SHiFT Recovery by ACORN

The Missing Piece in Response to the Obesity Epidemic: Diagnosing and Treating Food Addiction

1st Annual Food Addiction Conference
Downloadable / Viewable Reference Documents

UMASS Department of Psychiatry
UMASS Department of Psychiatry

Food Addiction Treatment for the Impaired Professional

Phil Werdell Presents “Food Addiction Treatment for the Impaired Professional” at the University of Florida

The University of Florida (UF) Gainesville invited Phil Werdell to speak Wednesday, March 20 during their Continuing Medical Education Grand Rounds lecture series at the Florida Recovery Center. Phil’s lecture, “Food Addiction Treatment for the Impaired Professional” was webcast live and we have the opportunity to share the lecture with you.We are sure you will enjoy the presentation and feel free to forward this to those you think may benefit from viewing.

Fat is Not a Feeling

“I’m feeling fat.” How often have I said that to myself? Usually I follow that statement with a litany of everything that’s wrong with the way I eat. What I do with food, how “bad” I was when I ate (fill in the blank), that I must change how I eat so I can lose weight and then everything will be great. Then I pump myself up with promises (“here’s what I’m going to do to FIX this”).

I end up eating again because I continue to act the same way, despite the promises, or give in to the despair and stuff myself to feel better about feeling fat. (Only a food addict will tell themselves that bingeing will make them feel better about feeling fat!) That’s my best thinking, and it doesn’t change the way I act.

“Feeling fat” is a lie I’m telling myself. I’m really not feeling fat. I’m feeling a lot of self-hatred and despair because I can’t control myself.

When I feel despair about what I do with food, that’s because I believe that I can control my food and fix myself, so I’m just totally screwing up and will have to try again (or just give up). If you’re feeling desperate, appalled and depressed about how you live with food, then you believe that somehow you can fix your actions with your thinking.

Notice two words in that last sentence: “believing” and “thinking.” We food addicts tell ourselves lies all the time about what we think and how we act with food. It’s addictive thinking that has nothing to do with reality, it just enables us to keep eating. For example:

I can have just one

In that moment, I believe I can have just one. I believe it with every thought. In that moment, there’s no room for any other thought or belief. I tell myself a lie (because I can’t eat just one) that I totally believe. Then I act upon that thinking: I eat one (and another, then another and then the horror begins). The moment I believe I can have just one is the moment I am powerless.

How can I stop myself from believing I can have “just one” at that moment when I’m about to eat something that will make me go insane for days, weeks, months or years? In the AA Big Book, they call this a “strange mental blank spot.” They also call it “just plain insanity.” We believe something that has NO basis in fact.

It’s a delusion, and food addicts have it. We have it when we’re happy, sad, angry, scared, any time at all. I’m as likely to have that belief at a celebration as at a funeral. And the results are always the same.

When I can accept that my thinking is fatally flawed (after all, this disease will kill me), then, paradoxically, I’m on the way to recovery. Because there is a solution, and it starts with changing my mind. It is, as the Big Book says, a psychic change.

Almost everything we believe about ourselves and our food when we come into recovery is wrong. We need a lot of help to recognize our addictive thinking and start dismantling the lies we tell ourselves. It’s a long-term process and it starts, of course with getting abstinent. During ACORN’s Primary Intensive©, we focus on helping food addicts to do just this, because this is at the core of Step One: abstinence and acceptance.

Accepting that we are powerless over food is the most powerful thing we can do.

Believe it or not, this is GREAT. Because when you can see that being powerless is the truth, you won’t end up in the food. You don’t have to take on the horrible responsibility of trying to fix yourself by yourself because you know, fundamentally, that it’s not possible. You don’t have to keep trying and failing, over and over again. You can let that whole “feeling fat” litany just go.

It’s a totally different way of thinking, isn’t it? Acceptance is very different from despair. In the recovery rooms, there’s a saying: “Awareness, acceptance, action.” They all go together, in order, for real healing to happen.

Of course, acceptance is not enough. I have to take action, otherwise nothing changes. If all the changes I’ve made by myself to fix myself haven’t worked, what could I possibly do differently?

I believe I’ve tried everything. (There’s that word again: “believe”). That’s the lie I tell myself, because I’ve really tried only what I wanted to try. Everything else, of course, “wouldn’t, or didn’t work.”

Time to let go. Let go of thinking that you know everything about how to be “normal” with your food. You may believe that, but the fact is nothing you know has helped you. So, consider: you may be (gasp!) wrong.

The action we need (we may not want to, that’s for sure!) to take is accepting help from other people. It’s not help on my terms: it’s following directions from someone who understands food addiction and has experience in being abstinent. After awareness, acceptance and action comes: willingness.

Now you are truly moving through Step One: I am aware that my thinking about food is fatally flawed, I accept that I am a food addict and this is how my thinking works, and finally, I am taking the action of getting help and being willing to follow directions.

Congratulations! You won’t have to “feel fat” any more.

Principles of Recovery

Below is a list of Principles of Recovery by ACORN Food Dependency and Recovery Services.


  • If you already have a food plan that works, i.e. one on which you have been abstinent 30 continuous days without cravings, don’t change it.
  • If you need a food plan, find a person with strong abstinence and ask them to be your sponsor. Begin with the food plan your sponsor uses, or try the ACORN Healthy Eating Plan.
  • Identify and eliminate all binge foods and any food that triggers bingeing, purging or restricting. You may need help from other food addicts to do this.
  • If you binge on almost any food, or if you tend to overeat or under-eat food, or if you have trouble estimating portions, then weigh and measure your food. (If you are primarily anorexic and your condition is advanced, surrender to having someone else make your meals and/or decide each meal what and how much you should eat.)
  • Make sure your food plan provides overall nutritional balance by consulting with a doctor, dietitian or eating disorders specialist about nutritional balance.
  • Put down unhealthy eating behaviors, e.g., diet pills, skipping meals, fasting, vomiting, eating while driving, grazing between meals, eating in front of the TV, using laxatives, and eating too fast or too slow.
  • Don’t make a decision about what a normal weight will be for you alone; surrender to consulting a health professional and/or someone with strong recovery; let them decide.
  • Do not make decisions about food alone. Check your food plan and any changes you want to make in it with an abstinent food addict whose recovery you trust (ideally, your sponsor), and/or a health professional with success helping food addicts.
  • As with other chemical dependencies, the first principle of food addiction recovery is “abstinence first, absolutely.”

©Philip R. Werdell, 1995
Revised 2009, with A.E. Heald.