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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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Melbourne, Adelaide … Will you join us?

The @resilientkidsconference is coming to Melbourne (15 July) and Adelaide (2 September), and we’d love you to join us.

We’ve had a phenomenal response to this conference. Parents and carers are telling us that they’re walking away feeling even more confident, with strategies and information they can use straight away. That’s what this conference is all about.

We know taking care of the young people in our lives is up there with the most important thing we can do. Why shouldn’t there be a conference for parents and carers?!

I’ll be joining with @maggiedentauthor, @michellemitchell.author, and @drjustincoulson. We’ve got you covered! And we’re there for the day, with you.

For tickets or more info, search ‘Resilient Kids Conference’ on Google, or go to this link https://www.resilientkidsconference.com.au/conference/.

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Jun 3

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Melbourne, Adelaide … Will you join us? The @resilientkidsconference is coming to Melbourne (15 July) and Adelaide (2 September), and we’d love you to join us. We’ve had a phenomenal response to this conference. Parents and carers are telling us that they’re walking away feeling even more confident, with strategies and information they can use straight away. That’s what this conference is all about. We know taking care of the young people in our lives is up there with the most important thing we can do. Why shouldn’t there be a conference for parents and carers?! I’ll be joining with @maggiedentauthor, @michellemitchell.author, and @drjustincoulson. We’ve got you covered! And we’re there for the day, with you. For tickets or more info, search ‘Resilient Kids Conference’ on Google, or go to this link https://www.resilientkidsconference.com.au/conference/.

karenyoung_heysigmund

We have to change the way we talk about anxiety. If we talk about it as a disorder, this is how it feels.

Yes anxiety can be so crushing, and yes it can intrude into every part of their everyday. But the more we talk about anxiety as a disorder, the more we drive ‘anxiety about the anxiety’. Even for big anxiety, there is nothing to be served in talking about it as a disorder.

There is another option. We change the face of it - from an intruder or deficiency, to an ally. We change the story - from ‘There’s something wrong with me’ to, ‘I’m doing something hard.’ I’ve seen the difference this makes, over and over.

This doesn’t mean we ignore anxiety. Actually we do the opposite. We acknowledge it. We explain it for what it is: the healthy, powerful response of a magnificent brain that is doing exactly what brains are meant to do - protect us. This is why I wrote Hey Warrior.

What we focus on is what becomes powerful. If we focus on the anxiety, it will big itself up to unbearable.

What we need to do is focus on both sides - the anxiety and the brave. Anxiety, courage, strength - they all exist together.

Anxiety isn’t the absence of brave, it’s the calling of brave. It’s there because you’re about to do something hard, brave, meaningful - not because there’s something wrong with you.

First, acknowledge the anxiety. Without this validation, anxiety will continue to do its job and prepare the body for fight or flight, and drive big feelings to recruit the safety of another human.

Then, we speak to the brave. We know it’s there, so we usher it into the light:

‘Yes I know this is big. It’s hard [being away from the people you love] isn’t it. And I know you can do this. We can do hard things can’t we.

You are one of the bravest, strongest people I know. Being brave feels scary and hard sometimes doesn’t it. It feels like brave isn’t there, but it’s always there. Always. And you know what else I know? It gets easier every time. I’ve know this because I’ve seen you do hard things, and because I’ve felt like this too, so many times. I know that you and me, even when we feel anxious, we can do brave. It’s always in you. I know that for certain.’♥️

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Jun 1

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We have to change the way we talk about anxiety. If we talk about it as a disorder, this is how it feels. Yes anxiety can be so crushing, and yes it can intrude into every part of their everyday. But the more we talk about anxiety as a disorder, the more we drive ‘anxiety about the anxiety’. Even for big anxiety, there is nothing to be served in talking about it as a disorder. There is another option. We change the face of it - from an intruder or deficiency, to an ally. We change the story - from ‘There’s something wrong with me’ to, ‘I’m doing something hard.’ I’ve seen the difference this makes, over and over. This doesn’t mean we ignore anxiety. Actually we do the opposite. We acknowledge it. We explain it for what it is: the healthy, powerful response of a magnificent brain that is doing exactly what brains are meant to do - protect us. This is why I wrote Hey Warrior. What we focus on is what becomes powerful. If we focus on the anxiety, it will big itself up to unbearable. What we need to do is focus on both sides - the anxiety and the brave. Anxiety, courage, strength - they all exist together. Anxiety isn’t the absence of brave, it’s the calling of brave. It’s there because you’re about to do something hard, brave, meaningful - not because there’s something wrong with you. First, acknowledge the anxiety. Without this validation, anxiety will continue to do its job and prepare the body for fight or flight, and drive big feelings to recruit the safety of another human. Then, we speak to the brave. We know it’s there, so we usher it into the light: ‘Yes I know this is big. It’s hard [being away from the people you love] isn’t it. And I know you can do this. We can do hard things can’t we. You are one of the bravest, strongest people I know. Being brave feels scary and hard sometimes doesn’t it. It feels like brave isn’t there, but it’s always there. Always. And you know what else I know? It gets easier every time. I’ve know this because I’ve seen you do hard things, and because I’ve felt like this too, so many times. I know that you and me, even when we feel anxious, we can do brave. It’s always in you. I know that for certain.’♥️

karenyoung_heysigmund

Our job as parents isn’t to remove their distress around boundaries, but to give them the experiences to recognise they can handle boundaries - holding theirs and respecting the boundaries others.

Every time we hold a boundary, we are giving our kids the precious opportunity to learn how to hold their own.

If we don’t have boundaries, the risk is that our children won’t either. We can talk all we want about the importance of boundaries, but if we don’t show them, how can they learn? Inadvertently, by avoiding boundary collisions with them, we are teaching them to avoid conflict at all costs.

In practice, this might look like learning to put themselves, their needs, and their feelings away for the sake of peace. Alternatively, they might feel the need to control other people and situations even more. If they haven’t had the experience of surviving a collision of needs or wants, and feeling loved and accepted through that, conflicting needs will feel scary and intolerable.

Similarly, if we hold our boundaries too harshly and meet their boundary collisions with shame, yelling, punishment or harsh consequences, this is how we’re teaching them to respond to disagreement, or diverse needs and wants. We’re teaching them to yell, fight dirty, punish, or overbear those who disagree.

They might also go the other way. If boundaries are associated with feeling shamed, lonely, ‘bad’, they might instead surrender boundaries and again put themselves away to preserve the relationship and the comfort of others. This is because any boundary they hold might feel too much, too cruel, or too rejecting, so ‘no boundary’ will be the safest option.

If we want our children to hold their boundaries respectfully and kindly, and with strength, we will have to go first.

It’s easy to think there are only two options. Either:
- We focus on the boundary at the expense of the relationship and staying connected to them.
- We focus on the connection at the expense of the boundary.

But there is a third option, and that is to do both - at the same time. We hold the boundary, while at the same time we attend to the relationship. We hold the boundary, but with warmth.♥️

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May 29

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Our job as parents isn’t to remove their distress around boundaries, but to give them the experiences to recognise they can handle boundaries - holding theirs and respecting the boundaries others. Every time we hold a boundary, we are giving our kids the precious opportunity to learn how to hold their own. If we don’t have boundaries, the risk is that our children won’t either. We can talk all we want about the importance of boundaries, but if we don’t show them, how can they learn? Inadvertently, by avoiding boundary collisions with them, we are teaching them to avoid conflict at all costs. In practice, this might look like learning to put themselves, their needs, and their feelings away for the sake of peace. Alternatively, they might feel the need to control other people and situations even more. If they haven’t had the experience of surviving a collision of needs or wants, and feeling loved and accepted through that, conflicting needs will feel scary and intolerable. Similarly, if we hold our boundaries too harshly and meet their boundary collisions with shame, yelling, punishment or harsh consequences, this is how we’re teaching them to respond to disagreement, or diverse needs and wants. We’re teaching them to yell, fight dirty, punish, or overbear those who disagree. They might also go the other way. If boundaries are associated with feeling shamed, lonely, ‘bad’, they might instead surrender boundaries and again put themselves away to preserve the relationship and the comfort of others. This is because any boundary they hold might feel too much, too cruel, or too rejecting, so ‘no boundary’ will be the safest option. If we want our children to hold their boundaries respectfully and kindly, and with strength, we will have to go first. It’s easy to think there are only two options. Either: - We focus on the boundary at the expense of the relationship and staying connected to them. - We focus on the connection at the expense of the boundary. But there is a third option, and that is to do both - at the same time. We hold the boundary, while at the same time we attend to the relationship. We hold the boundary, but with warmth.♥️

karenyoung_heysigmund

Sometimes finding the right words is hard. When their words are angry and out of control, it’s because that’s how they feel.

Eventually we want to grow them into people who can feel all their feelings and lasso them into words that won’t break people, but this will take time.

In the meantime, they’ll need us to model the words and hold the boundaries firmly and lovingly. This might sound like:

‘It’s okay to be angry, and it’s okay not to like my decision. It’s not okay to speak to me like that. I know you know that. My answer is still no.’

Then, when they’re back to calm, have the conversation:

‘I wonder if sometimes when you say you don’t like me, what you really mean is that you don’t like what I’ve done. It’s okay to be angry at me. It’s okay to tell me you’re angry at me. It’s not okay to be disrespectful.

What’s important is that you don’t let what someone has done turn you into someone you’re not. You’re such a great kid. You’re fun, funny, kind, honest, respectful. I know you know that yelling mean things isn’t okay. What might be a better way to tell me that you’re angry, or annoyed at what I’ve said?’♥️

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May 25

Open
Sometimes finding the right words is hard. When their words are angry and out of control, it’s because that’s how they feel. Eventually we want to grow them into people who can feel all their feelings and lasso them into words that won’t break people, but this will take time. In the meantime, they’ll need us to model the words and hold the boundaries firmly and lovingly. This might sound like: ‘It’s okay to be angry, and it’s okay not to like my decision. It’s not okay to speak to me like that. I know you know that. My answer is still no.’ Then, when they’re back to calm, have the conversation: ‘I wonder if sometimes when you say you don’t like me, what you really mean is that you don’t like what I’ve done. It’s okay to be angry at me. It’s okay to tell me you’re angry at me. It’s not okay to be disrespectful. What’s important is that you don’t let what someone has done turn you into someone you’re not. You’re such a great kid. You’re fun, funny, kind, honest, respectful. I know you know that yelling mean things isn’t okay. What might be a better way to tell me that you’re angry, or annoyed at what I’ve said?’♥️

karenyoung_heysigmund

We humans feel safest when we know where the edges are. Without boundaries it can feel like walking along the edge of a mountain without guard rails.

Boundaries must come with two things - love and leadership. They shouldn’t feel hollow, and they don’t need to feel like brick walls. They can be held firmly and lovingly.

Boundaries without the ‘loving’ will feel shaming, lonely, harsh. Understandably children will want to shield from this. This ‘shielding’ looks like keeping their messes from us. We drive them into the secretive and the forbidden because we squander precious opportunities to guide them.

Harsh consequences don’t teach them to avoid bad decisions. They teach them to avoid us.

They need both: boundaries, held lovingly.

First, decide on the boundary. Boundaries aren’t about what we want them to do. We can’t control that. Boundaries are about what we’ll do when the rules are broken.

If the rule is, ‘Be respectful’ - they’re in charge of what they do, you’re in charge of the boundary.

Attend to boundaries AND relationship. ‘It’s okay to be angry at me. (Rel’ship) No, I won’t let you speak to me like that. (Boundary). I want to hear what you have to say. (R). I won’t listen while you’re speaking like that. (B). I’m going to wait until you can speak in a way I can hear. I’m right here. (R).

If the ‘leadership’ part is hard, think about what boundaries meant for you when you were young. If they felt cruel or shaming, it’s understandable that that’s how boundaries feel for you now. You don’t have to do boundaries the way your parents did. Don’t get rid of the boundary. Add in a loving way to hold them.

If the ‘loving’ part is hard, and if their behaviour enrages you, what was it like for you when you had big feelings as a child? If nobody supported you through feelings or behaviour, it’s understandable that their big feelings and behaviour will drive anger in you.

Anger exists as a shield for other more vulnerable feelings. What might your anger be shielding - loneliness? Anxiety? Feeling unseen? See through the behaviour to the need or feeling behind it: This is a great kid who is struggling right now. Reject the behaviour, support the child.♥️

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May 23

Open
We humans feel safest when we know where the edges are. Without boundaries it can feel like walking along the edge of a mountain without guard rails. Boundaries must come with two things - love and leadership. They shouldn’t feel hollow, and they don’t need to feel like brick walls. They can be held firmly and lovingly. Boundaries without the ‘loving’ will feel shaming, lonely, harsh. Understandably children will want to shield from this. This ‘shielding’ looks like keeping their messes from us. We drive them into the secretive and the forbidden because we squander precious opportunities to guide them. Harsh consequences don’t teach them to avoid bad decisions. They teach them to avoid us. They need both: boundaries, held lovingly. First, decide on the boundary. Boundaries aren’t about what we want them to do. We can’t control that. Boundaries are about what we’ll do when the rules are broken. If the rule is, ‘Be respectful’ - they’re in charge of what they do, you’re in charge of the boundary. Attend to boundaries AND relationship. ‘It’s okay to be angry at me. (Rel’ship) No, I won’t let you speak to me like that. (Boundary). I want to hear what you have to say. (R). I won’t listen while you’re speaking like that. (B). I’m going to wait until you can speak in a way I can hear. I’m right here. (R). If the ‘leadership’ part is hard, think about what boundaries meant for you when you were young. If they felt cruel or shaming, it’s understandable that that’s how boundaries feel for you now. You don’t have to do boundaries the way your parents did. Don’t get rid of the boundary. Add in a loving way to hold them. If the ‘loving’ part is hard, and if their behaviour enrages you, what was it like for you when you had big feelings as a child? If nobody supported you through feelings or behaviour, it’s understandable that their big feelings and behaviour will drive anger in you. Anger exists as a shield for other more vulnerable feelings. What might your anger be shielding - loneliness? Anxiety? Feeling unseen? See through the behaviour to the need or feeling behind it: This is a great kid who is struggling right now. Reject the behaviour, support the child.♥️

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