Weight loss psychology

If you want to succeed at weight loss, you need to "cut the mental fat, and that will lead to cutting the waistline fat," says Pamela Peeke, MD, author of Fit to Live.  "Look at the patterns and habits in your life that you are dragging around with you that get in the way of success.

Cognitive behavioral therapy (CBT), which focuses on changing how you think about yourself, how you act, and circumstances that surround how you act, is an effective treatment for a wide range of problems, including weight loss.  Key to it is its focus on making changes and sticking to them.

The best way to improve your belief in your ability to succeed is actually to have some success.  Setting concrete and achievable goals, such as eating fruit at breakfast or replacing an after-dinner TV show with a walk, can build your confidence to set more ambitious goals.

If you want to be thin, picture yourself thin. Visualize your future self, six months to a year down the road, and think of how good you'll look and feel without the extra pounds. Dig up old photographs of your thinner self and put them in a place as a reminder of what you are working toward.  Ask yourself what you did back then that you could incorporate into your lifestyle today. And, advises Peeke, think about activities you would like to do but can’t because of your weight. Stop criticizing and shaming yourself for not sticking to your diet plan. Have it out with your critic! Make your critic’s words explicit—say them clearly and out loud and then fight back as intelligently, fiercely, and clearly as you can. This exercise will support your self-love by building a more empowered self. Going further, make a list of other plans, activities, and people you would like to say “no” to and begin practicing immediately.