Category Archives: I Finally Quit Smoking!

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!

A Quit Smoking Success Story…and I’m Even Losing Weight!

I thought I should write a follow-up to the “I Quit Smoking” blog entries over the past few months. So, here goes!

I’m pleased to say that I’ve successfully quit smoking! It’s been about 5-6 weeks now. No constipation…no bloating…and I’ve actually lost a couple pounds! Life is good. I’m still eating Activa type yogurt – about 2 a day and I’m chewing the nicotine gum – about 4-5 pieces a day. I have continued to have less soda per day (about 2 cans per day now) and have a protein bar about 5 times a week (the mega Snickers 21g protein ones!) instead of about 2 per day! Those are a treat and usually take care of chocolate or sweet cravings. I don’t think I’ve done a sweet binge in months since I’ve been eating them! I have been eating a ton of fruit though…that probably helps with the sweet binges! I have lost almost 150 pounds in the past four years so controlling the diet thing is very important to me. Yes, I was QUITE HEAVY, but part of that 150 was pregnancy weight – had an unexpected pregnancy during those four years! However, most of the 150 was part of a slow, insidious weight gain over 12 years! Do you know 100 extra calories a day adds about 1 pound of extra weight per month…and 12 per year! That’s probably how most of us end up so heavy…slow and steady! I’ve written the DBT-CBT Workbook (Dialectical Behavior Therapy – Cognitive Behavioral Therapy Workbook) which focuses on life-destroying addictions and behaviors like drugs and alcohol, self-injury (like cutting), verbal and physical aggression – but it only touches on eating disorders – like anorexia, bulimia, and overeating. I wish I had the energy to write a DBT-CBT Therapy Workbook for losing weight. Sure would be helpful to A LOT of people. I have certainly used the skills and understandings in the workbook to quit smoking and to get through this weight loss thing! I have to live, eat, and breathe DBT-CBT on a daily basis to deal with myself! I am a full-time job!

Oh, one other thing…I’ve been eating a lot of sunflower seeds in the evening, that helps to bind the hands and the mouth instead of smoking. I don’t have salt issues, so the seeds work for me! I’m at the point that I rarely think about smoking…can get into the car and take the 23-minute drive to work (or home) and it never crosses my mind. I did think about smoking last Saturday morning…that was a nice smoking time for me…get up, relax, have a few smokes…and start the day! However, got through the thoughts and urges to smoke by reminding myself how glad I am to not smoke…and to be free of that addiction. It also helped that I had lost a “new pound” that morning when I weighed…so that was certainly a positive!

I expect this will be my last “Quit Smoking” blog…and maybe I’ll make myself start writing a Diet Tips one!

I Quit Smoking and Got Around the Bloating, the Constipation, and the Weight Gain

I FINALLY quit smoking. I FINALLY DID IT on attempt #6 or #7 this year! I found a way to get past the bloating, the constipation, and the weight gain. Granted, kicking the habit kicked my butt for 6 months…I persevered through the process and made it through! I have almost three weeks under my belt…and for me, that means I’m done. All’s going well…my weight is excellent…no bloating issues…and no constipation!!!! YEA! I’ve fought through this…and finally won. It’s been a tremendous struggle. I’ve always had an easy time quitting in the past and staying quit for long periods of time (years)…however, things are obviously different now…perhaps it is part of the aging process. I’m not sure I will ever take up smoking again…because it is not “easy come, easy go” anymore. I don’t want to have to fight this battle again.

It was awful to “have to smoke again” to get control of the bloating, the weight gain, and the constipation…however, each time I did so, I was aware I’d get soon and try again…as soon as everything went back to normal. I have lost about 140 pounds in the last four years and I was not willing to start the weight gain cycle…and gaining 7-10 pounds in 7-10 days was not okay…and it happened each time I quit smoking this year. I did not believe that my weight was dependent on smoking because I lost the first 100 pounds without smoking…and I’ve been thin before in my life without smoking. I knew I could have one without the other…I knew I could manage my weight without having to smoke. I knew something was wrong because of the tremendous gain in weight so quickly…I knew it was not REAL weight…because you can’t gain 7 – 10 pounds of fat that quickly…eating 1500 calories or less per day. I knew it was something else…but I didn’t understand it. I blamed it on a high nut diet, birth control pills…and various other things…until I finally learned that people bloat and get constipated when they quit smoking…and that it was an effect of nicotine withdrawal. Talking with friends clued me in…so I began to read about it on the net…and then started to do things to address this. What I did is described in the other “Trying to quit smoking” entries in this blog. Read the most recent ones to find out what the last things were that helped…or read them all to learn about what I experienced throughout this 6-month process! What an ordeal this has been. It’s been such a struggle…and now, it’s a burden relieved!

I’m in the process of writing “Ten Tips for Quitting Smoking” to show how I used DBT-CBT therapy principles , skills, and understandings to recover from this addiction. So, that is yet to come…I wish you success as you make it through the process to quit smoking…just don’t stop trying. Recovery from drugs and alcohol takes 8-18 attempts on average…and it’s very likely that breaking the smoking and nicotine addiction is little different.

I’ve Quit Smoking…and I Think I’ve Stopped the Bloating, Weight Gain, and Constipation!

Well, good things are happening! I’m so excited! I think the latest revisions to my non-smoking DBT-CBT Game Plan are going to be successful. I stopped smoking 9 days ago…and this time, my weight is stable, no bloating, no constipation…life is good! I think cutting down on the soda and the protein bars has helped as well as chewing a few pieces of Nicorette’s type gum per day. Haven’t rode horses in a week, so exercise hasn’t changed much! But, so far, so good. Hope this major blessing continues. I feel so fortunate that something is finally working…given how I’ve struggled with quitting for 6 months. I’m not “out of the woods” yet, so I am going to have to continue to be Mindful of my goal to remain smoke-free…and I’m going to have to keep on keeping on.

Honestly, I’ve quit smoking successfully about a dozen times since I’ve been in my early teens…and I’ve always quit knowing I’d smoke again someday. But, this time, I’m not sure that I will ever smoke again…because I’ve had hell this past 6 months trying to quit. I’ve never had trouble quitting…once I decided to quit. This time around has been very different. I guess it’s the effects of aging or something…but this bloating, constipation, weight gain thing has kicked my butt. I’ve stopped smoking and have restarted smoking about 6 times this year… because of MAJOR weight gain, bloating, and constipation! There’s about 5 or 6 other blog entries documenting this struggle! I hope when I write this weekend, I will have about 12-13 smoke-free days under my belt!

Quit smoking: Managing the Bloating, the Weight Gain, and the Constipation…

As planned, I quit smoking AGAIN on Tuesday, June 20-some-odd, 2009. I prepared for this by changing my diet and adding exercise to my weekly schedule. Two major life changes! These are things that I did not want to give up or change. I’m no different than the rest of the world…I want my life to change in major ways…but I don’t want to have to change in major ways…and I certainly don’t want to step outside my comfort zone!

About a week before I quit, I began to ride horses with my daughter in the evening…awesome exercise! I also cut WAY down on sodas, diet sodas of course…I cut WAY down on the number of protein bars eaten PER day…and I added a bunch of fruit to my daily diet. I had just recently noticed that I was bloating even though I was still smoking…and I noticed that this occurred after a breakfast of diet soda and a protein bar…and a protein bar for lunch! MAJOR BLOAT! It went away in a few hours and did not cause weight gain though! However, I became mindful of a “while smoking bloating pattern.”

The Tuesday morning that I quit, I purchased a box of generic brand Nicorettes gum. I got the 4 mg strength for folks who smoke more than 25 cigarettes a day rather than the 2 mg strength for folks like me who smoke less than 25 per day. I did the math…it makes the gum half price for me! I would smoke about 15 a day, so I just chew a half piece several times a day. I chew it to keep some nicotine in my system to keep my body revved up so I don’t get so bloated and constipated…and gain 7-10 pounds in 7-10 days!

Everything went well the first couple days…but, everything wasn’t perfect. By Thursday afternoon, I hadn’t pooped for about 4 days…so, I bought a box of Correctol…a laxative that’s SUPPOSED TO BE very mild. The box says to take 1-3 tabs…well, not being a laxative queen, I took just one Thursday evening. Nothing happening by Friday afternoon, so, I took another one. Well…things began to happen Friday evening…and I think everything cleared out including the box of cherry tomatoes I had for lunch that day. Needless to say, my weight was good Saturday AM…and I’m not smoking…and I’m not bloated…nor constipated right now!

Laxatives are a major concern…and something I’ve taken about three times in my life because I absolutely don’t want to become addicted or dependent on laxatives. This will NOT be part of my weekly non-smoking plan! I purchased Activia yogurt yesterday…it’s guaranteed to increase regularity if you have one a day for two weeks. I’m trying that.

Some may think I am entirely crazy to be posting about bowel habits…however, if you go to this link and type in various keywords or keyword strings related to quitting smoking and bloating…or constipation…you will see that MANY people are having this problem. It will tell you how many times in the last month these keywords were entered into google for a search. Also, many people are reading this blog…so, there’s other people who are struggling with this as well. I write this as a help to others…and maybe, folks will benefit from my struggles and come up with a Game Plan to quit smoking that fits their lifestyle and needs.

Another point. I shared my struggles with my sister. She was going with my Dad to his cardiologist that day. She spoke with the heart doc and he was seemingly oblivious to this side effect of quitting smoking. He told her that if I was so constipated, I needed to see a Dr. immediately because I had something major going on! Boy, did she call me back with a great sense of urgency in her voice! FUN-NY! Also, my boy became ill this week and I took him to our family doctor. While there, I asked him what I could do about this problem. Because of what he was advising me, I told him several times that the MENTAL part of quitting was no big deal, it was the physical side-effects that were kicking my butt…and leading me to relapse. You know, I don’t think he ever really heard me because he continued to talk about mood, irritability, bitchiness, etc. Could this bloating–constipation thing be a side-effect that the medical profession isn’t noticing?

In case you’re curious, my Doc recommended Wellbutrin as a medication to help quit smoking. He says he’s had a very high success rate with this, around 85%. He said Chantix isn’t doing so well in his practice. He also recommended the nicotine patch. He didn’t like the idea of the gum because he said you can’t really control how much nicotine you’re getting…like chewing faster, longer, etc. His concern is that I’d end up with a nicotine gum habit to deal with!

I got the script for the Wellbutrin, but I’ll hold off filling it. Will finish the trial of what I am currently doing and I’ll see how it works. Will go to Plan H, I, or J if this current Game Plan doesn’t work!

Well, that’s the update. I hope I have good news at the end of this next week. So… so far so good…for the first 5 days of NO SMOKING attempt number 6 or 7 this year!

Quit smoking the DBT-CBT therapy way: Attempt #7 – Making my “failures to succeed” successful failures

Here I go again. Another attempt to quit smoking. This constitutes try number 6 or 7 this year. However, I’m stubborn, hard-headed, and persistent…and I’ll keep trying until I make it. This is something that is do-able and something I’m able to do!

My last blog entry was a week or two ago and I had resumed smoking because of major bloating, constipation, and weight gain…like 7-10 pounds in 7-10 days. This has happened each time I have quit smoking this year.

My plan is to quit on Tuesday, my next work day. No smokes on the way to work…and none thereafter! Over the past two weeks, I’ve noticed that I’ve bloated even while smoking; however, I haven’t had the constipation and weight gain. The bloating has come and gone. So, I became mindful of the bloat patterns and noticed it seemed to occur when I drank soda and ate a couple protein bars. So, I gave up soda and protein bars for about 5 days and I had absolutely no bloating. WOW! I began eating some protein bars the last few days because I started feeling VERY tired. However, I did so in moderation and I’ve had a few sodas. Only one bloat session occurred. I’m going to practice moderation with both of these because I like them…and don’t want to have to give them up, TOO!

I am going to start exercising today. I’ll get the junk off the fancy treadmill and do that in front of the TV. I’ll ride horses with my daughter a couple times a week. I need to do something to offset the decrease in metabolism due to not smoking…and to offset a couple hundred extra calories that I might consume daily due to quitting smoking. I’ve lost more weight than I care to admit in the last four years and I have no intention of putting on a lot of weight. I can tolerate a few pounds…but then, it must come off again!

I’ve also added several servings of fruit per day over the last week. I’ll keep that up because it will help offset constipation.

If I start bloating again, I’ll buy some nicorettes and give that a try. If I fail this time again, I have a Dr’s appointment in a few weeks and I’ll try something else. I WILL make this happen.

Here’s an excerpt from the DBT-CBT therapy workbook that I wrote…and it’s something I believe in and I live by. It’s from a section entitled, “Failing to Succeed…or Successful Failures.” It’s in Chapter 7, the Rational Mind chapter…where the Emotional Driven Lies we tell ourselves are challenged through Rational Mind. This excerpt relates to the “I’ll never be able to do it.” and the “Everything I try gets screwed up somehow” type of lies we tell ourselves that sabotage our recovery.

“When we fail, we need to SEEK AN UNDERSTANDING of WHY WE FAILED. We need to LEARN FROM IT and CORRECT WHAT WE’RE DOING. We need to change or adjust our plan to deal with what went wrong. Successful “failures” start with PLAN A and go to PLAN B, C, D, E…and so on until things work out! Despite their failures, THEY KEEP ON KEEPING ON!

It’s also important to be Mindful of our successes and accomplishments and to note WE’VE ALL HAD SOME! We also need to realize that WHEN WE’VE TRIED…when we’ve REALLY STUCK WITH IT, we’ve overcome challenges…and WE HAVE BEEN SUCCESSFUL. Consider the 8-18 attempts at recovery that it takes people ON AVERAGE to become clean n’ sober. Through our recovery attempts, we learn about our triggers and relapse patterns. We learn we REALLY HAVE TO change the things in our life that we DON’T WANT TO CHANGE…things that we’ve refused to change, like friendships, activities, and abusive or conflict-filled relationships. Because of our repeated failures at recovery, we FINALLY SUCCEED! That’s because we’ve revised our Recovery Plan SO MANY TIMES that we FINALLY GET ENOUGH OF THE NECESSARY CHANGES made! We’re hard-headed and we’ve got to learn from OUR experiences…and in the world of recovery…these experiences ARE OFTEN RELAPSES.

Changing our LIFESTYLE and our LIFE IS VERY DIFFICULT. We need to ACCEPT OUR FAILURES and UNDERSTAND they’re a NATURAL part of the LEARNING PROCESS…IF we learn from them.

The truth is, WHEN WE KEEP TRYING, things FINALLY work out. Sometimes, we don’t succeed because we aren’t going about it the right way. Therefore, we need to get a NEW PLAN. Sometimes, we try to do more than is do-able at one time. We plunge head first when we’d be better off wading in and taking smaller steps! There are many reasons why we haven’t reached our goals. Fortunately, most of these problems can be overcome with PERSISTENCE and a REVISED GAME PLAN!”

So I will practice what I preach and I’ll keep trying until I make it. I’ll just DBT-CBT my way through it and rather than failing to succeed, I will make my attempts successful failures.

The following are some quotes off the side margin of the aforementioned section in the DBT-CBT Recovery Workbook:

“The Self-Fulfilling Prophecy of Failure: I expect to fail so I don’t try very hard …so, I fail.”

“If we don’t put forth a FULL effort, we’ll never REALLY KNOW if we can succeed.”

“Some of our greatest leaders and wealthiest people failed many times before they achieved great success.”

“We never fail until we quit trying. Success comes to those who are determined to overcome obstacles
in their path.”

“When we understand our failures are a part of the learning process, then we can constructively accept our failures and learn from them.”

This relates to the 8-18 tries at recovery it takes on average to recover from substance abuse: “Some say, ‘Been there, done 14, I’ve got to be real close to making it!’ Folks who are new to recovery are discouraged, ‘I don’t want to do this that many times.’ Be Mindful that 8-18 is an average. Some make it on the 1st try (they need to write the book!), others on the 25th. Some make it in 3 tries, others in 20. Bear in mind though…these numbers don’t mean it’s okay to relapse 17 times ‘just because we can’ and then work real hard on the 18th try!”

How to Get Control of the Quit Smoking Bloat, Weight Gain, and Constipation! Must DBT my way through it!

I teach DBT (Dialectical Behavior Therapy)…in fact I wrote the DBT-CBT Recovery Workbook, “Out of Control.” I have the skills and understandings for behavioral change…I’ve recovered from many things…and I’ve kicked many habits…but this one is kicking my butt this time. This is a follow-up to two previous “I’M TRYING TO STOP SMOKING” WordPress blogs. It’s been about two weeks since my last blog on trying to quit smoking and the bloating and weight gain that compels me to resume smoking. So, I’ve been smoking again for the last two weeks. It’s really a love-hate relationship with smoking…I love to smoke, I hate to smoke. I hate it more than I love it and I’m determined to quit. My plan continues to be to get a Game Plan for quitting. I am going to a conference tomorrow in California on risk assessment, the Reid Meloy PCL-R one. I didn’t want to suffer the agony of being three sizes bigger and “feeling fat,” so I’ve allowed myself to smoke for this period…two weeks plus the conference.

Folks in my DBT Group would say I am just sabotaging myself and falling into the trap of Emotional Mind by coming up with Emotion-Driven Lies and Excuses to continue smoking…that my excuse to smoke is nothing but an excuse to smoke. Alike many people who sabotage themselves this way, I would say, “I’ve got a plan to quit and this is part of my plan. If you knew me, you’d know I was going to quit…and this is part of my quitting plan.” And everyone else would say…”Bull Sheets…that’s just bull, Sheets!” And I would say…”Just sit back and watch. I’ve quit many things in my life and I will quit this…come hail or high water…I’ll find an umbrella to make it through this storm.” And, I will. I’m determined to quit and I’ll find a way. If I knew that smoking two more weeks and through the conference would cause me lung cancer, I’d put this cigarette out right here, right now, and call it quits. Glad I don’t know that! I do think about it though and I’ve asked God to see me through this…and keep me safe while I get ‘er done.

I sent an email out to the Docs and nurse practitioners at the hospital yesterday and was just about desperate enough to send an email out across campus. I explained this bloating – constipation – weight gain problem and I asked if they knew of a medication or patch that would minimize this. I read a bit about Chantix and stopped at the side effects of constipation and gas! I haven’t studied any more…so, I don’t know if Nicorette gum or other nicotine replacement therapies will help. I’m hoping some readers will share their experiences and we can figure out what to do. Many people are reading this blog, so many are struggling with the same thing. Please leave some comments and let us know what works and what doesn’t. I’d really like a magic pill or patch so I can easily quit smoking. I’ve quit 5-6 times this year and I’m fine mentally, emotionally, and psychologically after the first couple days…until this bloat thing happens and my weight soars…and my pant size increases by 2. So, if I can get this bloat thing figured out, I’d be quit again in no time. I seek the “No pain…big gain” method of recovery!

So, if I don’t know of anything else to do when I return from the conference, I’ll set another quit date, try Nicorette gum or something similar and go at it again. I understand that the gum is expensive…and I did try to sabotage myself with that excuse…but, my Rational Mind isn’t going to put up with that crap and quickly reminded me that smoking is more expensive. Ended that. I do have a doctor appointment set up in early July and I can get some information from my PCP at that time if Nicorettes doesn’t work. I’ve also become Mindful that my current diet is very high in fiber and protein and that may be why I am having this new problem with quitting smoking. I’ve always been able to quit for long periods of time and have never had this problem…until this year. Maybe I have to change my diet and eat more roughage rather than soft protein bars. Maybe I have to exercise more often. Do you know that riding a horse burns about 200 calories an hour? All I have to do is to go outside, sit on a horse for an hour, and let it take me for a walk! That’s sure a lazy woman’s way to exercise. If I can hold on while the horse gallops, I can burn about 500 an hour! I thought about putting a sign on my horse’s butt and trotting past power-walkers on the road or galloping past a jogger that says “I’m burning more calories than you!” FUN-NY! Yes, I know I’m not getting the same cardio benefits…nor pulmonary…but the mental picture is quite amusing!

Long blog short…I’m still smoking and I’m not done quitting! I’ll keep folks posted on this journey and what I learn as I go…and what I have to do to get there! Hope there’s a magic pill!

Fighting Through the Battle to NOT Smoke Cigarettes…Armed with DBT-CBT Skills and Understandings

I weighed myself this morning and I lost 4 pounds over the past 24 hours. Back below the 130 mark. That part of my Emotional Mind feels relief. I’m about mad and frustrated though that this is the way things are…that I have to smoke again to get my body working again…that smoking does this for me and my body is addicted to the cigarettes. I’ve smoked and quit smoking probably 20 times in my life with about 6 times being over the last 5 months…I’ve never had this kind of problem before when I’ve quit smoking. My body has never reacted like this. For me, quitting smoking has always been a choice…a decision. I would decide to quit and I quit…and that was that. I was fine. It was a no big deal type of thing. It was a decision.

Today, it’s not just a decision. It’s not so easy. I’m having big major problems quitting. My body is addicted and it’s causing me big major problems. That makes me angry / frustrated because I want to be in control of my body and my life. I want to be able to make decisions about my behavior…and to be able to change my behavior without all these problems. I want to decide to do something…and then it happens. I did quit smoking for 10 days because I set my mind to it…but then, something happened. The something that happened is that a big boulder fell out of the sky and slammed right into the middle of my recovery path. That something was the bloating, constipation, and subsequent MASSIVE weight gain. My reality changed. Things aren’t the same as they used to be. I have something new to deal with.

That reality is that I’m not 16 or 25 or 35 anymore. I’m getting older and my body is changing. Things aren’t the same as they were before when I’ve successfully quit smoking…and my task in life right now is to adjust and deal with my new reality. My reality is…my body is having a major GI (gastrointestinal) response to withdrawal from cigarettes. My body is reacting in a big way. My reality is that to be successful with quitting smoking, I am going to have to find a way around, over, through, or passed this big obstacle in my recovery path. I am going to have to find a way to deal with it.

A bit of history. I have lost 145 pounds over the last 4 years. I was never FAT until I got FAT at about the age of 29. I was usually in the 115 to 135 range…but then, marriage to a man that eats, children, and a job AND a business away from home that created a chaotic out-of-control eating lifestyle…led me to gain a pound or so a month…over many months…to become VERY overweight. This is another story and over time, I’ll blog about it. But today, I’ve lost a ton of weight…and I am determined NOT to get fat again. I don’t want to go back there again.

So, it really alarms me when my weight starts going up and I’m NOT IN CONTROL. Since I quit smoking 10 days ago, my weight went up 7 pounds. The last day before I quit smoking, it jumped two pounds. Rationally, I know it’s not real weight, granted maybe ½ a pound of it is because I was eating a bit more those days. However, I went up two pant sizes and even the bigger size was a little tight. My Emotional Mind was very disturbed. If we can even call it Wise Mind…it kicked in and said smoke again, get your weight back down, and get a new Game Plan. That sounds like a horrible Emotion-Driven Lie I told myself. However, I know me and I know my sense of determination and I can get away with that. I am bound and determined to kick this smoking thing because I don’t want to be 65 and tied to an oxygen tank. I have other plans for my life and it doesn’t include toting around an oxygen tank. I will find a way to make this happen…one way or another…and come hail or high water.

I still have some options. I can talk with a doctor and find out if a patch or a pill can ease my physiological withdrawal from cigarettes and can keep my body from reacting so intensely to the lack of whatever poison it is in cigarettes that is causing this bloating, constipation, and major weight gain. I can start exercising regularly to keep my metabolism up and to offset the increase in calories. I can ask my family NOT to bring ANYTHING in the house that will tempt me to eat…to hide it in their room, leave it in the car, but to keep it out of my range of vision. In the last few days, Sour Cream and Onion Lays potato chips came in the house and a box of Reeses’ cereal. Even snacking on those added 300 calories to my day…on Thursday…the day I decided to smoke again. I can also make some calorie / diet changes to what I normally eat on my own and without temptation from others. I can adjust my routine diet. I’m not done yet. I still have some options…and I still have a helluva lot of fight inside me to get past and through this tough time. Come hail or high water and boulders that fall out of the sky, I will make it through…because it is important to me to quit smoking. Do pray for me because I really want this to happen…and I need all the help I can get!

Copyright Statement: Material contained within this blog is copyrighted protected with all rights reserved © Melanie Gordon Sheets commencing in 2009 and extending through the present age. Please request permission to quote or otherwise use material obtained from this blog by emailing: service@dbt-cbt-workbook.com

Please visit the website www.dbt-cbt-workbook.com for more information about the DBT-CBT Workbook. The full title is “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior” – Recovery Works Publications, 2009.

Quit Smoking and Bloating, Constipation, Reduced Metabolism, and Weight Gain!

The same thing happened again…I got bloated, constipated, and my weight went up. I gained 6 pounds and 2 pant sizes. Not a happy moment. Good-bye slim fit Wrangler size 9 and hello size 11 regular fit! That’s going from a size 7 to a size 11 with just 6 pounds…6 pounds in my stomach and waist area that is! If you read the other blog post I wrote recently about my struggles to quit smoking, you’ll know that I’ve quit smoking 5-6 times this year…and each time I got bloated, gained a bunch of weight REAL FAST…returned to smoking…and lost it all real fast.

One time I was eating a lot of nuts and blamed it on the nuts. Another time I blamed it on starting birth control pills. This time, I didn’t change anything in my life…but, the same thing happened. As is typical, I talk to my friends when I’m in distress. Today, I spoke with a friend…and he said the same thing happens to him…the bloat, the constipation, and the weight gain when he quits smoking. I told him another friend told me that smoking increases metabolism…so I assumed not smoking results in decreased metabolism. Well, knowing he’s had the same experience, I googled and read about what happens when you quit smoking. This pattern is typical. It’s not just about eating more, it’s about the GI tract slowing down, constipation and bloating! So, I learned something new today.

Well, I started smoking again this morning…because now I have gained 6 pounds and I went up two pant sizes. My plan…get a Game Plan, just like I teach in the DBT-CBT class. Obviously, recovery from smoking is more than just stopping smoking…it’s going to involve some major life changes…some of which I have no interest in changing. I have to decide what to do. I already drink quite a bit of water and I eat a LOT of fiber each day. I guess I have to add regular exercise…URGH! I am also going to visit with the doctor and see if there is a magic pill or patch that will help me transition from smoking to non-smoking without all this bloating, constipation, and weight gain. I can deal with a little weight gain…but not something that makes me feel totally Out-of-Control.

So, my plan for now is to smoke for a couple weeks, let my body readjust to all the toxins and poisons in the cigarettes, and…enjoy it as my weight goes back down and I get to smoke again. Then, with increased knowledge and a different plan, I will try again…and I will keep trying until I make it. I sure hope cigarettes don’t kill me in the meantime.

One thing I have to think about is that when I stop smoking, my caloric needs will go down by about 150 calories a day because my heart won’t be pumping so fast. My metabolism will go down because I won’t be smoking and causing my heart rate to unnaturally increase. If I’m eating 300-400 extra calories per day because I’m not smoking…then that’s about 500 extra per day…and one extra pound of true fat per week. I am going to have to do something to offset that! It will be hard to reduce caloric intake by 150 calories a day because I normally eat about 1200 calories per day! So, I have a definite problem.

Another thing I have to keep in mind is that I lost the first 100 pounds without smoking and I have been slender before without smoking. Somehow I did it then, and I have to do it again.

Copyright Statement: Material contained within this blog is copyrighted protected with all rights reserved © Melanie Gordon Sheets commencing in 2009 and through the present age. Please request permission to quote or otherwise use material obtained from this blog by emailing: service@dbt-cbt-workbook.com

Please visit the website http://www.dbt-cbt-workbook.com for more information about the DBT-CBT Workbook – full title “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior.

Trying to DBT-CBT My Way Through Quitting Smoking – The Battle Between Emotional Mind and Rational Mind

This is my 5th or 6th time to quit smoking this year. This is something I’ve always been really good at. I’ve successfully quit smoking over a dozen times in my life. No joke…I really mean it! I’ve quit for long periods of time, like years at a time…and then, I pick up a cigarette…and here I go again!

I have most often quit when I’ve gotten sick. It was always a “planned quit”…”I’ll quit next time I get sick and cigarettes taste horrible.” That was a very effective plan. The problem this time…is that I haven’t gotten sick enough to quit and I’ve had to find other reasons to quit. No, please don’t pray for me to get so sick that I quit! Don’t want to go there on purpose…especially in this age of swine flu!

I’ve also quit several times due to pregnancy. I’ve also quit before when I dated someone who didn’t smoke…I knew what it was like for a non-smoker to kiss a smoker…been on the receiving end of such a kiss…and it’s plumb nasty! All in all, I’ve smoked and have quit many times over my 40 year smoking career.

Because I didn’t get sick over the last 18 months…well, not sick enough to quit smoking…I’ve been smoking for 18 months now…with the exception of some short periods of not smoking over the last 4-1/2 months. I did a planned quit on Jan. 5th – the day I went back to work after the holidays. I did fine for about 5 days…my weight had been going crazy and I gained about 13 pounds REAL FAST…like over a two-week period when I was eating 1200-1300 calories a day. Being a professional dieter (like I am a professional smoking quitter!)…My Rational Mind knew that weight wasn’t REAL weight…that it was water, poop, whatever…but, it wasn’t FAT. However, given I’ve lost a ton of weight over the last several years and the last thing I want to do is to gain all my weight back…my Emotional Mind was going crazy…and I was freakin’ out…

I was telling a friend about the weight gain…the bloating…and all the concomitant gas. I told her I shouldn’t be gaining weight because I wasn’t eating that much. She asked what I was eating…and I bragged on eating a very healthy diet of nuts. Well, thank goodness she knew a little something about nuts. She told me that nuts cause bloating…and can cause all that extra gas! I told her I sure wanted to get rid of all the bloating but I was rather enjoying having the ammunition to get even with my gassy family. Well, I did a bunch of googling and found out she was right! So, I got off the nuts and took up smoking AGAIN. My weight dropped as quickly as it came on…and I was RELIEVED!

My Dad was hospitalized for a stroke on Feb 1st…about 3 weeks into my most recent smoking indulgence period. Baylor Heart Hospital in Dallas is NO SMOKING all over the campus…there are NO smoking places…inside or out…imagine that…a heart hospital that does not support smoking. So, given we were living at the hospital for a week, and given my father was a long time smoker and obviously just had to quit cold turkey, I had to give up smoking AGAIN.

That went just fine for a few weeks…and since I wasn’t smoking, I figured it was a good time to start the birth control pills my doctor has prescribed for pre-menopausal hormone replacement. I tried them about two years ago…but my weight went crazy and I quit. Well, this time wasn’t any different…my weight went crazy again. I was gaining 1-2 pounds a day…and about 8 days, 12 pounds, and two sizes later, I quit the pills three days early and started smoking AGAIN!

As expected, my weight went right back down…and I lost a few more pounds. YEA! Well, after about two weeks of enjoying this most recent smoking binge, I set a date to quit smoking AGAIN…on my next “return to work” day. I did just fine for about five days. I quit at the wrong time of the month…the part of the month for me that my weight goes up about 5 pounds…regardless of caloric intake. My Rational Mind knows it’s just water…maybe some extra poop…but, I’m bloated and I have to wear a larger size…and that’s NOT okay. It was also Easter time and my child brought a large bag of some VERY FRESH chocolate covered raisins home and of course, she had to show me what she had. Okay, those were consumed the first night, but I skipped dinner to offset the increased calories. The next day, my friend visits and brings over Easter candy that she found on sale…of course, it’s chocolate stuff…and of course, I consume that…however, because I missed nutrition the night before, I ate real food, too.

Okay, we’re doing “the weight done gone crazy” thing again. My Emotional Mind was freakin’ out…so I asked my husband to bring me some smokes on his way home. I told my family and my friend that I would quit smoking AGAIN once my weight was under control and to NOT BRING SWEETS INTO THE HOUSE if they wanted me to stay off smoking. Our recovery has to be a family affair…our support people need to support us and to help keep our environment as temptation free as possible. Very few people will recover if they live in an environment filled with temptation. That’s why we’re told that we have to change people, places, and things.

Okay…a few weeks went by and I quit again. I quit for five days and I started smoking again because I was stressed out at work…and just because I wanted to. It wasn’t about weight…it was about MY WANTS. I WANTED to smoke.

So, now here we are at Saturday, May 23rd, 2009. I’ve quit AGAIN. I’ve been off cigarettes since Tuesday, May 19th when I went back to work after a long weekend. The week went well, though Tuesday at 4pm when it was getting close to quitting time (at work), I was thinking about the 23 minute drive home and how I could stop off and pick up some smokes…and how nice that would be. I thought about how much I REALLY WANTED a cigarette…and how I was really “Jones-ing” to smoke.

As I sat on the pot at work…my Emotional Mind and Rational Mind was battling it out. My Emotional Mind desire was to smoke. My Rational Mind was fighting hard to talk me out of it and my Wise Mind was telling me to GET THROUGH THE MOMENT…go straight home…you’ll be alright…you’ve done great all day. My Emotional Mind was coming up with all these schemes to smoke, like “I could just smoke at night…and not smoke during the day.” and, “Remember, I don’t want to live ‘til I’m 90 and have to live in a nursing home…if I smoke, I’ll die in my 70’s and not have to deal with that misery…and it’ll be better for my family that way.”

Well, Rational Mind fought back and told me, “It’s an Emotion-Driven Lie to think that you’ll just smoke in the evenings…that may work one day and then you’ll be back to smoking full-time AGAIN…that’s bull Sheets.” Finally, after conducting this fierce battle over the porcelain pot, my Rational Mind spoke again in my sister’s tone of voice…and said, “Think about what you’re doing to your lungs.” – oh thanks a lot for that Rational Mind…spoil my fun. Then, my own voice kicked in with Rational Mind and asked, “What do you desire more…to be a smoker…or a non-smoker?”

Well, that was a defining moment for me…and I said in a strong voice (inside my head)…”I most desire to be a non-smoker.” and…that was it…I sighed deeply, flushed, and went on with my evening. I drove right home and it was wild…while I waited at the Walmart light, it occurred to me that I hadn’t thought about cigarettes until just that moment when I thought about not thinking about cigarettes. That was pretty cool!

I’ve done great until today, Saturday…the 23rd as referenced above. I’ve gained three pounds because it’s that time of the month. At the beginning of this most recent non-smoking attempt, Wise Mind suggested that I wouldn’t start freakin’ out until I gained 8 pounds…to give myself a larger window before taking action! I weighed one more pound on Wedn morning, one more on Thurs…and one more on Friday. I was the same weight this morning.

That should be exciting because maybe the monthly weight gain is slowing down…and the eating an extra 100-200 calories a day not smoking isn’t adding up too fast. My Emotional Mind was a bit disappointed…because if I would have gained another pound or two, I could have smoked again. I was actually disappointed. I even weighed a second time just to be sure. Aren’t we sick?! I say “we”…because we folks who struggle with recovery do all sorts of things to sabotage ourselves…so we can return to our habits and addictions.

Of course, I was Mindful of my mind games and reminded myself that I want MORE to be a non-smoker, save the money, breathe better, it’s more professional, I don’t want to be burdened with the habit and the NEED to smoke when it’s inconvenient and I’m going to be late for a meeting, I’m smoking up my book profits, God’s been good to me and look how I’m taking care of his blessing….etc. I also reminded myself that I told my Group on Wednesday about what helped me to win the relapse battle on Tuesday (what do I desire more)…and how awful it would be…to have to let my Group down by telling them that I’m smoking again. What a horrible example that is. What a hypocrite I would be. I’m encouraging them to change everything in their lives as they try to quit life-encompassing habits like drugs and alcohol…and I can’t overcome smoking. All these Rational Mind thoughts attacked that sick Emotional Mind Game…but, I did think that I could just not smoke in the mornings…that I wouldn’t smell like smoke during Group…and if they asked, I could lie. The faces, the stories, and the hearts of some of my Group Members flashed through my mind…and the guilt trumped my desire to smoke.

Today is Saturday and it’s a time when I spend long hours on the computer. It’s a time when I really enjoy smoking…one cigarette after another. It’s a very convenient and relaxing time to smoke. So, today has been tough. I’m glad I have no smokes at home, I’m glad the store is about 10 minutes and a major hassle away…and that I hate leaving my home on my day off…and my husband hasn’t said, “I’m going to the store, want anything?” I did hear my boy ask his Dad if he was going to “Buffalo Fina” after he drove to a friend’s home to feed their horses. Thank goodness, my husband said, “No, I haven’t thought about it.” Thank goodness I didn’t say, “Hey, could you pick me up a pack of smokes.” I’ve had to remind myself so many times today what it is that I really want…and it’s to be a non-smoker.

I ate fine today…but a part of me wishes I will have gained an extra pound in the morning. I did pray this time around for God to help me through this. I told him that unlike in the past, I may not be able to do this on my own this time…that it was getting harder. I’m off work tomorrow and Monday…Memorial Day weekend. Lord, keep me focused…keep me Mindful of what my goals are…help me through the rough moments…and help me to be bursting with pride and excitement on Tuesday when my Group asks, “Did ya’ smoke?”…and I can say “Came close…came real close, but worked through the moment…for hours and hours over that long weekend!” See me through this Lord, Amen. This makes me smile and gives me hope that I’ll make it through. I don’t want to be a disappointment to others…I want to be an inspiration.

UPDATE: 5-26-09 (Tuesday)
I think I made it through! Got through the long weekend WITHOUT smoking. Had several tough moments each day…really desired to smoke…but used all my Rational Mind – Wise Mind – Talking Myself Through the Moments skills to make it through. Been off cigarettes 8 days now…guess I saved about $40. Almost enough to purchase another pair of boots off Ebay! I’ve probably made it through the toughest point…the long weekend. I bet I can be done with cigarettes…if I choose to be.

Something my patients taught me is that we don’t just relapse when bad things happen…we also relapse when positive things happen…that fun, excitement, good news, and similar positive experiences are also a relapse trigger. I’ve twice experienced this during my 5-6 attempts at not smoking this year. About 2 weeks ago, I relapsed into smoking following an exciting event (good news) and great news this weekend just about sent me to the store to buy some smokes. Celebrating, partying, drinking….and smoking all go together. Add to that the memories of the best times as a kid…often involved smoking, too…and drinking…and partying! It’s just Emotional Mind experience that we have to talk ourselves through. Some Rational Mind statements for me include…”That was then, this is now…those WERE some fun, carefree times. Life is different now. Smoking is a bad thing for me now.” “I MOST DESIRE not to smoke. I want to be a non-smoker more than I want to smoke.” “This moment will pass…I’ll get my mind involved in my work in a few minutes…and I’ll be okay for awhile.” “I want to be an inspiration to people, not a disappointment.”

By the way, my weight is good…have only gained 1 pound during “this time of the month.” I worked harder on my eating this weekend so I wouldn’t have an excuse to start smoking! I was very Mindful of my Mind Games! I made a point of putting up food my family left on the counter so I wouldn’t snack on it all day! I also ate a bunch of sunflower seeds. Sunflower seeds SEEM to reduce my appetite. They’re also good cuz they give my mouth and hands something to do…a fine replacement for cigarettes. You know what else I might try…pomegranate seeds. They make for quite a bit of hand and mouth work!!! I haven’t eaten those since I was a kid! Oh Lord, I cannot cycle back to fond memories as a kid and smoking! Man, our Emotional Mind is relentless!

Copyright Statement: Material contained within this blog is copyrighted protected with all rights reserved © Melanie Gordon Sheets commencing in 2009 and extending through the present age. Please request permission to quote or otherwise use material obtained from this blog by emailing: service@dbt-cbt-workbook.com

Please visit the website www.dbt-cbt-workbook.com for more information about the DBT-CBT Workbook. The full title is “Out-of-Control: A Dialectical Behavior Therapy (DBT) – Cognitive-Behavioral Therapy (CBT) Workbook for Getting Control of Our Emotions and Emotion-Driven Behavior” – Recovery Works Publications, 2009.