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What is Behavioral Medicine and Behavioral Healthcare?

A writer asks, “I’ve heard that you are very successful helping people to lose weight with ‘Behavioral Medicine’. I also know of a counseling center that calls itself ‘Behavioral Healthcare’. What do these terms mean?”

(The author is the psychotherapist who lost 140 lbs. when he discovered Therapeutic Psychogenics,  and he’s kept it off for over 25 years. He has written about it in his groundbreaking weight loss self-help book, The Anderson Method and has helped thousands to lose weight permanently with this approach. More about it at the end of the article.)

When I refer to my practice of behavioral medicine, I am referring mainly to my work in helping people establish the behavior that will treat or “cure” their disorders related to being overweight. Many diseases are caused or worsened by being overweight. Diabetes, high blood pressure, heart disease, disability, cancer, inflammatory disorders, depression, obesity itself – the list is endless of the life-threatening diseases that are caused by excess weight and conversely improved and even cured by weight loss. I’ve helped thousands to finally solve their “impossible” weight problem, successfully lose great amounts of weight and maintain a healthy weight. I do it with my brand of Behavioral Medicine I call Therapeutic Psychogenics.

We know that  an obesegenic lifestyle is the primary cause of the problem, eating more calories than we use and storing them as fat. Conversely, we know how to lose weight, regardless of the cause of the gain.  Eat fewer calories than we use and we lose weight. Eat in balance and we don’t regain. The thermodynamics is irrefutable. Simple, right? No.

While the thermodynamics of weight control are easily understood, the dynamics of human behavior are anything but.  While some people think that everyone should just be able to make up their mind to master their habits, desires and feelings, most of us know that it’s not that easy. The forces at work that shape our behavior, the drives, the neurochemistry, the conditioning and habit formation are not often within our conscious control, even when we understand them. Self control, especially when you are talking about compelling and addictive behaviors, is not just a matter of “wanting it Badly enough” or “will power”.

That’s where I and my brand of behavioral therapy comes in. Understanding more about ourselves and the psychological technique for self-mastery are things that can be learned and developed. We treat the whole person, body, mind and spirit. The components of my eclectic formula of therapy have many names in the profession – Cognitive Behavior Therapy, Behavior Therapy, Cybernetic Self-Management  Technique, psychoeducation, nutrition education – together I call it Therapeutic Psychogenics. Many names but the goal is one: to create a permanent change in our automatic habitual behavior so that the way we habitually think, feel and act makes us lose the excess weight and keep it off. It’s kind of like “reprogramming”. It’s certainly not just “will power”.  Learning and developing the psychological “power tools” is what empowers us to change the behavior, not will alone. When we can change the behavior, the body will change.

However, Behavioral Medicine encompasses more than what I’ve just described.  Here’s the textbook definition: Behavioral Medicine is the interdisciplinary field concerned with the development and integration of behavioral, psychosocial, and biomedical science, knowledge and techniques relevant to the understanding of health and illness, and the application of this knowledge and these techniques to prevention, diagnosis, treatment and rehabilitation.

The psyche and body are one. They are not separate. Our physical condition affects our spirit, mood and mental state. Drugs and our hormonal and neurochemical state affects or mood, thinking , feelings and behavior (appetite too). Our behavior influences our neurochemistry and hormones and creates physical conditions and many states of mind and spirit. Behavioral Medicine recognizes this and integrates these dimensions for purposes of understanding and treatment. Professionals from the medical and mental health fields attend to the whole person and fashion treatment protocols that call for intervention in all spheres. This is Behavioral Medicine.

Behavioral Health and Behavioral Healthcare are terms used in a more limited scope to address all the behavior we engage in that affects our health. It is used to describe complex psychological conditions like addictions and eating disorders, but also includes the everyday habits we have that affect our health. For instance, our use of seat belts in automobiles and hand washing procedure would be included as issues addressed in Behavioral health.

Behavioral Healthcare, seen as a part of Behavioral Medicine, most often describes mental health and psychiatric care specifically, including counseling for a variety of reasons.

I hope I have not been too clinical in trying to give an accurate and complete answer to this very good question. People hear these terms and rarely know what they mean. Most of us don’t want the jargon. I know my clients don’t care what it’s called. That it helps them to solve their weight problem is all they care about.

Behavioral Medicine saved my life when I discovered Therapeutic Psychogenics as a result of my work in addictions counseling and behavioral science. I lost 140 lbs using this method, after 25 years of failure with diets and exercise schemes and I’ve kept it off for 25 years. I’ve been helping others since, teaching other therapists too, and I’ve also got a book about it. If you’ve had a terrible time trying to lose weight, Behavioral Medicine has the best solution. Go to www.TheAndersonMethod.com to get more information about my work, my growing network of therapists, and my book describing the method.

What do You Think of Alli, the Weight Loss “Miracle” Pill?

Does Alli work? The answer is yes and no.

As the prescription medication Xenical, it was promoted as the only weight loss pill that really worked. Then it became an over-the-counter pill and has made millions for the company that makes it. But does it really work to solve your weight problem?

(The author is a psychotherapist who lost 140 lbs. when he discovered Therapeutic Psychogenics,  and he’s kept it off for over 25 years. He has helped thousands to lose weight permanently with this approach. More about it at the end of the article.)

Alli works by preventing your body from digesting and utilizing fat, so when you take a pill when you eat a fatty food, the fat passes through your digestive system undigested, and you don’t acquire or accumulate the calories from it. For most of us, 30% of the calories in our diet or more come from fat. So, if you were eating a 1000 calorie per day diet in three meals with a pill at each meal, you’d only be taking in 700 calories, and if it was a 1500 calorie per day diet, you’d only be taking in 1050. If you stuck to your plan of eating only that amount of calories at those meals, you’d probably do well losing weight.

For this to work in actually producing weight loss, you’d first need to maintain the kind of control of your eating that my clients achieve with The Anderson Method (www.TheAndersonMethod.com) described in my book of the same name. With it, you enjoy real weight loss with or without the pill. With the pill, the weight loss is faster. Sounds good, right?

However, there are some other results that you need to think about before you start eating Alli pills. The most attention-getting is what they describe as “anal leakage”.  Fats, like butter and the fat in meats, become liquidy at body temperature. Fats like the oil in salad dressing and cooking oil are already liquid. With Alli, this oily liquid passes through your system without being digested, and then ends up in your colon, where it does not form a solid stool like the rest of your feces. You have the equivalent of cooking oil seeping out on a regular basis, or worse, all the time. If you are not controlling your eating, you have a lot of oil running, so not only are you not losing weight, but you also have poopy pants with oily stuff that seeps through layers of clothes. Not a pretty picture. I’m always all ears when I hear about some way to make weight control easier, but “anal leakage” is all I need to hear about Alli. Like other drugs, they have a whole list of possible nasty side effects, but I don’t need to know any more than “anal Leakage”.

Here’s the facts: to solve your weight problem, you need to shape your habits so that you eat the right number of calories per day, and these habits become permanent so that the weight stays off.  There is a way to train yourself to do this so that it is not hideous and you don’t have to deny yourself good food or eat diet food. That’s what The Anderson Method teaches, a method of behavioral medicine that has helped me and thousands of my clients and readers to lose weight the right way, and keep it off.  More about it at TheAndersonMethod Website

As long as you are looking for pills or procedures to relieve you of the need to change your behavior and figure out how to live on less, you’ll be putting off what you need to do to solve your weight problem.  If you use Alli and continue to live and eat like most Americans, you’ll still have your weight problem, and you’ll have a new problem on your hands (and elsewhere too).

How do You Kill a Craving?

I’m the psychotherapist who discovered Therapeutic Psychogenics, a remarkable method to permanently lose weight,  when I solved my own 320 lb. weight problem over 25 years ago. I lost 140 lbs. for good after 25 years of obesity and failure with diets and exercise schemes. Many clients have asked me “when did you stop having cravings and urges?” They think that because I have maintained my 140 lb. weight loss for 26 years, I must have found a way to eliminate the urges to eat.

Not so. What’s happened is that my response to urges and cravings, one of the techniques of Therapeutic Psychogenics, has become habitual, second nature. Now it is my habit to think in ways that reduce and kill cravings and urges. It has become so ingrained to think and act in ways to stay successful that it’s almost become easy. I’d say easy, but there is definitely a lot of work to be done to make success “easy”, and there will always be work to stay successful.

If you read about my method, you’ll learn that I have a “safe house” with none of the addictive snack or trigger foods that would call my name. Also, I have an effective plan every morning of what to eat that day. Now, when an urge pops up, I talk to myself, out loud if I’m alone, or in my head if I’m with people. I’ll say “Stop! that’s not in the plan. That would be overeating.  It would cause tight clothes and reflux that I hate. I don’t want that. I’m fasting until my next meal is. I’m fasting, burning fat and losing weight, my clothes getting looser, moving toward my goal weight. If I give in to the urge, I’ll miss out on the good things that are happening. I’m going to hold off and keep burning fat.”

This “self-talk” is actually an application of several very sophisticated  cognitive, cybernetic and self-hypnotic psychotherapeutic techniques.  It seems childishly simple, but it’s actually state-of-the-art psychotherapy.

I also use “covert sensitization”, an aversive technique related to the self-talk where I associate the overeating with the negative properties of tight clothes, reflux or stretch marks, etc.  If I was tempted by a Big Mac for instance, instead of linking it with kids having fun, I’ll remember the workers in the back of the place spitting and piling snot on the burgers before they put the bun on top. Associating something negative or disgusting can kill the craving just enough to get by it and continue on your path to loose clothes and the next healthy meal you’ve planned on. And that’s all you need to succeed, success right now. It can become a habit, and when it does, your success is permanent.

Can I Lose and Control my Weight Without Exercise?

Yes!

I’m William (Bill) Anderson, the psychotherapist who discovered Therapeutic Psychogenics, the successful method in behavioral medicine to lose weight permanently. I was s0 happy when I learned that I could solve my weight problem without having to exercise. In my prior “fat”  life, I was over 300 lbs. and everything I did was painful. I hated exercise my whole life, since I was a kid in gym class. The idea that I needed to exercise to lose and control my weight, which was something that all the “experts” said I needed to do, was so discouraging. So, it was a great relief when I found that exercise didn’t really do much to help with weight, and I could lose weight and control it even if I couldn’t exercise.

Here’s the facts: to lose weight, you need to have habits where you undereat, eating an average of fewer calories than you burn. Say you burn 2000 calories a day, you’d need to average less than that. To avoid gaining weight, you need to have habits where you don’t average over 2000. To lose a pound a week, the cumulative deficit has to add up to 3500 calories. Here’s the deal with exercise: If you go out and bust your butt with an hour walk, you only burn an extra 300 calories or so. That’s less than a donut or bagel’s worth of calories! No wonder I used to gain weight when I exercised! I’d exercise, think I should be able to have a donut now, eat one and cancel out the exercise, then have another and gain!  Lots of people gain weight when they exercise because they feel like they deserve to eat and then they have thousands more a day! If you look at the calories in the stuff you eat, you’ll see. Exercise is of no value in weight control if your eating is out of control, which is the real problem for most of us.

Getting the eating right, so that it becomes easy and automatic is no easy trick. That’s where behavioral medicine comes in. Change won’t happen by accident, and most of the so-called “experts” have no clue how its done. It’s not done with “will power”. Neither will diet pills or weight loss products help you succeed. Its done with Therapeutic Psychogenics, a method in behavioral medicine, and that’s what my program and my book, The Anderson Method, is about. It’s not a trick and there’s work involved, but the objective is to make it so weight control becomes habitual, second nature. Many clients do say it’s become easy.

So, exercise doesn’t do any good for weight control if the eating is out of control; and exercise is not necessary by any means to lose weight and keep it off. That being said, exercise is important and necessary for good health. But for weight loss, no.

For all the details on how to succeed at permanent weight loss, read my book, The Anderson Method, or call one of my therapists. I’m training therapists now all over the country to provide my counseling and therapy, in places like Atlanta and North Carolina, not just here in Sarasota. Follow us and change your life for the better and for good.

Is There Any Way to Change My Metabolism?

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Sorry to inform you, but unless you have a metabolic disorder there is no way, other than changing your activity habits, to increase your metabolism.

Rest assured that you can succeed at weight control, but to get started, you’ll need to accept the fact that you’ll need to habitually eat less than you’ve been eating.  That’s what my program of counseling, therapy and training helps people to do. You might think it’s impossible or at least very hard to change, but as long as you postpone working to change how you eat, you will remain overweight or more likely, keep gaining.

In order to solve your weight problem, you’ll need to create habits where you habitually eat the right number of calories instead of habits where you overeat, eating too many calories. It can be done, with the right technique. Some clients say it’s easy with these techniques. However, those are the ones I’ve seen working hard for what they want.

If you suspect that you have a low metabolism because of a metabolic disorder, go to your doctor or clinic to get tested. The doctors who specialize in this are called endocrinologists, and they can test your blood for hypothyroidism as well as other disorders, and measure your metabolic rate with devices called calorimeters. Getting tested will relieve your mind of wondering, and will result in either correcting a metabolic imbalance, or letting you know that there is no problem other than having an overeating habit that needs to be changed.

Taking drugs, pills or weight loss products to try to “boost” your metabolism, as if taking cocaine, speed or something to make yourself hyperthyroid will help, is a bad idea that can ruin your life. Don’t do it.

I lost 140 lbs. when I discovered my methods over 25 years ago, and I’ve kept it off without too much difficulty. I’ve trained thousands to do the same, written a book about it, and now I train other therapist too. Follow me to solve your weight problem and change your life for the better in ways you haven’t dreamed of.

Please read all my web pages listed on the menu above, and all my articles listed on the table of contents below.