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great CBT book

Discussion in 'Lighter Life Forum' started by silhouettes, 14 March 2008 Social URL.

  1. silhouettes

    silhouettes Silver Member

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    I just wanted to recommend this book to everyone.
    The beck diet solution, train your brain to think like a thin person. It's by Judith S Beck.
    The book completely backs up and helps understand the things we are taught in foundation. Its a wonderful book to have especially if you find the sessions your counsellor does are confusing or you would like to know more about it.
    The book says its a six week CBT programme but i am just using it to dip in and out of, we also use it in our development and management groups with our counsellor but i know most groups dont use it.
    Anyway, I thought i would share.
    You can pick it up on ebay for about £6 and mine arrived within 3 days of ordering.

    sil
     
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  3. Kate78

    Kate78 Full Member

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    Yes I got this book, it's really good. Would recommend it to everyone.
     
  4. Frejja

    Frejja Silver Member

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    Thanks for the tip!
     
  5. gobubbles

    gobubbles Live the dream...

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    Just found this outline of the most important themes of the book. Thought it might come in useful...:cool:
    Basics of The Beck Diet Solution

    Create Your Advantages Response Card

    A "Response Card" is an index card or similar sheet that is convenient for you to carry with you or otherwise keep handy. Today's assignment is to write down all the reasons you want to lose weight, and rate how important those reasons are to you (very important / important / somewhat important). Then you must read this card at least twice daily, plus whenever you feeling like giving into cravings, temptations, or sabotaging thoughts.

    You need to select two times each day when you will read the card, and set up a system to remind yourself to read the card.

    Pick Two Reasonable Diets

    You can pick any reasonable, healthy diet plan. Then also pick a second reasonable diet as your backup plan, in case your first diet doesn't work out for you. The Beck Diet Solution is an approach, not a diet, so you will need to do some research in this area.

    Eat Sitting Down

    It's important to eat sitting down and not standing up so that you can see your food laid out in front of you and become more visually satisfied. Unplanned eating is also much more likely to occur if you are standing up.

    What will you do to remind yourself to eat sitting down?

    Give Yourself Credit

    Learn to recognize all of the positive things that you're doing each day, so that when you make a mistate you don't blow it out of proportion.

    Eat Slowly and Mindfully

    The Beck Diet Solution reminds us that it takes up to 20 minutes for the brain to get the message from the stomach that it's full. In addition to slowing down, she recomends concentrating on what you are eating in order to increase satisfaction from smaller portions. In the long run she feels it's unrealistic to eat without distractions (her patients never stick to it) but she suggests practicing without distractions at first to learn how to eat mindfully even if you're distracted.

    Get a Diet Support Coach

    The Beck Diet Solution recommends getting a coach to increase your chances of being successful at weight loss. We have this through this team- thanks anew07 and to everyone here! The purpose of the coach is to help with motivation, accountability, keeping perspective, giving yourself credit, etc.

    Arrange Your Environment

    Eliminate trigger foods from your home and work environments.

    "Don't worry about throwing out food. It's going to get wasted one way or another - either in the trash can or in your body."

    Make Time and Energy for Dieting

    The Beck Diet Solution makes the point that in order to be successful at dieting, one must have the time to devote to shopping, planning and preparing meals, exercising, etc.

    The book includes some worksheets where you can examine your schedule and also work on prioritizing. To make more time she recommends things like getting others to help, not requiring perfection, etc. Many people aren't used to making themselves a priority and the book includes responses to various self-sabatoging thoughts.

    Select an Exercise Plan

    Two types of exercise: 1. Spontaneous Exercise - taking advantage of situations you're in to get more exercise. 2. Planned Exercise

    The importance of exercise cannot be overemphasized!

    Pick a Reasonable Goal

    Dr. Beck suggests making your short-term goal to be to lose 5 pounds.

    Differentiate Between Hunger, Desire and Cravings

    True Hunger = you've fasted for several hours and your stomach is empty.

    A Desire to Eat = Not being particularly hungry but eating because there is food around. For instance, at Thanksgiving you ate a big meal yet you still want to have seconds or dessert.

    Craving = A physiological and emotionally intense urge to eat. You may feel tension and an unpleasant yearning sensation in your mouth, throat, or body.

    If it has been between 20 minutes and 3 hours since you've eaten a reasonable-sized meal, any urge to eat is probably due to a desire to eat, not to hunger.

    Practice Hunger Tolerance

    "When people who struggle with dieting get hungry, they often feel hunger pangs intensely. The sensations can feel like an emergency. All their attention gets focused on how uncomfortable they feel - and when and where they can get food. They begin to think they won't be able to stand feeling that way."

    The point of the exercise is to show yourself that you can tolerate hunger. Hunger is not an emergency, you don't have to eat just because you're hungry. Just because you want to eat doesn't mean that you should. So instead of getting sucked into that cycle of stressing because you're hungry, when you feel hungry but it's not time for a meal or snack you can say to yourself, "It's no big deal. I wish I could eat now, but it's OK I'll wait." Hunger comes and goes. As you turn your attention to other things, the hunger will diminish.

    Overcome Cravings

    "Cravings usually peak within the first few weeks of your diet. Once you limit or stop eating the foods you crave, your cravings for those foods will diminish significantly. . . .To weaken the intensity and reduce the frequency of cravings, however, you have to stop giving in to them.. . . . The more often you wait out your cravings, the less intense and less frequent they'll be in the future."

    Much like the point of practicing "hunger tolerance" showed you that hunger was not an emergency, practicing "craving tolerance" will show you that cravings are not emergencies either. You'll be able to say to yourself, "I'm feeling a craving but that's OK. I can tolerate it and it will go away."

    "Cravings start to diminish the moment you decide you're absolutely not going to stray from your diet. They increase when you're indecisive about whether or not to eat."

    Plan for Tomorrow

    Each day, write a food plan that includes everything you are going to eat tomorrow.

    Monitor Your Eating

    Keeping a written record of what you eat increases the chances that you'll lose weight and keep it off. Don't try to keep a mental tally, because you will forget some of the things that you have eaten. Instead, make your notes immediately after you've eaten.

    Every Day: - Follow your written food plan, eating everything planned (unless you become overly full) and without skipping any meals. - Immediately after finishing each meal and snack, note in your food journal what you ate. - Give yourself credit - Respond to sabotaging thoughts if you eat something you shouldn't. Tell yourself it isn't a big deal, you're going to write it down and get back on track immediately. - Review: At the end of the day look at your plan. If any problems arose, figure out what you need to do to prevent them in the future. If you need help problem solving, ask your diet coach for help.

    Prevent Unplanned Eating (NO CHOICE)

    When you're tempted to eat something you shouldn't, your internal argument ("I want it! . . . but I shouldn't eat it!") creates tension, which is emotionally and physically uncomfortable. You'll be tempted to relieve this tension by eating. Notice, though, that once you've made the decision to eat, your discomfort immediately subsides - even before you've taken a bite! Just as deciding to eat can release this tension, so can deciding not to eat.

    Establish your NO CHOICE eating rules. This decrases both the struggle and the discomfort.

    End Overeating

    The Beck Diet Solution alerts us to two types of overeating: * You eat any food in a greater quantity than you had planned; or * You feel full partway through your meal but continue to finish it anyway, leading to a feeling of overfullness.

    Typical situations where you may overeat are at a restaurant, when you are served large portions, or if you're eating family style and can easily take seconds. (I actually don't serve foods family-style for this reason.)

    To practice, select a meal and (1) choose a food that's on your plan, but give yourself a larger portion than you would normally allow; and (2) put something on your plate that you're not supposed to eat. At the beginning of the meal, you can push the extra portions to the side of your plate and eat only the remaining food.

    If you're tempted to eat the extra food, use anti-craving techniques (assess your level of discomfort, tell yourself NO CHOICE, etc) and respond to any sabotaging thoughts.

    When you've finished eating just the food you're supposed to, clear your plate. Throw out the excess or save it for another meal.

    To lose weight, you must stop eating when you've eaten the amount of food on your plan. Remember the excess food will go to waste - in your body or in the garbage.

    Change Your Definition of Full

    To determine if you've overeaten, think about how easy would it be for you to take a walk at moderate to brisk pace before you eat. You should be able to walk at the same pace just as easily after a meal. If you can't, then you've overeaten.

    For the next month, after each meal, ask yourself if you could easily go for a moderate to brisk walk. If you're not sure, try it.

    Stop Fooling Yourself

    "Dieters have an amazing ability to delude themselves about food." Beck lists examples of "fake" excuses such as: --I'll eat it only this one time -- It's not that fattening -- I'll make up for it by eating less later -- It won't matter --It'll go to waste -- I'll disappoint someone if I don't -- Everyone else is eating it -- I'm celebrating --I really want it --It's a special occasion --I'm upset and I just don't care --I'm craving it and I'll probably just eat it eventually

    To stop fooling ourselves, notice what goes through our minds the next time we have an urge to eat. She recommends making a response card such as "It's not okay..." and including things such as how "it's not ok to eat unplanned food of any kind. I'm just trying to fool myself. Every time I eat something I'm not supposed to I strengthen my giving-in muscle. Though I might feel good for a few seconds, I'll feel bad afterwards. If I want to lose excess weight and keep it off I absolutely must stop fooling myself."

    Get back on track

    This technique involves responding to a specific fooling-ourselves thought-- to abandon our food plan for the whole day after we've eaten something we weren't supposed to. Beck points out that whatever we ate-- even 500 calories-- is unlikely to noticeablyaffect our weight. There's no reason to keep going and take in an extra 100, 200, 300, or 3000 calories.

    Beck advises: (1) Acknowledge our initial slip "Okay, I shouldn't have eaten that, I made a mistake, This one mistake won't make me gain weight this week." (2) Recommit yourself to your diet-- reading the Beck book, response cards, etc (3) Draw a symbolic line saying: "Here's the line, right here, where I stop this unplanned eating." Mark it by brushing teeth, going for a walk, etc. (4) Give yourself credit for stopping at any point. It's impotant to not get demoralized. Give yourself slack for being human and making a mistake. Give yourself credit for getting back on track when you'd like to keep eating. (5)Watch out for feelings of failure and helplessness. Remind yourself that mistakes are inevitable- it's normal to stray sometimes. It doesn't mean you're a failure and can't diet successfully (6)Continue to eat normally. If you cut back you'll likely feel unhappy and anxious about being hungry and then decide to eat whatever you want. (7) Learn from the mistake. For example, did you forget to review your response cards (especialy Advantages, No Choice, It's not okay)? Neglect your food plan? Encounter an unexpected trigger? etc.

    Make a response card that reminds you that: "It's not the end of the world. I can start following my plan again right now. Just because I made a mistake doesn't mean I should keep eating. That makes no sense. It's a million times better to stop now than to allow myself to eat more."

    Get Ready to Weigh In

    Beck says that the advantages of weekly weigh-ins are: (1) They allow us to celebrate and build up confidence when we've lost weight (2) They keep us honest if we've gained and (3) They help us stay committed.

    It's important though not to step on the scale with the wrong mindset or it can erode our motivation. If we view our weight as an indication of how weak, inadequate, or out of control we are, weight gains (or smaller than expected weight losses) can result in overeating. She urges using the scale as a source of information only-- like taking our temprature. If the number doesn't go down, we shouldn't waste time blaming ourselves. Instead, we shoudl consider what might be wrong (e.g. getting too lax, needing to add exercise) and then doing something positive to solve the problem. Beck recommends using a graph to chart our weight loss. Even if we weigh every day, we should chart once a week. The chart shouldn't have our actual weights, just our change in weight for every 5 lbs lost. When we lose 5 pounds we make a new graph.The weight chart can serve as a motivator. She reminds us that our weight is unlikely to go down every week but if we're following our plan then, overall, our weight WILL go down.

    Say Oh, well to disappointment

    This skill is about changing the sabotaging mindset that gets us to feel resentful or rebellious about dieting when the scale doesnt say what we were hoping or we see friends eating what we cant. The disadvantages of dieting seem greater than the advantages--What do I have to do what this book says? There must be an easier way! At such points Beck recommends acceptancethat we can accept the disadvantages of dieting as a necessary means to an end rather than to keep railing against the fates.When were struggling we can try saying, Oh wellreminding ourselves that though we may not like dieting, it is reality, it is what we have to do to reach our goals. For example: I really feel hungry. Oh well or I wish I could order a hamburger instead of a salad. Oh well.

    Countering the Unfairness Syndrome

    Beck suggests this rule to help those of us who give ourselves permission to eat when confronted with issues of fairness. She points out that weve all grown up with the idea that life should be fair but it ISNT. Its not fair that some people die young, some people go hungry, etc. She suggests that when we find ourselves saying, Its not fair that ---- (e.g. I cant eat cookies right now while everyone else can) we should say, Yes, thats true, its not fair. Oh well. Then refocus our attention on all the advantages we do have in our lives compared to others.

    She suggests this response card: Dieting may not be fair but I have two choices. I can feel sorry for myself, stop following my plan, never reach my goal, and continue to be unhappy with myself. Or I can sympathize with myself but go ahead and do what I need to do. Everyone experiences some kind of unfairness in life. This is one of mine. Besides, the greatest unfairness would be if I let this excuse prevent me form reaching a goal I strongly want to achieve.

    Deal with Discouragement

    With this technique, Beck is trying to teach us ways to find encouragement and motivation, especially in the face of self-doubt.

    She says that it's normal to feel overwhelmed or discouraged at times-- wondering whether we can keep doing what we need to do. It's not okay though to let these thoughts overwhelm us. When we start to think: "It shouldn't be this hard" or "I'll never be able to keep this up" or "I don't want to do this anymore"-- it's important to remind ourselves that we CAN do what we need to do. Dieting does get easier. The following will help us persevere: -- Read our Advantages Response card more often, thinking about each item and adding more

    --Add up the difficult hours. She says that most dieters she has worked with have wanted to give up at one point or another. They often say: "I've had such a hard week. I don't know if I want to do this anymore." When they actually look at the week, though, they'd see that most of them struggled between 20 minutes and 2 hours once or twice that week. For the other 164 hours, they hadn't struggled. But those memories of the struggle tainted their recollection of the whole week.

    --- Focus on what you can do today. Instead of thinking about the longterm, think: "I just need to continue to do what I need to do today. If it's hard tomorrow, I'll deal wit that then."

    Identify Sabotaging Thoughts

    Beck emphasizes that it's important for us to learn to recognize our sabotaging thoughts and to respond to them effectively. She points out that eating off our plan doesn't happen automatically-- that almost always it is preceded by a thought or series of thoughts.

    She recommends carrying our diet notebook and pen with us for a few days, marking down our sabotaging thoughts. We might not always pay attention to them. If we notice we're tempted to eat we should ask: "What was just going through my mind?"

    Common diet-related sabotaging thoughts include: * Dieting is too hard * I don't care * It's okay to eat this * I really want it * I'll make up for it later * It will go to waste if I don't eat it * I don't want to disappoint or inconvenience ))) * I'm stressed/tired/sad/bored/upset * I'm treating myself

    For now, she suggests not worrying about what to do with the thoughts. She'll be covering that over the next days' techniques.

    Recognize Thinking Mistakes

    Thoughts are ideas -- not truths. Just because I'm thinking something does not make it true.

    Master the Seven Question Technique

    In this step, Beck has us create response cards to help us more effectively reply to our sabotaging thoughts. She recommends looking through our diet notebooks to identify common distorted thoughts. Then, using the 7 questions below, we should ultimately come up with response cards that we can read over at set times as well as whenever we need them.

    The 7 Question technique: 1. What kind of thinking error could I be making? 2. What's the evidence that this thought might not be true (or completely true)? 3. Is there an alternative explanation or another way of viewing this? 4. What is the most realistic outcome of this situation? 5. What is the effect of my believing this thought and what could be the effect of changing my thinking? 6. What should I tell a close friend/family member if he/she were in this situation and had this thought? 7. What should I do now?

    Beck suggests writing one or more Response Cards using the Seven Question technique now. Read these along with our other cards at least once or twice a day. As we identify more sabotaging thoughts, create more Response Cards.

    Get Ready to Weigh In

    Beck recommends weighing in at least once a week. So if you are following her plan along her time line, this would be the end of the 2nd week of dieting. She recommends wearing the same clothes as the week before and adding a new dot on your weight loss graph, connecting the dots. She includes various sabotaging thoughts and helpful responses for different scenarios of losing a lot of weight, a little bit of weight, or no weight (including gaining).

    Resist Food Pushers

    Decide About Drinking

    If you want to include alcohol in your diet, you must plan for it in advance, just like food. This means that you must know how many calories are in the drinks you plan to have, limit your consumption, and make sure that it does not lead to unplanned eating.
     
    1 person likes this.
  6. That's_So_Fetch

    That's_So_Fetch Gold Member

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    Wow, thank you for that post gobubbles, i will definatley be printing this off. Thank you for reccomending the book, i will have a look for it in the shops at the weekend :) Thank you xx
     
  7. karmawitch

    karmawitch Full Member

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  8. Polly740

    Polly740 Full Member

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    Thanks Sil & Bubbles - sounds like it's certainly worth a read......
     
  9. msblonde

    msblonde a new way of living!

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    I have this book and its great, I love it, I follow slimming world (have done tfr before on lipotrim).

    does anyone want to become a diet buddy and help each other along? its so hard to actually find someone where the novelty doesn't wear off after two weeks!

    just been sharing a diet diary (no other contact, no phone calls etc) just a diary and i facebook message mine every day and the other person has just started to skip the messages, and not replying unless I prompt them.

    I would love to share a buddy system with someone who was serious long term about the tasks in the beck book, and help each other, but the reality of finding one is quite different!

    anyone interested?
     
  10. HannahNewton

    HannahNewton Loves to post

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    Bump to the top
     
  11. realtin

    realtin New Member

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    Thanks

    Thanks for putting up that - great help :)
     
  12. Carly79

    Carly79 Full Member

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    I just picked up a copy of this £2.99 at the works! Bargin!
     
  13. HannahNewton

    HannahNewton Loves to post

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    Got a copy of this today in The Works for £1.99!! Will let you know what's it's like. :)
     
  14. HannahNewton

    HannahNewton Loves to post

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    Finding this book really useful.

    Dipping in and out of it a bit, but want to start doing all the exercises day by day.

    Bargain for £1.99!! xx
     
  15. CANdothis

    CANdothis WILLdothis

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    Thanks so much for posting (and bumping) this!!! That is really very helpful and definitely resonates! I'll wonder up to the works later to see if I can find a copy! :D
     
  16. HannahNewton

    HannahNewton Loves to post

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    Loving this book and bargain at £1.99 - going to pick up a copy each for my sister & my niece. :)
     
  17. CANdothis

    CANdothis WILLdothis

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    Managed to find a copy earlier and its still just 1.99, bargain!! Its exactly what I've been looking for so thanks again!! :D
     
  18. Spanglymum

    Spanglymum Gold Member

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    Thanks for this recommendation - mine's on order from Amazon as I'm (a) impatient and (b) don't know where my nearest "Works" is! Looks like a great book!
     
  19. fitnessqueen1

    fitnessqueen1 Full Member

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    Ive also ordered a copy from Amazon I'm hoping it will help me manage my weight once and for all!
     
  20. Twinny

    Twinny Full Member

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    Ive just reserved a copy at the library....if its good then I'll get myself a copy :)
     
  21. CANdothis

    CANdothis WILLdothis

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    Hiya you can find your nearest shop here:

    https://www.theworks.co.uk/corporate/Stores

    It was in the health section :greenapple:
     
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