Helping Kids & Teens to Gain Control Over Their Overeating

Helping Kids & Teens to Gain Control Over Their Overeating
By Michelle P Maidenberg, PhD

Kids and teens are notoriously impulsive, and as they struggle to make changes to their eating and exercise behaviors, the mind plays a critical, if not the most important, role. Without ever learning what to do, they may not give themselves the time to mull over their thoughts about eating because they are reacting to them so quickly.

Instead, as we can relate to as adults, they often try to rid themselves of their uncomfortable thoughts, either consciously or subconsciously, by avoiding them or acting on them impulsively. Additionally even if they are aware of those thoughts and take time to evaluate them, they might still decide they want to eat seconds on dessert because “it tastes good” and they “must have it.”

For example, a teenager struggling with her weight and trying to make changes might think, “Okay, I just ate dinner and dessert. I feel full, but I still want seconds on the dessert.” Then, she considers the options: “I know I just ate dinner but I still want it” or “Even though I’m full, there’s still more room for a bit more” or “Just this one time” or “I deserve it since I had a really hard day at school.” She will follow up by judging her thoughts “Why can’t I just control myself?” “Why do I have to think that it is just one time?” “Why can’t I realize that it is not just one more time? It’s all the time!” Then dread and hopelessness sets in, followed by giving up. They say, “I’ll never be able to do this” and “What’s the point?”

This series of thoughts about thoughts and feelings about feelings often lead her to feel shameful, guilty, and ineffective. This familiar vicious cycle directly negatively impacts on kids and teens self-confidence and self-efficacy. It most often leads to phases of starting and stopping healthful eating plans and thwarts long-term incremental healthful changes. The goal is for a lifetime practice and approach to healthful behavior which is inclusive of contemplation, processing, problem-solving, and acting mindfully with self-awareness.

Help Kids & Teens To Forge Healthful Eating By:

  • Being a good role model for them. “Do as I say, not as I do” doesn’t work. Do not ask something of them that you are not acting upon yourself. Kids and teens do not appreciate hypocrisy and you lose your credibility with them when you are not following through yourself, or leading by example. Proactively seek opportunities to learn about nutrition, fitness, children’s biological, psychological, social development, etc. so that you can effectively understand and be personally helpful.
  • Evaluating their hunger, cravings, triggers and if they emotionally eat. You can create charts with them that monitor when they tend to be the hungriest, what foods they seem to crave, what triggers them to overeat and whether or not their eating is prompted by any particular emotions (e.g., sadness, frustration, boredom, etc.). It is helpful to do this over a period of a week or two weeks to identify any variations or patterns in behavior.
  • Identifying values connected to their healthful eating. As adults we want them to be prompted to do so because it will promote good health. Kids and teens may not be thinking about it quite in that way and tend not to be overly concerned about their physical functioning and mortality. Try to connect with values that personally matter to them such as agility in sports, the freedom to wear the clothing that they choose to, the independence to try out new physical activities, etc.

[irp posts=”1077″ name=”Guest Post: 6 Tips for Making BEST Decisions”]

  • Making them aware of the excuses and rationalizations they use related to their overeating. There are a litany of them that cross their mind that they either avoid, ignore or dismiss. Some of the more familiar ones are “But it tastes good”, “It’s a special occasion”, “Just this once”, “I’ll make up for it tomorrow”, “But it’s low-fat.”, etc. Remind them that this is their mind speaking, it may sometimes sabotage them because our minds have minds of their own.    
  • Creating space between their “thinking” and “doing.” This mindful practice requires that they pace themselves, observe themselves, and be curious about themselves non-judgmentally. Convey to them that ALL thoughts and feelings that show up in the process are okay, it is how they choose to act on behalf of them. That is inevitably THEIR choice. 
  • Helping them gain the ability to be comfortable with being uncomfortable. When we put effort into changing behaviors, it often comes with angst and feeling of discomfort. This is part of the process that they must accept, recognize and be willing to take on in order for change to effectively happen.
  • Helping them to create distance from their sabotaging thoughts (you can role play with them):

Instead of Saying: “I need to have the cookie now!”

Reframe to Say: “I am having the thought that I need to have the cookie now.”

Instead of Saying: “I should drink the cola because everyone else is drinking it too.”

Reframe to Say: “I am having the thought that I should drink the cola because everyone else is drinking it too.”

  • Assisting them in planning and problem solving through challenges. For example, help them to lightly predict their challenging thoughts, feelings and behaviors in given situations (e.g., going to a family dinner, a birthday party, etc.). Because we are evolving human beings and are impacted by many factors (i.e., how we are feeling physically, emotionally, socially, etc.) we can be unpredictable at times. Leave room for unpredictability too so that when a situation arises it can be effectively worked through.

Just like adults, kids and teens cannot control thoughts or feelings but they do have the ability to choose what actions they want to take. With your help and guidance, they can make decisions in regard to their health that are in line with their values and who they truly want to be. They can be empowered to make positive changes. They deserve that chance.

In Spring 2016, my book, “How To Free Your Child From Overeating”: 53 Strategies For Lifelong Chance Using Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy & Mindfulness will be published. Look out for it for many more tips!


Guest Post: Tips for Making BEST Decisions

About the Author: Michelle P. Maidenberg, PhD

Michelle P. Maidenberg, Ph.D., MPH, LCSW-R, CGP is the President/Clinical Director of Westchester Group Works, a Center for Group Therapy in Harrison, NY. She also maintains a private practice. She is the Co-Founder and Clinical Director of “Thru My Eyes” a nonprofit 501c3 organization that offers free clinically-guided videotaping to chronically medically ill individuals who want to leave video legacies for their children and loved ones. 

Dr. Maidenberg is Adjunct Faculty at New York University (NYU). She created and coordinates the Cognitive-Behavioral Therapy Program at Camp Shane, a health & weight management camp for children and teens in NY, AZ, GA, CA & TX and Shane Resorts, a resort focusing on health & weight management for young adults and adults in NY & TX.  She is author of “Free Your Child From Overeating” 53 Strategies For Lifelong Change Using Cognitive-Behavioral Therapy, Acceptance and Commitment Therapy & Mindfulness which is forthcoming in Spring 2016.

You can find Michelle via her websites,www.MichelleMaidenberg.com or www.WestchesterGroupWorks.com, and follow her on Facebook or Twitter.

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When our kids or teens are struggling, it can be hard to know what they need. It can also be hard for them to say. It can be this way for all of us - we don't always know what we need from the people around us. It might be space, or distraction, or silence, or maybe acknowledging and being there is enough. Sometimes we might need to know that the people we love aren't taking our need for space, or our confusion or anger or sadness personally, and that they are still there within reach.
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What can be easier is thinking about what other people might need. Asking this when they are calm can invite a different perspective and can give you some insight into what they need to hear when they are going through similar. Don't worry if you just get a shrug, or a disheartened, 'I don't know'. They don't need to know, and neither do we. The question in itself might be enough to open a new way through any sense of 'stuckness' or helplessness they might be feeling.
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Give them space to talk but you don’t need to fix anything. You’ll want to, but the answers are in them, not us. Sometimes the answer will be to feel it out, or push for change, or feel the futility of it all so the feeling can let go, knowing it’s done it’s job - it’s recruited support, or raised awareness that something isn’t right.

Sometimes the feelings might be seismic but the words might be gone for a while. That’s okay too. Do they want to start with whatever words are there? Or talk about something else? Or go for a walk with you? Watch a movie with you? Or do a spontaneous, unnecessary drive thru with you just because you can - no words, no need to explain - just you and them and car music for the next 20 minutes. 

The more you can validate what they’re feeling (maybe, ‘Today was big for you wasn’t it’) and give them space to feel, the more they can feel the feeling, understand the need that’s fuelling it, and experiment with ways to deal with it. Sometimes, ‘dealing with it’ might mean acknowledging that there is something that feels big or important and a little out of reach right now, and feeling the fullness and futility of that. 

Part of building resilience is recognising that some days are rubbish, and that sometimes those days last for longer than they should, but we get through. First we feel floored, then we feel stuck, then we shift because the only choices we have we have are to stay down or move, even when moving hurts. Then, eventually we adjust - either ourselves, the problem, or to a new ‘is’. But the learning comes from experience.

I wish our kids never felt pain, but we don’t get to decide that. We don’t get to decide how our children grow, but we do get to decide how much space and support we give them for this growth. We can love them through it but we can’t love them out of it. I wish we could but we can’t.

So instead of feeling the need to silence their pain, make space for it. In the end we have no choice. Sometimes all the love in the world won’t be enough to put the wrong things right, but it can help them feel held while they move through the pain enough to find their out breath, and the strength that comes with that.♥️
Speaking to the courage that is coming to life inside them helps to bring it close enough for them to touch, and to imagine, and to step into, even if doesn’t feel real for them yet. It will become them soon enough but until then, we can help them see what we see - a brave, strong, flight-ready child who just might not realise it yet. ‘I know how brave you are.’ ‘I love that you make hard decisions sometimes, even when it would be easier to do the other thing.’ ‘You might not feel brave, but I know what it means to you to be doing this. Trust me – you are one of the bravest people I know.’
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 #neurodevelopment #positiveparenting #parenting #parenthood #neuronurtured #parentingtip #childdevelopment #braindevelopment #mindfulparenting #parentingtips #parentingadvice
So often, our children will look to us for signs of whether they are brave enough, strong enough, good enough. Let your belief in them be so big, that it spills out of you and over to them and forms the path between them and their mountain. And then, let them know that the outcome doesn't matter. What matters is that they believe in themselves enough to try. 

Their belief in themselves might take time to grow, and that's okay. In the meantime, let them know you believe in them enough for both of you. Try, ‘I know this feels big and I know you can do it. What is one small step you can take? I’m right here with you.’♥️
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 #neurodevelopment #positiveparenting #parenting #parenthood #neuronurtured #parentingtip #childdevelopment #braindevelopment #mindfulparenting
Anxiety will tell our kiddos a deficiency story. It will focus them on what they can't do and turn them away from what they can. We know they are braver, stronger, and more powerful than they could ever think they are. We know that for certain because we’ve seen it before. We’ve seen them so held by anxiety, and we’ve seen them move through - not every time but enough times to know that they can. Even when those steps through are small and awkward and uncertain, they are brave. Because that’s how courage works. It’s fragile and strong, uncertain and powerful. We know that that about courage and we know that about them. 

Our job as their important adults is to give them the experiences that will help them know it too. This doesn't have to happen in big leaps. Little steps are enough, as long as they are forward. 

When their anxiety has them focused on what they can't do, focus them on what they can. By doing this, we are aligning with their capacity for brave, and bringing it into the light. 

Anxiety will have them believing that there are only two options - all or nothing; to do or not to do. So let's introduce a third. Let's invite them into the grey. This is where brave, bold beautiful things are built, one tiny step at a time. So what does this look like? It looks like one tiny step at a time. The steps can be so small at first - it doesn't matter how big they are, as long as they are forward. 
If they can't stay for the whole of camp, how much can they stay for?
If they can't do the whole swimming lesson on their own, how much can they do?
If they can't sleep all night in their own bed, how long can they sleep there for?
If they can't do the exam on their own, what can they do?
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When we do this, we align with their brave, and gently help it rise, little bit, by little bit. We give them the experiences they need to know that even when they feel anxious, they can do brave, and even when they feel fragile they are powerful.

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