Thanksgiving!

Be comforted dear soul! There is always light behind the clouds.

~Louisa May Alcott, Little Women

Thanksgiving is a day of thanks, a day of praise, a day of gratitude for the fortunate. Who is fortunate? Is it the rich person? Perhaps the one with a roof over the head? Or is it purely existence?  Is the fortunate one the person present living? It's different for everyone. My fortunate is the ability to stay present—in the now—and give thanks and praise. Present living was not always a possibility for me in the past, but now, living in this moment befriends me. Of course it's not always so easy when life is filled with trials and tribulations. 

Is there always a light behind the clouds?

Can you sit still on this day of Thanksgiving and connect to the present even if there’s a dark cloud over you? Have you ever tried to stay quiet in the mind driven by gratitude? It's pure heaven. The mind always wants to think about what needs to be done next or what we already did. It's not so easy to focus on the here and now and bask in grace and gratitude when daily worries distract you from the abundance that is yours. Mortgage payments, troublesome spouses, out of control children, roofs leaking, a headache, even sour milk can interfere with your gratitude on this day of Thanksgiving, but your Higher Source (Whomever you turn to—God, Jesus, Sun, Energy, etc.) during challenging times showers continuous blessings and love down on you.

What makes me fixed on staying present when chaos surrounds me is deep breathing my way to calm—the present moment. Like you, many of my loved ones are not here on this day of giving thanks, they died or live in another state but they remain in my heart, which encourages me to sit still in gratitude for what I have in the here and now.

I took a long luxurious bike ride this morning along the Inter-coastal and Atlantic ocean with the most spectacular view before me side by side with one of my sons. As we pedaled our way up the bridge we witnessed the sun peak out over the purple/orange backdrop on the ocean shoreline breathing in the sea air.  My legs are strong and my energy abound. My bike moves with me as if we are one. A new day is about to begin. I am in the now—present.

Thanksgiving was not always a time for me to sit in gratitude. I’m a recovering food addict, and in the past, today marked the eating frenzy that launched my holiday eating. Actually, truth be told, that’s not true,  my out of control food fest began from Halloween until January 1 when I’d make my New Year’s resolution. On Thanksgiving day I’d until I could eat no more—until the food was all the way up to the rim of my throat and my pants cut into my bulging stomach—promising I’d diet come Monday. And Monday never came.

I am an addict addicted to processed foods and this holiday for most food addicts is lethal because there is no end to the eating or at least until we are so full the pain is greater than the need for that one more bite.

Food addiction is a loss of control over eating coupled with the physiological tolerance and psychological dependence that occurs when a specific stimulus (food) is ingested. Typically, this addiction can result in negative consequences for basic life functions and relationships with family; social situations; intimate relationships; the sufferers relationship God and spiritual development; or in relation to the law, health, and work life.

Early in childhood I was fixated on sugar—never getting enough and going to great extremes to obtain it: stealing, hiding and hoarding. Although I didn’t have an awareness of food addiction, I knew something was wrong. In hindsight, I realize I ate out of control and bargained with myself and God to stop—after this one last pastry. I felt shame if I got caught stealing food or money to buy food; yet, I didn’t have the mentality to understand I was compulsive eating until my adolescent years when weight began to pile on. And even then I didn’t know there was an actual eating disorder called, binge eating disorder—and that I had it.

What I did know was my friends ate when they were hungry and stopped when they had enough and didn’t hide or sneak their foods nor had shame. Food addicts have a severe and ongoing disturbance in the manner in which they handle food. The depiction of addiction to food resembles the hallmarks of any addiction. The food addict is caught in the grip of a compulsive, habitual behavior that can’t be controlled.

The binge eater begins eating when she didn’t plan to and can’t stop eating when she wants to. Addiction is the persistent and repetitive enactment of a behavioral pattern the person recurrently fails to resist and that consequently leads to significant physical, psychological, social, legal, or other major life problems. Loss of control over eating and obesity produce changes in the brain, which is similar to those produced by drugs of abuse.

Today I practice mindfulness. The dictionary defines mindfulness as calm awareness of one's body functions, feelings, content of consciousness, or consciousness itself. I am totally conscious of my fingers dancing over the keys putting words together. I am told mindfulness is the path to liberation and enlightenment. It is the intense purpose of staying in the now. I get this. 
 

So, today I am present. I refuse to think about what needs to be done next or what I already did. I am present with each breath in and out. I am present to the sounds of birds singing and the whispers of the wind as it folds through the palm trees out my window. I am here and now. What makes me fixed on staying present is is the peace and tranquility it brings. And of course the whiff of turkey baking in the oven doesnt' hurt! 

Photos by:  Dr. Lisa Ortigara Crego

Happy Birthday America!

Happy Birthday America! It's hard to believe the Fourth of July weekend is once again coming to an end. So often we go through this holiday weekend marking the event with picnics, barbeques, and various outdoor activities. But, the 4th of July is much more than a day off of work. For me, it's a day worth remembering and reminiscing.

I'm grateful for my independence and freedom to live in this great country. Yes, it’s the day America decided to become independent of Great Britain and represents freedom to make our own rules and be responsible for our welfare, but it also is a time to look back and remember family events—good and bad.

This morning my day began with sunny, blue skies, white puffy clouds, birds singing and a wonderful walk, talk and prayer time with my sister. No doubt, a start to a picture perfect South Florida day! Independence Day is a time for Americans to remember and celebrate what was and what is—not only for our country but for your personal desires.

Are you on course?

Although today is truly glorious day for me, somewhere someone out there is mourning something. Perhaps a family member is sick, or you lost someone you love, or maybe you personally are facing a challenge of your own. I’m certain there are many fur-children out there not too happy. I can attest to my Sage’s fear of fireworks which is inevitable this entire weekend.

Also on this day I think of  my Mom and recall several Fourth of Julys before and after she suffered a massive stroke. I am filled with joy for great memories as well as sadness. The first 4th of July after her stroke I questioned how the world could still move forward while I was suspended in gripping emotional pain.

And yet, no matter where you are in your life today, even though you might be grappling with an emotional, physical, or spiritual loss, the 4th of July must go on. It is no doubt a time for celebration, which includes: picnics, boat outings, Barbeques, et cetera, along with foods, drinks and temptations. This is the American way!

I can't help but wonder what role food plays in illnesses, losses, and death. In my line of work (eating disorders and mood disorders) holidays can be very difficult when platters of favorite foods are presented in front of you. I have a long history of active food addiction that certainly was fired up during this very holiday weekend. My recollection brings me to our summer vacation home in Wautoma, Wisconsin where we began each morning of our holiday weekend with several boxes of glazed, chocolate, and long-john doughnuts filled with cream washed down with chocolate milk or a huge breakfast of eggs, bacon, cheese, and loaves of Italian bread slathered in butter.

Holidays meant lots of foods tempting me to eat myself into a coma. Today is different; I understand my food addiction and practice recovery every day. It’s not always easy and certainly I’m not perfect. I have witnessed in my practice, as a certified addiction professional, and certified eating disorder professional the different facets of eating disorders, none of which are easy to move from active addiction to recovery. But, it can be done.

My Mom had her own battle with food and weight. She spent all of her adult life obese and she ate large portions of high fat, salty foods. Perhaps she grew her body rather than restricted to accomplish hiding within her body. My grandmother, also a large woman, bounced from diets to bingeing. No doubt my food issues were inherited genetically and environmentally. Mom died just before her 67th birthday.

I believe unprocessed foods play a huge role in healthy minds and healthy bodies. All of my self-hypnosis CDs addresses the importance of clean eating, exercise, and spiritual recovery.

And so here we are on this glorious day. The Florida sun tucked away for the evening as festivities of 4th of July come to a halt. I wonder, as the last bits of fireworks fall from the sky, sounds still within ear shot, how many close this day with full bellies and empty bellies both rumbling from restricting or bingeing. Many are alone and lonely, turning to food for comfort...or not. Eating disorders come in many guises. It does not matter if your black or white...or somewhere in between. It does not matter if you're rich or poor...or somewhere in the middle.

Today, I celebrate America's Independence. I celebrate my independence. I broke away from food controlling me...and now live free. I hope those suffering and hurting today will find independence from pain and sadness—and the loss of loved ones. Life is to be celebrated. America is to be celebrated. Let's wave our flag proudly. We live in a country that offers help and hope to all.



Photo by: Dr. Lisa Ortigara Crego

Obesity in America...

On an Oprah show I heard Mrs. Obama discussing the obesity epidemic in America and how change needs to take place, especially getting children to incorporate more exercise and healthy foods as part of their daily lifestyle.

Great idea! But is it realistic?

I can't count how many families have sought my help with their children's obesity. When I suggest the entire family get off sugar, white flour and processed foods they get the deer-caught-in-the head-lights look. Or they stare at me like I sprouted horns right in front of their very eyes.

I go on gently to explain how attracted we are to processed foods because they are addictive and I discuss what food addiction looks like in children and adults. I share my food addiction story along with my recovery and often, in time,  they begin to nod their heads as they hear their story in my story.

Early in childhood I was fixated on sugar—never getting enough and going to great extremes to obtain it: stealing, hiding and hoarding.

Although I didn’t have an awareness of food addiction, I knew something was wrong.

In hindsight, I realized I ate out of control and bargained with myself and God to stop—after this one last pastry. I felt shame if I got caught stealing food or money to buy food; yet, I didn’t have the mentality to understand I was compulsive eating until my adolescent years when weight began to pile on. And even then I didn’t know there was an actual eating disorder called, binge eating disorder—and that I had it.

What I did know was my friends ate when they were hungry and they instincually knew to stop eating when they were full, and they didn’t hide or sneak their foods, nor did they have shame every time they ate.

Food addicts have a severe and ongoing disturbance in the manner in which they handle food. The depiction of addiction to food resembles the hallmarks of any addiction. The food addict is caught in the grip of a compulsive, habitual behavior that can’t be controlled.

The binge eater begins eating when she didn’t plan to and can’t stop eating when she wants to. Addiction is the persistent and repetitive enactment of a behavioral pattern the person recurrently fails to resist and that consequently leads to significant physical, psychological, social, legal, or other major life problems.

Loss of control over eating and obesity produce changes in the brain, which is similar to those produced by drugs of abuse.

Food addiction is a loss of control over eating coupled with the physiological tolerance and psychological dependence that occurs when a specific stimulus (food) is ingested. Typically, this addiction can result in negative consequences for basic life functions and relationships with family; social situations; intimate relationships; the sufferers relationship with God and spiritual development; and/or in relation to the law, health, and work life.

Research indicates more than half of Americans are overweight and at least a quarter near obesity. Weight loss products and services  cost consumers over 50 billion dollars annually and the numbers are climbing. More than 325,000 deaths are attributable to obesity-related causes each year.

My mother and grandmother were included in these statistics; their lives were shortened through a series of strokes and finally pneumonia as a result of their obesity.

So, yes I applaud Mrs. Obama for addressing children and family obesity and the wonderful suggestions she brings to the table. Unfortunately, I believe the problem goes deeper than exercise and healthy food choices. Food addiction is rampant and until their is a clear understanding about what it is and what the signs are all the diet and exercise suggestions will continue to go unheard.

Photo Taken by: Benjamin Crego

Easter Day...

When I think of pale yellow daffodils with deep golden centers the first thought that pops into my head is Easter and spring time. The second thought is Lent. Today is Easter and Lent has come to a close.

My Lenten plan was to go to church every Sunday and to be kind to everyone—no matter what. Well, I didn’t quite make it, but I did my best. Lent is the forty-day-long liturgical season of fasting and prayer before Easter. I definitely don’t engage in the fasting part, as anyone who knows me will tell you I’m not nice when I’m deprived of "my" food. So, I continue to eat my three healthy meals a day with a half meal as a snack, and it works like a charm.

When I think of the meaning of Lent, I can't help but slip into my many memories of vowing to God I will not eat chocolate, sugar, and flour for forty days and forty nights. Back in the days, on Ash Wednesday, I would sit in the pew, teeth clenched, with the promise to never ever binge on sugary, chocolaty foods starting day one of Lent. I promised—only to fall a few short days into my penance.

This morning with church jam packed from one end to the other, I was without a seat, pressed against the side wall with an opportunity to observe everyone. As I looked around the church, watching all those sitting comfy in their pew, I let my mind wander, while a priest I didn’t know went on talking about how great it was to see the church full, and at the same time I scanned the room assessing and guessing what each person gave up for lent and questioned if they were relieved that today they can indulge once again, or if they made it as far as they intended on Ash Wednesday.

Then my mind reverted back to myself—hmmm—I guess I could yell at someone today. Not. I can't miss the point and move in the wrong spiritual direction of where I strive to be. As my mind continued to wander and wonder which of these folks gave up alcohol, or maybe drugs, sex...or some behavior or thought they were agonizing over. I used to give up this, that, or the other, and made it for just a few days before succumbing to my addiction: food.

As far back as a small child I gave up candy for Lent. And even then I couldn’t string but a few days together before diving into some gooey treat. If mom didn’t catch me then my conscience did. I always felt God watched and one day He would punish me for will power deficit. But, today I know my God of understanding is filled with love and that will power has nothing to do with addiction and that abstinence for me was (and is) the resolution. Today, I left church snug, with my conscience in tact, and feeling all the glory of Easter.

It is evident to me that I have come a very long way from those many Lenten seasons of the past. I made my way back to my car smiling and nodding at others and they responded in kind—I pondered to myself on how warm and loving their eyes were and at the extra gaze they so generously gave. I think I’ll continue practicing kindness and love.


Photo by: Dr. Lisa Ortigara Crego

Yo Yo Dieting

When I explain what is really going on with binge eating and food addiction patients often resemble the deer in the headlights look. It is like they are caught! As Oprah often says, "It is a light bulb moment!" Suddenly understanding their up and down weight loss and gain becomes clear. The yo yo dieting syndrome has an explanation...an answer. It's not their fault!


Yo yo dieting is more the norm than not. The other day I was watching a recorded Oprah show (April 30, 2009) interviewing Kirstie Alley and a second person (a non-movie star) Michael Hebranko. Both were telling their heart-felt stories of losing and gaining weight. A story I know all too well. I felt their pain and urgency. Not only do I understand their yo yo diet syndrome, the patients I work with day in and day out share a similar story. What is the answer?

As I watched, Kirstie promised with such conviction she would lose her weight again and owned the "secret" way to drop weight quickly. I sadly shook my head thinking about how many times I promised to lose the weight and that I had the quick weight loss secret too. Kirstie swore she lost 20 pounds in a few short weeks and would reach her "goal" weight come November(which I need remind you she had promised for her bikini debut back in 2007). Oprah interjected, suggesting she might be setting herself up for failure. I (alone watching this taped video) was cheering Oprah for stepping in and recognizing Kirstie's "diet" mentality perhaps being detrimental to her success. Sadly, at no time did Oprah or Kirstie acknowledge abstinence from their drug(s): sugar, flour, and wheat. It reminds me of the addict who promises they will never take another hit, snort, or shoot up again, but without admission to the addictive components, rather only looking from a "will power" frame of mind. I was hearing diet and addiction mentality.

Michael Hebranko was different than Kirstie in that he was not a movie star bearing the glitz and twinkle. He reminded me of one of the first patients I saw in my early days of practice. He was wearing close to 1,000 pounds of weight like Michael. I made weekly house calls (back in the 90's when I was new in my profession) and conducted psychotherapy. He was a delight to work with. He understood sugar, flour, and wheat were drugs to him and agreed to abstain. He understood developing a spiritual connection to something greater than himself was the key. Like Michael, he dropped hundreds of pounds. When he was at a safe place weight-wise we agreed he would drive in for therapy. Instead, he began to binge. Again, like Michael, he put his weight back on. Unlike Michael my patient passed away. He was only 27 years old. Addictions are stronger and bigger than our will to stop using.

Michael, unlike Kirstie, was aware he needed to take one day at a time and practice recovery. He was no longer reaching for the "quick" fix. He was humble and focused. He seemed to have an understanding that certain foods were triggers for him, but I did not hear words of abstinence from these foods, particularly flour. He also recognized a higher power (he called God) as he kept referring to God in the interview and how thankful and grateful he was for this second opportunity to correct his weight. He released 300 pounds. Although he had several hundreds of pounds to go, he was focused on the here and now, working his program one meal at a time with progress not perfection. I think he will make it!

Although I personally never weighed more than one hundred pounds above my ideal weight, I can relate to both Kirstie Alley and Michael Hebranko. When I was in the food I promised I would stop. I too vowed to lose the weight and never binge again. I meant it! After I would drop some weight and start looking good I would fall into a binge. It was not until I realized I had to let go of the addictive foods in order to be free of the obsessions and cravings. It was not a question of will power but rather of letting go of an addiction to specific foods. As simple as it sounds it worked. My weight corrected and I am free of cravings. Many patients I work with also are free from cravings and have returned to their normal weight. I wish I could say they all followed my path, but truth be told, many are on the same ride as Kirstie Alley and Michael Hebranko, gaining weight they lost.

Statistics show about 5% of people keep off the weight they have lost for more than a year. And, those that have the weight off for more than 5 years have a better chance of staying thin. Thank you God I fall into this category! I believe Kirstie is setting herself up for failure vowing once again to wear a bikini in November and rushing to lose her weight. This is diet mentality. I did not hear the same diet talk from Michael. I heard a clear understanding it was a process that would take time. He seemed to understand eating balanced meals and taking one day at a time was the ticket to his recovery. Although I did not hear specific talk about spiritual recovery, Michael echoed some thoughts regarding God. Kirstie did not mention any spiritual understanding. Perhaps this could be part of her missing link. It is not about the food, nor is it about the weight. It is about having an addiction to food. It is about turning to a physical, emotional, and spiritual recovery.

So, as I finished watching Oprah’s interview with two very familiar stories it allowed me to reflect where I had been and where I am today. Their story is my story; however, I am on the flip side of it and live life free of weight, worry, and diet mentality. No more deer in the headlights. The answer is eating free of sugar, flour, and wheat and turning it over to a power greater than our own. This power can be whatever is fitting for each person. It could be God, energy, the sun, et cetera...



Photos taken by: Dr. Lisa Ortigara Crego