Posts Tagged ‘cognitive hypnotherapist’

Dieters ‘underestimate how many calories they are eating’

Monday, May 17th, 2010

This article from The Telegraph (telegraph.co.uk) re-iterates what I say to people that come to see me for weightloss. Dieting doesn’t really work, because if we don’t address the relationship that we have with food first, once we stop dieting, and start eating ‘normally’ again, the weight will start to pile on again.

I aim to help people get a better relationship with food, and then they don’t tend to need to overeat anymore, and their weight naturally stabilises over time. It’s great to be able to do this and know that you will never need to be on a diet again. Read below to find out what the article says…

Most dieters vastly underestimate how many calories they are eating, according to a survey of GPs.

Published: 7:30AM BST 17 May 2010

Data from 10,000 slimmers and 200 doctors found 87 per cent of GPs believe dieters are in the dark about how much they actually eat.

Meanwhile, more than nine out of 10 people (92 per cent) see their dieting attempts end in failure, with 18% ending up weighing more than when they started.

Only around one in three (32 per cent people take up more exercise when they are trying to lose weight, while only 23 per cent check food labels before buying.

Most (91 per cent) never weigh out food or control their portion size.

Overall, 90 per cent of GPs said people needed to change their eating habits to lose weight and that losing excess pounds can be as difficult as quitting smoking.

Two thirds (66 per cent) regard overeating as a form of addiction, while 73% of GPs said fad diets do not work, despite 51 per cent of Britons having tried them.

Nutritionist Dr Chris Fenn said: ”People need to adopt a personalised approach to weight loss tailored to their own situation, challenges and strengths.

”They need to understand the causes of their weight gain and the barriers to weight loss, including their relationship with food.

”People are often ill-prepared to lose weight and underestimate what is required.”

The survey was commissioned by Shape. Smart, which makes diet products.

Locus of Control

Monday, April 19th, 2010

I have had a number of discussions recently with clients and their difficulties around taking responsibility for their own behaviours/decisions etc. It stems around where their locus of control is, either externally or internally.

At the moment there is a great trend towards letting the Universe provide – ask, and it shall be given you. The trouble with this way of doing things is that the locus of control is external, ie it lies outside of you.

I prefer to think that the Universe may provide things – and it may not, but I don’t have to sit and wait for it to happen. I can be doing much to help things happen for me in all areas of my life. This gives me an internal locus of control – I’m in charge.

Now, I’m not saying the things always go the way I would like them to. I’m a fellow struggler through life, the same as everyone. So, of course, there is a downside to having an internal locus of control – who can we blame if it doesn’t go the way I want?

Well here’s the thing. I could try and blame others for my faults and failings, couldn’t I? Afterall, it then gives me every reason to continue making mistakes and not taking any responsibility. It’s someone else’s fault then.

However, I choose to take responsibility for both my mistakes, and my successes – they are mine too. And that’s the up-side, isn’t it.

But I also choose to see mistakes, not as failings, but as learnings. As far as I’m concerned the only mistakes are the ones we don’t learn from. And I intend for my whole life to be a chance for me to learn whatever there is for me to learn, that means I progress.

So, where are you going to put your locus of control? Is it outside, giving someone else the power over you? Or are you going to take responsibility, have an internal locus of control that gives you the power over your own path?

The Universe might provide, but you could be a long time waiting if it doesn’t.

Family under the microscope

Tuesday, January 5th, 2010

This peice by Oliver James in The Guardian, Saturday 2 January 2010 gives an interesting perspective on relationship councilling, and is one that as a cognitive hypnotherapist, has long been the way that we might approach ‘couples work’.

Psychotherapy, not counselling, might be the answer if your relationship’s in trouble

When things get nasty between partners, we usually accuse the other of being either mad or bad. While the badness factor has not been much studied, the evidence shows that emotional distress in one or both partners is a major cause of divorce. There are vital implications.

In my book Britain on the Couch, I present eight studies that tested the mental health and personalities of couples before they married and then followed them up. In all of these, premarital “neuroticism” in either partner (including mild or severe depression) and “lack of impulse control” in the male partner predicted divorce, compared with couples without these traits.

For example, one study examined 300 couples in 1940 before they were married and followed them up in 1980. Divorce was significantly more likely in couples where one or both had had pre-marital emotional problems: divorce was more common in those of both sexes who, 40 years before, had been high in neuroticism and in men with a lack of impulse control.

The authors’ conclusion repays quotation: “In marital relationships, neuroticism acts to bring about distress, and the other traits of the husband help to determine whether the distress is brought to a head (in divorce) or suffered passively (in a stable but unsatisfactory marriage).”

That the problems predate the couple meeting is suggested by a study that examined a large sample of 16-year-old girls, before they had even met their husbands. High neuroticism at that age predicted subsequent increased risk of divorce.

Unfortunately, this evidence tends to be completely ignored by relationship counsellors. They have been trained to focus on the ways in which incompatibility is causing the problem. The trouble is that one partner may be depressed, or anxious, or abusing substances, or markedly unstable because of a personality disorder (such as “me, me, me” narcissism). These kinds of disturbance can be by far the most significant cause of the problems in the couple, yet counsellors will always seek to find ways in which both partners are contributing and then tinker with how they communicate.

A recent study showed how incorrect this “bit of both” thinking often is. The individuals in 3,230 American couples had their mental health measured and were tracked for three years, by which point, 10% had separated. If one partner had a mental-health problem at the start, the couple were twice as likely to have separated than couples in which neither did. If both had a problem, they were nearly five times more likely to separate.

Clearly, if one or both partners are having emotional problems, separation is more likely. But the study also showed that it was the independent effect of the individual’s problems that was most critical, rather than the impact of them on the relationship.

These are strong grounds for a rethink about what is going wrong in your relationship and what kind of help is required: if you are unhappy, be very wary indeed of blaming it on the relationship. Incompatibility does exist, but bear in mind that the sort of people who separate are also liable to have suffered childhood maltreatment and be distressed. Individual psychoanalytic psychotherapy is what that person needs, not counselling.

In Britain on the Couch, I used the term “gender rancour” to describe the current battle of the sexes, claiming that there may never have been a time when we got on worse. Mostly, the solution lies in individual treatment.

New study: Butterworth, P et al, 2008, Social Psychiatry and Psychiatric Epidemiology, 43, 758-63. More Oliver James at selfishcapitalist.com

Arachnophobia: A web of fear

Wednesday, October 7th, 2009

From The Independent Newspaper, Tuesday 6th October, this article, which may make many readers shudded with fear. If you are one of those that would be affected that way, read on to find out how it can be a thing of the past …

Spiders are everywhere this autumn – and that means a living hell for arachnophobes. But they can learn to beat the terror, discovers Holly Williams

But the extra arachnids won’t brighten everyone’s autumn – fear of spiders is one of our most common phobias. Arachnophobia can range from the common-or-garden dislike of their long legs and weird walk, through to seriously debilitating anxiety attacks which can dominate the sufferer’s life.

“Phobias can get very severe – they can stop people taking holidays or lead to a heightened sense of anxiety where people can’t quite relax. People can become prisoners in their own homes,” says psychologist and hypnotherapist Felix Economakis, who helped cure extreme phobics on BBC3 show The Panic Room.

A phobia is an anxiety disorder caused by a powerful fear of any object or situation that wouldn’t normally cause alarm. They are essentially irrational: spiders in this country are harmless, sufferers know spiders are harmless, yet they still cause serious distress.

Bridget O’Connell, from the mental health charity Mind, explains: “Many of us have fears which we acknowledge are irrational, but it can get to the point when people are unable to go out. It can get so bad that even a mental image can cause intense dread and fear.”

Phobics experience panic attacks, an extreme fight-or-flight reaction in the face of danger, characterised by physical symptoms such as a racing heart, sweating, trembling, dizziness and shortness of breath. “People feel they are having some kind of heart attack, that they are actually going to die,” says O’Connell.

Jo Evans, who used to deal with spiders by squirting them to death with ketchup, said that the mere sight of the creatures used to cause her “sheer panic and terror. I would be frozen on the spot. Rational thought goes out of the window and your only thoughts are to get rid of that little object of terror!”

Of course, not everyone with an aversion to spiders has such an extreme reaction, but a shudder is a common response. We’ve all been in a room when a “spider situation” occurs and there’s no one who can bring themselves to touch it. “There’s really nothing very lovely about them,” says Economakis. “Some people hate the scuttling; for others it’s the look or the feel of them. They are predatory animals, rather than being pretty or cuddly.”

But aside from the niggling feeling that a creature that spins its home from its bum and crawls around on eight legs is just a bit wrong (especially when said legs are hairier than a hippie’s in wintertime), are there serious reasons lurking behind our spider fear?

Economakis suggests: “There is evidence for evolutionary avoidance of dangerous animals like scorpions, snakes and spiders. These are atavistic fears, which are a throwback to earlier days.” Our wise ancestors avoided creepy-crawlies which might have delivered a nasty nip, leaving us with an evolutionary hangover whereby removing a harmless house spider from the bath requires nerves of steel.

Of course, this theory doesn’t account for why some people can’t even look at a picture of them, while others think they are cute. It is thought phobias may be triggered by a traumatic childhood event, a nasty experience with a spider, or an association between a spider and an unrelated unpleasant event.

But with a disorder as common as arachnophobia, learnt behaviour is a significant contributor. As children we copy those around us; if they freak out at the sight of the eight-legged ones we may respond likewise. “You learn arachnophobia – that’s the main reason for it being so common,” says Nik Speakman, half of a husband and wife psychotherapist team. “Children have heard the mother scream, which puts them in a heightened state, then they see the spider.”

The good news for arachnophobes is that treatment has a high success rate. Economakis recommends hypnosis. “There are modern therapies available,” he says. “A hypnotherapist could cure arachnophobia in one session.” A slower approach, possibly taking months, is gradual exposure: looking at drawings of spiders, working up to photographs and handling the real thing.

Speakman also works with arachnophobics to break the subconscious link between spiders and the fight-or-flight response. Ben Clarke, who featured on The Apprentice this year, overcame his fear through the Speakmans’ use of various brain reprogramming exercises on Channel 4’s Big Brother’s Little Brother in July. By the end of the show he could pick up a tarantula with bare hands.

“I had a sort of primal fear of big, hairy spiders,” he says. “I was afraid it would stick its big fangs in me. But I’m totally cool with them now. I didn’t like picking it up but it was fine – it’s like your brain is just numb.”

O’Connell is also positive about treatment: “What seems to work best is cognitive behavioural therapy, possibly with medication to reduce the anxiety. CBT helps people un-pair the fear and the object, to create new ways of thinking about spiders.” She advises people to acknowledge fear of spiders can be a serious condition, an opinion not always widely held. Despite – or because of – arachnophobia being so common, sufferers can feel dismissed by constant comments of ‘it’s only a spider, it can’t hurt you – it’s more afraid of you’. It is no more irrational than any other phobia.

“People need to accept what they are feeling is real, it’s not silly,” says O’Connell. “It’s not a logic thing – it doesn’t work to rationalise that spiders are harmless. Sufferers know that, so trying to be logical may make things worse.” Instead she recommends setting yourself tasks, small sensible steps – like walking past a web – and giving yourself a reward. Perhaps autumn’s spider boom will provide an opportunity to face those fears ? one web at a time.