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Will Aguila, M.D.

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The Link Between Obesity And Perfectionism

Posted: 08/07/11 01:04 AM ET

U.S. obesity rates are on the rise as 36 states saw a 25 percent increase over the last year, reports a 2010 survey conducted by the U.S. Centers for Disease Control and Prevention. These startling obesity numbers show no signs of slowing down, making it crucial to understand why it's happening to you or to someone you love.

My personal struggle with obesity began in 1991. I started a new job, moved to a new city and got married at the same time. Can you imagine the stress? I began to "medicate" myself with food and the expected weight gain soon followed. I tried all sorts of diets, but I failed miserably. Believe it or not, I actually gained weight on Slim Fast!

What was causing my diet plan to fail over and over again? Surprisingly enough, it was my perfectionism. What made me fail was my inability to accept my own faults. I was trying too hard to have everything in my life "perfect." Just like most people who set out on a diet, I had very high standards for weight loss and when I didn't meet those goals, I lapsed into anxiety and depression and turned to food for comfort. It was time to try a different approach. Instead of relying on my perfectionism to help me lose weight, I needed to abandon it.

As as a medical doctor and surgeon, I've found the majority of my patients suffering from obesity are actually perfectionists too. We're not the lazy, procrastinating, passive-aggressive people that many think we are. We set very high, sometimes unreachable, standards for ourselves. I recently did a study of 101 patients and found more than 73 percent of them showed above average levels of perfectionism! Most of the perfectionism was the self-imposed type -- meaning they expect to be perfect.

Nobody likes to fail, but perfectionists despise it. Overweight perfectionists think in "all or nothing" terms; either we do something very well or we don't do it at all. There is no middle ground. When we find we cannot achieve our goals, we stop trying because we fear failure. What's often interpreted as a "lazy" or a "quitter" mentality, is in fact, a protective mechanism to save us from facing failure.

Diet detours and frustrations happen to just about everyone -- the hard part is not letting these setbacks destroy your progress. With perfectionism in mind, here are three tips to help you break the struggle with weight loss:

1. Set shorter, more attainable goals for yourself. The goals should be realistic so if you fall short, you're more likely to recover and try again. If the goals are too difficult you will think, "I'll never be able to do this." You'll indulge your extreme thinking tendency and the show is over! Weight loss professionals and exercise trainers need to understand this concept too so they don't facilitate your failure. Set out to lose one to two pounds per week rather than 10 pounds. Don't attempt to run a 5K if you can't even walk a block. If you're honest with yourself by setting realistic goals, you WILL get there.

2. Don't weigh yourself every day. I recommend weighing yourself only on Fridays. Why? Because if you weigh yourself on Monday and you had a "bad" weekend, you might think, "What's the point, I blew it anyway." Thus, you'll quit the rest of the week. If you weigh yourself on Friday, you will know how you did throughout the week and prepare yourself accordingly for the weekend.

3. Work on thinking "in the middle." Here's an exercise to help you get away from extreme thinking. Think about your current goals and draw three columns on a piece of paper. On the right side, write the absolute best possible outcomes for your goals. On the left side, write down the worst possible scenarios. In the middle, write down possible outcomes that you would be willing to accept. Finally, rank the middle column in order from first to last and shoot for the middle three choices. This helps you to accept less than perfect outcomes. Refer to this list every day, and it will change your life for the better!

My own 10-year bout with binge eating and inflexible perfectionism led me to understand the need to moderate my thinking. When I understood the root cause of my obesity, I was able to treat the triggers and eliminate my cravings for comfort foods. Since then, I've kept the weight off for seven years and counting! By understanding this perfectionist tendency in obesity, we can do a much better job at helping people conquer their struggle with weight. Remember, the secret to success is knowing why you failed and doing something about it.

 
U.S. obesity rates are on the rise as 36 states saw a 25 percent increase over the last year, reports a 2010 survey conducted by the U.S. Centers for Disease Control and Prevention. These startling o...
U.S. obesity rates are on the rise as 36 states saw a 25 percent increase over the last year, reports a 2010 survey conducted by the U.S. Centers for Disease Control and Prevention. These startling o...
 
 
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10:53 PM on 08/14/2011
I do not totally agree with this article. My experience is that if I weigh everyday I stay accountable for my actions in real time. I do not agree with the idea of looking to the middle either. That is not from a matter of perfectionistic attitudes. It is because as a food addict I do not change my actions to meet my goals, I change my goals to meet my actions - and that is a recipe for failure. I have weighed myself daily for over five years and I am keeping off 220 pounds. There are many ways to see this conclusion. not just the author's way.

Jane Cartelli
www.keepingthepoundsoff.com
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WhoIsNoOne
What I need is a Micro-Brew-o
11:00 PM on 08/13/2011
My main problem is being a late commentor.
besides that, I found this article interesting and agree with
most of it
I am not sure that perfectionist is the right word here. I think a lot
of people think that if they can't go hardcore p90x with a vegan diet, they
may as well just continue on with the status quo.
what has helped me in my battle against time and gravity, is
to always do something. sometimes it is not much, but its
better than nothing.
I work out every day. I average about 45 mins, but on some days
I can only put in 15-20 mins. on those days feel the tug to just not do anything, but
always feel better after squeezing in the 15 mins.
I think if people do a little bit where they can, it will all add up.
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HerrMonk
Son of Apollo
01:14 PM on 08/09/2011
That's an amazing amount of rationalization.

The only reason I'm not the richest man on earth is that I'm a perfectionist, and sabotage myself every step of the way, insisting that every decision and investment I make be perfect...

Who believes me?
HUFFPOST SUPER USER
coldwatermd
09:13 PM on 08/08/2011
In a private little survey I found that overweight people avoid the scale, and people who hold their weight throughout their lives, step on the scale every morning. That is not perfectionism - it's realism. It is facing what is.

One shouldn't get into the situation waking up one morning and finding that, inexplicably, one has gained fifty pounds. If I had - not a "bad", but a - wonderfully, deliriously gluttonous weekend, I want to now the consequences on Monday morning. Eating the wrong foods and to much food is not a sin. But it definitely is not healthy in the long run.

Alexa Fleckenstein M.D., physician, author.
http://members.authorsguild.net/fleckenstein/blog.htm
07:25 PM on 08/08/2011
Dr A.
Thank you for helping me out throughout your book. In regards your article I became a conformist first and then a perfectionist. A perfectionist trying to look better every day, without realizing that I was in trouble. Thanks Dr. Aguila.
HUFFPOST SUPER USER
Repubnomore
04:28 PM on 08/08/2011
This is an interesting take on an excuse for not succeeding at a diet. Sure, it's a personality trait that affects one's behavior. The problem seems to be defining "diet" as a means to achieve a quantifiable goal.

Why not define diet as eating foods that will make and keep you healthy? It's not a sacrifice to give up foods that are slowly killing you! You need to accept the fact that the combination of sugar, salt, and fat that signals happiness to your brain is also inflaming your arteries, messing with your insulin response, and adding pounds.

A diet for weight loss implies a temporary inconvenience or sacrifice to achieve a narrowly defined goal. Increasing your activity level above and decreasing your caloric intake below your metabolic rate will result in weight loss - it's simple thermodynamics.

Ending your relationship with unhealthy foods and beginning a new relationship with healthy foods must be the goal. Once you stop eating sugar/salt/fat energy dense foods and start eating nutrient dense whole foods, the FAT (not just the pounds) will come off. Once you start adding simple activity like a 20-minute brisk walk to your day, you will begin to feel better.

Why not use that perfectionist trait to set a goal of replacing soda with water, cookies with strawberries, and chips with almonds? Weight loss is like profit - it's the result of executing a strategy perfectly. If it's the goal, well, we get Too Big To Fail...
DrSnuggles
You label me and I'll label you
10:13 AM on 08/08/2011
"What's often interpreted as a "lazy" or a "quitter" mentality, is in fact, a protective mechanism to save us from facing failure."

I agree with this entire article except this one sentence. The author's description of how perfectionism can lead to obesity is a 100% perfect description of a "quitter" mentality (not lazy though).
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HerrMonk
Son of Apollo
01:16 PM on 08/09/2011
So that's an interesting description of what's going on differently inside the "black box" of the mind... but at the end up the day what difference does it make? X didn't get done because I'm lazy vs. X didn't get done because I'm a quitter...
DrSnuggles
You label me and I'll label you
02:15 PM on 08/09/2011
You're right, it makes no difference to the end result. But I think there is a serious psychological difference between not doing something because;

"It's too hard."

and

"I probably won't succeed."
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HUFFPOST SUPER USER
William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
07:52 AM on 08/08/2011
Great job getting a handle on your problem. Looking at the problem through the lens of behavioral medicine is the key to the solution. You've discovered some important issues. Please read my book to learn more of them.

William Anderson, LMHC
Author of 'The Anderson Method - Secrets of Permanent Weight Loss'
Blog: http://theandersonmethodblog.wordpress.com/
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HUFFPOST SUPER USER
Vikingdave
When vikings were just little.
02:25 AM on 08/08/2011
I have the body of a GOD! Unfortunately it's Budda.
07:16 PM on 08/07/2011
The previous poster has a point, but so does the author. Just because you will never be a size 2 (women), or have the 32 inch waist (men), doesn't mean you should give up and eat whole pizzas. I think "perfectionism" is probably the wrong word. When people are middle-aged or older and obese, they kind of feel like, why bother? That's not exactly perfectionism. They're discouraged about themselves in many ways, is my guess, job, body image, etc., and they have learned to get "fun" from food. And I think the "protective mechanism" of quitting so you don't fail, is, honestly, one of the definitions of the quitter mentality. You can't reduce (haha) everything to one issue.
garystartswithg
el sueno de la razon produce republicans
04:25 AM on 08/08/2011
People lie to themselves. I have that 32" waist (30 actually) and get told I can eat anything I want, when the reality is if i ate everything i wanted I would look like them.
i get fun from food by preparing it myself -- i think when you do that you have more control over what you eat. If you are eating prepared foods you put on blinders as to what it is you are really eating. i read people underguess calories in prepared foods by 1/2 -- see the problem? if you made a pizza yourself you might just think a little more about what goes on it. a cupcake from a trendy botique is still a bunch of sugar, flour, and fat. add a trendy coffee drink and you probably just equalled my calorie count for two meals.
12:18 PM on 08/08/2011
I remember reading that obese people usually do not label themselves obese, and this is true of several of my obese friends, so, sure, denial comes into play as well as the completely wrong idea of what constitutes a serving size. They think that thinner people stuff ourselves, but we really can't, as you say. I have to keep off the carbs, too.
12:51 AM on 08/07/2011
While I agree that perfectionism can be a contributing factor for some people, I simply cannot accept the fact that the obesity rates are climbing because more people are becoming perfectionists. This is not logical to me. We, as a nation, are overweight because we do not exercise and eat WAY too much. The same factors you use to link perfectionism to obesity could also be used to link perfectionism to elite athletes.
garystartswithg
el sueno de la razon produce republicans
04:14 AM on 08/08/2011
i think "perfectionism" is coded for "non-thinking" -- attempting to live to a certain standard just because. Don't question why you need a Lexus, you just do, so get bact to work. Thats not really perfectionism.
04:20 AM on 08/08/2011
I agree with both you and the author. I think the title of the article is wrong though. It should be the link between perfectionism and why dieting fails. Perfectionism isn't the reason for obesity but it's some of the reason why those who try to lose weight and eat healthy give up so often and so easily.
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HerrMonk
Son of Apollo
01:21 PM on 08/09/2011
It's more like perfectionism gone wrong.

The kid who never studies because he won't put the time in if he think he might get anything but an A+ is never called a perfectionist. The author identifies the "quitter" streak as being an aspect of perfectionism, or at least a potential component. I don't see them as necessarily connected. You can have one, both, or neither. You can certainly be a quitter without being a perfectionist.