Taking a break from the “F” bomb talk – Are you in?

Starting tomorrow – October 21-25, 2013 – the Tri-Delta Sorority is hosting their annual “Fat Talk Free Week”.

Fat talk is when you make negative comments about your body or the body of someone else and is way too common in our culture. In fact, a 2011 study noted 93% women engage in fat talk.

Wow.

You have heard it and your probably have engaged in your own version of fat talk:

“Friend 1: My thighs are so big.
Friend 2: Oh my gosh. If your thighs are big, then mine are GINORMOUS.”

…and so it goes… the bonding over body bashing.

Fat Talk Free Week week may seem trivial, idealistic, even Pollyanna to some.

I have had many discussions with people on whether this type of awareness really makes a difference. I often hear something like the following:

“Rebecca, you need to lighten up. It is normal for people to talk negative about their bodies. And even if people take a break from talking badly about their body, they still with have their negative thoughts and feelings.”

True. But I believe a break from the collective voice of toxic self-loathing and vitriol attacks on the looks of self and others could do all of us some good.

Is stopping fat talk a cure to negative body image and subsequent disordered eating?

Nope.

But it is a movement I will gladly get behind because our words matter.

Never forget – people are listening to you what you have to say. You have power and impact on your surroundings with the words you choose to use when talking about yourself and others.

Do not underestimate the impact the off-hand comments you make about:

  • the latest crashing+burning celebrity
  • body changes in your friend
  • displeasure with how you feel about your own body

Fat talk fuels disordered eating, eating disorders, orthorexia, bad body image, depression and anxiety by fueling distrust, disengagement and fear.

Measuring your personal health solely on the image in the mirror, the opinions of others, the number on the scale or the size of your pants is a slippery slope to a dark place.

Buying into the shame narrative perpetuated about the unrealistic ideal of beauty and health does not protect – it only binds you more to the belief you are not enough.

True health looks different for everyone. Draw on your courage and push back on the norm of comparing, competing and attacking with abandon.

Nothing good comes of fat talk. Its attempt to create ease and to seek validation infects everyone within hearing distance.

This week, set yourself apart from the crowds, the 93%, and take a break from the fat talk.  Be an outlier.

Be a leader.

Change the conversation.

And join the movement to use your most powerful tool – your voice – and spend the next 5 days being mindful of how you talk about yourself and others.

Are you in?

This week we will feature some inspiring quotes on Potentia’s Facebook page. In addition, we will post some inspirational interviews here on the Potentia blog with friends of Potentia who are using the power of their voice to advocate for true health, true beauty and true worth.

Join the conversation and let us know your thoughts about fat talk and how it has impacted your life in the comments section below.

Cheering you on –

Rebecca

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Weekend Wonderment 8.24.13

This was a week where the topic of loneliness went viral. Check out this incredible 3-D perspective on loneliness in our very “connected” world.

And here is a spot on article noting how loneliness is a bigger threat to our health than weight issues.  Truth.

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Raw, real and gloriously authentic, Dr. Brené Brown talks church.

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Interesting, informative insights on anxiety, eating disorders and schizophrenia.  Increased understanding about the spectrum of mental illness will ensure more people get the help they need.

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Swoon over this mash up of “Brave” by Sara Bareilles (a personal favorite) and Katy Perry’s new song, “Roar”.  Watch, be awed and left with a big smile on your face.

http://www.youtube.com/watch?v=c-wa1_y6uZQ

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An apology letter from a former weight loss consultant stirred up a lot of chatter on the interweb. Provocative, sincere, honest, this letter offers a unique perspective from the heart of the diet industry.

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Back to school must haves: These adorable “gentle reminders” pencils would be a wonderful gift to a student you know heading back to school or for anyone needing some fun encouragement.  And I am loving this sweater that screams fall in my favorite color.  How cool that you can have it custom made to fit you.  I am in line to order mine this week.

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Busy is the new “fine” but we are living at a pace that is unsustainable.  It is time to (re) define success and make wellness a priority as we follow our dreams and passions.

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My husband and I have been having so. much. fun with this cookbook.  I love Deb Perelmen’s blog, too.  Her latest post is full of peaches, glorious peaches which is appropriate for National Peace Month. She always uses real food that never sacrifices flavor with simple techniques = pure palette joy.

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Just because.  🙂

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In awe and wonder –

Rebecca

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Discover the Power of Your Wanted and Unwanted Identities

1. I decided

I am ____________ (fill in the blank).

Many of you can finish the sentence above with a variety of descriptors and attributes. The core beliefs about your identity directly impact how you make decisions in your relationships, at school, work, and in life.

Culture, your family of origin, your faith community, schools, and places of work are constantly communicating messages about your worth and value.

Some of these messages are negative and challenge your ability to see your true worth and value.

And at some point, you start believing some of the negative messages shifting your lens on yourself and the world.

You are not alone. We all wrestle with negative core beliefs about our identity. Sometimes these negative beliefs are screaming at top volume between your ears while other negative beliefs are a quiet whisper that nag at you daily.

Regardless of the volume, inaccurate core identity beliefs can lead to unsafe and broken relationships, isolation, eating issues, addictions, chronic pain, depression, and anxiety.

Usually our negative beliefs come from experiences in our story and have taken root in our brains in an effort to keep us safe but end up working against us.  Most of these negative beliefs fall into one of the following categories:

  • I am not enough/I am not _____ enough
  • I am not not safe
  • I am not capable/in control

Our upcoming (re) define Identity workshop will help you:

  1. identify your ideal and unwanted identities
  2. build awareness on how you respond when you are seen in ways you desire and fear
  3. narrow down the core negative beliefs that are keeping you stuck in your relationship with yourself, God, and others, launching you into the process of reclaiming your true identity, worth, and value.

For those seeking to dig deeper and and get unstuck with struggles around your core identity, I recommend finding a practitioner certified (or in process of certification) in EMDR.  This is a powerful psyhchotherapeutic approach that has changed the way I conceptualize cases, approach trauma and all distressing life events.  You can find a local practitioner in your area here.

Space is limited at our upcoming (re) define Identity workshop on September, so register soon if you are interested.

ReDefineIdentity

We cover this material more extensively in our cornerstone Workshop: (re) define Courage: Dare to Show up+Be Seen (formerly Cultivating Courage).

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Our September Weekend Intensive has sold out but there are still spots available in the Nov 1-3 weekend intensive.  January dates for weekend intensives and weekly workshops will be going live soon.  Sign up here to be the first to know about these dates.

 

Enjoy the last days of summer and all the best to those transitioning back to school!

Rebecca

 

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Weekend Wonderment: Inspiration from the Interweb

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Be the Gift.  Give yourself the gift of forgetting about yourself, the to-do lists, the plans, the appointments, the shoulds and have-tos. Thank you, Ann, for this heartfelt reminder. I needed it this weekend.

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Never, ever, ever forget: You are Loved. Thanks to Jeanne Oliver Designs for bringing this to my attention.  Blessed.

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Beautiful, grounding, convicting.  Read this and then take note where you feel your heart tugged to redirect how you spend your time today.

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Yes, let’s change the world for Greyson, my daughter, all kids.

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Darling is taking orders for their fall issue.  Order now and receive their latest print magazine full of beautiful photo shopped-free pictures, lovely words printed on gorgeous paper and receive the digital version as a free bonus.

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Here is more brilliance from Barn Owl Primitives (where I purchased the We Can Do Hard Things sign seen as you enter my therapy office). These are words that I want to flow out of my heart to my kids – especially during this season of preparation for and transition to school and the big, big world.  May we all live these words and not just say them. Actions indeed speak louder than words.

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No, juicing is not an eating disorder but for some it can be a disordered eating ritual masked in the spirit of healthful living. I appreciate this honest and humorous perspective of a world where the efforts to be healthy are sometimes a bridge to orthorexia (the obsession with eating healthy) and, well, deep hunger.  Now head over to Kayla’s Q&A with Megan on juice cleanses for some facts on this practice.

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A common area of struggle I see in my office is managing the in-betweens of life: relationships, jobs, school, physical health, and so on. Jeff Goins’ new book will encourage and challenge you to savor your in-betweens. The tension created in times of waiting can be the catalyst for our best art, so slow down and do not rush your in-betweens.

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In awe and wonder –

Rebecca

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Stretch (and Breathe) Into Your Comfort Zone

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In three weeks, will host the third installment of our Seasons of Life Workshop series. I often joke and say once the month of September has finished the year is done! Time seems to go into warp speed with holidays, school activities, work, and celebrations. This lovely workshop led by our Yoga Coordinator, Kelly Schauermann, will help ground you as you kick off your fall season.

Who should register?

This workshop is for anyone who desires a couple of hours of peace, reflection, connection, and rest.

Why should you attend?

It is valuable to look back and reflect on what you have learned so far this year.  This workshop will help you focus on how you can harvest and implement this new knowledge as you turn the corner into a fast-paced fall season.

What makes this workshop unique?

The tools used in the Seasons of Life yoga workshop are gentle stretches and beginner yoga poses, small group and personally focused reflections, mindful breathing, and journal writing. Participants can enjoy a warm cup of tea or a refreshing glass of water and snacks after the workshop.  Those who attend will also receive personal support from Kelly, who is an incredibly experienced and skilled instructor passionate about ensuring every participant feels safe and comfortable.  She often adds special touches to each of her workshops, customized to those participating.

What should you bring?

Please bring your own mat, blankets and any supportive props you may use if you have a yoga or stretching practice. And if you do not have a mat or props, no problem! Just let Kelly know as she has a few extras for you to use.

Make sure to register soon since there are limited spots available. Also, the final installment in our Seasons Of Life Workshop in November is open for registration, so you can guarantee your space now by clicking here.

And for every workshop you register for in the month of August, you receive one entry to win a $100 gift card to Anthropologie.  Fun!

Questions?  Contact Kelly at kelly@potentiatherapy.com

Breathing Deeply and Exhaling Slowly (at least trying really hard to do this more often!) –

Rebecca

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What Drives Your Hustle for Worthiness?

Hustle-Sept13

If we spend a lifetime trying to distance ourselves from the parts of our lives that don’t fit with who we think we’re supposed to be, we stand outside of our story and have to hustle for our worthiness by constantly performing, perfecting, pleasing, and proving.

Brené Brown – Hustle for Worthiness

You are living your life on the sidelines when you:

  • are trying to make sure everyone approves of you.  “Everyone” has differing views, opinions, and needs, so it is exhausting to try and keep “everyone” happy.  And since it is impossible to please “everyone”, the hustle is perpetuated.
  • are hiding parts of your story for fear of rejection and judgement. Your story is YOUR beautiful mess and glory-of-a-story. When you deny speaking and living your story and delegate your worth to “everyone” else, you end up missing out on true connection, healing, and joy.
  • are avoiding dealing with deep soul pain (or even surface wounds) for fear it will leave you alone or cause you more pain. Hustling for worthiness is an excellent numbing agent to fear, shame, pain, and keeps you from reaching out and asking for help. But this hustle is not sustainable and can become a gateway to some serious issues emotionally, physically, relationally, and in your faith journey.
  • believing the lies that you are not worthy of love and belonging.  This is the ultimate lie of shame.  And when this belief is driving the motivation behind your thoughts and actions, then you are living life on the sidelines but deeply longing for a sense of worth and belonging  – for which you are hardwired.

Our upcoming Hustle for Worthiness Encore Workshop on September 13 will help you develop a better understanding of what drives your own personal hustle. Register to soon to reserve your spot – it usually sells out quickly!

HFW at Potentia

At this workshop, we gather together to view an exclusive video of Brené Brown sharing her powerful research on perfectionism, shame, and vulnerability. Participants enjoy a lovely spread of food, a stocked art bar for creative inspiration, and a journal to use to take notes and document reflections.

What makes this workshop unique?

Hustle for Worthiness is different from our other workshops in that it intentionally does not have a lot of structure.  This is our introductory workshop offered in a safe and casual community. The video we show is not available for purchase, so this is one of the few venues in which you can view it.

Who should register? 

A lot of people attend this workshop because of their connection to me, one of the members of the Potentia team and/or their connection with Brené’s powerful message.

Friends, family, significant others are welcome. You do not have to be a client of Potentia to attend.  Part of the power of this work is that it brings us together. Connection and community help you put into practice your shame resilience skills.

If you have mustered up the courage to come alone, please say hello.  I think you’re freakin’ amazing! Just the act of showing up to a group where you will be seen is vulnerable and brave and proves you are tired of living your life on the sidelines.

Is this workshop only offered in San Diego?

For those of you in SoCal, I would love to see you at our next Hustle for Worthiness Workshop.  It usually sells out, so make sure to register soon if you would like to join us.

If you do not live in the area, I am happy to connect you to someone in The Daring Way community who could facilitate a workshop for your community. Just send me an email at rbass@potentiatherapy.com.

Every time our Potentia team hosts this workshop, I find it truly magical to see people take in Brene’s words and feverishly write down the powerful nuggets that spoke to them. Expect to exhale deeply, laugh out loud, and elbow your friend knowingly. It happens every time!

Note: HFW alumni who want to bring a friend, your registration fee is on me.  Just email me at rbass@potentiatherapy.com as I only have a limited number of slots available for alumni.

Desire to dig deeper?  There are several other mini workshops coming up this fall that offer a more structured flow and will provide action and insight as you seek to refine your shame resilience skills.

And SoCal locals and out-of-towners alike, please consider joining us at one of our (re) define Courage: Dare to Show Up + Be Seen Weekend Intensives.  The September workshop is sold out, but we still have space for our November 1-3 event.  Our schedule for the 2014 Workshops and Weekend Intensives will be posted soon.  Sign up for our (re) Define Courage email list to be the first to know about these dates.

Cheering you off the side lines of your life –

Rebecca

PS – And do not forget to register soon if you want to attend.  This workshop is expected to sell out. And for every workshop you register for in the month of August, you receive an entry to win a $100 Anthropologie gift card.

 

 

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The Dark Side to Celebrating Eating Contests

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For the last several years, I have started writing posts about the mixed messages of celebrating eating contests and the dangerous impact reverberated by these mixed messages – but I have never finished them.  This year, I am pushing back on my unhealthy perfectionism and finishing a post I started earlier this month.  I hear the PR voice in my head saying it is too late and the peak for sharing this has passed. 
Well, so be it.

The fourth of July is one of my favorite holidays. I am a fireworks fanatic and this year we brought both of our kids to watch the glorious display of firework fun in the sky. This holiday is a lovely time to rest,  play, and celebrate.

But one tradition around this holiday frustrates and concerns me: Nathan’s Annual Hot Dog Eating Contest and the many iterations that have followed its popularity. Some of my friends and family think I am a bit of a buzzkill for not being a fan of this kind of eating. Such is my life as an eating disorder specialist – I cannot unlearn what I know about the physical and emotional dangers of binge eating and Binge Eating Disorder (BED).

What is Binge Eating Disorder?

I like this write up by the Mayo Clinic staff on BED:

You may have no obvious physical signs or symptoms when you have binge-eating disorder. You may be overweight or obese, or you may be at a normal weight. However, you likely have numerous behavioral and emotional signs and symptoms, such as:

  • Eating unusually large amounts of food
  • Eating even when you’re full or not hungry
  • Eating rapidly during binge episodes
  • Eating until you’re uncomfortably full
  • Frequently eating alone
  • Feeling that your eating behavior is out of control
  • Feeling depressed, disgusted, ashamed, guilty or upset about your eating
  • Experiencing depression and anxiety
  • Feeling isolated and having difficulty talking about your feelings
  • Frequently dieting, possibly without weight loss
  • Losing and gaining weight repeatedly, also called yo-yo dieting

After a binge, you may try to diet or eat normal meals. But restricting your eating may simply lead to more binge eating, creating a vicious cycle.

(Notation from Rebecca: Many fall somewhere along the spectrum of BED. You do not need to have all of these symptoms to struggle with the issue. Denial, minimizing, and rationalizing often keep people from getting the help they need because they do not feel like it is that serious.)

5 reasons eating contests hurt our collective psyche around food

1. Eating contests give the impression that binge eating is always a choice. As of May, Binge Eating Disorder is now a clinical diagnosis in the new DSM-V. This is a huge victory for those who struggle with these issues along with those who are passionate about treatment and advocacy. Prior to BED officially being placed in the DSM -V, there was a lot of controversy around whether this diagnosis should be included; many thought this diagnosis was making excuses for those making bad choices. If this struggle was simply fixed by a choice, there would not be millions of people struggling with this serious issue. Addressing core issues such as attachment wounds, anxiety, depression, distressing life events and traumas, perfectionism, shame, and identity issues are at the heart of this struggle, not a simple choice. The choice available to those with BED is reaching out and asking for helping instead of staying stuck in the cycle of shame, pain, isolation, and physical distress.

2. Eating contests make BED and related behaviors a joke and sport to many. We laugh. We cringe. We build up the hype. It is a business and we are buying into it. This recent Forbes post on whether eating contests should be considered a sport noted:

“While spectators question the validity of such a label, its organizers say there is no confusion – competitive eating is a serious business in the world of sport.”

Man Vs. Food with Adam Richman (I confess, I adore Adam — he is so endearing!) is a perfect example of eating as sport. Adam travels to a new town each episode to discover a city’s best sandwich or meal and then engages in a restaurant’s food challenge by eating an insane amount of food in a designated time period. People are around him cheering him on as he takes his body on a dangerous episode of binge eating — for all the world to watch.

But my work with people on the disordered eating spectrum has taught me food competitions do great harm to our collective understanding of eating disorders and related health issues. This double standard keeps people struggling with BED spectrum in silence, fear of reaching out for help and making binge eating behaviors a joke. A sport.
Binge Eating Disorder is not a sport. Though many who participate in these eating contests may not fit the clinical diagnosis of BED, many of the behaviors mirror this serious illness. When we make binge eating cool to watch, we decrease the seriousness of this issue. It is time to stop the jokes and change the dialogue around this issue.

As long as we are watching, cheering on, and participating, eating contests will be good for business. And bad for health – mind, body, and soul.

3. Binge eating is very hard on your body. If you have ever seen the line-up at Nathan’s Hot Dog Eating Contest, you can see a representation of different ages, genders, and sizes of those who down dozens of hot dogs in a matter of minutes. Physically, binge eaters are at risk for developing: type 2 diabetes, gallbladder disease, high cholesterol, high blood pressure, heart disease, certain types of cancer, osteoarthritis, joint and muscle pain, gastrointestinal problems, sleep apnea, and other related health concerns. Professional binge eaters have the same health risks as those who are clinically struggling with BED. This is not something to be celebrated or perpetuated.

4. We have become obsessed with talking about food and eating contests just add to this unhealthy obsession. Food is personal and how we choose to feed ourselves is a very vulnerable topic. How we eat, what we eat, when we eat, and where we eat are all hot topics that can breed food shame and discord instead the joy of breaking bread with family and friends. Eating contests (and most reality shows for that matter) encourage us to become professional judgers and blamers. We talk about “good food vs. bad food” as if we are talking about sinning or staying pure; we Instagram our meals with a sense of awe and worship; the latest trends in eating, dieting, health dominate the majority of our conversations. We are obsessed with food. This obsession masks core issues of identity, worth, shame while fueling anxiety and depression. And the resistance to looking deeper is intense – understandably as it is much easier to talk about food than the messy, vulnerable, deep soul stuff.

5. Eating contests are a waste of food when so many are food insecure in our country and our world. In our country alone, food insecurity impacts about 15% of households. I often wonder about the positive impact companies and businesses that promote eating contents could make if they took their resources of time and money and fought hunger instead. We can change this demand by choosing not to watch and not to participate – which will shift how companies spend their advertising dollars.
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Post your feedback below and let me know what you think about eating contests? Do you think binge eating is just a choice?  I look forward to your thoughts on this controversial subject.

Happy belated 4th of July (take that perfectionism!)  –

Rebecca

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Five Year Celebration and a Giveaway

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Potentia Celebration and Summer Giveaway!

5 years ago today, Potentia Family Therapy, Inc. was officially incorporated in the state of California. After writing a (big) check to the state, I was given a fancy binder with some very official paperwork. I had a notebook full of ideas and dreams. My first child was a little over two months old, my husband was moving to a new school, and life as I knew it was very different.  Blessed, full, and amazingly different.

Five years later, my family has grown from one to two kids, my husband has expanded the AP History program at his school (and is moving to a new AP prep this fall) and Potentia is now in a gorgeous space –  home to a team of incredible professionals dedicated to helping people heal their relationships with food, their bodies, and their stories.

At Potentia, our team has high standards of care. We believe our clients deserve:

  • the best in clinical, legal, and ethical practice
  • respect
  • dignity
  • hope
  • healing (in their own time)
  • safe community
  • authentic connection

Words cannot do justice to the courage, the sacrifice, the character, the growth, and the miracles we get to witness at Potentia. Thank you to my friends, family, colleagues, mentors, contractors, and all those who have helped shaped Potentia from dream to thriving practice. You all simply amaze me. (You rock!) I am also grateful for this calling God has put on my heart which daily strengthens my faith.

As we launch several new groups and workshops for the fall, we are also continuing our behind-the-scenes plans to make Potentia’s approach to (re) defining health available to people outside the San Diego area. Stay tuned…

But for now, we want to celebrate Potentia’s birthday! And what is a birthday without gifts?

Head over to Potentia’s Facebook Page and leave your birthday wishes to Potentia under the birthday post to enter into our birthday giveaway. Three winners will be chosen at random to receive a special mid-summer gift bag including a copy of Darling Magazine’s summer issue (which contains an article I was honored to contribute), sunscreen, lip gloss, a towel, and some other cool Potentia schwag.

Comments received up until 11:59PM today  – July 16th, 2013  – will be eligible for an entry.  UPDATE: We are extending this one more day until 11:59PM July17th.  Yay!

On behalf of the Potentia team (me, Megan, Molly, Kayla, Nicole, Kelly, Alyson), thank you for being a part of the Potentia Community.

Cheers, confetti, and hugs galore!

Rebecca
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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

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I have a confession to make to you…

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2013 has been full of some serious body image blues.

You know how it goes:

  • not feeling comfortable your skin
  • feeling like none of your clothes fit well
  • not wanting to see your image in a mirror or a picture
  • struggling not to be tempted by the false promises and quick fixes of the diet and so-called “wellness” industry
  • feeling less then, ummm, hubba hubba with your spouse
  • not wanting to be very social
  • playing the compare game

A couple things crept in that started to take away from my New Year’s calm and clarity (my word for 2013): lack of sleep because of all things toddler (winter colds, potty training..) and my newly diagnosed asthma.  I was missing my time with my boot camp buddies – my one-two punch for social and active time.

I hit a wall. Right about the time I was doubling the staff at Potentia.  We just completed two successful cohorts of our 8 week Cultivating Courage workshop and put dates on the calendar for three Cultivating Courage Weekend Intensives.

All good stuff.

I was super pumped about all these happenings but was getting really depleted and disconnected from my social support.  My health was starting to suffer, too.

And in walked my body image blues right through the front door.

Shame said, “You hypocrite.  You are leading these men and women to heal their relationship with their bodies and you do not even feel good about your own.  You are a fraud.”

Ouch.

But here is where things took a different turn.  My discomfort in my skin did not necessarily dissipate but how I responded to these thoughts and feelings took a rather radical detour.

I practiced, practiced and continue to practice my shame resilience skills.  I dug in and wrote my daily gratitudes and read my daily devotions.

I got really clear on my needs and spoke them to my friends and family, not as demands but as requests.

I made my self-care – mind, body and soul – a priority and made sure my schedule reflected these values.

I practiced empathy with myself and others when judgements and crankiness reared their ugly heads.

I re-evaluated my boundaries and made sure I was not setting up walls which protect but also isolate.

I spoke my truth to my really, really safe people.

I now know I am enough even on days I do not feel enough.  I can hold that space while I feel yucky and not attack my core worth. Some days it is a bit of a knock down, drag out fight – but shame resilience has helped me run the marathon of living life reflective of my values and my true worth.

Wow.

Those who work in the eating disorder field are not immune to struggling with their own food and body issues.

And I am no exception.

It was pretty incredible to see how the ongoing practice of shame resilience kept me from dancing in the pit of self-loathing for very long.  It has helped me practice respecting my body even when I do not like it much.

Yeah, I am not immune to these thoughts or feelings.  But how I respond when they hit has truly been, well, awesome.

And as I say every day in my office, “Rarely are bad body image days about food, weight or the aesthetics of a certain body part.”

Negative body image is often the equivalent of that scratchy throat you get when feel you are starting to get sick. If you ignore the symptoms and do not take extra care to build up your immune system, you will get leveled and feel even worse, taking longer to recover.

And instead of going old-school and obsessing over weight, looks and what others think, my shame resilience skills are (almost) my default now and the obsessive tendencies to measure my worth by the number on the scale (if I had one) or how much I have worked out were not nearly as loud as they used to be.

This new response to shame has been so, so, so freeing and healing.  Instead of fearing vulnerability, I have grown to understand and respect its place in my life – though I do not like the feeling of it most of the time.

Reading Brené Brown’s books over the last few years have been so helpful in building my awareness about shame and normalizing the universal experience of shame.  I developed a whole new vocabulary.

But these last 9 months training with Brené, Robert Hilliker and the rest of the Connections team to complete my Certified Connections Facilitator Certification moved me from an intellectual insight of this work to a daily (well, mostly daily) practice.

I have seen the fruits of this practice in my marriage, my work as therapist and in my relationships with God, myself and others.

And this is why I can barely contain how excited I am to offer this work – Potentiafied for you in our Cultivating Courage Workshops and Weekend Intensives.

We have three Cultivating Courage Weekend Intensives scheduled for the remainder of this year: June 14-16, Aug 23-25 and Nov 1-3.  And my colleague, Molly LaCroix, and I will be launching our 8 week Weekly Cultivating Courage Workshop Series in January 2014.

For those who are local, we have some digging deeper workshops which will be launching this summer to give people a chance to freshen their Shame Resilience skills or have a toe-in-the water experience with this powerful work.

And plans are in the works to take this work online so our Potentia friends outside San Diego can have access to this material, too.  Make sure you are signed up to receive email updates so you can get the latest details on all of these happenings.

I would love to know what your questions are about shame and Brené Brown’s shame resilience theory.  Please email me directly at rbass@potentiatherapy.com or post your questions below.  If I feature your question in a future blog post, you will receive a copy of Brené’s most recent book, Daring Greatly.  So don’t hold back, I really want to hear from you.

Working on being my own cheerleader while cheering you on, too!

Rebecca

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