the healing power of changing habits - torrance, ca• mindfulness-based eating awareness training...
TRANSCRIPT
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The Healing Power of Changing Habits
Jeanne Peters, Nourishing Wellness Nutrition Director Dr. Kate Niehoff, MD Dr. Robert Swift, MD
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Outline
• What is Holistic Medicine? Integrative Medicine? Alternative Medicine?
• What should I be eating?
• How should I be eating it?
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Approaches to Health Care
• “Conventional Medicine” ~ Allopathic (MDs) and Osteopathic (DOs)
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Scope of Conventional Medicine
• Organ systems
• Diagnosis – history, exam, lab work, imaging
• Treatments • Lifestyle change
• Medication
• Therapy – physical, occupational, counseling
• Surgery
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What is different about Osteopathic Medicine?
• All of the training received in Allopathic medical school
• Added training in musculoskeletal manipulation
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What else is out there?!
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Non-conventional Medicine
• What falls into the realm of Alternative Medicine? • Herbs and supplements
• Acupuncture, Reiki, Healing Touch and other forms of energy medicine
• Traditional Chinese Medicine & Ayurveda
• Mind-Body techniques – meditation, mindfulness-based stress reduction (MBSR), hypnotherapy
• Homeopathy and Flower Essences
• Massage
• Yoga
• Nutrition/Diet as medicine
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Alternative Medicine
• Healing practices outside of the scope of conventional medicine
• Using a non-mainstream approach IN PLACE of conventional medicine
• For example ~ A patient that does not access conventional medical care and uses only Traditional Chinese Medicine (or any other healing art outside of conventional medicine) to assess and treat their ailments.
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Complementary Medicine
• Using “alternative” healing modalities (any of those outside of mainstream/conventional medicine) IN ADDITION to conventional medicine.
• For example ~ a gentleman with high blood pressure follows with a conventional practitioner for diagnosis, monitoring lab work, and is started on a blood pressure medication. He also started on an herbal remedy and is working on mindfulness based stress reduction (MBSR) to help bring down his blood pressure.
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Integrative Medicine
• Assessing patients with a whole-person evaluation and mind-set and using evidence-based treatment options that bring together conventional and alternative/non-conventional treatment options.
• Plan is individualized to meet each persons needs
• Patient as partner
• Coordinate care as needed with other health professionals and institutions
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Principles of Integrative Medicine
• Patient and practitioner as partners in healing
• Take into account ALL factors that influence health
• Appropriately use conventional and alternative medicine to enhance the body’s innate ability to heal
• Use interventions that are natural and less invasive whenever able
• Use available evidence to guide decisions
• Broader goal of health promotion with commitment of patient and practitioner to self-exploration and self-development
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“Holistic Medicine”
• Broad Term
• Healing that takes into account the whole person ~ body, mind, and spirit
• Can be accomplished through different approaches • Conventional Medicine
• Alternative Medicine
• Complementary Medicine
• Integrative Medicine
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“Alternatives” that become Conventional
• Some things that were once thought of as Alternative, eventually become mainstream and are then incorporated into Conventional Medicine.
• Food as medicine
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*** Jeanne’s Presentation on Anti-
inflammatory Diet ***
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Mindful Eating
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Our Relationship with Food
• Starts as babies
• Food as comfort
• Food as nourishment
• Food as connection
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Choosing Foods We Desire
• Influenced by:
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Mindless Eating
• Going on autopilot • Eating when we aren’t hungry
• Eating just because there is food in front of us
• Not thinking about or paying attention to what we are eating
• We ignore or disregard the normal cues that tell us when and how much to eat
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Biology of Hunger
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Psychology of Hunger
• We learn to eat at certain times each day
• We learn food preferences based on our culture
• We get hungry for a particular taste – sweet, sour, bitter, salty
• We get hungry when we see certain colored foods
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Ignoring Hunger Cues
• Ignoring your body when it is telling you that it is time to eat.
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Ignoring Hunger Cues
• Eating too fast
• Distracted eating ~ work, tv, stress, etc.
• Chronically restricting food intake ~ dieting
• Having to “clean your plate”
• Getting in touch with bodily sensations brings up painful memories
• Feeling undeserving of meeting your needs
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The Feeling of Overriding Hunger Cues
• You’re eating but not ENJOYING the food anymore
• Pressure and discomfort in stomach • Sometimes even nausea or queasiness
• Fatigue and sluggishness
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Different Types of Hunger
• Teeth Hunger
• Mouth Hunger
• Mind Hunger
• Thirst
• Fatigue
• Emotional Hunger/Stress Eating
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Creating the Shift
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Mindless to Mindful Eating
• Be present when you are eating – bring awareness to the experience.
• Consider whether you are physically OR psychologically hungry.
• Savor, enjoy, and experience each bite of food.
• Stop before you are FULL – you should feel satisfied but not uncomfortable.
• Make choice of foods based on enjoyment AND nutritional value.
• Foster self-acceptance in your food choices.
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References • University of Arizona Integrative Medicine in Residency Training Modules
• Mindfulness-Based Eating Awareness Training by Dr. Jean Kristeller
• The Science of Why You Crave Comfort Food by Alexandra Sifferline in TIME Health, July 29, 2015.
• Dr. Jean Kristeller ~ Mindfulness-Based Eating Awareness Training • Information, Audio Resources for Meditation, and worksheets (for example on emotional
eating) on her website: http://www.mb-eat.com
• California State University, Northridge – Hunger and Satiety
• Role of resting metabolic rate and energy expenditure in hunger and appetite control: a new formulation. Blundell JE, et al. Disease Models & Mechanisms. 5: 608-613, 2012.
• Neural Systems Controlling the Drive to Eat: Mind versus Metabolism. Zheng H and Berthoud H-R. Physiology. 23: 75-83, 2008.
• Understanding Hunger and Fullness Cues. Site: Finding Balance.