Category Archives: 3 – DBT-CBT in action

Working Through Verbal and Emotional Abuse: Challenging the Lies We’ve Come to Believe Using DBT-CBT Therapy Techniques

The following is an amended excerpt from the DBT-CBT Workbook. It is from Chapter 8, “Challenging Extreme Judgments,” which focuses on the negative things we say to ourselves (and believe) and the negative things others have said of us that we come to believe as truths about us.

When we’re mad or hurt, we sometimes say very hurtful things to ourselves and others. This is Emotion-Driven Behavior. Our hurtful words are based on how we’re thinking and feeling in the Heat-of-the-Moment! They’re ANGRY WORDS. We’re not in Rational Mind and we’re not speaking truth. We’re expressing HOW WE FEEL about people and things WHEN WE’RE MAD OR HURT! Words driven by a heated Emotional Mind SHOULD NOT BE TRUSTED!

The purpose of this chapter is to recognize that these statements are borne from Emotional Mind…an angry, depressed, or discouraged state of mind. They are Emotion-Driven Lies…not Rational Mind truths. The worksheet for this chapter, “The Challenging Negative Judgments of Me Worksheet” leads us through the process of challenging these lies through Rational Mind. We identify a particularly hurtful statement that has negatively impacted our self-esteem and self-concept and we identify characteristics of ourselves that prove that we are not that way. Then, we are challenged to answer the question…”What is rational to believe…that statement that came out of the mouth of someone who was upset and irrational in the emotional moment…or all these facts about ourselves that prove otherwise and the hundreds of people that agree we really are this kind of person?”

THESE TRUTHS SHOW HOW MUCH OF A LIE the negative judgment is…and has been. The judgment was NOT based on truth. It was an EMOTION-DRIVEN LIE MADE UP about us…and WE HAVE LIVED SO MUCH OF OUR LIFE BASED ON THIS LIE. We have believed the lie. We have NOTICED EVERYTHING that supported the lie, and discounted, overlooked, and IGNORED ALL THE THINGS that challenged the lie…all the things that prove we’re NOT stupid, worthless, or undesirable. LET THAT SINK IN. What was said about you is A BOLD-FACED LIE. IT IS NOT TRUTH. We know that now because THE FACTS PROVE IT! Anytime those old feelings come up, be ever so Mindful of the facts and the TRUTH. TAKE A STAND and RATIONALLY CHALLENGE THE LIE…right then and there. Don’t EVER let yourself get away with believing that lie again. RATIONALLY CONFRONT IT and DEFEND YOURSELF!

The following is the text that follows this worksheet and discussion directly about it.

APPLICATION: The Origin of the Judgmental Lies

Most of the negative judgments made about us…were first said to us when we were young. They were NOT based on anything about us…not a character trait or a personality feature.

When someone tells a 3 or 4 year old child that they’re worthless, stupid, or will never amount to anything…or they’re too much of this or too little of that…or no one will ever love them…IT’S AN EMOTION-DRIVEN LIE. How in the world can someone know something like that about a very young child? This type of meanness, ugliness, and hurtfulness SPEAKS VOLUMES about the person making the statements…AND SAYS NOTHING ABOUT THE CHARACTER OF THE CHILD.

We know that when WE make ugly and insulting comments to others, we’re being verbally abusive. Oftentimes, we’re mad and we say these things in anger. Likewise, THE PERSON saying ugly things to us is UPSET, too. Often, THEY FEEL stupid, irresponsible, or worthless and THEY TAKE IT OUT ON US. Most of them were emotionally abused…and are just MINDLESSLY PASSING IT ON to the next generation. Also, they may suffer the moodiness and impulsivity that goes with drugs and alcohol, Bipolar Disorder, Borderline Personality Disorder, etc. For whatever reason, they’re BIG-TIME IN EMOTIONAL MIND and they’re being verbally and emotionally ABUSIVE to us. When we’re YOUNG or VULNERABLE, (22) WE TRUST THEIR OPINIONS and come to BELIEVE what they’re saying. However, WE’RE BELIEVING AN EMOTION-DRIVEN LIE.

When we did “The Challenging Negative Judgments About Me Worksheet,” we CHALLENGED the EMOTION-DRIVEN LIE by looking at the Big Picture of Our Life THROUGH THE EYES AND TRUTH OF RATIONAL MIND. When we review this worksheet and consider all the things about us that support we’re capable people with worth and value, we’re functioning in Rational Mind. When we make a DECISION that WE’LL NO LONGER JUDGE OURSELVES in a FALSE and HURTFUL manner, we’re functioning in WISE MIND. When we’re DETERMINED that ANY TIME those old thoughts or labels COME TO MIND, we’ll CHALLENGE THEM and REMIND OURSELVES of all the things about us that PROVE otherwise, then, we’ll be USING WISE MIND TO MINDFULLY PROTECT OUR PEACE AND STABILITY.

ANY TIME, ANY ONE of those NASTY JUDGMENTS comes into our thoughts and begins to hurt us, WE NEED TO CHALLENGE THEM…right then n’ there. (23) We need to STOMP THEM OUT and REFUSE to allow them to CONTROL US any longer. They are lies. WE HAVE BEEN LIVING A LIE. We have perceived ourselves based on a lie. DO NOT ALLOW THESE LIES TO CONTROL YOUR LIFE ANY LONGER! DO NOT ALLOW THEM TO TAKE AWAY your peace and stability! They’re things Coming At Us that have NO PLACE in our Inner Circle.  TAKE A STAND against these lies…and FIGHT FOR YOUR RECOVERY!

APPLICATION: Stupid Is as Stupid Does?

At this point, some folks say, “When they said that, I had done something stupid or irresponsible.” Remember, we’re human. We’re not perfect. Things WILL happen.  That’s our humanity! One stupid behavior or 10 or 12 of them means we did one stupid behavior or 10 or 12 of them. Those things describe our behavior in-the-moment or the month. They DO NOT define WHO WE ARE as a person or WHAT WE’RE CAPABLE OF. They DO NOT define our character or our make-up. THEY DEFINE AN event, action, or a behavior…NOT our WHOLE person. Just because the 8th grade educated shift team leader made a mistake, that doesn’t mean he’s stupid. That means HE MADE A MISTAKE…THAT DAY. That mistake and an 8th grade education DOESN’T describe what he’s capable of. Those things DO NOT define his character or describe everything he has ever accomplished in life. HE IS NOT STUPID. He simply made AN ERROR.(24) Stupid ISN’T as stupid does!

There may be times in our life when we make many errors…even when we totally mess things up for a year or two by making one bad decision after another. DOES THAT MEAN WE’RE STUPID? NOOOOOO. It means we’re DYSREGULATED (25) and LIVING Big-Time in Emotional Mind. It means we’re making a lot of Emotion-Driven decisions which ARE STUPID. That DOESN’T MEAN WE ARE STUPID…you know why?    Explain. _________________________________________________________________________
_________________________________________________________________________

We’re NOT stupid or clueless. In our gut, we usually know our behavior is going to cause problems BEFORE we do it! We have Wise Mind going on, but we’re NOT PAYING ATTENTION TO IT. We’re NOT Following Through With What We Know is in our best interests…because WE’RE BIG-TIME in Emotional Mind! WE’RE  DYSREGULATED… we’re LIVING IN-THE-MOMENT. We’re uncomfortable…we hurt…we’re not worrying about tomorrow. We’re living for TODAY…and if it feels good…we’re going to do it!

Are we STUPID because we do it?  Explain. ___________________________________
____________________________________________________________________

No, we’re NOT STUPID. We’re ACTING in poor judgment. We KNOW better.  We know right from wrong…and good from bad. We DO stupid things because EMOTIONAL MIND IS DRIVING. That’s why we SPIN-OUT and LOSE CONTROL.  That’s why we wreck-out and our life becomes a total wreck.

So, does that mean we have poor judgment?  Explain. __________________________________

____________________________________________________________________________

NO…because WE HAVE GOOD JUDGMENT! We KNEW it was stupid or of poor judgment…but we did it anyway! We KNEW it was going to end poorly, but we DIDN’T CARE AT THE TIME. We just did what we WANTED to do…
and no one or nothing was going to stop us. We were being VERY WILLFUL.

What we did was EMOTION-DRIVEN Behavior. We do all types of MINDLESS and IMPULSIVE things when we’re acting on Emotional Mind…ESPECIALLY WHEN WE’RE IN A DESPERATE STATE, like desperate for relief, desperate for comfort, or desperate to be held and loved on. It’s NOT STUPIDITY. It’s DESPERATION. You’ve heard the saying, “Desperate times call for desperate measures.” Well, desperate measures often involve risky things that are likely to have a bad outcome. So, BECAUSE WE’VE DONE SOMETHING STUPID or two years or ten years worth, that DOESN’T MEAN WE ARE STUPID. That’s because WE KNOW BETTER.

WE JUST DO IT ANYWAY! Gladly, this workbook is about GETTING CONTROL of our BEHAVIOR and our LIFE! And, we do that by Turning On RATIONAL MIND and WISE MIND to REGULATE and CONTROL our dysregulated and Out-of-Control emotions and Emotion-Driven Behavior.

Footnotes:

22- If we’re older when these lies were spoken, they usually came from an abusive spouse or romantic partner.  Over time, we’ll realize these people were angry, mean, harsh, moody, and unfair.  We KNOW their words were Emotion-Driven.  We KNOW they’re abusive, mean, and critical people, but for some reason, we believe their ugly opinions.  We believe they’re right and other people are wrong.  Go figure.  The truth, we were vulnerable and they took advantage of it.  Often, they were mean to “keep us in our place”…in a “downed position” with low self-esteem.  They wanted us to believe we ARE stupid, unworthy, and not capable…so we would never have the strength to leave them.

23- Whenever a negative judgment begins to bother you, either complete “The Challenging Negative Judgments of Me Worksheet” in your mind or on paper.  Use this RECOVERY TOOL to challenge those lies!

24- I’m pretty smart with a Ph.D…that just gives me a license to be  Piled Higher and Deeper in errors!  Lord knows if it’s 10AM and I haven’t made an error yet, I must still be asleep!

25- Dysregulated – (dis-reg-you-lated) – not in control of ourselves… we’re not able to regulate or control our behavior.

Extra margin text below:

No matter how smart we are or how much psychological stuff we know, we can get side-swiped and wrecked-out by a hurtful comment.

When we believe these lies and base our sense of self and identity on these lies, we’re viewing ourselves through Emotional Mind.  We’re not dealing with the facts and the truth.  We’re overlooking, ignoring, and denying all the things which tell us we aren’t that way…and we’re focusing on ALL the things which suggest we may be that way.  We’re ignoring what Rational Mind is telling us and we’re viewing ourselves through the distorted lenses of Emotional Mind.

We have thought poorly of ourselves and have treated ourselves poorly because of a lie.

We ARE going to do some stupid and thoughtless things now and then, but that doesn’t mean we’re a stupid and thoughtless person.  It means we DID SOMETHING that was stupid or thoughtless.

We ACTED in poor judgment.  We went against our good judgment.

“Then how do we describe this stupid, poor judgment behavior?!”   We describe it as DESPERATE behavior.  It’s not an issue of smarts.  It’s an issue of being desperate and dysregulated!  It’s an issue of being OUT-OF-CONTROL! We know better, but we do desperate, self-defeating things anyway.

This text was adapted from the DBT-CBT Therapy Workbook – “Out-of-Control:  A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior”  by Melanie Gordon Sheets, Ph.D.  – copyright 2009 – Recovery Works Publications

Can You Lose Weight By Diet Alone…Or Do You Have To Exercise?

I have LOST 150 POUNDS WITHOUT EXERCISING! I’ve lost weight slowly over the past four years. I lost about 5 pounds a month for the first year…about 3 pounds a month for the next two years…and now I’m losing 0-2 pounds a month. I’ve lost about 13 pounds during the last 12 months.

My ideal body weight is in the range of 105 to 135 and I’m averaging about 125 now. It’s harder to lose weight now and it takes a whole lotta Mindfulness and determination to maintain my weight and to lose any weight.

I was modestly active most of my life, but the last 15 years has been high work, two kids, and little else…and mostly desk time. When I was planning how I would diet, I did not want to add exercise to my lifestyle because I realized it was VERY unlikely that I would maintain that lifestyle for any length of time. I felt it was a set up for failure…start slipping with exercise…start feeling bad about myself…and here I go…relapse fixin’ to happen! I chose to focus on diet alone and obviously this has worked very well for me.

I knew how to do “diet” because to maintain normal body weight for the first 30 years of my life, I had to keep calories low…so, I already had those skills. So, I chose to focus on what I would have the highest likelihood of success with…and avoided anything I felt could increase the likelihood of failure. I sat down and completed a DBT-CBT Therapy Workbook “Game Plan” for weight loss.

I included every diet tip I could think of and I reflected on how I used to do things when my weight was low. I decided I would drink a lot of water, not starve myself, eat breakfast to get my metabolism going for the day, eat what I was REALLY craving…and work to balance things out, count calories, eat something before leaving work so I wouldn’t arrive home starving to death, avoid food fests, avoid temptation, do the chocolate binge and get rid of the leftovers…etc.

Overall, the first four years of the diet were fairly easy, but now I’m struggling. I smoked for the last 18 months through June 2009 – recently quit…and it’s been harder to keep calories low. Weight is still good, but the struggle is certainly there. It’s not easy anymore! I was always aware that as I got my weight down, I’d probably begin to exercise so I would look better…well, I think it is time to exercise so I’ll look better, but the biggest impetus is to be able to eat about 100 calories more per day!

I’ve STARTED to exercise twice during the last year…but haven’t maintained it for more than a week at a time! Once I got that shoulder blade muscle cramping thing…the one with horrible pain that just doesn’t go away…and you can’t even breathe or move for awhile. The last time, I started to get sick…was exhausted…and didn’t want to stress my body! I am going to try to do a little at a time…not get so excited and ambitious and increase the amount or intensity so fast…just going to try to have some balance! Me, balance….ha! But, I’m going to try so I don’t sabotage myself AGAIN!!!!!

Why Am I Eating More and Gaining Weight: Using DBT-CBT Principles to Become Mindful of Mindless Eating

I’ve gone through a very hard time in recent months with my “diet”…or better said, “my eating plan.” My positive eating patterns had become a habit and little emotional energy was invested in the process. I had peace and stability in this area of life. People would ask, “Isn’t it hard to stay on a diet?” No, it really wasn’t because I HAD developed good eating habits…and eating in this manner was natural for me. It was more of a lifestyle than a diet.

But, SOMETHING HAPPENED and these past few months became the most trying time during my four year diet. Not sure what happened, but somehow things got Out-of-Control. I struggled through…and regained fairly good control. Naturally, I’ve been reflecting on WHAT HAPPENED…because I don’t want to let this lifestyle slip through my fingers and for things to get out of hand! I don’t want to get fat again…I don’t want to start the weight gain cycle…AGAIN.

Here’s some things I have thought about. I FINALLY quit smoking in June after 6 attempts this year! Quitting smoking leads to increased eating because my hands and mouth aren’t busy…and reduced metabolism because I’m not loaded with nicotine…HELLO WEIGHT GAIN…and increased appetite!

Another thing that has changed in the last couple of months is that I started taking a daily multivitamin. Now, I haven’t studied recently, but from what I remember, vitamins increase appetite. Not sure why that happens…or if that’s really true. Just some tidbit of information I picked up and think is true.

Another thing…I began living on fruit…fruit was my mainstay…the largest source of calories per day. I loved the fruit diet! However, something was going on and I was craving sweets more…like CHOCOLATE! I was eating the Snickers protein bars…Mmmmm good…however, they are 290 calories each. When I seek to keep calories below 1300 or so a day…that adds up F-A-S-T!!!!

So, I’ve stopped eating fruit…and this has led to a major decrease in the sweet munchies. I’m thinking the sugar in the fruit did something to increase my appetite for SUGAR! In my four years of dieting, I would chocolate binge about once every 4-6 weeks…and while on the fruit diet, the craving for CHOCOLATE was STRONG…and something I gave in to. I believe in “have a craving…satiate it and go on with life.” That has worked very well for me…because I’d eat 800 calories of chocolate…eat less dinner or no dinner…and suffer little net gain in calories that day…and little effect on the monthly average…and little effect on my weight…until recent months!

Another thing that happened in July…is that an overwhelming workload greatly increased…and the type of stress changed…from internal pressure to get the job done…to external pressure…like performance counseling…and a 30-day deadline! I expect the extra stress and the type of distress affected me, too.
Anyways, lots of changes…radical physiological and psycho-emotional changes (nicotine withdrawal and loss, diet change with increased fructose and then refined sugar…and EMOTIONAL STRESS from work…and stress from my daily diet spiraling out of control! You know, I’m sure there are other factors too…that I’m not currently aware of…but, those are the biggest ones on my mind right now!!!! You know…I may have gotten cocky too…had my weight down real good…had this diet thing “down to a science”…and then…slacked off a bit!

Anyways, things have gone fairly well the last 3-4 weeks…actually regained some semblance of peace and stability in my eating. Revisited the 124-125 range…the size 7’s fit again…(size 9 slim fits are sized like a 7!). Went out of town a few days…and did alright. Not a major pig out…ate some restaurant food, but did well with that. Got favorite foods and ate about half. Some extra calories…but nothing Out-of-Control! Back to work tomorrow, will tighten up again…and go on with life. Average calories for October was in the normal range for me…similar to the last 4 years…so,, that’s good!

The last couple of posts in October note what I did to try to get control, so I don’t want to restate EVERYTHING here…cuz I can’t remember and I’m too tired to go back and check!!!! I am Mindful right now that I greatly increased Mindfulness of my eating plan…by reminding myself of my goal (stability in eating, weight management, not get fat again!), counting calories all day so I’m not engaging in mindless eating and CALORIE SHOCK at the end of the day when entering data in the Excel file, controlled portions and food selection (toting certain foods to work and not toting others…and choosing how much to bring, deciding what I’d eat when I got home, eating a little something before I leave work so I don’t go home STARVING TO DEATH…and ready to scarf everything in sight), and temptation management (telling family about my struggle and how to help…DON’T BUY FATTENING FOOD AT THE STORE…and certainly don’t bring it in and let me see it…AND me not buying fattening foods at the store…the ones that are MY favorites!) So, I went back to my early days of dieting…what I did then that worked best for me…to attempt to regain control over my eating.

Another thing I considered is that my weight is low…calorie needs are lower than the early days of dieting…I may be reaching my low…and this may be as low as things naturally go…and I may need to revise MY goal to go lower…and just focus on maintaining this weight…that it may be unreasonable to push myself to lose more. So, with all this in mind…I’m TRYING to be Mindful and to approach this diet thing with Rational Mind and Wise Mind…because Emotional Mind is eating me up!

The Best Crash Diets are Crash n’ Burn Diets – An Excerpt from the DBT CBT Therapy Workbook

Crash n’ Burn Dieting

Why do you think a “crash diet” 1 is an Emotional Mind behavior?
________________________________________________________________
________________________________________________________________

We’ve all heard of these diets and most of us have done them! We see many advertised on magazine covers, “Lose 10 pounds in 10 days with the Grapefruit Diet!” Some have strict menu plans. Many limit food choices. We may be able to eat as much as we want…but ONLY lean meat and vegetables…or boiled chicken and rice all day! Consider how limited a high protein – low carbohydrate diet is. One reason these diets fail is they don’t allow us to eat our favorite foods…and WE’RE NOT GOING TO STAY ON A DIET LIKE THAT…FOR VERY LONG!

Crash diets are driven by Emotional Mind because we’re WILLING to do something DESPERATE to lose weight QUICK. We’re IMPATIENT. We want IMMEDIATE RESULTS. We DON’T WANT TO WAIT to lose weight in a REASONABLE and HEALTHY way…even though WE KNOW it’s the only way to lose weight and keep it off! We’re being IRRATIONAL! We’ve deluded 2 ourselves! We’re believing a LIE. SOMEHOW WE BELIEVE THIS CRAZY DIET WILL WORK…that we’ll suddenly develop skills to control our eating…that we’ll give up most or all of our favorite foods…and just eat certain foods. REALLY, IF WE HAD ALL THIS WILLPOWER, why would we need a crazy diet? Why wouldn’t we just do a “normal diet” and eat like a slender person? They eat all kinds of things…just smaller portions!

Just like other Destructive Coping Behaviors, we want IMMEDIATE RELIEF…for our long-term weight problem. So, we do something desperate to lose weight FAST!

The problem with a crash diet is it’s SO UNREASONABLE and STRICT we WON’T STAY ON IT the rest of our life! When we GET OFF the diet, we return to our old eating habits. We GAIN the weight back…AND THEN SOME! That’s because we’ve been starving our body and depriving it of what it needs to function. Our brain sends out “I’M STARVING TO DEATH” signals that tell our body to PROTECT ITSELF FROM DYING. So, our metabolism 3 slows, we BURN FEWER CALORIES, and fat stores up for future famines. 4 At the same time, our BRAIN POUNDS on us to EAT MORE to replenish 5 our body. Finally, we GIVE IN TO TEMPTATION and the demands of our brain and body and we do a ROYAL PIG-OUT! Then we FEEL HORRIBLE physically and emotionally. We’re bloated, sick, disappointed, and ashamed. WE FEEL LIKE A FAILURE. Weight loss seems hopeless, so, we GIVE UP on the diet. WE GAIN ALL OUR WEIGHT BACK…AND THEN SOME!

We’re willing TO TRY to defy 6 the laws of nature to lose a ton of weight fast! A friend once said, “I’ve given up on dieting. Every time I go on a diet, I end up gaining 10 pounds!” After we starve ourselves, our brain pushes us to gain extra weight so our body is prepared for the next famine!

What kind of diet would Rational Mind suggest? ________________
___________________________________________________
___________________________________________________

Rational Mind would encourage us to EAT THINGS WE LIKE, BUT LESS! Then our stomach will shrink and we’ll REDUCE CALORIES. We’ll get in the HABIT of eating “SKINNY PERSON PORTIONS” 7 and we’ll lose weight. Because we’re still getting our favorite foods, we’re less likely to get tired of this “eating plan!” It’ll become A WAY OF LIFE…that we can LIVE WITH for the rest of our life. We’ll STAY ON IT, LOSE WEIGHT, and KEEP IT OFF!

We’ve all heard THE BEST WAY to lose weight is to do it SLOWLY! If we’re not in a major weight gain cycle 8 and we cut our food intake by one-fourth, we may lose 2-3 pounds a month. That’s 24-36 pounds a year and 48-72 in two years! If we cut our intake in half, we may lose 4-5 pounds a month or 48-60 a year and 96-120 in two years! That’s a lot…and we can KEEP IT OFF if we KEEP IT UP! A “three-fourths” or “halves” diet will serve us MUCH BETTER over time than a “crash n’ burn” diet!

I’d rather lose 25 pounds a year by eating reasonably than gaining 10 pounds with a crash diet!

——————————
Notes:
1. A crash diet is very strict and is designed for FAST weight loss.
2. Deluded – (duh-lew-did) – talked ourselves or others into believing something that’s not true.
3. Metabolism – (met-tab-oh-liz-em) – the process of breaking down the food we eat.
4. Famines – (fah-men’s) – times when there’s little or no food in a country or region.
5. Replenish – (ree-plin-ish) – to restore and fill back up!
6. Defy – (dee-fi) – to go against or to challenge.
7. Ever notice how skinny people eat? They eat many of the same foods as an overweight person…just smaller portions. We had a store and I’d go there after my hospital job. I was always shocked to find half a bag of chips or half a candy bar left on the desk. I could never understand why the employee didn’t eat it ALL! Obviously, their eating habits were very different from mine! They’d eat half when I’d eat two!
8. If we‘re on a major weight gain cycle, we’ll have to cut down even more to get our daily calories in the range for losing weight. These numbers are estimates based on someone who’s maintaining their weight or is only gaining a few pounds a year.

Using DBT CBT Workbook Recovery Skills To Get Control Of My Out-Of-Control Eating! Losing Weight Again!

I made it through the diet crisis. What a horrible time that was…to feel so out-of-control of my eating and knowing I was very close to relapse back into an EATING DISORDER! It’s kind of sad to think back to that…I was so desperate and struggling. Writing one of the blogs in that period, it occurred to me how much drama and chaos I was experiencing and allowing myself to go through. Because the theme of my life is “Peace and Stability,” I became sick n’ tired of the chaos and drama…and I took control of my out-of-control self! It was like “Ah, hell no” and I got very serious about getting my life under control.

So, I resolved to take advantage of my Wise Mind thinking and I got a Game Plan. I Followed Through with it and packed my food for my work day (planning, decided what to eat), stopped buying fruit (managed temptation), counted the calories throughout the day (Mindfulness), kept reminding myself of my goal to get control (All Day Daily Devotional), was Mindful of the two choices I had – to eat what I wanted and gain all my weight back or to control my eating and keep my weight down (Two Choices), put up tempting food that the family left out (more temptation management), and I Talked Myself Through impulses to eat something that would increase calories too much (Self-Talk, Talking Myself Through the Moment). I practiced what I preach. I wasn’t perfect though…but kept with it (Perseverance).

Just looked and the last entry was 10 days ago. In that time, I had 3 “bad days” in a row (1380 calories or more)– I pigged out on my husband’s home cooked beans and cornbread one day, another was a bunch of M&M’s, and another was chips. However, had many good days, too. Total calories this month is 1255, so, things have averaged out pretty good. Weight went up to 131 one day…and is now back to 124. 122 is my lowest during the last 4 years of dieting. Was often in the 124-125 range before things got out of control recently.

Other dynamics that have helped me over the past week have included…being overbusy and working long hours at work and having less time for food at home (I have been packing an insulated bag with food for work) , my husband hasn’t cooked since the beans and cornbread episode, I have been playing Zuma a lot when I’m home (pleasure and de-stressing time from overworking at work), and the kids have been VERY busy with school stuff in the evening and they haven’t been cooking much either!! So, the planets have lined up well…and all is well. Praise God. How can I forget…I also prayed and asked God to help me Get Control…because I was doing a horrible job of it on my own.

For some reason, I forgot that it was the 10 days after my period that my weight went up (like to 131 recently). Falling to 124 so fast caught my attention and I looked over my Excel spreadsheet and remembered that. So, I’m at a good time now when my weight should stay lower…for a few weeks. Would be fun to lose a new pound and get to 121.

It’s really unbelievable. I once thought that it would be impossible to hit 135…and that if I ever got to 165 it would be an amazing thing. I started out at 260 on my scale…(did I just put that in print) so, it is pretty unbelievable to be in the 120’s…or even under 200!

My goal is 112. I spent many years of my life in the teens…usually 115-118. If it’s do-able, I would like to hit 112 so I have a little room to move up and down and still stay below 118.

My kid was just reading this and asked why I wrote that I’ve lost 145 pounds if it’s only 136. I reminded her that I got pregnant during the last 4 years…gained weight during the pregnancy and when all was said and done after I lost the baby, I was 13 pounds higher. So, when I went back to my diet, I had to lose those 13 pounds again. So, in reality, I’ve lost 136 pounds + 13…so, I’m really at 149. I count those 13 because I had to lose them again…and regaining them wasn’t my fault…like going back up to 131!

Anyways, all’s well…for now. I guess that’s “for now in the diet world” because my life is entirely Out-of-Control at work…and I can’t stand the feeling. It’s not a wonder why I entitled the DBT-CBT Workbook, “Out-of-Control”!!! The way I’m dealing with that is by busting my butt to get caught up…or at least to get things well enough in control that I don’t feel so overwhelmed and desperately Out-of-Control! I’ll focus on that…work hard now…play later!

Balance is a big thing in the DBT-CBT recovery program and I noticed that I was achieving some semblance of balance by allowing myself to play Zuma for hours instead of working at home and making myself do things I didn’t feel like doing at home. I had to notice that because I felt guilty about playing so much Zuma!

I tell my Group folks that “normal” life isn’t a cakewalk…and “normal” folks aren’t so normal (ain’t I a good example! ) I tell them that “normal” life is stressful and it’s not easy…that “normal” people have many things to struggle with, too….and that’s it’s always something. Things are always “Coming At Us” that we have to struggle through and deal with…that the skills taught in the workbook not only apply to recovery from drugs and alcohol, or cutting and suicide attempts, or depression or Bipolar Disorder…that they are about how to deal with life in general.

I share with them glimpses of my struggles as examples now and then…and I let them know that even though I am years into recovery from my history of seriously self-destructive coping behaviors…I still have to deal with myself on a daily basis…and that I live, eat, and breathe the recovery principles in the workbook…and that I, too, get tired of having to deal with stuff ALL THE TIME!

On Losing 145 Pounds and Using Dialectical Behavior Therapy (DBT) and Cognitive-Behavioral Therapy (CBT) to Regain Control Over My Over-Eating Eating Disorder!

Well, here’s another day of my recent fight to regain control of my eating and to continue to lose weight…and to prevent a full relapse into my over-eating Eating Disorder!

Felt great to weigh in at 127. One less than yesterday and a common weight for me over the past few months…and going in the right direction!

Started my day with Mindfulness of recovery being my #1 priority today. I thought about how I wanted to eat this day and I took note of what was coming at me today that could challenge my recovery. I thought about the Service Awards Celebration that would be held today at work. They’d serve cake, cookies, and other goodies. I wasn’t sure I wouldn’t eat anything there, so I was aware I needed to plan my food day to allow for that!

Started my work day by buying some time and drinking coffee first thing rather than settling into my 1-1/2 sandwiches of fat-free turkey and double fiber bread (230 cals!). Had that at about 11:30. That held me just fine until the Awards Celebration…I got a 20-year with the state of Texas award. Cool. I did good until the end when folks were chatting by the food tables…and I did it! I had a small piece of cake and would have had a chocolate chip cookie, but no chocolate cookies left of any sort and I wouldn’t waste calories on non-chocolate! Got out of there with only about 50 cals worth of cake! Oh yea! Awesome!

Well, just like I am…I get back to my work area…and there’s candy bars on the counter for sale for Relay For Life…and seeing them brings on the sweet munchies that were brought on by not getting the chocolate chip cookie! Mentioned to my friend that I had the sweet munchies now and she told me about all the treats she had stored in her desk! Oh boy! So had a Reese’s candy bar (270 cals), about a dozen M&M’s….and a good handful of cashews. Can’t imagine that to be more than about 130 calories. Delighted because 400 more calories satiated my sweet craving. Did so well that I skipped my afternoon black bean soup.

Worked late, came home at about 7 and enjoyed three yogurts (240 cals) and started on sunflower seeds. Betcha I won’t need to have the Snicker’s chocolate protein bar tonight after sweets earlier today. Really not craving anything except I’m enjoying the seeds! Think I’ll play Zuma for a while and then package up the books which have sold today. I feel so much better that my eating is better under control. Just need to continue what I’m doing and work through this “near disaster” in my recovery!

I kept track of calories all day…grand total of 1030. That’s a bit low (Rational Mind)…though I really like the number! (Emotional Mind) However, I want to re-experience peace and stability in my eating…and not the roller coaster of late. (Rational Mind) Too few calories for one to two days leads me into out-of-control eating while my body tries to replenish itself! (Rational Mind) I’m just not in the mood for more diet drama. Had my fill of that! (Rational Mind) May snack on something to bring it closer to about 1250 (Wise Mind)…but I really like the 1030 number! (Emotional Mind)

Oh boy, hubby just got home bearing Walmart grocery bags…and I get to put them up! My recovery supportive husband brought home three bags of chips…one of which I happen to really like…but, also a bag of apples. So, I was mindful of my recovery and my recovery goals and realized that if I cracked the bag of chips it would be 200 calories in seconds flat! (Rational Mind) Made a decision to put them up and out of my sight. (Wise Mind) Then, I found the bag of apples…ahhhhhh…had two. So, total calories now about 1160…and now he’s grilling hamburgers outside. Hopefully, I’ll just tear one in half and have that! (Wise Mind) That puts me right at that 1250 number! Boy, sure I love the food he cooks out there on the propane grill. Oh…man!

Willfulness and Willingness…Fighting for Recovery…From My Overeating Disorder!

“You get skinnier every time I see you.” That’s what my friend said to me today…and I thought, “Fat chance of that!”

Weighed this morning – 128. Not horrible, better than 129 the other day…but lots worse than my monthly average the last few months (125 range) with lows at 122-123.

Getting dressed, I put on my size 10’s…my larger pants since I’m not in the 125 range. Oh my God, they were tight. I am not doing tight first thing in the morning, else by mid-afternoon seams will be a-bursting! Went up a half size bigger…ahhhhhh…and to think I was going to put those in storage just in case I started to get fat again. I shouldn’t need to wear those. I wore those at 135. But…if the pants fit, wear them!

I was feeling despondent, helpless, out-of-control…desperate…hopeless. Then, anxiety hit. I realized this could easily be a relapse point. Eating out-of-control…felt discouraged…was bloated…and having to wear “fat pants”…everything was just right for an Emotional Mind recovery sabotage.

My first panic thought was to strictly reduce my calories to 1100…to punish myself. (Emotional Mind thinking).

Rational Mind said, “That’s too low…and punishing yourself will backfire..it’s not a good thing for you.”

Wise Mind said, “Chill out Mel…work to maintain calories in the 1200 range…that’s very do-able for you…you can tighten up a bit.”

Thank God I’m into this DBT-CBT thing…and I live, eat, and breathe it. And thank God I caught myself in the middle of this serious Emotional Mind game. I thought, “You know, I’m not going there.” Then I thought, “I think I’ve just entered a fight for my recovery. It’s at that point now.”

I then recognized I felt a bit angry about this eating thing…frustrated, just tired of it. Then another thought flew through my mind, “I don’t get mad, I get even.” This is usually a negative, revenge type of Emotion-Driven thought, a self-destructive thought. However, for me…today…it was more like, “It’s time to kick this in the ass…I’m tired of it.” “It” being…”I’m tired of my crap”…it’s like “Shit or get off the pot”…or…”If you’re serious about this diet thing, then make it happen already…Get control or lose control. Game’s over. It’s time to get serious.”

I thought about DBT and “Willfulness vs. Willingness.” Well, one is usually bad – the stubborn, willfulness one…and willingness is usually good – the “I’ll do whatever I need to do to be okay”…it’s the “I surrender,” “I accept,”…the, ”I’m ready and willing” one.

Well, for me today, Willfulness was a positive thing. It was the stubborn and determined part of me…that fight from deep inside…being willful in a survivalist type of way…the, “I’ll be damned if this kicks my ass” type of fire from within!

Willingness was there, too. They stood side by side. I was willing to do what I needed to do to get this eating thing going on. I surrender my will to eat whatever I want to eat. I surrender to setting limits for my eating.

Well, I’ve done very well today with just a minimum of distress. Ended the food day at 6:30pm with 1185 cals. For breakfast I had 1-1/2 fat free turkey sandwiches (double fiber whole wheat bread) and drank coffee with about 25 calories of flavored coffee creamer. I had a can of green beans for lunch. That held me over until my mid-afternoon can of black bean soup which kept me from leaving work starving to death and ready to eat everything in sight when I got home from work. Upon arriving home, I had 3 black cherry yogurts (80 cals each and quite a treat) and a Snickers 290 calorie chocolate protein bar (quite a treat…like a candy bar!) I picked at leftovers and had a couple bites of chicken with green peppers. SUCCESS. Had to forego fruit and sunflower seeds today, but I’m fine. Started the sunflower seeds in the evening when I quit cigarettes a few months ago…and also added a lot of fruit then to deal with the nicotine withdrawal CONSTIPATION! Did just fine though without them tonight.

Now…today I went back to some of the dieting basics like I resolved to do a few days ago…yesterday…whenever it was. I kept a running tally of my calories through the day…and emailed them to my home! I was mindful of what I would eat (for the most part), planned my food day (for the most part) and I did the “think through before you do” thing. Now, tomorrow is a new day and I sure hope I experience that fire from within…and fight for my recovery all over again! I hope my battles help you in your fight.