2013 your best. year. ever.

So much of this hype genuinely speaks to many of you who are uncomfortable in your skin.  Food, family, fat, and other f-bombs get thrown around out of frustration a lot at this time of year.

And for those of you who have be on the diet, weight cycling, body hatred, I am not enough, scale-obsessed train for some time now, promises of quick relief to real pain are seductive and haunting.

Clicking “buy now” brings promise of solutions to real concerns and serious pain points in your life.

But this incessant talk about weight, body and food is like adding fuel to a dangerous fire burning in the hearts and minds of many who are crushing against the emotional pain of serious food+body issues, anxiety, depression, unhealthy perfectionism, loneliness+disconnection.

To be honest, there are some quality people and quality programs out there that can help you on your way to true health. And then here are some that frustrate the heck out of me as they exploit, are unsafe and make promises that are not based on sound research or true health.

While I believe there is room for a variety of definitions of health, I am fed up with definitions of health being reduced to the number on the scale and the fear of everything fat. Good intentions to help improve wellness are creating more anxiety+depression around food+body issues.  This deeply concerns me.

Restricting, denying, punishing, shaming are not sustaining change agents.

There is a whole host of struggles we have to tackle as we seek to improve the quality of life for all. We do need to move more and strive to make whole, fresh, organic food affordable + accessible to all.  We need to play more, laugh more, rest more. And improving our support of those with mental illness is a non-negotiable.

Seeking change is important.  It is a natural part of growth.  But when desired change is motivated by a numbers on scales, fear, people pleasing or performance – it will wreak havoc on your mind and soul.

Change is hard, change is messy; change is an ebb and flow.
Change is often needed, demanded.
Change is uncomfortable; change is frustrating; change is important.
Change is about showing up, fighting through fear and shame.
Change involves trusting like you have never trusted before.  Once step at a time.

Never forgot, homeostasis will fight to the death to maintain status quo.  That is why change is so difficult.  Especially when we avoid doing our own deep soul work.

I love Donald Miller’s recent post on resolutions.  He states they do not work when:

  • Our resolutions are not meaningful
  • We failed to make a plan
  • We forget our resolutions.
  • They just were not for us.

Donald Miller went on to say when resolutions do end up working is when we:

  • Choose a meaningful ambition
  • Create a plan for our meaningful ambition
  • Engage in conflict
  • Share our story with the world

If we are seeking changes that fuel deep soul meaning in our lives; if we have the emotional muscle to handle conflict internally and externally and own our story instead of shrink from it, well, look out 2013.

Suddenly obsessing about numbers+other people’s opinions do not have as much power with this new lens.

What do you desire to change this year?  How are you going to go about making these changes?

Are you trying to do it all at once or can you tolerate a step, a shift in direction, a phone call or email to start the process?

Are in this alone?  You may feel that way but my faith informs me differently.

Get clear on the changes you are seeking. Be specific.

  • Check your motivations for change. Are your desired changes life-giving or fear-based?
  • Check your expectations and desired results. Are they realistic for you, your body, your current life situation?
  • Check your beliefs about change. Do you have hope you can change?
  • Check the source of doubt, fear and shame against your faith.

And then turn towards lasting change and away from diets + shame-based expectations.

Happy 2013!

Rebecca

PS – And for those of you in the San Diego area who want to work on creating sustaining change in your life, check out our Cultivating Courage Workshop series launching in a few weeks.

 

 

 

 

 

Slowing Down + Feeding Ourselves Well.

Source: potentiatherapy.com via Rebecca on Pinterest

Today is National Food Day.

The effort behind this movement is a “nationwide celebration and a movement for healthy, affordable, and sustainable food.”

We believe there is room for all foods in how we feed ourselves.  We also believe food is medicine.  When we nourish well, we feel well.

So many we work with have:

  • an obsessive;
  • a fearful;
  • a love/hate;
  • a distant
  • a frustrating

relationship with food.  Food does not have to take away your power.  Instead, it can empower you to live, be, and serve well.

When our clients begin to heal their relationship with food, they discover their food preferences, the joy of caring for their bodies and, yes, the joy of eating.

Eating well = fun + freeing.

Eating well = freedom from the loud voices in your head that shame you for eating a food deemed “bad”.

Eating well = energy, clarity, slowing down, enjoyment, community, connection.

The grassroots effort of the Slow Food Movement to maintain the diversity + quality in our food supply while supporting farmers through purchasing locally grown whole foods is exciting because it brings home the fact that how you feed yourself not only impacts you but those in your community.

Slowing down and feeding ourselves well: It’s good for our bodies, our community and our planet.  AND it’s totally affordable. (Seriously!)

Wow! A big part of healing your relationship with food, your body and your story involves being a part of something bigger in your life.  One simple way you can jump start that process is by checking out your local farmer’s market and connecting with those who grow/raise your food.

Several venues here in San Diego County will be hosting events in honor of National Food Day. Visit www.foodday.org to find an event near you.

Also, check out the San Diego Farm Bureau’s website to find your local farmer’s market. (or the FB in your local area.)

Go get some farm fresh tomatoes for your tomato sauce.  Or grab some fresh apples and free-range eggs for your apple spice cake.  Pick up some freshly harvested greens for your dinner salad tonight.

And if you see us at the market, please say hello!  We are honored to be a part of your community.

Slowing down and eating well –

Rebecca + Megan

Call to Action

 

Wow!  Potentia has had its own brick and mortar space for a little over 9 months now.

And it has been so crazy-busy-fun-amazing-blessed wrapped in some stress, grace, clarity and relief.

This new space has been a dream call to action on my heart for several years.

After waiting, and waiting and waiting for the right time, it just flowed when I signed the lease for the new space last June.

Once the lease was signed, I was compelled and consumed by a vision to create a unique space where healing could happen supported by a specialized and collaborative team of professionals.

When I first got the picture for Potentia’s expansion, I wanted to act immediately, jump ship, make it happen.

It felt intolerable at times to just sit with this call and not. do. a thing. other than pray+clarify + prepare.

The posture of waiting is not the stance I have assumed for most of life.  My husband teases me often how I love to jump first and then think.  But sometimes I was jumping not just for the adventure but because it did not feel good to wait.

Patience has not been a strong virtue of mine.

Nonetheless, I have been building up emotional muscle to bench the gift of patience and it has taught, and continues to teach, me a a lot.

My change in professions, marriage and parenthood started to

  • shift the value I saw in the virtue of patience,
  • (re) define my definition of productivity,
  • and challenge what I valued as worthy and enough.

Prior to signing the lease, I spent a lot of time over-riding the call on my heart with fear, doubt, logic, over-thinking, over-processing and more.

I had found many reasons to not honor this simple, pure and clear call to action vision for Potentia’s next phase of growth.

Until I could not tolerate it any more.

To be authentic, vulnerable, to trust the gentle but firm nudge from God, I had to believe. I had to surrender staying on the side lines and playing it safe.

After much prayer and a significant beat down on my own fears and doubts, I felt I had permission to move forward. To grow.  To draw attention.  To make some noise about how our definitions of health and worth are keeping us sick; how we are keeping ourselves imprisoned by narratives that lie and cheat us from true health, freedom and peace.

At Potentia, We Can Do Hard Things.

And Potentia’s expansion infused a new jolt of faith, inspiration and passion to walk with, equip and respect those who are fighting their own personal battle mind, body + soul.

I love how the team at Potentia joins with our clients to give witness to their courage, pain, battle wounds, inspiration, frustration, fatigue, fear and more.

When they do not have hope, we wave the hope flag.

When they achieve a victory, we cheer (sometimes really loud. seriously.).

When they want to give up, we nudge, respect and reflect.

Yes, those who enter the doors of Potentia can do hard things.

And those who are not sure about starting that work I believe you can, when you are ready, live the life you are called to live.

I encourage you to not devalue or minimize your struggles and not let shame keep you in isolation.  You have our respect and we have not even met you yet.  🙂

Below is a slide show from some of the events and meetings we had at Potentia to celebrate the expansion. It warms my heart and fires me up.  I now truly love and embrace the call to action that has been placed on my heart.

What is the call to action on your heart today?  How are you responding to that call?  Have you shared it with anyone in your inner circle yet? 

If not, I encourage you to give voice to it TODAY, no matter how crazy, random, unrealistic you may think it is.  The call to action on your heart needs you to give it voice.  No matter how much it scares you.  Write it down.  Shout it out loud. Whisper it to a dear friend.

Your soul is calling you to stretch+grow+heal.

Being stagnant is not safe.  It is stifling.  The unknown is scary but staying stuck can be scarier.

Honoring the call,

Rebecca

ps:  If you want to stay connected and up to date on the latest happenings at Potentia, please sign up for our newsletter at www.potentiatherapy.com “like” us on Facebook or follow me on Twitter (#rbassching)

Five Reasons to Ditch Dieting

Source: google.com via Rebecca on Pinterest

 

By Megan Handley, MPH, RD and Nutrition+Wellness Coordinator at Potentia

  • For the last time, diets don’t work! A group of researchers out of UCLA analyzed studies that followed dieters for 2-5 years, and found that the vast majority of participants gained back the weight, and then some, by the end of the follow up period.

  • Diets rely on external cues to guide our eating, rather than teaching us to listen to our body’s hunger and fullness cues.  Food is fuel for our bodies and should be enjoyed, savored and appreciated!

  • Diets are often based on testimonials, rather than on sound scientific studies.  The suggested eating plan is often rigid, and does not translate to real-world living.

  • Diets often require that we severely restricts calories or entire food groups, putting us at risk for nutrient deficiencies, and robbing our bodies of the energy that we need to be active.

  • Intense feelings of deprivation and hunger set the dieter up for binge eating patterns, which are then followed by feelings of guilt and dissatisfaction.

The following links are wonderful resources for you as you seek to (re) define health in your life:

Academy of Eating Disorders
American Dietetic Association
Finding Balance
Health at Every Size  
Health at Every Size: The Surprising Truth About Your Weight by Linda Bacon
Intuitive Eating
The Center for Mindful Eating
The National Eating Disorders Association 

Diets can be a polarizing topic of discussion these days as many seek relief from real physical and emotional pain.  What do you think about diets? Have you had positive or negative experience with a diet?  Do you agree that diets do not work?

Is Authentic Going the Way of Awesome?

 

By Molly La Croix, LMFT Trauma Expert at Potentia Family Therapy

In a recent article in the Wall Street Journal (“Keeping it Real at Facebook” 2/12/12) the author lamented the use of such phrases as authentic self.

She states, “Unless you start out fake you don’t need to learn to be genuine, right?”

While she was talking about overinflated egos and verbiage resulting from stratospheric levels of success, I found myself worrying that soon the word authentic might go the way of the word awesome.

We all know awesome has become one of the most overused adjectives, losing meaning and weight in the process.  It used to be used to convey a sense of wonder and majesty, and now it just conjures up the image of a preteen boy on a skateboard with his hat on sideways.

Why do I care that authentic might go the way of awesome?

Because our fundamental challenge as human beings is to figure out who we truly are and then live out that unique self in relationships where we do not have to pose or hide or morph into someone else.

Being an authentic self is not something to be mocked, or trivialized, or derided as a fad.  It is a worthy ambition.  It is a destination on a journey that is fraught with obstacles and challenges, requiring courage and perseverance.  It is a goal demanding stamina and a supportive community.

If being authentic means being real, genuine, and true – among other things – what makes it so difficult?  As the author said, “Unless you start out fake you don’t need to learn to be genuine, right?”

The difficulty lies in universal experience of shame when we venture forth as our true self and we perceive rejection of that self.  That can start as early as infancy when the baby cries and does not receive comfort.  Perhaps the self really was rejected by a harsh parent who called us stupid. Or, perhaps the child just interpreted a benign remark as a criticism of that self.

The issue is not whether the person meant to shame us.

The issue is that we all internalize a degree of shame about our core, authentic self.  That shame prompts all of us to be fake sometimes.

For some, the degree of shame is so great they live each day flooded by it.  For others, the negative beliefs associated with the feeling of shame, such as, “I’m not good enough, not loveable, not worthy…” pop up occasionally.

I don’t believe any of us entirely escape the influence of unhealthy shame, the kind that causes us to want to hide our authentic selves.

Just think about the last time you took a risk to take a stance with someone who is important to you – spouse, parent, partner, child, co-worker. Any anxiety crop up?  Any fear of rejection?

Depending on the weight of the issue, and the degree to which you internalized negative beliefs, that anxiety might have been great enough to silence your voice.

And that brings us back to the importance of being an authentic self.  It is not trite, it is essential.

Shame will silence us.  Those brave enough to be intentional about authenticity deserve praise and celebration.