TheWeightManagementChallenge2.0:FoodAddiction,Diet&NutritionScience
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Presenterfor
TheWeightManagementChallenge2.0:FoodAddiction,Diet&NutritionScience
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PresenterBiographyRhona Epstein, Psy.D., is a licensedpsychologist, certifiedaddictions counselor,marriageandfamily therapist in thePhiladelphiaarea,and theauthorof thebook,FoodTriggers:EndYourCravings, EatWell, and Live Better (Worthy Publishing). Formore than 25 years, she has ledseminars,conferences,andtherapeuticworkshopstohelppeopleovercomefoodaddictionanditsunderlyingissues.Dr.EpsteinreceivedherdoctorateinclinicalpsychologyfromChestnutHillCollege, and hermaster’s degree in counseling psychology from TempleUniversity. Fromherownpersonalexperienceandrecoveryfromfoodaddiction,Dr.Epsteinispassionatetoaddressthe needs of the whole person (mind, body, and spirit). Visit her Web site atwww.rhonaepstein.com.
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TheWeightManagementChallenge2.0:FoodAddiction,Diet&NutritionScience
TableofContents:
TWM101:HealthyWeightLossinTreatmentofBingeEatingandFoodAddiction..................11RhonaEpstein,Psy.D.,C.A.C.
TWM102:Food,Mind&Mood:TheBattlewithOvereatingintheBodyandtheBrain..........16RhonaEpstein,Psy.D.,C.A.C.
TWM103:EffectiveCounselingStrategiesforTreatingFoodAddiction..................................22RhonaEpstein,Psy.D.,C.A.C.
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TWM101:
HealthyWeightLossinTreatmentofBingeEatingandFoodAddiction
RhonaEpstein,Psy.D.,C.A.C.
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Summary
Inthis lecture,Dr.Epsteintakesacloser lookathowtreatmentproviderscannavigateweight
loss matters to manage binge eating and food addiction. The importance of how to assess
weightlosshistoryisdiscussed,andstrategiesforhelpingclientsrecognizeandovercomeself-
defeatingattitudesandbehaviorsareexplored.
LearningObjectives
1. Participantswilldiscusstherootsoffoodaddictionandhowfoodaddictioncan impact
peoplethroughoutthelifespan.
2. Participantswilldiscoverhowtosetupafoodaddictionrecoveryplanwithclients.
3. Participantswillevaluatetheemotionalissuesunderlyingfoodaddictionanddiscusshow
todealwithplateaus.
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I. WhenDietsDon’tWork
A. TheRootsofFoodAddiction
B. Dr.Epstein’sStory
C. FirstSteps
1. Identifyyourownstruggles.
2. Identifyyourownbiases.
3. Donotbejudgmental.
II. WorkingwithClientswhoareFood-addicted
A. Assessment
1. Createatimeline.
2. Identifypatternsfrompreviousweight-lossattempts.
B. SettingUpaDietPlan
1. Takeitslow.
2. Eatrightandexercisemoderately.
3. Weightlossisatransformation,notaquickfix.
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C. UnderstandingWeightLoss
1. Clientsneedtostopusingfoodasemotionalrelief.
2. Weightlossoccurswhenthemainproblemisaddressed.
D. RecoveryFoodPlan
1. Eliminatefoodsofabusetoendcravings.
2. Identifyredlight,yellowlight,andgreenlightfoods.
3. Createstructureandboundariestokeepfromovereatingandundereating.
4. Getridofthescale.
E. EmotionalIssuesofWeightLoss
1. Bodyimageissues
2. Self-hate
3. Traumahistory
4. Inabilitytotoleratefeelings
5. Changeischallenging
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F. DealingwithPlateaus
1. Teachbodyacceptanceandbodylovetoclients.
2. Thetruthsetspeoplefree.
3. Encourageclientstoseeanutritionist.
4. Encourageclientstolivetheirliveswithoutfear.
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TWM102:
Food,Mind&Mood:TheBattlewithOvereatingintheBodyandtheBrain
RhonaEpstein,Psy.D.,C.A.C.
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Summary
The battle with overeating is not only physical, but also mental. In this lecture, Dr. Epstein
examines the latest scientific researchonhow food can impact thebody andbe a significant
factor in the problems of overconsumption. Dr. Epstein discusses the danger of sugar and
processedfoodsandhowtotakepracticalstepstocombatfoodaddiction.
LearningObjectives
1. Participants will identify how eating poorly can contribute to emotional and mental
disorders.
2. Participantswilldiscussthecaseagainstsugarandprocessedfoods.
3. Participantswillanalyzehowtohelpclientsdevelopandsticktoacomprehensivefood
plan.
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I. TheFood-MoodConnection
A. WhatAreYouEating?
1. Sugarandjunkfoodcontributesto:
• Depression
• Anxiety
• Irritability
• Moodswings
• Brainfog/memoryissues
• Fatigue
2. TheAmericandiet:
• Fastfood
• Processedfood
• Fullofchemicals,salt,sugar,fat
• Makingussick
• Highlyaddictive
B. RecommendedReading
1. TheCaseAgainstSugar–GaryTaubes
2. TheHackingoftheAmericanMind–RobertLustig
3. Salt,Sugar,Fat–MichaelMoss
C. FoodAbuseandHormones
1. Peoplewhoovereatcandevelophormonalchangesthatcausethepersontonot
experiencenormalsignalsoffeelingfull.
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2. Whenapersonovereats,thebrainbecomessensitizedtoLeptinandthereforethey
donotfeelfull.
D. TheObesityEpidemic
1. Therecommendationtoeatlessandexercisemoredoesnotalwayswork.People
oftencannotfollowthroughlong-termand,therefore,givingnutritionaladvicecan
beuseless.
2. Dietsareusuallyshort-lived:Greatresultsendinginweightregained.
3. Surgeriesareoftentemporaryfixes.
II. TheCaseAgainstSugar
A. WhatisSugar?
1. Sugarisnotjustemptycalories.
2. Sugaraffectsthebodydifferentlythanotherthingsweconsume.
3. Acalorieisnotacalorieinthewaypeoplethink—weneedhealthycalories,not
caloriesfromsugarandfat.
4. Sugaristoxicinhighdoses,likealcohol,resultinginfattyliverandimpactingthe
brain.
5. Sugarappearstobeasubstancethatcausespleasurewithapricethatisdifficultto
discernimmediatelyandpaidinfullonlyyearsordecadeslater.
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B. SugarWithdrawal
1. Symptoms
• Headaches
• Bloating
• Nausea
• Muscleaches
• Diarrhea
• Fatigue
• Hunger,cravings
• Anxiety,depression
2. Step1:Feelmotivated
3. Step2:Cravingskickin
4. Step3:Symptomspeak
5. Step4:Starttofeelbetter
III. DevelopingaFoodPlan
A. SticktoYourPlan
1. Planwhatyoueatandeatwhatyouplan
2. Redlightfoods:Addictive
3. Yellowlightfoods:Examinecautiously
4. Greenlightfoods:Healthy
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B. Volume
1. Weighandmeasureyourfood.
2. It’sallaboutportioncontrol.
3. Onesizedoesnotfitall.
C. FoodandMood
1. Eatingtherightfoodsimprovesyourmood.
2. Readthelabels.
3. Bewareofthenamesforsugar:
• Glucose
• Dextrose
• Sucrose
• Fructose
• Honey
• Molasses
4. Ifyoufailtoplan,youplantofail.
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TWM103:
EffectiveCounselingStrategiesforTreatingFoodAddiction
RhonaEpstein,Psy.D.,C.A.C.
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Summary
The first step in effectively treating binge eating and food addiction is establishing clinically-
excellent assessment and diagnostic skills. Dr. Epstein discusses how clinicians can determine
treatment direction and approach and integrate these competencies into their practices. Not
everyonewhostruggleswithovereatingisafoodaddict,butmanypeoplewhofindthemselves
physically unable to stop eating may have an addiction to a certain type of food. In this
presentation,Dr.Epsteinwalksviewersthroughthestagesoffoodaddictionanddemonstrates
howtoidentifyafoodaddiction.
LearningObjectives
1. Participantswill explore the typesof eaters andhow todeterminewhether a client is
trulyafoodaddict.
2. Participants will discover the stages of food addiction and the characteristics of each
stage.
3. Participants will examine tools and techniques to utilize in treating clients with food
addiction.
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I. UnderstandingFoodAddictions
A. Dr.Epstein’sStory
B. ComparisontoSubstanceAbuse
1. Tolerance
2. Withdrawal
3. Largeramountstakenoveralongtimethanintended
4. Persistentdesireorunsuccessfuleffortstocutdownorcontrolsubstanceuse
5. Greatdealoftimeisspentinactivitiesnecessarytoobtainthesubstance,usethe
substanceorrecoverfromitseffect
6. Importantsocial,occupational,orrecreationalactivitiesaregivenuporreduced
becausesubstance
II. TypesofEaters
A. TheNormalEater
1. Weightissues
2. Resolvewithdietandexercise
3. Willpower/Discipline
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B. TheEmotionalEater
1. Eatingoverfeelings,stress,worries,etc.
2. Resolveswithcopingskills,therapy,behaviormod,CBT,traumawork
C. FoodAddict
1. Physicaladdictiontocertainfoodsandbehaviors
2. Mentalobsession
3. Usuallyunresolvedtrauma
4. Manyareasoflifeaffected
D. Definition
“Foodaddictionisadiseasecausinglossofcontrolovertheabilitytostopeatingcertain
foods.Scientifically,foodaddictionisaclusterofchemicaldependenciesonspecific
foodsorfoodingeneral….Aftertheingestionofhighlypalatablefoodssuchassugar,
excessfat,and/orsaltthebrainofsomepeopledevelopaphysicalcravingforthese
foods.Overtime,theprogressiveeatingofthesefoodsdistortsaperson’sthinkingand
leadstonegativeconsequencestheydonotwantbutcannotstop.”
III. TheStagesofFoodAddiction
A. EarlyStage
1. Weightissues
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2. Yo-yodieting
3. Occasionalbinges
4. Couldbenormaleatermakingbadchoices
B. MiddleStage
1. Frequentbingeeatingandgrazing
2. Purging
3. Restricting
4. Rationalizing
5. Guilt
6. Couldbefoodaddiction,emotionalorpsychologically-basedeatingdisorder
C. LateStage
1. Obesity
2. TypeIIdiabetes
3. Depression
4. Foodnolongerprovidescomfort,escapeoroblivion
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5. Lossofcontrol
6. Increasingtolerance
D. FinalStage
1. Heartattacks
2. Lostjobs
3. Inabilitytowork
4. Ruinedrelationships
5. Failedgastricbypass
6. Housebound
7. Death
E. HelpingaPersonWhoNeedstoHaveanAbstinentFoodPlan
1. YaleFoodAddictionScale—assessmenttool
2. Thinkofitassubstanceabuse…itisseriousbusinesstohavealittleofthisorthat.
Thecycleofaddictionwillnotendiftheykeephandlingthefoodstheycannot
control.
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3. Foodcannotfixanyotherproblembesideshunger.Itcannotbeanoptiontousefood
foremotionalreasons.
4. Learntocopeotherways,suchaswithsupport,journaling,sittingwithfeelings,etc.
5. Watchoutforexcuses
• Stress
• Conflict
• Social
• Lonely
• Angry
6. Ifwewaitforourproblemstogoawaywewillneverbreakfree.Weneednewways
ofthinkingandresponding.
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Copyright2018LightUniversity
AllRightsReserved.
Nopartofthispublicationmaybereproducedinanyformwithouttheexpressedwritten
permissionofLightUniversityortheAmericanAssociationofChristianCounselors.
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