By Judith J. Wurtman, PhD,
Co-Author of The Serotonin Power Diet: Eat Carbs — Nature’s Own Appetite Suppressant — to Stop Emotional Overeating and Halt Antidepressant-Associated Weight Gain
Sharon, my new weight-loss client, laughed when I asked her whether she had been on any other diets. “How much time do you have? My mother probably put me on a my first diet when I was around eleven. since I am now fifty, that means forty years of dieting.”
I nodded. The story was a familiar one. The only clients who had never been on a diet were people who had gained weight from medication such as antidepressants. All the rest had bounced from one weight-loss program to another, often following whatever was fashionable. Some had even had bariatric surgery to reduce drastically the amount of food they could swallow. Yet they had managed to gain weight by constantly eating small amounts of extremely caloric foods.
Sharon talked about her inability to control her eating when she switched from liquid low-calorie beverages or calorie-controlled prepackaged meals to her own food. She related how much she overate when she went off of diets without carbohydrates or three-day fasts or a week of residential spa food. She was now considering surgery but she wasn’t heavy enough to qualify.
She told me that she thought her weight gain was due to her love of food but when I pointed out that many thin people love food also, she grew quiet. Eventually she said that she suspected she ate out of emotional needs. “My needs keep changing but my response is always the same. When I eat, my problems disappear — for the moment.”
Dieters like Sharon are likely to regain their weight unless they have insight into the causes of their overeating and are helped to develop strategies to control it. Unfortunately, diet programs tend to focus on how to get the dieter to his or her weight-loss goal rather than giving the dieter tools to prevent the weight from reappearing again. Even Oprah Winfrey, who certainly receives more support in her weight-loss efforts than the average dieter, has lost and regained weight continually during her television career.
The most effective way of preventing weight gain after a diet is to tackle the problems that caused it. Although each of us has our own overeating triggers, usually they can be grouped in a few categories:
1. Logistics or too much to do and too little time to do it. Sometimes the problems caused by impossible schedules seem insurmountable and affect everything from the ability to shop for food to getting too little sleep. Often the dieter’s life has to be brought under control before the eating can be controlled. With either family or professional help (like a life coach), this usually can be accomplished. One client who used to overeat when she came home from work and found the beds unmade and dirty breakfast dishes in the sink solved her problems by making her kids get up earlier and doing chores before school.
2. Work schedules, business travel and meals, toxic supervisors and fear of unemployment. Some work situations place almost unlimited obstacles in front of the dieter, especially when personal relationships are involved. And these days, the option of leaving a virulent workplace is difficult. Recognizing how work stress is affecting eating is an important first step. The dieter should seek out help, either from the weight-loss counselor or someone trained to deal with worksite problems, to develop strategies to deal with the problems. However, sometimes a job change is really necessary, as in the case of a client who worked as a pastry chef.3. Family and social problems may influence everything from menu planning to emotional well being. Neither the dieter nor the diet counselor can hope to solve chronic problems that may have led to years of overeating. Recognizing them and seeking help (whether from a dating service, divorce lawyer or therapist) will increase your chance of not gaining weight after the diet is over. If the problems are particularly difficult to handle, it may even be wise for the dieter to consider putting weight-loss efforts on hold to concentrate on resolving the issues that caused the weight gain. Temporarily stopping the diet may also be necessary when financial, medical or family crises arise. Seeing how your eating changes when a crisis arises is helpful in preventing overeating after the diet is over and another crisis occurs.
4. Sabotage by not-well meaning friends, family, co-workers and casual acquaintances. Especially those who have not managed to lose weight may regard a successful dieter as a weight-gaining time bomb. Often subtle and not so subtle methods will be used to make the dieter overeat, such as asking the dieter if she has been very sick recently or mentioning that a particularly caloric dish won’t hurt her. Self-sabotage is also common, especially if the successful dieter is now complimented on his or her appearance. Many clients have told me that they both enjoy and resent the attention they receive when they have lost a lot of weight. A college student made herself gain about 75 pounds after losing that amount because guys who had ignored her the year before when she was fat asked her out on dates.
Losing weight is not as hard as keeping it off. Still, as someone who was called “butter-ball” in second grade, I know it can be done.
© 2010 Judith J. Wurtman, PhD, co-author of The Serotonin Power Diet: Eat Carbs — Nature’s Own Appetite Suppressant — to Stop Emotional Overeating and Halt Antidepressant-Associated Weight Gain
Judith J. Wurtman, PhD, co-author of The Serotonin Power Diet: Eat Carbs — Nature’s Own Appetite Suppressant — to Stop Emotional Overeating and Halt Antidepressant-Associated Weight Gain, has discovered the connection between carbohydrate craving, serotonin, and emotional well-being in her MIT clinical studies. She received her PhD from George Washington University, is the founder of a Harvard University hospital weight-loss facility and counsels private weight management clients. She has written five books, including The Serotonin Solution, and more than 40 peer-reviewed articles for professional publications. She lives in Miami Beach, Florida.
For more information, please visit www.SerotoninPowerDiet.com.
38 comments








Posted by: Houstonblogger on August 9, 2010 at 8:34 am
This is one big girl who could deffo use this book!!
Posted by: Deborah Anderson on August 9, 2010 at 9:38 am
I think we could probably all use this book.
Posted by: Vickie Riddle on August 9, 2010 at 10:26 am
I would enjoy reading and learning from this book. Thank you for the chance.
Posted by: 409cope on August 9, 2010 at 3:19 pm
This looks like a handy book for me.
Posted by: Renee G on August 9, 2010 at 7:13 pm
Would love to read this.
rsgrandinetti@yahoo(DOT)com
Posted by: Jaque on August 9, 2010 at 9:00 pm
I have the absolute least will-power of anyone on earth…well, it isn’t very strong…I need this book!
Thank you.
Posted by: Nicole C. on August 10, 2010 at 5:17 am
I could really use this book!
Posted by: david basile on August 10, 2010 at 5:30 am
a good one for my wife
Posted by: amyt0915 on August 10, 2010 at 1:19 pm
I cant believe anyone’s friend would try to sabotage their friends weight loss efforts! I have some baby weight to lose and would be interested in winning this book!
amytulk2 (at) hotmail (dot) com
Posted by: Jessi Elliott on August 10, 2010 at 2:05 pm
This seems very interesting and useful, and I would love to see more about how the whole thing works.
Posted by: emily l on August 10, 2010 at 3:04 pm
I would love to read this. Thanks for the opportunity!
Posted by: Pat B on August 10, 2010 at 5:25 pm
I would love to read this.
Posted by: Christine on August 10, 2010 at 5:43 pm
need this book
Posted by: Kathleen on August 11, 2010 at 8:25 am
could definitely use this book!
Posted by: Regina M on August 11, 2010 at 10:36 am
INTERESTING concepts. We can take care of the family better when we take care of ourselves. I think we forget that in pursuit of unattainable perfection.
Posted by: Daniel M on August 11, 2010 at 7:50 pm
yeah life’s too stressful these days and could use all the help i can get
Posted by: joni on August 11, 2010 at 8:46 pm
I’m fat and it shows!
Posted by: Angela Winesburg on August 12, 2010 at 10:10 am
I would love to read this, thanks!
Posted by: Benita on August 12, 2010 at 4:04 pm
This sounds like a book I should definitely read. Thanks for the possibility.
bgcchs(at)yahoo(dot)com
Posted by: Emily Finley on August 13, 2010 at 8:02 am
I think this book could really help me!
Posted by: Tim Impila on August 13, 2010 at 1:19 pm
This book would help me and mine a lot, thanks for the chance at it.
Posted by: Louis on August 13, 2010 at 2:40 pm
I would love to read this book
Posted by: shawna on August 13, 2010 at 5:10 pm
I would love to check this book out!!
Posted by: Nick Christie on August 13, 2010 at 5:49 pm
Both my wife and I could really benefit from reading this book.
Posted by: wendy wallach on August 13, 2010 at 11:24 pm
I would enjoy reading this because I need to lose some weight but don’t know which diet to follow.
madamerkf at aol dot com
Posted by: Laura Emerson on August 14, 2010 at 5:07 am
I love how this book explains weight gain. I am always trying to lose weight but each time I do it seems as if I gain it all back and more. This book explains so much and with it maybe I could lose the weight I need to lose so badly.
Posted by: Gloria M. on August 14, 2010 at 6:07 am
This is so true that so many eat out of emotional needs. I’d love to read this for myself.
Posted by: kathy pease on August 14, 2010 at 8:10 am
i would love to read this book
Posted by: Patty Smith on August 14, 2010 at 12:20 pm
oh boy I would love to figure this weight issue out!
Posted by: Ed Nemmers on August 14, 2010 at 12:46 pm
I would like to read this book!
Posted by: susan smoaks on August 14, 2010 at 1:49 pm
i would enjoy reading this book, i am very interested in this
Posted by: Frances on August 14, 2010 at 5:36 pm
Since I quit smoking I’ve gained some weight that I want to get rid of. Since I also suffer from migraines and have to take a Serotonin reuptake inhibitor kind of medication, I’m not sure if I should or I shouldn’t be on a diet like this, but I need to lose some weight so I guess I’m willing to give it a try.
Posted by: Michelle L. on August 14, 2010 at 6:43 pm
Wow, what a great book I’d love to read!
Posted by: Shannon on August 14, 2010 at 6:56 pm
I working on trying to loose the relationship weight since the relationship ended a couple of months ago and I am an emotional eater….this would be a great book to read. Thanks at the chance!
Posted by: Sand on August 14, 2010 at 7:55 pm
I’d love to read this book!
Posted by: Donna K on August 14, 2010 at 11:29 pm
I could use the book.
Posted by: dawn on August 15, 2010 at 1:13 am
This really sounds like a great book and very helpful. Thanks for the review.
mightynaynay(at)cs.com
Posted by: Eileen Bray on January 12, 2011 at 10:20 pm
I am 5’1″ and weighed about 108. I went on Paxil 13 years ago and gained 46 lbs. I exercised 2 hours a day, lost nothing. From the weight gain I have had loss of health. I have had two female surgeries and need another one because of the weight in my abdomen causing prolapse of different female parts and bladder problems. The doctor said this kind of weight gain is very bad for the heart. The medicine does not help much anymore. Physically I am so unhealthy my son thinks I will die. The overweight causes bladder incontinence, back pain, joint pain. I have no energy. I have no self-esteem which makes the depression worse. I don’t overeat – I don’t eat at all. I was put on disability betwwen the depression and constant pain. Anti-depressants can only work with what your brain makes, obviously mine mind does not have enough serotonin. This book is a new concept. I don’t want to have more surgery, I don’t want to take anymore Ibuprofen because of the pain. I would like to feel and look good again. I am hoping your book will help – I have tried so many other things. I am hoping it is not to late to enter for the free book (I don’t make enough money on disability to buy anything). It would be wonderful if I could enjoy life again and not be embarrassed by how I look. I want to look and feel healthy so my family will stop worrying (me too). I don’t want to take more medication because of the health problems the weight has caused. The doctor said if I could boost my natural neurotransmitters, like serotonin, that the anti-depressants would work better. I need to follow a healthy way of eating and willing to try just about anything. Because of not eating, I have chronic fatigue, hypoglycemia, headaches, etc, but have not lost anything. Please consider me if it is not too late for the book. Thank you – Eileen.