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Judith S. Beck, Ph.D.

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Dieting: The Missing Ingredient for Success

Posted: 09/22/10 08:00 AM ET

I have spent a great deal of time in the past few years developing a cognitive behavioral program for dieting. It is designed for people who have a very healthy eating plan (which incorporates a sustainable level of calories and their favorite foods daily), access to the food they need, and the opportunity for exercise. Given those three prerequisites, I am convinced that most weight loss programs remain wildly unsuccessful because they don't pay attention to people's thinking.

Almost anyone can make short-term changes in their eating behavior and lose at least a little weight. But unless they make changes in their thinking, they will never be able to sustain their new eating behaviors and they'll gain weight back.

Chronic dieters think differently from people who have never had a weight problem. For example, they can have dozens and dozens of sabotaging thoughts a day, such as:

It's okay to eat [this food I hadn't planned] because I'm upset, I'm happy, I'm tired/I'm celebrating/everyone else is eating it/it's free/no one is watching/I'll make up for it later.

I cheated! Oh, well, I may as well eat whatever I want for the rest of the day and start again tomorrow.

  • Hunger is bad, abnormal, intolerable and it's to be avoided.
  • If I'm upset, I deserve to eat. (Or, the only way I can calm down is through eating.)
  • If I have a craving, there's nothing I can do except give in.
  • I should be able to eat whatever I want, without consequence.
  • I have no self-control. The only way I can lose weight is if I find the perfect diet.
  • A diet is short-term. I'll only have to make changes until I lose the weight I want
.

Until dieters learn to prepare in advance for sabotaging thinking, they won't be successful.

I advise dieters that before they spend time and energy on changing what they eat, they must first master the skill of responding to these kinds of thoughts and master other basic cognitive and behavioral skills. I tell them they're not to blame for having trouble losing weight or for not keeping it off in the past. No one ever taught them how to diet.

If you want to lose weight permanently, you have to learn precisely what to do to:

  • Motivate yourself everyday
  • Get yourself to use good eating and exercise habits (whether you feel like it or not)
  • avoid eating when it's not time to eat (whether you're hungry, craving, upset or just have a desire to eat)
  • Get right back on track when you make a mistake
  • Deal with frustration, disappointment, discouragement and deprivation


I can almost guarantee that you have never learned these and other essential skills. They are not intuitively obvious. But you can learn them.

Just think about it. Would you expect to be able to go out on the tennis court for the first time and play an excellent game of tennis? Of course not. You would know that you'd need to take lessons and you'd need to practice over and over again until your skills became automatic.

It's the same with dieting. You shouldn't expect to just pick up an eating plan and follow it flawlessly, day after day, year after year. If you've dieted a lot in the past, you've probably been fooled. I would venture to bet that dieting was always easy in the beginning. Why? Because you start a diet when you're highly motivated. You didn't know that dieting is supposed to get harder. It gets harder for everyone, within the first two days, two weeks, two months, or two years. That's why you need to be prepared. The whole thrust of the Beck Diet Solution (a book I really wanted to call, "How to Get Yourself to Eat in a Healthy Way for the Rest of Your Life,") is to prepare you for the difficult times, so you'll know exactly what to do.

As you learn basic skills in playing tennis, the game gets easier and easier. You get more and more successful. Occasionally you'll have an off game or a few off games. But if you stick with it, going back to your basic skills, your game will improve and tennis will get easier again. It's the same with dieting.

Forget about looking for the magic bullet. There is no such thing. Learn to diet just as you learned how to play a sport, drive a car, use a computer or play the piano. Take lessons and practice. It's the only way.

 
 
 

Follow Judith S. Beck, Ph.D. on Twitter: www.twitter.com/beckinstitute

I have spent a great deal of time in the past few years developing a cognitive behavioral program for dieting. It is designed for people who have a very healthy eating plan (which incorporates a susta...
I have spent a great deal of time in the past few years developing a cognitive behavioral program for dieting. It is designed for people who have a very healthy eating plan (which incorporates a susta...
 
 
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This user has chosen to opt out of the Badges program
10:06 PM on 09/25/2010
The biggest change may be the idea that a "diet" is for a short term until the desired amount of weight loss is achieved. It is more productive to think of a change to a way of eating that leads to a healthful weight as well as other indicators of good health such as blood pressure, lipid panel, blood glucose levels, etc.

Simple Carbohydrates are a problem for many people and can be limited without creating a sense of deprivation. Carbs can create cravings for those who are sensitive to the changes in blood glucose. It is important to learn to distinguish between real hunger signals and bad habits.

The biggest problem in America may be eating Fast Food and Pre-Packaged Food. Real food is easy to fix and doesn't have to be a huge production for busy families. Complex carbs from whole grains, fruits & vegetables with good protein sources and good fats. Not shoveling in nutritionally deficient faux-food while sitting in front of the TV. Habits can be hard to break, but not impossible.

JMO and good luck to all.

Permanent weight loss can be achieved if people discover what works for them
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onionboy
Blessed are the Cheese Makers
07:32 PM on 09/25/2010
Biggest problems with losing weight.

1. Lying...particularly with oneself, about how much you ate, why you won't exercise, etc. This is my personal favorite (ie, I do it all the time)

2. Patience...a slow loss of weight is more likely to set any revised eating habits as more permanent. Quick fixes often set up caloric rates or food variety that is difficult or impossible to maintain.

3. Forgiveness...falling off the wagon is no reason to quit whatever dietary change you've made. Same with missing a couple of workouts in a row. Put it behind you and move on.

4. Attempting any diet with a name...especially if it has an associated book. The graph to number of diet books compared to how much fatter we keep getting is probably a straight upward slanting line.

No matter your metabolism (maybe with a few very rare medical conditions), you cannot break the first law of thermodynamics. You can't create energy (calories) from nothing. Calories in minus calories used equals excess calories stored. You cannot gain weight if you control your intake. You might get fatter (ie, convert muscle to fat) if you starve yourself, but can't gain raw weight (even good weight, muscle mass) without calories. We're not plants. We don't fix carbon or get energy from sunlight. I know I'll get attacked for saying it, with copious links to books and websites, but I will keep my faith in the basic laws of physics.
12:00 AM on 09/24/2010
Wanna lose weight> take in fewer calories than you burn up. End of story...
ThinkCreeps
Seriously, it's time.
02:19 AM on 09/26/2010
Absolutely. But I think this author is genuinely trying to make it easier for dieters to hold to that, meaning that the usefulness of this post is dramatically higher than the typical diet story in this section.
09:25 PM on 09/23/2010
No combination of diet, exercise, and cognitive therapy has ever produced long-term weight loss.

I doubt that Dr. Beck's program is an exception.
01:00 AM on 09/24/2010
There's a reason 95% of diets fail and it's not because the dieters have no willpower.
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10:31 PM on 09/25/2010
Willpower is only necessary if people are feeling deprived.
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Caroline Sutherland
Hay House Author, Speaker & Health Expert
10:22 AM on 09/23/2010
While Dr. Judith Beck’s information is useful, I believe she is missing the mark. Successful weight loss depends on 5 elements: avoiding offending foods / food allergens, keeping carbohydrates low, controlling Candida Yeast, exercising and most important – balancing hormones. Why do psychologists and counselors continue to focus on “thinking†instead of real biochemical and nutritional imbalances in the body?
My book The Body Knows Diet – Cracking the Weight Loss Code addresses all these elements and offers practical solutions for successful weight loss.
~ Caroline Sutherland, Best Selling Hay House Author of The Body Knows Books. http://www.CarolinSutherland.com, @TheBodyKnows
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skunky93
06:12 PM on 09/23/2010
I don't think she's missing the mark at all. It's not good enough to think only about low carbs, food allergens, avoidance, control of yeast, exercising, etc...

The biochemical and nutritional imbalances are important because cravings can often come from imbalances and the body responds by sending out messages in the form of cravings but when I give in, it's because I do not put a mind forcefield against a certain thought. So it might help to think "hey this craving is bc I'm probably low on a vitamin or mineral" but it's not going to stop me unless I've practiced spotting the change in my thoughts before it becomes a mantra.
I, personally, find that Dr. Beck is pointing out something very useful. You can do your homework and still fail when the test comes because cravings hit hard and hit quickly. Similar to addiction, the mind will trick itself into thinking it needs that candy, or that food. Thank you for sharing your book information. I'm sure you have some useful information as well but I think it's too shortsighted to dismiss Beck's information or her books based on a few small paragraphs in Huff Post.
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04:39 AM on 09/24/2010
Your book sounds interesting. This is the way I approach my lifestyle of healthy eating. And I think it is a foundation to letting your body heal from obesity. That being said, I think you're missing a just as important element: cognitive behavioral therapy. Food is a low-grade addiction for most people while some people, it's just as severe as alcoholism or drug addiction. Some of it can be dealt with by the balancing of hormones; however, patterns are patterns. The difference between addictions like alcoholism/drugs and food is the former can be dealt with by abstention, but the other must be dealt with on a minute by minute basis because we are talking about the source of life, food. It's like letting a tiger out of a cage several times a day and making sure it doesn't get out of control. Much of what the OP has talked about is absolutely crucial to healthy eating. Coupled with your thoughtful research, I think it would be a win-win lifestyle plan. Many years of overeating creates a psychological imprint which in turn needs cognitive, psychological treatment in order to make a scientifically proven, metabolism-changing diet work effectively. You both are right, but are only part of the solution. Together, it's a home run.
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katmeyster
Proud practical progressive atheist
01:23 AM on 09/23/2010
We need to get the word DIET out of our vocabulary. This implies a temporary change of behavior that requires temporary will power. Diets make you fat as you ruin your metabolism -- which you may never fully recover from.

I prefer WOE -- Way Of Eating (permanent and for life).
09:05 AM on 09/23/2010
I agree with you, except that "woe" sounds like a bummer. :-) Lifestyle Change doesn't have a good acronym. Maybe "healthy eating for long life". . .oh wait! That's even worse. ...

Maybe it's better not to label it at all. Healthy eating and exercise should be standard, and shouldn't need a fancy label.
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10:55 PM on 09/25/2010
We need to change the accepted definition of "DIET". A diet is what we eat. I'm not "ON a diet", I "have" a diet. My diet consists of natural, healthful food in quantities that support my health.

The Standard American Diet deserves its acronym, "SAD".
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skunky93
06:12 PM on 09/23/2010
I use 'lifestyle'.
12:18 AM on 09/23/2010
The advice Beck gives in the article is generic and pretty weak. But she is right about changing thinking. Her bulleted list of "bad thinking" is much more interesting than her advice:

* Hunger is bad, abnormal, intolerable and it's to be avoided.

* If I'm upset, I deserve to eat. (Or, the only way I can calm down is through eating.)

* If I have a craving, there's nothing I can do except give in.

* I should be able to eat whatever I want, without consequence.

* I have no self-control. The only way I can lose weight is if I find the perfect diet.

* A diet is short-term. I'll only have to make changes until I lose the weight I want

If we analyze this self-talk, two things pop out immediately. One is the overweight person's conviction that s/he does not actually have the ability to lose weight and keep it off. The other is a crying need for some way to handle emotions s/he doesn't believe s/he has a right to feel. The obese person returns to food in order to manage emotions because it is the only moderately successful method for managing emotions s/he has ever had. Telling that person to change his/her thinking is like telling the DOT to re-route all the highways in the country so they bypass major destinations.

That's what it takes--MASSIVE NEURAL re-routing.
12:16 AM on 09/23/2010
Many years ago, as I started to age and grow thick in the middle, I joined a gym. After weeks of working out (and rewarding myself for my efforts with slurpies on the way home), I went to a trainer at the gym. I told him I had worked out diligently, but still I seemed to be gaining weight. I asked what exercise I could undertake that would help me lose weight. I will never forget his reply: "Close your mouth at mealtime." It worked just as he said!
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Nicole Dixson
11:27 PM on 09/22/2010
What works for me is not to make eating "all or nothing". I used to get very depressed when I ate bad foods or overindulged, but now I keep in mind that one "bad" meal isn't going to make me fat any more than one "healthy" meal is going to make me skinny. This philosophy has actually helped me to keep my weight pretty much where I want it to be.
11:19 PM on 09/22/2010
A lot of sense in that. Maintaining motivation is key to achieving most things that are difficult to do.
10:43 PM on 09/22/2010
I like what this woman has to say. She is correct about changing the way you think about food. I started my weight lose this year Jan 2 and have lost 96lbs based on a diet of lean meats and vegetables, no white products except splenda or stevia.I am a strong supporter of a low carb diet with NO processed foods....I am now ~30lbs from my goal of 140 and you started to plateau...I started walking in my second month of weight lose and then moved to jogging in May...A day does not seem right without that jog of 5-8 miles in the morning....I get up EVERY morning at 4:45 and jog...It is a routine...I walk for about 1 mi after as a cool down...I do crunches, lunges, squats...in the night time I walk for about 3 miles...I change up every so often everything else because of the plateaus, but my regular jog in the morning is routine....It is important to establish a routine....I look at food and think about food differently...It is a lifestyle change and I am happy to say I haven't cheated once...
10:32 AM on 09/23/2010
That is great! Really impressive progress, congratulations.
02:24 PM on 09/23/2010
Inspiring results!
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Susan Orlins
Writer and author of blog Confessions of a Worrywa
10:42 PM on 09/22/2010
I'm a big fan of cognitive behavioral therapy and these are great tips. I don't need to "diet" but I used to need to. Basically once I got hooked on healthful foods, I could really eat what I wanted. For me, it works to graze all day, but on salad, fruit and my beloved dark chocolate and almonds with a glass of skim milk, which fills me up so I don't overeat at dinner. I worry about everything but my diet on
www.confessionsofaworrywart.com.
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08:49 PM on 09/22/2010
I'm sorry but this article has totally missed the point; the reason that "your" diet isn't working, is that DIETS DON'T WORK. Why is it that no one wants to talk about the glaring truth? That we as a society are all eating a diet NOT MEANT FOR HUMANS?? Grains/Beans/Dairy are the bane of a lot of people trying so hard to lose weight but not able to. We were not meant to eat the "fruits of technology". Our hunter-gatherer ancestors did not eat grains/beans/dairy/processed foods/Mcdonalds/Vegan/"fill-in-the-blank-fad-diet-of-the-month. They did not "Diet", they ate what was available and plentiful, did not starve, but thrived on a diet of fruits-vegetables-nuts and seeds-meat-poultry-eggs-fish-game...they were NOT fat, and were healthy...the question we should ask is why are "the powers that be" telling us otherwise??
09:43 PM on 09/22/2010
Well, you know why.
But the real deal is that our food went to heck at the advent of the agricultural revolution, 10,000 or so years ago. Archeology shows that humans actually shrunk in size and their teeth were ravaged after that. It took many thousands of years for us to get back to our former size, and bone and tooth health.

But as far as dieting now is concerned, we live in a perilous age -- filled with crap food that is life-destroying. Discipline, discipline, discipline is is only thing that will work. And it does work. This is what the blogger is saying. Everyday it's a discipline. Unless you live on a sparsely populated island somewhere in the Mediterranean.
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Julia Bailey
08:31 PM on 09/22/2010
Another thing that I think is very important - acknowledge that it is very hard to both get in enough exercise, and to stay below the recommendation amount of calories. We have access to food that no one in history ever had access to. It would have been difficult for even our great or great-great grandparents to eat 1000 calories in one sitting, but we can do it and still be hungry because of our processed foods.
Our bodies did not evolve for this amount of food, and we are fighting biological impulses to eat more now to store up for lean times.
07:32 PM on 09/22/2010
calorioes in < calories out = weight loss is simplistic and outdated. Whatever the thinking involved this will be doomed to fail.

Nutrient dense unprocessed foods which include egg yolks, kefir, grass fed meat, bone broths, organ meat, fermented vegetables. EASY on the carbs. and THEN cognitive behavioral therapy.
07:54 PM on 09/22/2010
Don't forget, go heavy on plant based foods.
09:12 AM on 09/23/2010
I think the point of the article is that even if you know what you should be eating for health, it is difficult to put that knowledge into action. That's where the CBT comes in.