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The research is in! According to a new study released from MIND, a UK mental health organization, 90% of women over the age of 30 are uncomfortable exercising outside. The findings suggest that women are too self-conscious and embarrassed about their bodies or their abilities to be seen exercising in public. As a result, many women go to extremes, such as exercising in the dark or skipping doing any activities. The findings make total sense. What doesn’t are the author’s recommendation to find ways to be active outdoors anyway.

Read the rest of this column posted at YourTango.com

This past winter I dealt with an overuse injury that resulted in tennis elbow. At first I wasn’t sure why my elbow was bothering me because there was nothing in particular that I recalled doing to cause me pain. Then after a few weeks of taking high doses of ibuprofen to no avail, I realized what had happened and I learned an invaluable lesson just in the nick of time.

I had spent hours on end vacuuming up leaves with an old leaf vacuum mulcher that required me to hold the nozzle rigidly in place as I vacuumed. Without realizing it, I had overexerted my forearm muscle and created micro tears in the tendon, and that is how I had woken up one day with a painful elbow injury.

I then had another ah-ha. I remembered reading an article about tennis elbow and realized I was doing all the wrong things. I didn’t have tendinitis any longer – if I had ever had it. I had tendinosis, and the worst thing for that is ibuprofen. I was aggravating my situation and making it impossible for the tendon to heal. I share all this, so you can learn, as I did, what to do for tendinosis.

I couldn’t find the article so I started searching the Internet. My memory was right. Tendinosis frequently occurs from overusing a muscle, and it is not the result of inflammation, as tendinitis is. Tendinosis is a chronic degeneration of the tendon due to the failure of proper healing and the loss of collagen. Everything I read said there was no easy or effective treatment. The type of collagen in the tendon is totally different from what is in skin and cartilage, so a collagen supplement won’t help. Instead I learned most people never fully heal. E-gads!

Fortunately, I stumbled across one site that said one way to treat tendinosis was to pump fresh blood into the tendon in order to bring fresh nutrients and reactivate the generation of collagen. The suggested procedure was costly and required a unique series of injections. Yet I knew of an easy way to pump fresh blood into the area. Apply ice for 2 minutes, heat for 2 minutes, ice for 2 minutes and end with heat. I did this 5 times a day for almost 2 weeks before my pain started to diminish. Gradually I went from 5 to 3 to 1 times a day. My pain is nearly gone, and I have been able to add forearm physical therapy exercises and regain full use of my arm.

This was a close call, and I consider myself very lucky to read and know enough to help myself. I hope this proves to be helpful to you or someone you know dealing with tendinosis.

Christina Aguilera has been attacked for being too skinny and too fat, and she no longer cares what people think. In fact, she’s tossed out her scale and learned how to love her body no matter what size she is. She no longer obsesses about her weight or compares her self-worth with the numbers on the scale. And she’s not alone. Many celebrities have stopped using the scale, including Portia De Rossi, Valerie Bertinelli, Queen Latifah, Martine McCutcheon, Kyra Sedgwick, Jessica Alba, Maria Menounos and Jennifer Love Hewitt. They feel liberated and are looking better than ever.

Read the rest of this post at YourTango.com.

“Honey, I just got us tickets for a romantic getaway to a tropical island next month where it is warm and they have beautiful beaches.” Sounds perfect doesn’t it? A winter retreat to break up the stress and dreary cold days and leave your worries behind. Actually, this is terrible news. For most women, this means facing the prospect of being seen in a bathing suit.

As hard as this is for men to understand, the idea of wearing a swimsuit can outweigh the desire and rationale of a sunny warm holiday for a great many women. The thought of trying to find a decent suit and then having to wear it in public is humiliating for those who don’t think they have perfect enough bodies to look decent in one.

To read the rest of this post, click here, which takes you to YourTango.com, where I am a featured lifestyle expert.

You know you shouldn’t have that piece of cake, the Girl Scout cookies or the candy that is calling your name, but you just can’t help yourself. You just have to have some. The next thing you know, you’ve eaten more than you wanted and now you are feeling a bit full and guilty. Once again you just couldn’t seem to stay in control around food. Has this happened to you recently – like over the holidays?

Feeling out of control around food can happen to the best of us, and right now it is happening to a great many people who have tried so hard to stick to their New Year’s resolutions and are giving in to their forbidden foods. Succumbing to what isn’t on a diet is inevitable. The more you try to force yourself to resist something you want and believe you shouldn’t have, the more you rebel against that restriction. Have you ever noticed that when you are deprived of something, you want it all the more?

Rebelling is a valid emotional reaction to being deprived of your needs and wants. It isn’t just “what you resist, persists,” although that universal law certainly plays a role. It is the battle between your inner voices, where one part of you is determined to enforce the restrictions you believe are necessary, and another part of you rebels against that enforcement and doesn’t frankly care about your rules.

You can almost hear your inner child or rebel’s voice when you go for that cookie or candy saying, “I don’t care; I’m going to have it anyway. You can’t stop me”. That emotional part of you drowns out your parental enforcer voice that is strongly reminding you not to eat foods believed to be on the forbidden foods list. In fact, the louder and more controlling your enforcer gets, the more determined your “rebelling child” is to get what it wants. In the end, your rebelling child almost always gets the cake, cookies or candy, and usually in large quantities.

You may be thinking that the only way to control your behavior around food you shouldn’t have is to give your enforcer a bigger stick, but that only causes your rebelling child to act out even more and leads to bingeing. You’ve probably tried getting tougher on yourself to behave. Yet as hard as you may have tried, most likely your “good” behavior didn’t last and you succumbed and gave in. The more you beat yourself up for being “bad”, the more likely you continue that “bad” behavior.

The reason is emotional. If you harshly judge yourself and feel bad or guilty for eating what you shouldn’t, you will eat to push away the bad feelings, to prove yourself right that you are bad and to find a way of feeling good.

The way to be in control around food is to stop judging your behavior and foods. Instead of believing any food is bad, recognize that it is the quantity of a food that becomes problematic. If you love a certain type of cookie, give yourself permission to have it with a balanced meal and enjoy it. By giving yourself permission, you are taking care of your inner child’s needs and giving yourself satisfaction and pleasure. There is nothing wrong with that. In fact, by giving yourself permission to have any food you want whenever you want it, you will find you don’t really want all that much of it. You’ve removed the power of the food and the enforcer’s role of trying to control you.

It is when you are depriving yourself that you are emotionally compelled to make up for being deprived. This is true whether you think you should be deprived of ever having the food again, will surely be deprived because of an upcoming diet, have just been deprived having stopped a diet, or were deprived in your past. Many people are overeating foods they were once unable to have, even as far back as fifty years ago. An older man in one of my audiences wanted to know what he could do about overeating desserts every night. It turns out he grew up in the depression when sugar was rationed and he seldom got desserts. He is still compelled to make up for having been deprived of the desserts he wanted as a kid.

This week, pay attention to the foods you are trying to restrict and notice how this affects your behavior. Then try giving yourself permission to have that food in moderation and see if you really want all that much of it.

As the saying goes “you can only love someone as much as you love yourself”, and I’ve learned the hard way how true this really is. Sadly there are too many people that don’t love themselves much, and often it is because of their internal self-criticism and belief they should be something other than who they are.

Sadly we live in a society where the emphasis is on an ultra thin body image, perfectionism and trying to measure up to an idea of what we think others want us to be. What about what we want for ourselves? What about appreciating our unique gifts, abilities and bodies? I know that sounds all very well and good, and I also know how hard it is to put into practice. I’ve been there, and lived a life of self hatred and shame up until ten years ago.

What is different is my choice not to judge myself and to revisit my beliefs that were causing me to be so self-critical. I discovered I really can love myself, and then to my surprise I found I no longer judged others and could have compassion and love more fully from my heart once that happened.

To make the transition, I started listening to my internal voice, which I found was saying “look what you just did you idiot”, “how could you be so stupid”, “I am unlovable”, “I will never be good enough”, “I can’t do this so what is the use”. As you can see, these are extreme and harsh things to be saying to oneself, and they are hardly true. This was my own distorted view of things based on my beliefs, and it was affecting how I felt about myself, how I viewed daily events, and how much I let others into my life.

Do you know if you are saying similar kinds of things to yourself? The only way to find out is to decide to pay attention and listen. You may be as shocked as I was when I first started to really hear what this inner voice was saying to me. I realized just how outrageous, unfair and debilitating this voice was, and that it was exaggerating what was really happening. It was also reinforcing beliefs that I had grown up with that were not ones I would have chosen had I been making the decisions.

Beliefs are the things you believe true about yourself and the world around you. They are your understanding of how things are or supposed to be, which get formed from repeatedly hearing and getting the same messages. Most beliefs come from our parents, friends and family, childhood experiences and the media. Once we become an adult, we take these beliefs on as sacred and unchangeable, and they become the driver of our thoughts, decisions and behaviors. But you can change your beliefs.

Beliefs are just that, beliefs. You can choose to believe you are unlovable, or you can choose to believe the opposite. You can believe that only thin women are beautiful, or you can believe women of any size can be just as lovely. You can believe that your favorite foods are bad and therefore you are guilty and bad whenever you eat them, or you can believe that it is fine to have your favorite food in moderation. Then if you happen to overeat that food, you can observe it without judgment and understand with compassion what triggered it – knowing there isn’t something wrong with you.

Judgment of yourself affects your self esteem and can lead to feelings that are just too hard to face, and that can lead to emotional eating, stress and depression. Judgment of others leads to the same thing. Think about it. If you don’t care what others think and they choose to judge you, who is affected? Them, not you. So the moral is to be aware of your own judgment and notice where it is coming from and if the associated beliefs are negative or limiting you.

The easiest way to change your belief is to be aware of your self talk, notice the extent it is critical or untrue, and then to create new beliefs and affirmations, which affirm your new belief. Affirmations are statements you say or read repeatedly over a period of days or weeks. “I am adorable and lovable” or “I can eat my favorite foods in moderation” are examples of affirmations. You may not initially believe them to be true, but the more you say them the more you reprogram your belief system and the more they will become your truth.

This week, pay attention to what you are telling yourself and reprogram the messages.

Does it make you uncomfortable to throw out food these days, compelling you to eat it instead? Did you grow up hearing that kids are starving in Africa, to always clean your plate or that throwing out food is no different than wasting money? Many of us did and it hits home during an economic recession, but that doesn’t mean those beliefs warrant eating food that you don’t need or don’t want. Instead, it may be time to reconsider the benefits of wasting food rather than eating it.

If you stop and think about it, whether you finish eating something or you don’t will not save you money, and having a clean plate as an adult is really a habit and doesn’t serve any real purpose. To address these beliefs requires a change in thinking and some techniques to change your habits.

It starts by looking at these beliefs and deciding if they still serve you or not. If not, what belief would make more sense for you now, such as “before I get full, no matter how much is on my plate, I will stop eating and determine the best thing to do with the remaining food.” Sometimes the best thing is to save them as leftovers, mix them with new ingredients for another dish, or ask for a doggy bag. Or you could throw the rest of it out, if none of these are possible.

Throwing food away is more challenging for most of us. It really does feel like money is being wasted, but this needs to be put in perspective. If you can’t see a way to save it, then you are faced with two options. Eat it or toss it. The cost of tossing it may be far cheaper than the cost of eating it – if you take a long term view rather than an immediate one.

Let’s look at the cost of wasting it versus putting it on your waist. Often this issue comes up at dinner time, which is the most expensive meal of the day. If the meal costs $16 and there is 25% more than you need, then the amount you don’t eat is worth $4. If this happens five times a week, and you can’t find a way to reuse the food three of those times, the total cost for the week is $12. Or perhaps you didn’t eat half of the food on some of those occasions, so the total cost is $20. How often do you spend $20 a week on things you don’t really need? Could you buy smaller portions of food, split portions with others or put less food out on your plate to begin with to avoid the extra expense?

Now consider eating all that food instead. If you eat a few hundred more calories than you need or than you burn off, you are putting on weight. As you gain weight, you need larger clothes and you will likely contemplate starting a new diet. Both can be costly. How much have you spent in the last year doing a diet or on buying new clothes – either from gaining weight or yo-yoing down and back up?

In addition, this weight gain often gets added around your mid-section, and this fat is the leading cause of high cholesterol, high blood pressure, insulin resistance, and the need for medications. What are you spending in co-pays for doctor visits and medications related to these conditions?

And there is one more thing to think about. Overeating affects your energy level, your mood and your self confidence. What is it costing you to feel lousy and dragged down? Probably more than you think.

While wasting food is not ideal, it is better to look at your options than to carry a black and white belief about waste. The next time you find yourself with more food than you need or want, consider what your beliefs are, if you think they make sense, and what would be better. You have the power to challenge and change your beliefs around food if you stop and look at them. This week, take the opportunity to see what your beliefs about wasting food are costing you.

Exercise. For most people, that word conjures up unpleasant thoughts and feelings because of past experiences when they struggled with exercise or got hurt, or what they believe it takes to meet the minimum requirement of exercise to lose weight that doesn’t seem realistic for their current lifestyle. For others, it reminds them of a time when they loved being active and having the benefits associated with being fit and healthy. What does the word exercise bring up for you?

It is easy to assume that when you don’t exercise regularly, you are somehow lazy, bad, undisciplined or a couch potato. These are judgments that don’t reflect the real reasons for not exercising. The real reasons are likely tied to one of eight different obstacles, that once understood can be addressed with strategies.

Low Motivation
A common obstacle to exercising is not feeling motivated enough to do it. You won’t be motivated day-in and day-out to exercise if you haven’t identified what it is you want to be able to do or feel as a result of regular aerobic and strengthening activities. It often isn’t enough to want to lose weight or avoid a disease. It takes wanting something that really matters to you enough to exercise, even if you aren’t in the mood, such as being able to keep up with your kids, having the stamina to follow your dreams, participating in a team charity walk, wanting to feel self-confident in your relationship or wanting to feel good about yourself.  Sometimes it is simply wanting to avoid the regret of not doing it.  It also helps to choose activities you find so energizing and fun that you can’t wait to go.

Low Priority Planning
Not having enough time is really a result of not putting exercise higher in your priorities. Anyone can find time to exercise if it matters enough to them, and if they can find the motivation to stick with it. A way to make this easier, is to find an exercise or a group class you love so much, you will find ways to fit it into your schedule. Another is to look at your calendar for the week and see where you can fit in time for exercise and schedule it. This will also help you set goals based on what is realistic, and if you can find someone to be accountable to, you will be more motivated to reach those goals.

Too Much, Too Soon
In the excitement of starting a program, when you feel highly motivated to get started, it is easy to overdo it and find yourself giving up because you can’t sustain the pace or because you’ve gotten injured. Try starting off with smaller goals and less intensity, so that you don’t feel so overwhelmed and can experience your ability to succeed in reaching your goals. With each weekly success, you can stretch your time, distance and effort a bit more and continue to have successes. In time, you will be doing more than you once thought possible, and you may surprise yourself by discovering you have a passion for being fit and participating in fitness events. It happens to many people, including me.

Compliance Perfectionism
Feeling you have to measure up to someone else’s expectations or attain perfection in reaching your goals is the fastest way to failing and giving up. No one is perfect, and no one knows better than you as to what you can do each week, what is motivating or how your body is feeling. Instead of trying to comply to unrealistic expectations or someone else’s rules and goals, focus on what you want for yourself, what your body is telling you, and what works to keep you moving and on track.

Inflexible Beliefs
Another way people sabotage exercise is with the belief that doing anything less than x days a week or x number of minutes isn’t worth doing. For example, you may believe that if you can’t do 4 days of exercise a week there isn’t much point, or if you can’t work out for at least 30 or 45 minutes, that you won’t get enough benefit to make it worth your while. Any exercise counts, even if it’s for 15 minutes, and the more active you are, no matter what it is, it all adds up. You may have other beliefs about what you need to be wearing, what your significant other will or won’t do to support you, what constitutes as exercise, or countless other requirements that are keeping you from being active and fit. Stop and identify what your “excuses” are and see if you can change your beliefs so you can achieve success.

Emotional Rebellion
Most people think emotions are just tied to food, but they also impact exercising. Think about it; you do have feelings about exercising, and if you’ve had bad experiences or anxiety about exercise than this can impact your behavior. If are resistant or ambivalent towards exercise, become curious (without any judgment) about how you feel about exercise and why that is. Most likely, you will find there are good reasons for your feelings, and once you acknowledge and validate them, you can start to look into ways of exercising that can address these feelings. For example, maybe you were called a klutz in grade school and have an aversion to gym-based exercise. Maybe you were forced to exercise and hated it. Maybe you had a bad experience with a trainer or fitness program. Are there other ways of being active that you feel confident about, or can you find a class that interests you that offers a safe environment for becoming proficient?

Derailment Resistance
There is nothing worse than finding yourself derailed from your fitness routine and struggling to get restarted after an illness, injury, vacation or period of just not wanting to do it. Once you get derailed, it can seem too hard to get re-motivated again to exercise, and often this short period of non-exercise can turn into months or years of inactivity. An easy way to get restarted is by taking it slow and setting very low goals the first week or so. Let yourself gently re-engage into exercising by doing what feels easier and doing it at a slower pace. Then you’ll find your motivation as you get back into a groove, and you can increase your goals and effort within a couple of weeks. You’ll probably be surprised how quickly you bounce right back to where you left off.

Extreme Associations
If you’ve participated in extreme fitness programs and boot camps that you didn’t enjoy or that left you with an injury or bad taste in your mouth, you may be dealing with conflicting beliefs and emotions around exercise. On the one hand, you may believe that anything less than extreme fitness isn’t worth doing because of the quick results, and on the other hand you may cringe at the thought of signing up for another program. While these programs energize some people, most don’t do well with them. It is better to choose exercise options that you find motivating, enjoyable enough to sustain, and fit your personality. The majority do best starting off with baby steps and doing just one small thing at first, which easily leads to doing more because it feels good, it boosts your confidence, and it motivates you to stretch yourself further.

To create a regular exercise routine in your life, pay attention to what feels best to you, what motivates you, and what is really getting in the way of being consistent. We are all different, and our reasons for not exercising are all valid. Respect that you have a good reason and try to understand what you really need to do to get moving and to develop a consistent exercise lifestyle.

You hear it all the time; “I am being good this year and not going to have xyz bad foods, so I don’t gain any weight.” This is the time of year when people join Weight Watchers and go on diets, so they can stay in control during the holidays. For some it works, and that holds out hope for everyone else. For the majority it not only does not keep them in control; the guilt, deprivation and old familiar patterns lead to giving up on the idea and then really over indulging since they blew it anyway. By the time New Year’s rolls around, they have put on nearly 10 pounds – twice the average holiday weight gain. Have you ever done this or know people who have? What happens in January when the holidays are over? Does this process get repeated?

For Julianne (not her real name), this is just what happens every year. She promises herself she will be good at Halloween, but isn’t. Then she becomes determined to do better at Thanksgiving and doesn’t. This leads her to take more drastic measures and go on a more rigid diet before Christmas, restricting herself as severely as she can so she won’t gain more weight. Yet for reasons she can’t explain, she still blows her diet and can’t seem to stick with it as she should, and by Christmas Eve she is gorging herself on candy canes and anything sweet she can get her hands on. For the next seven days, she is in full binge mode, knowing that she starts her diet again on January 1st. And then her annual cycles of dieting and bingeing begin again. She is in her late 50s and ashamed that at her age she is still doing this. She wonders why she never learns and can’t get herself to do as she should. She wonders what is wrong with her.

Nothing is wrong with her. She was never taught how to eat normally or how to recognize what really drives her to make the choices she does. She just assumes she is bad, and the harder she tries to be good the more often she feels like she fails. Sound familiar?

So here are the 3 things she has learned in our sessions so far this year as she successfully navigates the holidays and all the food she loves to eat. She let me share this with you if I didn’t use her name, which I fully understand. Her lessons are a bit painful to face, yet they are fairly common.

1. She does not like candy canes. She was so obsessed with eating what she couldn’t have before her next diet began, that she ate food she didn’t even like. She realized she didn’t even taste her food or know what she really enjoyed, because she was driven by a greater need to get what she could while she could. Now she focuses on what really gives her pleasure and satisfaction, and she finds she doesn’t want all that sugar or to overeat. This has been amazing to her.

2. She has been dieting and bingeing every holiday since she can remember, and her mother did the same thing. Her mom still struggles with food and her weight. Dieting doesn’t work. She just believed it did and was the thing to do because her mother did it. She can choose her own beliefs now, and she is learning first hand that eating with consciousness of what feels good to her body is a better way to go through the holidays.

3. She was very hard on herself and that judgment caused her to overeat and choose foods she knew were bad for her, reinforcing how bad she was. It was a vicious cycle of self-hatred, self-restriction, rebellion and guilt that spiraled into food binges she couldn’t stop. She is learning to see herself with compassion, non-judgment and greater understanding. The more she does this, the less often she finds herself drawn into the cycle or wanting to eat food she doesn’t need.

You may see yourself in Julianne’s lessons or you may be getting other insights. No two people have the same internal beliefs, emotional reactions, subconscious drivers or backgrounds. Yet what most of my clients share is a belief in dieting to lose weight and that when you eat foods you shouldn’t have on a diet you are being bad. Yet they can never be good enough to reach or sustain their goal, so they give up and dig in. This holiday, consider doing what feels good to your body and your head, rather than striving to be good. You may just enjoy the food more and end up weighing less.

“I just want to eat normally and feel like a normal person around food,” Joyce said, choking back her emotions. I hate eating in secret, feeling like I am the only one who can’t stop eating, and obsessing about food. I have tried everything, and I hate what I have become.

That was three months ago, and this past week she was thrilled to experience what it is like to eat normally and now sees that she can eat food without overindulging or losing control. Joyce learned the 3 secrets of intuitive eating.

Secret #1: Easy Portion Control
People who eat normally do not count calories to manage their portions. Instead they wait to get hungry to eat, and then they stop when they are satisfied without getting full. It is not something they have to think about; it is intuitive and something they just do. Infants do the same thing. We all have this ability, and it is amazingly simple to regain with a little awareness.

Joyce was shocked to learn she did not know what it felt like to get hungry or get full. She had never paid any attention to that. All she had ever focused on was what she should or shouldn’t have or how many calories she was avoiding or overeating. Yet within just a couple of weeks, she was finding it easy to recognize her hunger signal and eat when she got hungry. She was also amazed that she did really know when she had had enough and could stop before getting full. The best part was; she felt so much better and she no longer had to worry about portions. She was getting exactly the right amount of food to fuel her metabolism and her energy levels by trusting her hunger levels and intuition.

Secret #2: Controlling Cravings
Even if you are aware of getting full or grabbing food when you aren’t hungry, you may feel powerless to stop yourself. So why is that? What is really driving you to eat when you aren’t hungry? Do you know? Most people have absolutely no idea and assume it is because they have no willpower, are simply bad or just can’t help it. But that is not what is really going on. Something is driving you to eat, and you can figure it out with a few simple questions you can ask yourself out of curiosity rather than out of self-judgment.

Is something bothering me?
Do I feel like I need a reward?
Is this a food I know I shouldn’t have?
Am I eating this because I think I should or have to?

There could one or more of these subconscious drivers affecting the way you are eating, and once you spot them you can start to resolve them. Consider if there are other ways to resolve what is bothering you or another way to get rewarded. Determine if your beliefs about food or the need to eat for someone else at your expense really makes sense, and if not, change your internal rules. And notice if you are eating because you stopped paying attention or because what you are eating is something you automatically associate with something else you are doing. Once you are aware of these, you can be more conscious of your choices.

As Joyce began to ask herself these questions in an attempt to better understand herself, she discovered that she often felt deserving of a reward when she got home from work. Her favorite food reward was crackers and cheese before dinner. If she didn’t have an afternoon snack and was famished, she would eat these to the point of feeling sick, and then skip dinner. If she had a stressful day or deprived herself during the day, trying to be good, then she would keep on eating, usually bingeing for hours on cookies, ice cream, or anything she could find that would satisfy her need for sweets. Those nights she usually slept poorly and woke up feeling groggy and sick. Joyce could finally see what was going on and that bingeing didn’t satisfy her cravings; it just made her feel worse and unsatisfied.

The common reaction is to try to be better and avoid having bad foods in the house, but that doesn’t work for long. You have to address your needs, including your need to get rewarded, to be fully satisfied by the food you eat throughout the day, and to validate and address your emotional stress. Joyce discovered that giving herself permission to have a small treat at least once a day, getting in an afternoon snack and finding other ways to reward herself made all the difference. Almost overnight, she stopped craving sweets and bingeing. It was practically effortless.

Secret #3: Healthy Choices Naturally
When you listen to your body and what feels best, while identifying and resolving food triggers, an amazing thing happens. You start to want healthier foods, and it happens naturally. This was a huge surprise to Joyce. Within a few weeks of starting her coaching sessions, she found herself craving broccoli. The next week she wanted to try roasting some vegetables, and then she began asking for extra vegetables when she went out to eat. She couldn’t believe she was the same person. She told me she felt like her body had been taken over by a vegan and she was excited to start cooking healthier recipes.

I have seen this happen repeatedly. When you are aware of how you feel and resolve your subconscious eating issues, you naturally gravitate to healthier foods intuitively. You don’t have to force it; it comes easily by choice. You can eat normally like other people when you follow these 3 simple steps.

Ahhhh another school year. Whether you have kids or not, the change in temperature and shorter days reminds us all that is time to get refocused and back to work – or back to the gym and regular workout routines. But just like kids, you don’t want to go back and you put it off for a day and than one more day. And the next thing you know it is the holidays and you never did start exercising or eating better. And of course you can’t get started once the holidays begin, so you wait until New Years when you feel more uncomfortable, overweight and disappointed in yourself. Is this a familiar story? It doesn’t have to be.

Why not create healthy routines that you look forward to instead of dread. To succeed long term in getting back into shape, maintaining your health and achieving a great feeling in your body means creating a lifestyle that fits your life, not the other way around. Forcing something to work that you really resent or is more than you can really take on isn’t likely to last. The first time your schedule gets disrupted it will be the first thing to go and the last thing to add back in. Think of what usually happens for you and if this is generally true. Do you really want to get back on that treadmill or start that diet? I didn’t think so.

Determine instead what is realistic for you and your body. Start by creating small realistic daily or weekly practices that slowly change your lifestyle so that eating better and regular exercise get easily incorporated in your planning and schedule. It is better to start with just a few changes and a small commitment – maybe exercising a few days a week doing as much time as you can and working up to five days for 30-40 minutes. What is most important is incrementally increasing the days, time and intensity in a way that is best for your fitness level and schedule. This isn’t a race or a comparison game. It is a process of incorporating fitness for a lifetime.

The same goes for food. When we feel fat, we start a diet. But diets have less than a 4% success rate. Almost no one can keep the weight off a year or more after the diet, but that doesn’t stop us from trying what everyone is doing. This is particularly alluring for us as women. We are compelled to do the next diet. It is far better to select healthy options from among foods you enjoy, and to eat when you get hungry and stop before you get full. You will be more successful long term if you enjoy what you eat, feel free to eat what you love without being deprived or judged, and creating a routine that isn’t driven by the latest diet. This is easier than starting something new every six months.

And know what is right for you. Decide what is realistic and sustainable in your daily life. Everyone’s goals, abilities and schedules are different, so it is best to focus on your situation and not someone else’s. If you push too hard, you can get burned out, frustrated, injured or impatient for results. If you cut too far back on food, you will lose your muscle mass, reduce your metabolism and end up overeating when the diet is done. It is better to start with moderation and healthy choices with enough variety to keep you interested and your body supported, so you have successes and feel motivated to stay on track.

Focus on choosing things you think you will enjoy most of the options you have available to you. Sometimes that means trying new things, such as new foods or new types of activities. You may find that you really like some of them. This is how I came to love Pilates, kick boxing and even P90X. Listen to your body and what feels best to you. You might find that a new way of eating or activity grows on you because of how good it feels to your body.

So now that fall is in the air, what simple steps can you take that are appealing and realistic to boost your aerobic levels, balance your meals and take care of your health, so you can avoid that holiday weight gain?

Katharyn knew she was eating because of stress, but she wasn’t able to stop herself from going through her cabinets and eating one thing after another until she was sick to her stomach. She is not alone. Most adults are overeating at night, and the primary reason is stress. Are you one of them?

Stress is now such a big part of everyone’s life, and the more we put up with, the less we notice how stressed we are. As a result, you might not even realize that what is driving you to overeat, crave sweets and carbohydrates, or turn to food when you aren’t even hungry is chronic stress. You may be under yet another tight deadline, feeling overwhelmed, dealing with negative people, making do with less, anxious or concerned about things outside your control, or trying to do too much each day. And that is for starters. Extreme levels of stress are no longer determined by whether there are major upheavals in your life, but by the cumulating daily stressors that add up without being defused.

Once Katharyn was able to review what was happening earlier in the day from a neutral perspective, she could see very clearly the causes of her stress and that she felt deserving of a reward when she got home. That need to be rewarded for putting up with the stress is often how the overeating starts. It is easy to justify pacifying yourself with food when you have been put upon or had to tolerate an unpleasant situation. And once the eating starts, the food becomes a way to avoid thinking about what happened and to further repress the emotions of the day. Very often stress eating becomes emotional eating, where food becomes the coping mechanism and a way to avoid dealing with how the stress makes you feel or your unmet needs.

There are 5 simple steps to stop stress eating, which Katharyn used to stop bingeing when she got home after a long and often challenging day.

1. Become Aware of When You Do Stress Eating
One of the things Katharyn realized is she wasn’t fully aware of what or how much she was eating on the nights she snacked until she couldn’t eat any more. She couldn’t even remember what she had eaten, if she had enjoyed any of it, or when she started to feel full. It was a blur and a way to zone out and forget her problems.

If you aren’t aware of what you are doing at the time you are doing it, you have no ability to stop or make a different choice. Instead you are on autopilot and out of control. So the first step is to actually notice you are eating unhealthy foods, too much food, and getting full. Once you can really see this, you can also start to look at what happened during the day, which is driving you to eat this way. And you can start to notice how you feel physically after a night of eating poorly.

2. Don’t Judge Yourself
The point of gaining more awareness is not to harshly judge yourself. When you feel judged, you will actually eat more to push down those feelings. There are good reasons for why you are stress eating, and the only way to really identify and understand those reasons is to be objective and have some compassion for yourself. By standing back and being a neutral observer, you are more willing to get curious and start to see what triggers you to eat.

3. Observe Your Eating Patterns
With that curiosity, you can begin to see your patterns. You will begin to notice when you eat because you feel stressed, and if you pick different types of foods or beverages for different types of stressful events. Maybe you turn to soda at work when you are irritated or frustrated, but you turn to sugary foods when you feel let down or unable to do as you planned. Maybe you automatically want a drink after work to deal with your anger or frustration, or maybe you get home and binge out of habit and exhaustion.

4. Get Specific about What Triggers Your Choices
The more you observe without judgment, the more you can see exactly what is triggering you to turn to food or a beverage. It may not always be because of stress. There are 8 possible reasons for being out of control with food and drinking, and stress can be a factor but not always the full cause. For example, one common reason for overeating or making unhealthy choices is being mindless, and stress can keep your mind so busy that you don’t pay any attention to what you are eating or drinking until you have overdone it. Another reason is having unconscious beliefs, like you deserve a reward for working hard or having to put up with things. When you feel stressed, you may also be eating or drinking something unhealthy to reward yourself. A third common reason is distracting yourself from how you feel by eating or drinking something, which is classic emotional eating.

When you stop to really see what you are thinking or feeling, you can start to see what is actually triggering your food or drink choices, and you can also begin to notice if those choices leave you feeling all that great after you have had them. Most likely, you feel worse not better. You also probably haven’t solved the real issues that are making you feel stressed.

5. Create Strategies to Deal with the Stress Differently
Now that you are more aware of all the different things that are driving your choices, you can start to think of strategies to reduce the stress and get your needs met without using food or beverages as the crutch.

Katharyn realized that she needed to take breaks during the day, so she could get some down time and make sure she got balanced snacks and meals to boost her energy levels. She also noticed that if she remained calm when things were hectic, instead of snapping at people when they snapped at her, that everything seemed easier to manage. And she could see that a better reward when she got home was a cup of tea and playtime with her dogs, followed by a nice dinner and the promise of some time to read. When she did these things, she reduced the stress at work and at home, and she got more sleep and felt better able to handle whatever she had to deal with in her day. As a result, she no longer binged when she got home.

Maria Menounos is another actor with a weight loss success story, and she now has a book out about it. And her story is intriguing – not by all that she did to lose weight, which was creating a healthy lifestyle, but by the way she changed how she saw and treated herself.

I came across her story on the new Aol Healthy Living blog (formerly Huffington Post) called Maria Menounos’ Secret Weight Loss Trick. A great title but not representational of what she did for herself. She is like a lot of young people who have been athletic growing up and then stopped being so active when they started working as teenagers, while preparing for college and trying to excel and please everyone around them. In her case, working nearly 20 hours a day 7 days a week, fueled by junk food and pastries.

As she indulged in her new diet, she knew she was having foods she shouldn’t have and felt guilty. As she began to get heavier and criticized for her weight gain, she turned to more food. When others were indulging, she would indulge with them. And the worse she felt about herself and her choices, the more she ate the forbidden foods she knew she shouldn’t have. Sound familiar?

She refers to her struggle with food as emotional eating, after she finally realized that she turned to food to avoid her feelings, how she felt about her body and her need to please others at her own expense. As she began to find ways to care about herself, she began to love herself. And the more she loved herself, the more she took care of herself. And that is just how it works.

The less you like yourself or the more ashamed you feel about your body or your choices, the less you feel deserving of taking care of yourself. On the flip side, the more you care about yourself, the more self-esteem you gain, and the more you want to do things to take even better care of your body. This is only possible when you stop the judgment of your choices and have empathy and compassion for yourself.

Judgment leads to self-criticism, self-loathing and self-destruction. And that becomes a spiral that spins out of control, pulling you deeper into a place of denial and excessive eating. When you judge yourself, you can only see your failure, your inability to be perfect and your shame. You can’t see anything else, and you remain stuck in the belief that you are unlovable, unworthy and undeserving – even if you don’t know you belief this. In that place, food is comforting and a means to minimizing the pain and loathing. It also proves that you are as bad as you believe you are, and it feeds on itself.

Maria talks about how being a people pleaser and working insane hours led to malnutrition, a forty-pound weight gain, and poor health. She struggled to care enough about herself to do anything about it. Fortunately a loving, compassionate friend helped her to start making positive food and life choices. And the more she began to be good to herself and feel better, the more she appreciated herself and her struggle. And the more compassion and love she had for herself, the more she began to take better care of her body, make healthier choices and remove herself from negative relationships. The better you feel emotionally, the less you turn to food for emotional comfort. And that is what helped Maria break free of her struggle with food.

Maria learned through her journey that the key to being in control with food is to be in touch with your own physical and emotional needs without judgment. And that is indeed the key to success. It is the first step to having compassion for yourself without apology, listening to what your body needs and wants, and honoring yourself. In the process, you begin to shift into a healthy lifestyle and from that a healthy and sustainable weight loss follows. You also shift your emotions about your weight and your body, which reduces your stress and the hormonal production of fat that occurs when stress is present. It isn’t really a trick, yet it is the secret.

If you are like most people, you don’t think you are dealing with all that much stress, but think again. Nearly all of us are under a tremendous amount of stress, but we take it in stride because we are so used to the daily pressures, rapid pace, and packed schedules that make up our lives.

How you mentally and emotionally respond to stress directly affects your actual level of stress. Those that let things roll off their backs, don’t try to be all things to all people, and know that you win some and you lose some have less stress than those that aim for perfection, take things personally or have to win at all costs. Consider how you perceive and then respond to stressful events in your life, such as when your day isn’t going the way you planned it, things aren’t going your way, or you are running late for an appointment.

What takes the greatest toll on our health, attitudes and emotions is chronic stress – as opposed to acute stress that only occurs in emergency situations. The day in and day out chronic stress that eats away at us leads to chronic pain, emotional eating, fatigue, insomnia, ulcers, weight gain and a host of other physical symptoms. Worse, it leads to feeling helpless, overwhelmed, agitated, out of control and moody. You just aren’t the person you want to be, which potentially leads to depression, anger and overreaction.

Stress is a red flag that you aren’t taking care of yourself. So the important thing is to recognize the extent to which you are under stress. On a scale of 0-10, with 0 being no stress, the average person will say they are at a 3, but in fact many of them are really at a 6, 7 or 8. Chronic stress isn’t just caused by the obvious medical conditions, loss of a loved one, change of job, or financial worries. It is also caused by unhealthy lifestyle choices and psychological factors, such as repressed feelings, conflicting priorities, and the way we choose to interpret our situations. Where do you think you really are on the scale? Are you taking good enough care of yourself?

You can start by evaluating your daily routine and lifestyle choices that can create or minimize your stress levels. In the morning are you racing out the door, skipping breakfast, getting caught up in emails, or dealing with anxiety about your upcoming day? Or do you wake up refreshed with enough time to enjoy a balanced breakfast and take some time to relax, exercise and prepare for the day? The way you start your day will impact your level of stress.

During the day, consider if you are taking on too much, getting enough time to eat, easily irritated or feeling out of control. These factors will also add to stress. Is there a way to get grounded, be more relaxed about delays or changes in your schedule, say no to things you really can’t take on or aren’t your responsibility, and make sure your needs are getting met?

In the evening, are you overeating or bingeing, frustrated or upset with what happened during the day, having a few drinks and going to bed late? These, too, add to your stress level. Is there a way to make some time for exercise, visiting with friends, enjoying time with your family, eating a balanced meal and taking some time for yourself?

If you don’t see anyway to make changes in your daily routine that will minimize your stress, then start with a few simple things that will help your body cope with stress better. Stress depletes our bodies of key vitamins, so add a multivitamin each day. Eat breakfast and try to eat whenever you get hungry, so the lack of food isn’t a cause of stress. Choose to relax and take time for yourself if you are delayed in traffic, in a long line or at an appointment. You can daydream, enjoy the scenery, read, listen to music or meditate when you find yourself waiting and feeling irritated. You have choices, even when it doesn’t seem that way.

This month look at what is causing you stress and consider ways to reduce it. Then notice how good that feels.

When people call me, one of the things they say they struggle with the most is staying motivated. They liked how good it felt to eat better, exercise and get enough rest and water, but they couldn’t get themselves to stick with these healthier behaviors. Jennifer was one of them. She couldn’t understand why she would quit her walks and Zumba classes, since she enjoyed them when she went. And she actually liked vegetables and whole foods more than junk food, yet she never stuck with them. It drove her crazy, and she wondered what was wrong with her that she would keep going back to choices that left her feeling lousy.

I asked her what got her to pick up the phone to call me, and she said, “I have just been told I have pre-diabetes, and I have got to change my lifestyle to avoid getting the disease.” She had found her motivation to take action, yet as I explained to her, this motivating catalyst was based on something she didn’t want, and it probably wouldn’t be enough to stick with healthier changes long term. Here’s why.

There are five steps to getting and staying motivated.

1) The Catalyst Motivator It starts with being motivated by what it is you don’t want to have happen, feel ashamed about or don’t like about yourself. These are catalysts that propel you into action, and the most common ones are a diagnosis or clear risk for chronic illness, seeing a photo and realizing how big or out of shape you are, being shamed by what someone has said or what a doctor has written, or not being able to do things anymore. For some people, it takes repeated experiences like this before one specific event becomes the wake up call and catalyst to do something about it. And even then, if you don’t act on it fast enough, you can lose the motivation very easily.

2) The Endurance Motivator Once you are determined to make a change, you need something positive to look forward to and fight for when sticking with your new changes feel like too much effort to bother. Change is not easy, and you need to know why it really matters to you to overcome your inner chatter that tries to derail you.

So why do you really care if you are overweight, can’t do all the things you used to do or are at risk for disease? What is your vision of what your life can be (or can still be) if you have your health and fitness? How do you see yourself at your best, and why is that worth sticking with new changes no matter how hard that will feel? What are you trying to achieve or be physically capable of doing that matters to you? Maybe you want to participate in a fundraiser walkathon or be able to get around when you travel abroad. Once you know this, have ways to remind yourself everyday, and keep your eye on the prize.

3) The Success Motivator Within a few days or weeks of starting your new routine, it becomes harder to reach all the goals you set for yourself or to feel confident you can really succeed at keeping up with your expectations. This is much tougher if you set high expectations, embarked on too many changes at once or picked too extreme a change to sustain each week. As you struggle to stay on track, find yourself not fully following the program or missing a day here or there, it is easy to see yourself as bad, a failure or incapable of success. Any of these thoughts will de-motivate you, and it won’t be long before you give up.

Whereas, if you set very small goals, make only one or a couple of changes at a time, and start off with baby steps, you have a greater chance of success. When you have a success, no matter how small, you become motivated to see how much more you can do. And when you focus on what successes you do have each week, rather than on the failures, you will feel more confident in your ability to succeed and even more motivated to continue.

4) The Accountability Motivator It really helps, particularly in the first six to twelve months of starting to exercise or eat better, to have someone who you are accountable to and who champions you. This could be a buddy who joins you, or a friend who is doing something similar and you acknowledge each other successes and brainstorm what might work better when you were challenged. It could be a class instructor, a lifestyle coach, personal trainer, classmates, team or anyone else who is involved in your new changes.

5) The Day-to-Day Motivators
From day to day, most people have to figure out additional ways to stay motivated, and there are lots of tools or techniques to make this motivating. You may be motivated by reaching certain numbers, and if so, pedometers, accelerometers (calories burned) or distance tracking work really well. You can have daily or weekly goals for this. Tracking calories and your weight on the scale can also work for some people, but for the majority, tracking these kinds of numbers often backfires, and I don’t recommend them. Instead I encourage clients who like numbers to track their hunger levels and how they feel on a scale of 0-10.

Other types of motivators are having a weekly fitness log where you record what you did, or having a calendar where you check off your goals. These work great for list people. Some people like to put gold stars on their calendars when they completed their goals. Others like to reward themselves with small celebratory non-food gifts periodically, such as a massage, special bath, manicure, inexpensive accessory or something else meaningful. And many people find all they need is a fixed-date goal when they need to be physically fit and healthy enough to participate in an event.

The key to motivation is to find ways to celebrate your successes, build your confidence, focus on what you want to be able to do, and how good you feel. You may find that your day-to-day and accountability motivators work for only so long, and that you need a new type of motivator. If that happens, consider it an opportunity to experiment with different types of motivators.

You CAN stay motivated. By addressing all five types of motivators as specific steps, you have much greater success of sticking with your new healthier behaviors and loving how you feel.