1 00:00:10,160 --> 00:00:14,680 Speaker 1: Hello everybody, and welcome back to couch Talks. If you 2 00:00:14,680 --> 00:00:17,439 Speaker 1: are new, couch Talks is a special bonus Q and 3 00:00:17,480 --> 00:00:20,720 Speaker 1: a episode of You Need Therapy that comes out every Wednesday, 4 00:00:20,840 --> 00:00:23,720 Speaker 1: where I answer questions that you all email into me 5 00:00:24,040 --> 00:00:27,720 Speaker 1: at Catherine at You Need Therapy podcast dot com. As always, 6 00:00:27,720 --> 00:00:30,240 Speaker 1: I want to remind you guys that this is not therapy. 7 00:00:30,400 --> 00:00:33,920 Speaker 1: This is just a therapist talking about some therapy things 8 00:00:34,200 --> 00:00:35,760 Speaker 1: I like to put out there, just so we don't 9 00:00:35,760 --> 00:00:38,920 Speaker 1: get confused that this is not a replacement for therapy. 10 00:00:39,040 --> 00:00:41,200 Speaker 1: It's just a way to get some information and start 11 00:00:41,240 --> 00:00:45,240 Speaker 1: some conversations. Now, as you may have gathered this week, 12 00:00:45,360 --> 00:00:48,960 Speaker 1: we are honoring nit A week by dedicating Monday's episode 13 00:00:48,960 --> 00:00:52,960 Speaker 1: and this episode to eating disorders and talking about those. Today, 14 00:00:53,000 --> 00:00:55,800 Speaker 1: I'm going to be answering questions about eating disorders that 15 00:00:55,920 --> 00:00:58,480 Speaker 1: you all have sent into me. Now, if you don't 16 00:00:58,480 --> 00:01:01,200 Speaker 1: know what NITA Week is, it is National Eating Disorder 17 00:01:01,240 --> 00:01:03,840 Speaker 1: Awareness Week, and it is a week that is aimed 18 00:01:03,840 --> 00:01:06,880 Speaker 1: to help spread awareness of not just what eating disorders are, 19 00:01:07,319 --> 00:01:09,480 Speaker 1: but also how to get help and how to find hope. 20 00:01:09,680 --> 00:01:12,880 Speaker 1: This episode is not just for those struggling with eating disorders. 21 00:01:12,880 --> 00:01:15,720 Speaker 1: It's for everybody, and this week isn't just for those 22 00:01:15,720 --> 00:01:18,720 Speaker 1: struggling with eating disorders, it's for everybody that is kind 23 00:01:18,720 --> 00:01:21,560 Speaker 1: of the point of need a week. So eating disorders 24 00:01:21,600 --> 00:01:25,440 Speaker 1: aren't just known to the people that work with them directly, 25 00:01:25,600 --> 00:01:27,960 Speaker 1: but that people all around us are aware of them, 26 00:01:28,080 --> 00:01:30,680 Speaker 1: and you know that they're a thing because their their 27 00:01:30,680 --> 00:01:33,120 Speaker 1: a thing. I think a lot of you have probably 28 00:01:33,160 --> 00:01:35,959 Speaker 1: seen the stat it's the deadliest mental health disorder there 29 00:01:36,080 --> 00:01:38,840 Speaker 1: is right now, and they're pretty serious. They're not just 30 00:01:38,880 --> 00:01:41,600 Speaker 1: about body image. They have to do with body image, 31 00:01:41,640 --> 00:01:45,320 Speaker 1: but I think that's one of the common misconceptions about them. Anyway, 32 00:01:45,440 --> 00:01:48,080 Speaker 1: I have three questions that I chose to answer today. 33 00:01:48,160 --> 00:01:50,960 Speaker 1: I kind of combined some themes of questions that I 34 00:01:51,000 --> 00:01:53,360 Speaker 1: got from you guys, and so I'm going to answer 35 00:01:53,480 --> 00:01:55,880 Speaker 1: two of them, and then I caught upon my friend 36 00:01:55,960 --> 00:01:58,480 Speaker 1: Crystal to answer one, so I thought we would go 37 00:01:58,480 --> 00:02:01,440 Speaker 1: with that one first. The question was how long does 38 00:02:01,480 --> 00:02:04,120 Speaker 1: it take in recovery for your body to get to 39 00:02:04,160 --> 00:02:06,000 Speaker 1: its set point? And this is the one that I 40 00:02:06,040 --> 00:02:09,400 Speaker 1: leaned over to my lovely dietitian friend Crystal from Horizon 41 00:02:09,520 --> 00:02:12,799 Speaker 1: Nutrition Counseling, Because even if I can answer a question 42 00:02:12,840 --> 00:02:14,960 Speaker 1: like this. I like to practice what it's like to 43 00:02:15,000 --> 00:02:17,560 Speaker 1: stay in your lane. So if there ever is a 44 00:02:17,600 --> 00:02:21,519 Speaker 1: dietitian ee esque question, I'm always going to go there first, 45 00:02:21,560 --> 00:02:24,200 Speaker 1: just so you guys get the most accurate information from 46 00:02:24,240 --> 00:02:27,560 Speaker 1: somebody who actually was trained to answer this question. Specifically. 47 00:02:27,720 --> 00:02:29,880 Speaker 1: This is what Crystal said my answer would be in 48 00:02:29,960 --> 00:02:32,680 Speaker 1: its own time. You don't know what your set point 49 00:02:32,720 --> 00:02:37,000 Speaker 1: really is because it's a range and everyone's body is different. 50 00:02:37,120 --> 00:02:40,520 Speaker 1: If someone is an interrexic, chronic dieter, or belimic, it 51 00:02:40,560 --> 00:02:43,000 Speaker 1: depends on what it's going through, how long it's been 52 00:02:43,000 --> 00:02:46,200 Speaker 1: going through it, and how genetics interact. Your set point 53 00:02:46,240 --> 00:02:48,040 Speaker 1: now may not be the set point it was ten 54 00:02:48,120 --> 00:02:50,560 Speaker 1: years ago, so you can't expect the same result. If 55 00:02:50,560 --> 00:02:53,680 Speaker 1: someone says my set point is around one pounds, but 56 00:02:53,720 --> 00:02:56,400 Speaker 1: they're referring to a pre pregnancy body fifteen years ago, 57 00:02:56,520 --> 00:02:59,600 Speaker 1: it's not the same. So that's the information Crystal gave 58 00:02:59,639 --> 00:03:01,440 Speaker 1: us I because it's shortened to the point, and what 59 00:03:01,520 --> 00:03:05,360 Speaker 1: I'm just gonna repeat to you guys is that we 60 00:03:05,520 --> 00:03:07,919 Speaker 1: there is no like six months. It takes a year. 61 00:03:07,960 --> 00:03:10,200 Speaker 1: It could take six months to a year, could take longer. 62 00:03:10,440 --> 00:03:12,919 Speaker 1: Especially you have to think about the back and forth 63 00:03:13,000 --> 00:03:15,440 Speaker 1: that we play in the beginnings of recovery. So I 64 00:03:15,480 --> 00:03:18,600 Speaker 1: hope that was helpful. All right. Second question, is it 65 00:03:18,639 --> 00:03:21,520 Speaker 1: possible to not think about food constantly all day? And 66 00:03:21,520 --> 00:03:23,920 Speaker 1: how healthy it will be? I love this question so, 67 00:03:24,480 --> 00:03:27,160 Speaker 1: oh my gosh, Yes, it is so, so, so so possible. 68 00:03:27,280 --> 00:03:29,760 Speaker 1: I promise. The problem here is that most people run 69 00:03:29,800 --> 00:03:32,440 Speaker 1: into is that it takes longer to get there than 70 00:03:32,520 --> 00:03:35,200 Speaker 1: when people want to experience. So we do this back 71 00:03:35,240 --> 00:03:37,440 Speaker 1: and forth thing, and it can make the whole experience 72 00:03:37,480 --> 00:03:39,720 Speaker 1: like a million times longer than it really needs to 73 00:03:39,760 --> 00:03:42,400 Speaker 1: be or has to be. Now that being said, I 74 00:03:42,440 --> 00:03:44,720 Speaker 1: think we will all always have moments when we think 75 00:03:44,760 --> 00:03:47,960 Speaker 1: about food and our body image. We all have bad 76 00:03:47,960 --> 00:03:51,360 Speaker 1: body image days. But the thought in the quote days 77 00:03:51,480 --> 00:03:53,760 Speaker 1: don't dictate the majority of our lives and all of 78 00:03:53,800 --> 00:03:55,960 Speaker 1: our behaviors. One of the problems we end up having 79 00:03:56,200 --> 00:03:59,320 Speaker 1: when we engage in eating sort of behaviors in diet 80 00:03:59,360 --> 00:04:03,480 Speaker 1: culture things is that we take the habituation process away 81 00:04:03,480 --> 00:04:06,440 Speaker 1: from food. So imagine that you ran into your garage 82 00:04:06,440 --> 00:04:08,680 Speaker 1: with your car and put a dent in it. Now 83 00:04:08,960 --> 00:04:11,280 Speaker 1: you will be driving home every day to see that dent, 84 00:04:11,400 --> 00:04:13,080 Speaker 1: and at some point it will just become part of 85 00:04:13,120 --> 00:04:15,160 Speaker 1: the garage. You'll stop seeing it. I mean that in 86 00:04:15,200 --> 00:04:17,080 Speaker 1: the sense that it won't be as noticeable to you. 87 00:04:17,080 --> 00:04:19,440 Speaker 1: You will be habituated to it. Now, say you invite 88 00:04:19,440 --> 00:04:21,279 Speaker 1: a friend over and they haven't been to your house 89 00:04:21,279 --> 00:04:24,040 Speaker 1: since you ran into your garage. That friend has never 90 00:04:24,080 --> 00:04:26,320 Speaker 1: seen the dent in your garage, so I'm sure one 91 00:04:26,360 --> 00:04:28,799 Speaker 1: of the first things that they will say is hello, 92 00:04:29,080 --> 00:04:31,520 Speaker 1: what happened to your garage. You'll probably be like, oh, 93 00:04:31,520 --> 00:04:33,960 Speaker 1: my gosh, I forgot I did that. Habituation can be 94 00:04:34,000 --> 00:04:36,520 Speaker 1: good and it can be bad, but we actually want 95 00:04:36,560 --> 00:04:39,279 Speaker 1: that process to happen when it comes to food, because 96 00:04:39,480 --> 00:04:42,600 Speaker 1: without it, food becomes like magic. It becomes like something 97 00:04:42,680 --> 00:04:47,120 Speaker 1: special or forbidden that you only get to experience on 98 00:04:47,240 --> 00:04:50,400 Speaker 1: very rare occasions. If ever, so when you do, you 99 00:04:50,440 --> 00:04:52,839 Speaker 1: won't really get to enjoy it because you're so focused 100 00:04:52,880 --> 00:04:55,239 Speaker 1: on getting all of it because you'll never get it again, 101 00:04:55,800 --> 00:04:57,680 Speaker 1: or you're thinking about how much of a horrible thing 102 00:04:57,720 --> 00:05:00,160 Speaker 1: you are doing, when in reality, if all food were 103 00:05:00,200 --> 00:05:02,440 Speaker 1: available all of the time and you were in a 104 00:05:02,480 --> 00:05:06,279 Speaker 1: healthy place emotionally, you won't want to eat all of 105 00:05:06,400 --> 00:05:09,880 Speaker 1: something or none of something. Every time you see something 106 00:05:09,920 --> 00:05:11,359 Speaker 1: that you like, you will be able to eat it 107 00:05:11,400 --> 00:05:13,080 Speaker 1: when you want it, and you will be able to 108 00:05:13,120 --> 00:05:15,240 Speaker 1: let it be when you don't want it. So I'm 109 00:05:15,279 --> 00:05:17,080 Speaker 1: trying to stay here is Yes, it's possible to not 110 00:05:17,120 --> 00:05:20,080 Speaker 1: think about food all the time, but it takes consistency 111 00:05:20,360 --> 00:05:23,400 Speaker 1: and in time to get there. So I would encourage 112 00:05:23,400 --> 00:05:25,840 Speaker 1: you to gather some resources and some support to help 113 00:05:25,880 --> 00:05:28,480 Speaker 1: guide you along the way. I also want to just 114 00:05:28,839 --> 00:05:32,800 Speaker 1: know that you might have times when you overeat or 115 00:05:32,880 --> 00:05:35,359 Speaker 1: under eat through this process. It takes a while to 116 00:05:35,440 --> 00:05:37,840 Speaker 1: get there, like I said, So it's not a snap 117 00:05:37,839 --> 00:05:39,720 Speaker 1: of the fingers and then all of a sudden you're 118 00:05:39,720 --> 00:05:42,200 Speaker 1: habituated to food just because it's available. You have to 119 00:05:42,200 --> 00:05:44,080 Speaker 1: get used to that again, just like you would get 120 00:05:44,240 --> 00:05:46,599 Speaker 1: used to seeing the dent in your garage, and the 121 00:05:46,640 --> 00:05:49,159 Speaker 1: beginning of that happening, you would notice it. It would 122 00:05:49,200 --> 00:05:51,000 Speaker 1: take a couple of weeks or a month or so. 123 00:05:51,360 --> 00:05:53,080 Speaker 1: I don't know how long it would take me to 124 00:05:53,120 --> 00:05:55,240 Speaker 1: not notice a dent in my garage. I don't have 125 00:05:55,279 --> 00:05:57,839 Speaker 1: a garage. But like that's different for everybody. When it 126 00:05:57,839 --> 00:06:00,279 Speaker 1: comes to food, it's there's not like a time period, 127 00:06:00,360 --> 00:06:03,520 Speaker 1: but it does take time. So it is possible I promise. 128 00:06:04,120 --> 00:06:05,359 Speaker 1: What I want to say to a lot of this 129 00:06:05,440 --> 00:06:08,400 Speaker 1: stuff is these are things that I have seen um 130 00:06:08,440 --> 00:06:11,440 Speaker 1: and many clients and in myself, and I would never 131 00:06:11,480 --> 00:06:14,320 Speaker 1: ever talk about and encourage people to do things that 132 00:06:14,400 --> 00:06:16,800 Speaker 1: I didn't believe and I didn't think we're real, because 133 00:06:16,920 --> 00:06:19,000 Speaker 1: why would I do that. I have a good heart, 134 00:06:19,040 --> 00:06:21,000 Speaker 1: and I do really want to help people get out 135 00:06:21,040 --> 00:06:23,919 Speaker 1: of these ikey parts of their lives, and so I 136 00:06:23,960 --> 00:06:25,600 Speaker 1: say that to gain a little bit of trust in 137 00:06:25,640 --> 00:06:28,400 Speaker 1: the sense that I'm not making this stuff up. I'm 138 00:06:28,440 --> 00:06:30,320 Speaker 1: telling you what I know to be true from my 139 00:06:30,400 --> 00:06:33,960 Speaker 1: experience as a professional and as somebody who's gone through it. Now. 140 00:06:34,279 --> 00:06:38,440 Speaker 1: Third question, how do you differentiate between working out to 141 00:06:38,560 --> 00:06:42,440 Speaker 1: feel good and working out to burn calories and get 142 00:06:42,440 --> 00:06:44,479 Speaker 1: a body that you want? And you know this question 143 00:06:44,560 --> 00:06:46,120 Speaker 1: is right at my alley. I could talk about this 144 00:06:46,200 --> 00:06:49,720 Speaker 1: for like twenty minutes. Probably we're not going to do that. 145 00:06:50,360 --> 00:06:52,480 Speaker 1: It's also is tough, So this is a tough It's 146 00:06:52,480 --> 00:06:54,880 Speaker 1: a tough thing to do. So I'm glad somebody asked this, 147 00:06:55,000 --> 00:06:56,760 Speaker 1: and actually a couple of people ask this question. I 148 00:06:56,839 --> 00:06:58,839 Speaker 1: think that this is a muscle we actually have to build, 149 00:06:59,320 --> 00:07:02,440 Speaker 1: right And one what I would ask is, does your 150 00:07:02,480 --> 00:07:06,040 Speaker 1: anxiety skyrocket when you're not able to engage in whatever 151 00:07:06,160 --> 00:07:09,000 Speaker 1: movement you tend to choose without being able to sue 152 00:07:09,120 --> 00:07:11,800 Speaker 1: it in any other way outside of exercise. That would 153 00:07:11,800 --> 00:07:14,520 Speaker 1: be your first red flag. So movement is not the 154 00:07:14,560 --> 00:07:17,560 Speaker 1: only way to help our bodies feel good. And also 155 00:07:17,720 --> 00:07:20,800 Speaker 1: intense movement is not the only way to feel good 156 00:07:20,840 --> 00:07:24,400 Speaker 1: through exercise. So I would really look at, like, when 157 00:07:24,520 --> 00:07:27,200 Speaker 1: you want to feel good in your body, when you 158 00:07:27,240 --> 00:07:29,400 Speaker 1: want to be kind and carrying towards your body, and 159 00:07:29,440 --> 00:07:32,440 Speaker 1: you can't exercise, does your anxiety skyrocket and you're not 160 00:07:32,480 --> 00:07:34,960 Speaker 1: able to kind of regulate that and feel good. That 161 00:07:35,000 --> 00:07:37,440 Speaker 1: would be one area where we would we would know 162 00:07:37,680 --> 00:07:39,960 Speaker 1: why you're doing something. The other part that I would 163 00:07:39,960 --> 00:07:42,040 Speaker 1: look at if you are someone who has struggled with 164 00:07:42,080 --> 00:07:45,320 Speaker 1: exercise compulsions and addiction, I would encourage you to look 165 00:07:45,400 --> 00:07:48,600 Speaker 1: at the type of exercise you have historically chosen. I 166 00:07:48,640 --> 00:07:50,400 Speaker 1: know for me, I would choose the thing that I 167 00:07:50,440 --> 00:07:53,080 Speaker 1: could see that burned the most calories in the least 168 00:07:53,080 --> 00:07:55,920 Speaker 1: amount of time, and I would track everything. Those are 169 00:07:56,120 --> 00:07:59,960 Speaker 1: two other red flags. I did a lot of cardio, 170 00:07:59,800 --> 00:08:02,280 Speaker 1: and back then it wasn't because I loved it. It 171 00:08:02,400 --> 00:08:04,840 Speaker 1: was just because I could see the results on like 172 00:08:04,880 --> 00:08:07,880 Speaker 1: a screen. The fastest I would specifically do a lot 173 00:08:07,880 --> 00:08:11,440 Speaker 1: of running and the elliptical, which I cannot stand the 174 00:08:11,480 --> 00:08:14,480 Speaker 1: elliptical now. I also would encourage you guys to look 175 00:08:14,480 --> 00:08:17,440 Speaker 1: at what happens when I take my like Apple watch 176 00:08:17,560 --> 00:08:20,200 Speaker 1: or whatever like fit bit thing off when I'm not 177 00:08:20,280 --> 00:08:24,160 Speaker 1: tracking my calorie burn? Do I still think the exercise counts? 178 00:08:24,200 --> 00:08:26,760 Speaker 1: Does it change how I feel? And really does like 179 00:08:26,960 --> 00:08:29,440 Speaker 1: when I track how many calories I burn? Does that 180 00:08:29,480 --> 00:08:33,000 Speaker 1: take away from the experience for me? And I know 181 00:08:33,120 --> 00:08:35,040 Speaker 1: that I test that out every once in a while. 182 00:08:35,120 --> 00:08:37,120 Speaker 1: I really like to know my heart rate because I've 183 00:08:37,120 --> 00:08:40,040 Speaker 1: had some issues with that getting high at times, and 184 00:08:40,440 --> 00:08:43,240 Speaker 1: that's one of the reasons I wear my watch at times. 185 00:08:43,280 --> 00:08:46,719 Speaker 1: But I also practice taking it off like every other 186 00:08:46,760 --> 00:08:48,559 Speaker 1: time that I work out, and sometimes I don't even 187 00:08:48,559 --> 00:08:50,360 Speaker 1: wear it for weeks. I forget that I have it, 188 00:08:50,480 --> 00:08:52,240 Speaker 1: or if I use it, I'll put it where it 189 00:08:52,280 --> 00:08:54,719 Speaker 1: doesn't like show up or light up. If I'm going 190 00:08:54,760 --> 00:08:56,640 Speaker 1: on a run and just need to like map out 191 00:08:56,720 --> 00:08:58,640 Speaker 1: like mileage so I know how far I've been running, 192 00:08:58,679 --> 00:09:00,520 Speaker 1: but I'm not looking at every five seconds like I 193 00:09:00,600 --> 00:09:02,800 Speaker 1: used to make sure my paces on on track and 194 00:09:02,840 --> 00:09:05,000 Speaker 1: how many calories are burned in the last mile and 195 00:09:05,040 --> 00:09:07,959 Speaker 1: all that. So what I would do is encourage one 196 00:09:08,000 --> 00:09:11,480 Speaker 1: everybody to take a break from tracking through watches and 197 00:09:11,520 --> 00:09:14,160 Speaker 1: all that stuff. But also I would encourage anyone to 198 00:09:14,200 --> 00:09:17,360 Speaker 1: take a break from their typical routine. So maybe choose 199 00:09:17,360 --> 00:09:19,920 Speaker 1: a different kind of movement that gives your body a 200 00:09:19,960 --> 00:09:22,080 Speaker 1: break to see if you even really like it. I 201 00:09:22,120 --> 00:09:24,679 Speaker 1: took a really long break from running and the elliptical. 202 00:09:24,760 --> 00:09:28,000 Speaker 1: I did not return to the elliptical. I did eventually 203 00:09:28,080 --> 00:09:30,880 Speaker 1: learn how to run again for fun. But I really 204 00:09:30,880 --> 00:09:33,880 Speaker 1: got to evaluate. Am I doing this because I've been 205 00:09:33,880 --> 00:09:36,040 Speaker 1: told that this is like the good exercise that I 206 00:09:36,040 --> 00:09:38,880 Speaker 1: should be doing. Am I doing this because I enjoy 207 00:09:38,880 --> 00:09:42,080 Speaker 1: it and it feels good? And I don't know. Yeah, 208 00:09:42,120 --> 00:09:43,680 Speaker 1: I sweat when I would do the elliptical, but it 209 00:09:43,800 --> 00:09:46,880 Speaker 1: just is dreadful. So there are some thoughts on that. 210 00:09:47,240 --> 00:09:49,000 Speaker 1: If you have any more questions around that, I would 211 00:09:49,000 --> 00:09:50,840 Speaker 1: love to hear them. But I would really encourage you 212 00:09:50,880 --> 00:09:53,240 Speaker 1: to think about those three things. One, when I can't 213 00:09:53,280 --> 00:09:56,760 Speaker 1: do it, what happens to what happens when I take 214 00:09:56,880 --> 00:10:00,640 Speaker 1: my tracker or whatever kind of device I'm wearing off. 215 00:10:00,840 --> 00:10:02,800 Speaker 1: Does it still count? Do I feel differently about what 216 00:10:02,840 --> 00:10:05,480 Speaker 1: I'm doing? In three? What happens when I change up 217 00:10:05,480 --> 00:10:08,280 Speaker 1: my routine? And you can take from there. That wraps 218 00:10:08,360 --> 00:10:11,360 Speaker 1: up our special Couch Talks episode today. Thank you guys 219 00:10:11,400 --> 00:10:14,800 Speaker 1: for sending those questions, and I love the curiosity that 220 00:10:14,880 --> 00:10:17,760 Speaker 1: you guys have around some of this stuff. Whether it's 221 00:10:17,800 --> 00:10:20,319 Speaker 1: for you, or to help a friend or family member 222 00:10:20,320 --> 00:10:23,480 Speaker 1: that you see struggling, or you know an acquaintance, You 223 00:10:23,520 --> 00:10:26,400 Speaker 1: can help anybody. So I will be back on Monday 224 00:10:26,440 --> 00:10:28,880 Speaker 1: with the full episode of You Need Therapy. Make sure 225 00:10:28,880 --> 00:10:32,040 Speaker 1: to follow us at You Need Therapy Podcast on Instagram 226 00:10:32,080 --> 00:10:34,240 Speaker 1: and me at at cat dot dotata