Alcohol abuse can be an issue for many people amidst the Coronavirus Pandemic, due to job loss and the stay-at-home orders which are in place. You may never have experienced issues with alcohol abuse, but notice that your alcohol consumption has been increasing – perhaps you’re drinking every day, starting to drink earlier in the day, switching from beer to wine to hard liquor – all of which are signs of alcohol abuse. Or, you may be an alcoholic who has many years of sobriety, finding yourself “thinking about drinking” – and then acting on those thoughts, going into a relapse. In many ways, the impacts of the coronavirus are a “perfect storm” for alcohol abuse:

• you feel anxious about everything going on;
• you don’t want to experience those uncomfortable emotions;
• you rationalize that drinking can temporarily “numb” unpleasantries;
• you don’t have to report to work so you can drink as much as you want;
• you justify that drinking will be a “fun” way to cope;
• you don’t have to worry about a DUI because you’re staying at home;
• you might live alone and not have to be accountable to anyone;
• you can be enabled by drinking with others via video conference;
• you have alcohol delivered along with your food which makes it oh-so-easy;
• you figure that “no one will know” if you relapse…
• what are the reasons YOU may be drinking right now?

On a personal note – I want to share why I’m especially concerned about the coronavirus and alcohol abuse. During this challenging time, my brief “addiction” was watching TikTok videos. Watching these short video clips on a variety of topics took my mind away from the severity of the Coronavirus Pandemic, and temporarily gave me something to laugh about. However, I began to notice that many of these videos had alcohol as a theme: coronavirus drink recipes (using the beer Corona mixed with other ingredients), “Bored in the House” drinking games (featuring the song of that title by Curtis Roach, played in the background of the video), making fun of oneself while drinking (to excess, which is alcohol abuse). These subjects may be funny to some, but to me, it’s no laughing matter. That’s because I’m a Licensed Addiction Counselor, and in addition to the treatment of eating disorders, I also provide counseling for people who abuse alcohol (the clinical term is, Alcohol Use Disorder).

April is Alcohol Awareness Month, so this is another reason that I’m writing about the topic of coronavirus and alcohol abuse in this article. There are many reasons why people develop Alcohol Use Disorders, including past traumas, current stressors, and genetic factors. The stress associated with the current Coronavirus Pandemic can be extreme, as people are losing jobs, losing money, and losing their lives. The bullet point list in the first paragraph described many possible triggers for alcohol abuse. How do you know if you’ve “crossed the line” from being a social drinker to an alcohol abuser? My simple answer is, if you’re concerned about that, then you probably have. For a definitive answer, consult with a Licensed Addiction Counselor, or similar type of mental health professional. Amidst the coronavirus, many counseling offices are open (as long as social distancing can be maintained while meeting in person). Other options include telehealth (sessions conducted by phone or video conference).

Although coronavirus issues can lead to alcohol abuse, this time of social distancing and stay-at-home orders can also be an opportunity for recovery. Here are a few recovery tips:

• find friends who will commit to staying “Corona-free” for the rest of this month, and keep each other accountable – you can tell your friends you want to stay alcohol-free for “health reasons” if you’re not ready to share your concerns about alcohol abuse;
• create structure in your day, especially if you don’t have a job – try to wake at the same time, start the day with something positive (instead of checking the latest news), plan breaks for healthy meals, connect with your family and friends (even if it’s virtual);
• make a list of different activities that you can do as a means of coping – consider the 5R’s (from Dr. Dorie’ method of Eating Disorder Intuitive Therapy, or EDIT™ which has applications for all types of addiction):
  • Responsibility – clean your counters (again), do laundry, walk the dog, just do it!
  • Recreation – play a game (NOT a drinking game), play with your dog, just for fun!
  • Relaxation – read a book, watch a movie, take a bath, listen to music, meditate, just be!
  • Reward – download some new music, make a small purchase online, just a little treat!
  • Recovery – write in a journal, make a gratitude list, read recovery blogs, just for you!
• join online support groups (many 12-Step Groups have online options, search for Alcoholics Anonymous) – if you struggle with alcohol abuse AND eating disorders, you are welcome to join the online group hosted by Dr. Dorie every Monday evening. CLICK FOR INFO

Alcohol abuse, eating disorders and other addictions happen in ISOLATION – recovery happens in CONNECTION. Let’s stay connected!

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‘Tis the season – for family gatherings, Holiday parties… and lots of food. It can be enough of a challenge to stay on course with your eating disorder recovery in your day-to-day life. It’s even more challenging when you’re triggered by your Aunt Mary’s comments about your weight, or your Grandmother’s pumpkin pie. Here are a few strategies for eating disorders help for the holidays:

1. Know Your Triggers – Identify the people, places and events that are the most challenging for you to deal with. By acknowledging that your Aunt Mary always makes a comment about your weight, you can actually be less triggered when she makes a comment this year. She might say, “You look so good – how much weight have you lost?” Or, “What happened – you gained so much weight since the last time I saw you!” Knowing that she will make some kind of comment, you can be prepared and therefore less triggered. Similarly, knowing that you are going to a family function where you will encounter foods which can trigger your eating disorder behaviors, you can diffuse the power of the trigger simply by being aware of it. You know that your Grandmother will bring pumpkin pie – and you also know that she will push you to have a piece. You also know that she’ll give you a “sad look” if you decline to have a piece, and she’ll push you to have seconds if you agree to have one.
2. Have a Plan to Deal with Your Triggers – After you have identified some of the main triggers you might encounter, come up with specific action steps for each. When your Aunt Mary makes a comment about your weight, you might plan to say, “Let’s not focus on my weight. Let’s talk about the art class I am taking!” You can shift the conversation onto a topic that you enjoy talking about. As for the pumpkin pie, you might say ,”Grandma, you know that I love your pie! But this year, I’d only like one very small piece, and that’s it!” You can choose the boundary that feels right to you.
3. Follow-Up with Self-Care – After encountering people, places or events that were triggering, it’s a good idea to enjoy some extra Self-Care! Make a list of Self-Care ideas, and after your family event or party, scan your list and choose something that will help you feel “nourished from within.”  For example, your list might include: Call my friend Suzy, take a walk with my dog, get a massage, go see a movie, write in my journal, listen to my favorite music, read my gratitude list, go to a support group.

With these strategies for eating disorders help for the holidays, you can stay on your path of recovery!

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Article may be reprinted with the author bio below.

©2018 by Dr. Dorie McCubbrey. Dr. Dorie is a Certified Eating Disorder Specialist and Licensed Addiction Counselor who is passionate about training professionals to effectively guide clients in recovery from eating disorders, through her Eating Disorder Intuitive Therapy (EDIT)™ Certified program. She also meets with clients at her treatment center, Positive Pathways PLLC, located in Evergreen Colorado. Learn more at: https://www.drdorie.com

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Want more that this “taste” of EDIT™? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE – GET CERTIFIED

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I’d like to introduce you to Rebecca Sculley, who is a Licensed Professional Counselor and an EDIT™ Certified III – Eating Disorder Treatment Clinician. I supervised Rebecca while she was working towards licensure, and co-facilitated some of her first DBT Skills Groups. She is a knowledgeable and compassionate therapist, who is passionate about helping people thrive during life transitions. She wrote this article to inform people about one of her DBT groups, and although that date has passed, please read this article to learn more about how DBT can help you. You can contact Rebecca about the current individual and group sessions she holds (see bottom of article).
– Dr. Dorie

Do you want to change your relationship with food? Have you made some New Year’s resolutions and are hoping is that in 2017 you can find solutions to create a freedom point with food, eating and body image? DBT can help you!

Have you heard of DBT? Perhaps you’ve heard this term in the therapy world or have read about it online. Maybe you’re curious how DBT can help you. Dialectical Behavior Therapy (DBT) is a form of tangible evidence-based treatment that can help with a variety of issues. I especially find it helpful for people with eating disorders or disordered eating. In my experience as a therapist, I have used DBT for seven years and have found it to work wonders with people who have binge eating disorder, food addiction, restrict food, or have anorexia or bulimia. DBT can help you change your life and have the relationship with food that you have been searching for.

There are four main components to DBT. They include Distress Tolerance, Mindfulness, Emotion Regulation, and Interpersonal Effectiveness. In the DBT Group Denver (starting February 8), we will encompass all four principles and apply them to your relationship with food, as well as what’s underneath your struggle. Below I will give a brief example of how each of the four DBT principles can apply to you.

In the DBT Group Denver, we’ll use distress tolerance to find new and healthy ways to cope with stress and other of life’s challenges instead of either overeating or under-eating. Stop beating yourself up for engaging in disordered eating and find new ways to cope and heal. You will discover strategies to deal with the ups and downs in life and feel good about your choices!

For the mindfulness component, the DBT Group Denver will teach you how to be present and stay mindful rather than thinking about the past or the future in a way that triggers you to want to overeat or under-eat. Often when we get stuck thinking about the past this can lead us to sadness and depression. If we spiral and think too much about the future, we often feel anxiety. Instead, DBT can teach you how to stay present and engaged with each moment.

With emotion regulation, the DBT Group Denver will help you to regulate tough emotions as well as joyous emotions so that you can eat in a balanced and healthy way, not in a negative or disempowering way.

In the Interpersonal Effectiveness unit, DBT Group Denver will teach you how to engage with others in the way that you feel strong, assertive and balanced. You’ll learn how to get your needs met while being respectful of others needs and wants. I invite you to learn how to better your lives in many ways and find your freedom point from negativity through DBT!

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Looking for guidance with DBT SKILLS? Contact Rebecca Sculley, MA, NCC, LPC – the author of this blog article. She is an EDIT™ Certified III – Eating Disorder Treatment Clinician, and has a specialty in DBT Skills. Rebecca has office locations in Boulder and Denver, Colorado. – EMAIL REBECCA 

Interested in a FREE consultation with Dr. Dorie? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE

The post DBT Group Denver: Eating Disorder Recovery appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

I’d like to introduce you to Janelle Hunt, who is a Registered Dietitian and an EDIT™ Certified III – Eating Disorder Treatment Clinician. Janelle worked with me at my previous office location in Denver, Colorado. She is a knowledgeable and compassionate clinician, who specializes in nutritional counseling for people in recovery from eating disorders. She guides her clients to learn the real facts about nutrition – in this article, you’ll learn the facts about fats. If you’re “hungry for more,” please contact Janelle about becoming a client (see bottom of article).
– Dr. Dorie

As a dietitian who specializes in the treatment of eating disorders, I enjoy educating my clients about the role of nutrition in eating disorder recovery. Eating well isn’t just about weight gain or weight loss – it’s about feeding your brain so you can think clearly and feel in balance emotionally.

You’ve probably heard this statement from your parents, teachers, or dietitians – “Eat your green veggies!” If you are in recovery from an eating disorder, this may seem like yet another “food rule,” which you either take to an extreme by over consuming these foods, or, you may rebel and eat very few green veggies.

Have you ever wondered, “Why does my brain need green veggies?” Consuming enough folate-rich food is often talked about in the news as a way to assure having a healthy pregnancy. So, since folate so important for women who are pregnant, is folate important for non-pregnant women, and men, too? Recently, a great deal of research with folate has been done, which everyone should pay attention to, as it effects the health of the brain.

Folate is commonly found in deep green veggies, such as spinach, asparagus, turnip greens, and broccoli. In addition, it is found in whole grain cereals, lentils, and black, navy or kidney beans. When we eat folate-rich food, it is converted in the intestine into a substance called L-Methylfolate, which goes into our brain and makes the neurotransmitters serotonin, norepinephrine and dopamine. You may have heard of the importance of having a good balance of these neurotransmitters in the brain, because of their role in having a balanced mood.

Proper levels of serotonin, norepinephrine and dopamine can help reduce depression and anxiety – and overall, when these neurotransmitters are in balance, we have a sense of wellbeing. If the balance in your brain is off, medications can be helpful. Seventy percent of clients have to get their medications changed, or feel no real shift in their depression or mood, which has stumped doctors for years. It turns out that many of these clients lack a key component to convert folate to L-Methylfolate. If there’s no L-Methylfolate for your brain, then you can’t make serotonin, norepinephrine and dopamine and therefore can’t feel relief from depression.

If you have tried numerous antidepressant medications, are consuming enough folate in your diet, and you still suffer from symptoms of depression – it may be worth talking to your psychiatrist or medical doctor to request a blood test to determine if your body does not make the component to convert folate to L-Methylfolate. If you are deficient, then you can take a supplement to treat the deficiency, your medications will start working correctly, and you can feel better!

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Looking for guidance with NUTRITION? Contact Janelle Hunt, MS, RD – the author of this blog article. She is an EDIT™ Certified III – Eating Disorder Treatment Clinician, and has a specialty in nutritional counseling for eating disorders. – EMAIL JANELLE

Interested in a FREE consultation with Dr. Dorie? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE

The post Eating Disorders and Nutrition: Your Brain Needs Greens appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.

I’d like to introduce you to Emily Johnson, who is a Registered Psychotherapist and an EDIT™ Certified III – Eating Disorder Treatment Clinician. Emily completed her internship and continued to work under my supervision for several years, at my previous office location in Denver, Colorado. She is a knowledgeable and compassionate clinician, who is also a big movie fan.
– Dr. Dorie

Movies can be a great way to add context to things that we are going through – like eating disorders and emotions. The journeys of characters can help us gain different perspectives on our situations. To illustrate how we can navigate through the complexities of eating disorders and emotions, the movie Inside Out by Disney’s Pixar offers a wonderful roadmap.

Inside Out is a great story about a young girl and an emotional journey. It combines elements of the hero’s journey with important emotional truths about the human experience. For those struggling with eating disorders and emotions, this movie can be a great analogy for the interplay of our primary emotions, and how to allow our emotions to come into balance. All of our emotions have a purpose, and while some may be uncomfortable, it is learning how to feel all of our feelings that complete recovery from eating disorders is possible.

Without giving too much of the storyline away, Inside Out shows how we need all of our emotions, and that when we favor one, it can squelch important experiences. The main character, Riley, is shown in her stages of developing memories and personality. One of her dominant emotions strives to keep in control of all experiences in order to make Riley happy. Putting on a happy face even when we are feeling sad or angry or afraid is a common experience for many people. However, we were born with the ability to experience a range of emotions for a reason. They color our memories and contribute to the complexity of who we are.

When it comes to struggling with eating disorders and emotions, we may be searching for a way to feel a positive emotion at the price of another emotion that needs to be acknowledged. In the movie, there is a command center in the mind, and one emotion in particular assumes charge over it. But this keeps other emotions from getting in their say. The more we try to bury that other feeling, the more it tries to get into our consciousness. With eating disorders, we might use binge eating, purging or restrictive eating as a way to bury feelings we don’t like. But as illustrated in the movie, those uncomfortable emotions are the key to our wholeness – and to eating disorder recovery.

Inside Out illustrates that not all experiences and memories are black and white. Life is not all happy nor all sad, all angry nor all fear. The richness of life taps into all of our emotions, like colors of a rainbow. Joy can come from sadness. Anger can come from fear. And when we are honest about our emotional experience, we allow ourselves to experience things in a more richly colorful way – and even deepen our connections with others through our authentic and vulnerable emotional expression.

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Looking for guidance with emotions? EMILY JOHNSON, MA (the author of this blog article) is an EDIT™ Certified III – Eating Disorder Treatment Clinician, and is currently employed by an eating disorder treatment center. Although she does not work with clients unless they are patients at the center, Dr. Dorie is available to meet 1-on-1 with clients to explore emotions.

Interested in a FREE consultation with Dr. Dorie? Dr. Dorie is passionate about her method of Eating Disorder Intuitive Therapy (EDIT)™ to help people overcome eating disorders and addictions.  She provides customized counseling for eating disorders and alcohol / drug addiction at her Positive Pathways treatment center in Evergreen, Colorado – and EDIT™ eating disorder training and certification for coaches and clinicians worldwide. CALL 303-494-1975 – EMAIL DR. DORIE – GET CERTIFIED

The post Eating Disorders and Emotions: Inside Out appeared first on INTUITIVE THERAPY™ | Healthy Weight Loss | Eating Disorder Recovery Coach.