There are three reasons that people want
to lose weight:
for better health, for enhanced personal appearance and to feel
better physically and psychologically. In spite of these important motivational
factors, intelligent people who are successful in most areas of their life may
be unsuccessful in controlling their weight.
Some have struggled with weight
problems from childhood on; for others the problem did not arise until their teen
years or adulthood. Most people who have consulted me for weight loss have
made many efforts to lose weight on their own, or by getting into some kind of
diet program. Usually they have tried many different kinds of diets and
have participated in many different diet programs. They usually start each
program with great enthusiasm and have some initial success in losing
weight. Eventually they go off the diet and gain back all the weight they
lost plus a few extra pounds. They wind up with nothing to show for their money
and efforts except the unhealthy effects of cyclical weight change and a greater
sense of personal failure.
This cycle of weight loss and weight gain is common for three reasons:
(1) Some rapid weight loss diet programs put your body into a
starvation mode which causes it to become more efficient at storing fat when you
stop dieting. (2) Most diets create a psychological rebound effect because
you feel deprived of certain tastes and favorite foods while on the diet and
this feeling of deprivation leads to a burst of uncontrollable overindulgence
when you go off the diet. (3) Diet
programs do not take into account individual differences between people.
They have everyone follow a certain "program" without addressing
the different eating patterns, personalities, and motivational factors
for each individual.
Most people who have weight
problems are very knowledgeable about calories and dietary matters. The problem
is not a lack of information, nor is it a lack of character strength. The
failure of conventional diet programs is due to the fact that diets tend to
create a time-limited, temporary change in behavior. The person learns
to follow a particular diet successfully for a limited period of time, but
eventually falls back into old faulty eating habits. Assuming that your weight
gain is not due to a thyroid deficiency or other health problem, being
overweight is a psychological, motivational and behavioral
problem, involving deeply entrenched habit patterns and impulse control
problems.
In my own practice:
I have found that
it is productive to address the individual psychological and motivational factors
which affect each person in a way that is unique to their life style and
personality in order to establish a sound foundation for a permanent change in
habitual eating habits. I usually use three to four visits, which are structured
in a way that allows us to identify clearly and specifically the nature of the
person's motivation to lose weight and the obstacles which stand in the way. I teach
my patients to use a form of
self observation and evaluation which pinpoints the specific behavioral changes
which they need to get in control of their pattern of eating. It is not
sufficient to know what you are supposed to be eating, it is necessary to make
some changes in the structure of your eating behavior, eating environment and
thinking in order to succeed in establishing effective weight control.
The published results of recent
long term studies of weight control
at Stanford University's Prevention
Research Center, the Harvard School of Public Health and the Pennington
Biomedical Research Center of Louisiana State University are consistent with the
approach I have developed based on the study of the results of previous research
as well as my experience with patients in my own practice. These findings are
summarized briefly in a February 26, 2009 Los Angeles Times front page article
entitled "Weight Loss Boils Down to Calories." It refers to an online
publication of the New England Journal of Medicine.
The findings indicate that
conventional diets are not very successful in the long term. They result in an
average weight loss of 13 pounds after 6 months, but a disappointing average
loss of only 9 pounds after two years of dieting. The use of popular programs
that recommend different, and contradictory proportions of fat, protein and
carbohydrate in the diet was found to result in no advantage for any one of
these programs. ("The winner is...not low carb, not low fat, not high
protein...") The only significant finding was that people lost weight when
they reduced their total caloric intake. The conclusion is that the prospect
for permanent weight loss depends upon the effective establishment of long
term changes in eating habits that succeed in reducing total caloric intake on a
regular, on-going basis.
What I can offer you:
If you are a local resident: In my private practice, I
use a combination of hypnosis and behavior modification to help my patients
establish good control over their pattern of eating. First I will be
collecting information about your pattern of eating and the psychological
factors affecting how you eat. These factors are different for each person and
need to be clearly identified. Based on that information I will be making some
recommendations about how you structure the place and manner of eating in your
life. There are certain basic behavior patterns that can increase or decrease
the likelihood of over-eating. Then I will work on clearly identifying the the
motivational factors that constitute the most important reasons you want to lose
weight. The significant motivational factors vary with the individual, sometimes centering
on health issues, sometimes upon physical appearance or other personal or social
issues. It is essential to identify clearly the specific motivational factors
which are of dominating significance for each individual to establish a sound
basis for effective change. I use this information to teach you a method
of behavior modification to establish favorable changes in your eating habits.
I then design a hypnotic procedure specifically to address the behavioral
changes and the motivation that is required for you. While doing the hypnosis in the office, I make a
recording of the procedure and will instruct you about how to use the recorded procedure
at home for reinforcement. This is important because the effects of hypnosis
are reinforced by
repetition. It is my goal to help you establish a new pattern of
handling food that becomes habitual and rewarding rather than continuing to
vacillate between periods of over-eating and periods of dieting.
These procedures are usually completed in four
visits. Then I have you continue to make use of the
behavior modification techniques you have learned, along with repetitions of
the recorded hypnotic procedures at home.
If you are not a local
resident, but wish to consult me for weight control, I can arrange my schedule to
complete the procedure in two double sessions, requiring only an overnight stay
locally. These visits will be preceded by an initial telephone consultation to
get you started on collecting information I will need to expedite the
process.
How can you decide who is the
right professional person to help you with this kind of problem? You may get
information about me at Marvin S. Beitner, Ph.D.
You may get information about how to evaluate the credentials of any
psychologist at Check
Qualifications.