Author Archives: William Anderson, LMHC

Is Food Addiction Keeping You From Losing Weight?

(First published in The Huffington Post)food addiction recovery

Have you ever thought of yourself as a food addict? If so, you are not alone.

Ask yourself these questions:

1) Do you find yourself craving and eating certain foods even though you’re not physically hungry?

2) Have you tried to have just a bit of something like ice cream or chips and find that you can’t stop, sometimes eating the whole box or bag?

3) Do you think about food constantly?

4) Do you try to cut back or abstain from overeating, repeatedly fail, and feel guilty or ashamed because of it?

5) Are there times when “too much is not enough” and you just can’t get enough?

6) Does your overeating cause you significant problems, yet you continue to do it, and can’t help yourself?

7) Does your eating get worse if you are stressed, anxious, angry or hurt?

8) Do you often feel angry or anxious if you try to limit your eating?

If you answered “yes” to more than a couple of these questions, you are like most of the clients who have come to me for help to lose weight. Like me, they had been told that diet and exercise were the answer to their weight problem. However, they just could not get themselves to diet and exercise for very long, if at all, before going back to their old ways. If they were able to lose a significant amount of weight, it wasn’t long before they put it back on.

Relax. You’re normal. You’re OK. But you might be a food addict.

In fact, it’s normal to be a food addict in America. Approximately 70 percent of us are overweight and 35 percent of us are clinically obese. And it’s not like we want to be. If fact, we spend billions on weight loss because we hate it. Yet we are still overweight and it’s getting worse.

In addiction counseling, there are often disputes with clients about whether or not they are an addict when they swear they are not. When I first started treating addictions, before I solved my own food and weight problem, an old alcohol counselor gave me his definition of an addict: An addict is a person who, when they indulge, it causes problems, yet they continue to indulge.

You see, if a person is normal and mentally healthy, and they find that some behavior is causing big problems in their life, they just stop, or change it so it no longer causes problems. For example, if you discovered that you were suddenly allergic to shellfish or peanuts and got sick every time you had it, you’d stop eating whatever you were allergic to. You don’t keep touching a hot stove.

But addicts don’t stop. They keep drinking or using even when it costs them their job, family and health, even when they try their hardest to stop. They keep smoking even when they know its damaging their lungs, even after they’ve tried to quit dozens of times. That’s the “insanity” and power of addiction. It prevents a person from stopping something they know is killing them. They are powerless. And often the addiction clouds their mind so they live in denial. I had a smoker on oxygen once tell me, “it’s not that bad” when we were talking about his COPD. An alcoholic told me he only had a “touch” of cirrhosis. I had one in jail on his third DUI tell me his drinking was really not a problem. If they were in their right minds and able to exercise their will and self-preservation instincts, they’d quit those addictions in a heartbeat. Normally, if you find that something you do is ruining your life and happiness, you stop. But addictions have a power over a person’s will and even their insight.

In America, we have a food addiction problem. It’s exacerbated by a culture that is in denial about it. We promote eating as a pastime and as a form of entertainment and important part of socializing and networking. We’ve convinced ourselves that enormous portions are normal and that overindulging is lighthearted fun. Meanwhile, the fact is that it is killing us.

I grew up overweight and spent years failing at diets. Like 35 percent of us I was obese, actually way more than obese, and I had every one of those behaviors I listed at the beginning of the article. I often joked about being addicted to Doritos and Oreos, but it was not until I started working with addicts and studying addictions and how to treat them that I realized I really was a food addict. And treating my problem as an addiction with behavior therapy finally solved my weight problem.

If you are a food addict, the routine approach using diets and exercise is not going to solve your problem. Neither will surgery. They won’t change what has to be changed because yours is not a weight problem. It’s a behavior problem, an addiction problem. And it won’t get fixed until you treat it as such.

Can a Drug or Surgery Solve Your Weight Problem?

Successful Weight Loss
(Published first in The Huffington Post)

In a word, no. Can they help? Perhaps.

Last month I wrote an article that spoke somewhat favorably of the new weight loss drug, Saxenda. I said it was perhaps the most important weight loss medication ever developed.

Wow! Did I get lambasted! I got all sorts of email blasting me for going over to the dark side and becoming a drug pusher and lackey of Big Pharma. I even got an email from my favorite professor of counseling at the University of Massachusetts, now friend, Allen Ivey, Ph.D. Besides being a friend, he is a big shot in the counseling field, the father of Microcounseling and developer of “active listening”. He said he was “sad” to see that I seemed to be pushing drugs. He is the last person on earth that I would want to be mistaken about my views on the solution to obesity. We’ve since gotten that misunderstanding corrected, but I want to make sure it is clear with everyone who reads my blogs.

I am still the world’s staunchest advocate of the behavioral therapy I teach to reverse the condition of obesity. It works -like a miracle, some say. But not 100% of the time. For some, it is not enough.

After 30 years successfully helping people to lose weight permanently, I am convinced that a percentage of the population is dealing with a physiological condition that creates more persistent and intense degrees of craving and compulsion than the rest of us have to deal with. My approach teaches people how to overcome the habits and feelings that make them overweight but sometimes those cravings and compulsions are so strong that nothing on God’s natural earth will quiet them.

If you’ve ever had a blister on your foot or a pebble in your shoe, you’ll remember that your brain is getting the message loud and clear that you need to relieve that pressure and you need to relieve it right now. You will feel the drive to relieve it until you do. It won’t go away until you do whatever it takes. There is no “will-powering” it away. Something is going on in the body, physiologically and chemically, that is triggering a response in your brain that will bother you until you satisfy it. It isn’t exactly the same with the food cravings that some have, but it gives you an idea of what some people are dealing with. Hold your breath for as long as you can and see how powerful the urge to breathe becomes. This is the kind of relentless drive that a small percentage of the population is fighting in their attempts to stop eating too much.

For them, some sort of intervention or tool that would make it easier for them to eat less would be a Godsend. Then, perhaps what they learn in a good behavioral approach would be enough. Self-programming and cognitive techniques like I teach work like magic for many people, but they would be so much more productive for these folks with eating hyperdrive if we could reduce that drive, which the pharmaceuticals can do. Or in the case of surgery, an additional tool to use behaviorally.

Make no mistake about it, drugs or surgery will not by themselves solve your weight problem. To solve your weight problem, you need to make a permanent change in your behavior, made possible with behavioral therapy, taught in my book and by my therapists. Success comes with learning how to eat what you like in ways that keep you at your desired weight and it becoming habitual and a new “normal” for you. Now, with these new medical interventions, success may be possible even for those who have suffered from an abnormally intensive eating drive. Weight loss drugs or surgery may now enable them to overcome the obstacles that prevented them from being able to make those behavioral changes.

What is Saxenda, The New “Blockbuster” Weight Loss Medication?

(Originally published in The Huffington Post)


Successful diet

There is a new “blockbuster” weight loss drug on the market, Saxenda, and it is available in many U.S. pharmacies this month. It is perhaps the most important weight loss medication ever developed. Novo Nordisk Inc., a very big and very old Danish pharmaceutical company, has launched the new drug after months of anticipation by consumers, clinicians and market watchers.

Saxenda is very different from all other weight loss drugs. For one thing, it is a once-a-day injection, like some diabetes medications, instead of a pill. For another, it works in an entirely different way, mimicking a naturally-occurring hormone that your intestine secretes when you eat food.

In research conducted only in the last few decades, scientists have discovered that the gut releases a hormone when you eat food that helps regulate the levels of sugar in your blood and slows down the emptying of your stomach. This results in feelings of satiety and a reduction in sensations of hunger and desire to eat.

The hormone-mimicking drug in Saxenda, Liraglutide, was originally marketed as Victoza, prescribed to treat diabetes. It was discovered that a “side effect” of Victoza was weight loss. Saxenda is essentially a double dose of Victoza, and after much testing, the FDA approved it for weight loss in December of 2014.

One-year studies show that over 60 percent of people using Saxenda had a 5 percent reduction in weight while trying to lose weight, as opposed to 34 percent taking a placebo. Thirty-one percent taking Saxenda lost more than 10 percent of their weight.

One of the most important attributes is that it can be used effectively long term, for chronic management of obesity. It is not like the appetite suppressant weight loss drugs that only work for a while. Like other medications used for diabetes, it introduces a hormone that compensates for a deficiency.

Like The Anderson Method, which is a behavioral weight loss program for people with chronic obesity, Saxenda is not for lightweights, people without a serious weight control problem or who only need to lose a few pounds. Saxenda is appropriate for people who are clinically obese with a Body Mass Index (BMI) of 30 or a BMI of 27 with another medical condition, like high blood pressure or diabetes. For example, someone who is 5’4″ would have to be at least 157 pounds with a medical condition, or 174 pounds without an additional medical condition.

Like many medications, Saxenda has warnings that are frightening. Though rare, some of the possible adverse effects are serious. This is not something to be treated casually. You need to work closely with your doctor if you want to use Saxenda. The adverse effects are not experienced by everyone, but should they occur, this is not for you. The most common are nausea and diarrhea. The serious ones are thyroid tumors and pancreatitis. If you have one of several conditions, like a history of thyroid cancer, this is not for you.

The term “Blockbuster” has been used to describe it because of its “box office” potential. It is expected to be a huge moneymaker. We are talking about “billions and billions” as Carl Sagan would say. The cost will run about $1,000 per month and it remains to be seen if medical insurance will play any part in paying for it. No doubt those who have the means will be getting it right away and others will be waiting for the patent to run out.

Saxenda is not a magic cure, just like bariatric surgery does not fix everything for an obese person. We have to change our behavior. Behavioral therapy is the answer to that. But solving the problem would be so much easier for my clients if they did not have the extraordinary biological drives that I am certain are due to some hormonal disorder that results in extraordinary hunger, cravings and compulsion. Behavior therapy alone has worked for me and many of my clients, but it is not enough in some cases.

I have believed that there is a biological imbalance that is part of the disease of obesity and I have prayed for something that would help resolve it. Saxenda may be the first medical intervention to answer those prayers and I am sure there will be more and better advances in the future.

Guess The Calories in Each of These.

desserts

A lot of people would have you believe that “calories don’t count”. But I lost 140 pounds and have kept it off by developing habits of eating what I like within my caloric “budget”. You can too. One of these desserts will help you lose weight. The other is a disaster.

The hot fudge sundae here has 1470 calories. With many women, that’s a whole days’ calorie budget. If she was eating a dietician’s diet, and had something like this only once a week, she’d gain almost 25 pounds in one year! She gain 100 pounds in four years!

The strawberries and cream has only 150 calories. You could have something like this a couple of times a week and lose that 25 pounds at the same time if you knew what to do. Get my book or work with one of my therapists and you can learn how.

New App Shows What You Would Look Like Post-Weight Loss

Screen Shot 2015-04-13 at 2.53.04 PM

For all of you using The Anderson Method, this might be a good way to make your target picture and help to practice Key Behavior #7. If you try this, please let me know what you think. – Bill Anderson

FROM PEOPLE MAGAZINE, BY JACQUELINE ANDRIAKOS @jandriakos 04/08/2015 AT 05:15 PM EDT

Do you ever picture yourself a few pounds slimmer?

Thanks to new app Visualize You, users can now better visualize their post-weight loss bodies even before hitting the gym.

The app, which was released Thursday, allows users to transform an old photo and generate a realistic depiction of their bodies at a new target weight.

The app was developed by Visual Health Solutions, in collaboration with the Wellness Institute at Cleveland Clinic, the University of Colorado Anschutz Health and Wellness Center and UnitedHealthcare, as a method of motivating weight loss by creating a visual cue.

So how does it work?

The app first instructs the user to enter a height and weight and upload a “before” photo.

The program then uses a 3D model engine and various algorithms developed by weight loss experts to digitally alter the photo to generate a realistic “after” image that shows the user at whichever goal weight he or she selects, according to the official website. Users can also share their before-and-after photos on social media.

Visualize You is also intended to more accurately represent the actual effects of weight change, compared to other basic editing apps that use simple photoshop methods to tweak pictures.

“People are looking for an effective way to motivate themselves and their friends to embark on a formal healthy weight program,” Paul Baker, CEO of Visual Health Solutions, tells PEOPLE.

And the app already received a stamp of approval from a weight loss expert.

“I will often recommend that people put up pictures of what they want to look like or what they used to look like, provided the body image is healthy,” weight loss specialist Charlie Seltzer, M.D., told Yahoo! Health.

“I’d hate for someone to put [a photo] in and see themselves not the way they are going to look, and get discouraged and disgruntled that they’re not changing how they’re supposed to. But my first thought upon hearing about this app, was, ‘It sounds like a really good idea,’ ” he told the news outlet.

A free version of the app is available, sponsored by UnitedHealthcare, along with an ad-free paid version for $1.99 for iPhone and Android.

(Again, if you try this app, please let me know what you think. – Bill Anderson)