The Bariatric Behaviorist

The Bariatric Behaviorist I’m a Behavior Analyst who had Gastric Bypass and I’m sharing everything i’ve learned along the way.

07/13/2025

Understanding Bariatric Behavior: Why Mindset Matters More Than the Meal Plan

Bariatric surgery changes the anatomy of your digestive system — but true success comes when we change what happens before the first bite.

Behavioral work is central to long-term success. Surgery is a powerful medical intervention, but behavior is what makes the change stick.

Why Behavioral Change Is Central to Bariatric Success

Weight loss is not just a physical challenge — it’s a deeply psychological one. Many patients come into surgery with decades of learned behaviors around food, body image, reward cycles, and emotional regulation. Without addressing these, the same patterns that led to weight gain can return after the honeymoon phase of surgery ends.

Key behaviors that must be addressed include:
• Mindless eating: Grazing, distracted eating, and eating while emotionally dysregulated
• Emotional eating: Using food for comfort, stress relief, boredom, or avoidance
• All-or-nothing thinking: Beliefs like “I messed up once, so I might as well give up”
• Perfectionism and shame cycles: Unrealistic expectations that fuel guilt and withdrawal
• Avoidance of support: Failing to reach out when struggling, often due to internalized stigma

Behavior-Based Strategies That Predict Long-Term Success
• Structured Meal Timing: Creating predictability reduces reactive eating
• Protein First, Always: Reinforces satiety and stabilizes energy
• Journaling Food and Mood: Identifies triggers before they become patterns
• Scheduled Self-Check-Ins: Weekly behavior reviews help course-correct early
• Skills-Based Coping: Learning alternatives to eating for emotional regulation — like movement, mindfulness, or calling a support person
• Accountability Without Punishment: Compassionate correction outperforms shame-based approaches every time

What Happens in Behavioral Support

Using frameworks like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Applied Behavior Analysis (ABA), behavior is broken down into:
• Antecedents (what happens before a behavior)
• Behaviors (what the patient does)
• Consequences (what reinforces it)

For example, if the trigger is stress and the behavior is eating chips, the replacement might be deep breathing or a short walk, reinforced with a support text or affirming statement.

Final Thought

Behavioral change is not about willpower — it is about systems, support, and structure. Struggles after surgery are not failures. They are signals that a behavior system needs adjusting.

Replacing shame with curiosity, consistency, and compassion makes all the difference.

7 Days to Strength, Balance & Healing – No Crunches RequiredPosted to The Bariatric Behaviorist – Courtesy of Britt’s Bi...
06/19/2025

7 Days to Strength, Balance & Healing – No Crunches Required

Posted to The Bariatric Behaviorist – Courtesy of Britt’s Bistro Cafe Meal Planning

If you’re looking for a low-impact, beginner-friendly movement routine to support healing, improve flexibility, and rebuild strength—especially during or after bariatric recovery or while managing liver health—DDP Yoga is an excellent place to begin.

This isn’t traditional yoga. DDP Yoga was developed with real-life bodies in mind, blending dynamic resistance and guided breathing to improve circulation, joint mobility, and stability—without high-impact stress.

• A full week of gentle, structured DDP Yoga routines
• Designed to promote core strength, posture, and low-inflammation movement
• Adaptable for seated or lower-energy days
• Aligned with liver-supportive and bariatric-safe wellness goals
• No equipment required—just a mat and space to move

This plan is a great way to introduce safe, purposeful movement into your daily routine. If you’re looking for demonstrations, DDP Yoga videos can be easily found on Facebook from a variety of instructors and wellness pages.

Movement is medicine—and this is a safe and sustainable way to begin.

Warmly,
Britt
Founder of Britt’s Bistro Cafe
Meal Planner | Wellness Advocate

06/08/2025

It’s been a hot minute since we had a journal update from Brittney. Her story continues. Brittney is 12ish yr PO RNY with complications, some self afflicted some associated with her surgery and not taking vitamins. Her gallbladder and revision for Candy Cane Syndrome happed 1.5 yrs ago. Her initial story is posted here on this page and in her group.

———-

Bariatric Recovery Journal: “I’m a Broken Baby T Rex, Please Feed Me”
By Brittney Hanna – Britt’s Bistro Cafe

So here’s how today went. I was fine one minute, then the next I was dramatically clutching my stomach like a Victorian widow fainting on a chaise lounge. Classic starving pain sneak attack. No warning, no hunger pangs—just suddenly lightheaded, irritable, and contemplating chewing on a paper towel.

This is the part of bariatric life no one really prepares you for: not feeling hunger like a normal person. There is no gentle cue, no friendly nudge that says, “Hey, maybe grab a snack soon.” It just hits like a freight train. Your body doesn’t whisper anymore. It waits until it is in crisis mode, and then screams. And the worst part? I still forget to eat. I genuinely cannot remember sometimes if I had breakfast or if that was yesterday. There is no rhythm to follow, only chaos to manage.

I have alarms set on my phone to keep me on schedule. They go off every few hours with cheerful chimes or buzzing reminders. But here’s the honest truth: I often forget what the alarms are for. I’ll hear it and think, “What was that supposed to remind me of again?” Sometimes I silence it without checking. Sometimes I know it’s time to eat, but I procrastinate. I tell myself I’ll eat in ten minutes, but then a task pulls me in, or I decide I’m “too busy,” and before I know it, I’m spiraling into that shaky, starving state I was trying to avoid in the first place.

Now let’s talk about asking for food. Since I never feel hungry, I often realize I need food only when I start feeling weak and dizzy. Trying to explain that to people sounds dramatic, so I just embrace it. I say, “I am a broken baby T Rex. Please feed me before I start gnawing on air.” It helps. People laugh, I get fed, and I don’t have to explain that I’m essentially trying to survive on timers and muscle memory. Why a baby T Rex? Because I have tiny arms, no ability to help myself, and my stomach might be prehistoric in size and function now.

Of course, once food is in front of me, my instincts try to take over. My inner velociraptor kicks in and says, “Eat all of it now. Immediately.” But if I give in to that? I suffer. And not in a cute, sitcom-style bellyache kind of way. If I eat even slightly too much, my blood pressure rockets and then crashes into hypoglycemia. One minute I’m flushed and pounding with heat, the next I’m shivering, sweaty, and taking involuntary nap time like a toddler who lost a fight with gravity. Other times it’s not the nap—I get hit with violent heaving fits that shake my entire body. They are so intense that I’ve pulled muscles in my stomach. I’ve literally dislocated a rib from retching too hard. There is no middle ground. It’s either slow and careful, or catastrophic disaster.

That’s why I’ve had to learn to listen to the most subtle signals. I chew until food is unrecognizable. I rest between every bite. I time my meals to stretch at least twenty minutes. I honor the hiccup like it’s sacred. Because when I ignore those things, my body reminds me the hard way—through fainting, collapsing, or a dramatic reenactment of The Exorcist that leaves me wrapped in heating pads and regret.

Today I did okay. I ate before the starving pain kicked in. I stopped when the hiccup came. I didn’t nap unexpectedly, dry heave, or scream into the void. I reminded myself that this isn’t about perfection. It’s about survival. It’s about creating structure where my body no longer gives me cues. It’s about laughing through it when I have to say, “Please feed me. I’m a broken baby T Rex,” and letting that moment of humor be enough to get food in and meltdown out.

06/03/2025

How to Eat Slowly After Bariatric Surgery

After bariatric surgery, eating slowly becomes one of the most essential, life-preserving habits you’ll need to develop. But “just slow down” is not a behavior plan—it’s a vague instruction that ignores how fast eating was previously shaped, reinforced, and normalized.

From a behavioral science perspective, slowing down is not simply a choice—it’s a learned skill, influenced by your environment, reinforcement history, and emotional state. Let’s explore how to actually build this behavior using tools that support long-term success.

⏳ Why Eating Slowly Matters Post-Surgery
Post-op anatomy dramatically changes how food moves through your digestive system. Fast eating can lead to:

Dumping syndrome (nausea, sweating, diarrhea)

Food getting stuck or causing pain

Vomiting or stretching the pouch over time

Loss of interoceptive cues (fullness signals don’t register fast enough)

In behavioral terms, this means the punishers for eating too fast are immediate but can lose their effectiveness if you’re overwhelmed or distracted. Instead, we have to make slow eating a reinforced, structured skill—not a reactive hope.

🔁 Behavioral Baseline: What Was Your Eating Speed Before?
Before surgery, you were likely eating:

In under 10 minutes

With large bites and minimal chewing

While multitasking (TV, phone, driving, emotions)

This means you had a strong behavioral chain that rewarded speed. It may have looked like this:

Grab → Bite → Chew quickly → Swallow → Repeat

Every step in that chain was likely reinforced—by taste, texture, relief from hunger, or emotional distraction. So now, we must break that chain down and rebuild a slower one.

🧠 Step-by-Step: How to Train the New Behavior
Step 1: Anchor Meals to a Timer
Use a 20–30 minute visual timer. This turns time into a discriminative stimulus—you’re shaping the pace visually. Apps like “Eat Slower” or even a sand timer can work.

Step 2: Use Bite Counters or Audible Tools
Count each bite or use an app that vibrates or chimes every 60–90 seconds. These cues interrupt the old pattern and prompt pausing.

Step 3: Insert Delays Between Bites
Put utensils down after each bite. Do a breath cycle or say an internal cue like “pause” or “check-in.” This builds a pause routine into the chain.

Step 4: Use Smaller Utensils or Mealtime Props
Switch to a baby spoon or toddler fork. This is a form of stimulus control—you’re physically reducing how much food enters your mouth at once.

Step 5: Self-Monitor and Reinforce
Use a meal log with a pacing column:

Start time

End time

Number of bites

Whether you used your timer
Then reward yourself (non-food reinforcement) when you meet your slow-eating target.

⚠️ Barriers to Watch For
1. Emotional Dysregulation
Stress and anxiety can speed up eating behavior. Use grounding techniques (deep breathing, fidget tools) to delay compulsive eating.

2. Social Pressure
Eating with others who eat fast can increase pressure to match pace. Be open about your need to eat slowly, or set boundaries ahead of meals.

3. Device Distraction
Eating while scrolling or watching TV reduces awareness. Make meals device-free when training this habit.

🧩 The Science of Repetition and Reinforcement
Behavior change requires deliberate practice. Your brain needs repetition of a slower chain for it to become automatic. That includes:

Daily practice—even one slow meal per day builds fluency

Reinforcement—not just avoiding pain, but celebrating mastery

Environmental design—set up your eating space like a training zone

✅ Sample Reinforcement Plan
Goal: Eat lunch in 25 minutes using timer and utensil-down strategy.
Reinforcer: 15 minutes of uninterrupted reading time after meal.

Weekly Goal: 5 successful slow meals = 1 reward (e.g., new journal, bath bomb, music download)

This is applied behavior analysis (ABA) at work—not just “trying harder,” but systematically shaping a new eating identity.

Final Thoughts from a Behavior Analyst
Slowing down isn’t about willpower. It’s about replacing an old chain of behavior with a new one. It’s about structure, reinforcement, and environmental design. When you understand eating slowly as a behavior to be built—not forced—you give yourself the power to heal.

You’re not failing if you forget to go slow. You’re in the middle of behavior acquisition. Keep shaping. Keep tracking. Keep reinforcing.

Resources
The Bariatric Behaviorist
Liver Disease Recipes and Discussions - Bariatric Support
Britt’s Bistro Cafe - Meal Planning

06/01/2025

How to Meal Plan as a Bariatric Patient

Focused on Portion Control, and Whole Foods

1. Know Your Bariatric Phase
Meal planning changes based on your recovery phase:
• Phase 1: Clear Liquids – broths, herbal teas, electrolyte drinks

• Phase 2: Full Liquids – strained cream soups, protein water, sugar-free puddings

• Phase 3: Pureed Foods – soft blends of lean meats, eggs, and vegetables

• Phase 4: Soft Foods – flaky fish, soft fruits, steamed veggies

• Phase 5: Regular Foods – reintroduce whole proteins, raw veggies, and high-protein snacks

2. Plan 4–6 Small Meals a Day
Avoid traditional large meals. Plan for:
• 3 small meals + 2–3 protein-rich snacks
• Focus on 3–4 oz portions of food per meal
• Always eat protein first, followed by vegetables, then any tolerated complex carbs

3. Build a Weekly Template
Create a rotating schedule like:
• Monday: Egg-based breakfast, fish lunch, chicken dinner
• Tuesday: Yogurt + berries, turkey lettuce wraps, tofu stir-fry
• Wednesday: Just Egg cups, salmon salad, zoodle pasta
Themes reduce decision fatigue and improve grocery shopping

4. Choose Liver-Friendly, Bariatric-Safe Ingredients
• Lean proteins: egg, fish, poultry, tofu, turkey
• Low-fat dairy: Greek yogurt, cottage cheese
• Vegetables: cooked leafy greens, squash, carrots, cucumbers
• Whole carbs (optional): buckwheat, quinoa, zoodles, miracle noodles
• Healthy fats: avocado, olive oil, chia, flax

5. Prep and Portion Weekly
• Pre-cook proteins and grains
• Portion into 2–4 oz containers
• Label with date and phase
• Store ready-to-go snacks (e.g., boiled eggs, cucumber slices, mini tuna packs)

6. Track Fluids & Protein
• Goal: 64–80 oz water daily
• Protein: 60–100g per day (depending on stage and medical advice)
• Use shakes, soups, or protein waters when needed—but aim to shift toward food

7. Include a Grocery List System
Organize by food groups to streamline shopping:
• Proteins – 5–7 sources
• Vegetables – 8–10 servings/week
• Fruits – 4–6 portions (low-sugar, fiber-rich)
• Snacks – 2–3 easy grab-and-go items
• Supplements – keep bariatric vitamins and minerals stocked

8. Reheat and Rotate
Freeze individual portions of meals to avoid burnout. Label each container with name, date, and phase. Rotate frozen items weekly to keep your menu fresh and interesting.

Resources
Liver Disease Recipes and Discussions (LDRD)
The Bariatric Behaviorist
Britt’s Bistro Cafe - Meal Planning

Britt’s Bistro CafeTriple Lava CakeSuitable for Bariatric Phase 5 (Solid Foods)Yields: 4 servingsPrep time: 15 minutesCo...
05/31/2025

Britt’s Bistro Cafe
Triple Lava Cake
Suitable for Bariatric Phase 5 (Solid Foods)

Yields: 4 servings
Prep time: 15 minutes
Cook time: 10 minutes
Serving size: 1 cake (approximately 3 ounces or ½ cup)

Whole Food Ingredients
• ¼ cup unsweetened cocoa powder
• ¼ cup almond flour
• 3 large eggs
• 2 tablespoons extra virgin olive oil
• 2 tablespoons unsweetened applesauce
• 2 tablespoons date paste
• 1 teaspoon alcohol-free vanilla powder (or ⅛ tsp ground vanilla bean as alternative)
• 1 ounce 85% dark chocolate (melted)
• 1 ounce unsweetened baking chocolate (melted)
• 2 tablespoons chocolate protein powder (unsweetened)
• Pinch of sea salt

Directions
Preheat oven to 375°F. Lightly grease four ramekins with a thin coating of olive oil. In a bowl, whisk together cocoa powder, almond flour, protein powder, and salt. In a separate bowl, whisk eggs, applesauce, date paste, olive oil, and vanilla powder until smooth. Combine the dry and wet ingredients, then gently fold in both melted dark chocolate and baking chocolate. Evenly divide batter into ramekins. Bake for 9–10 minutes until edges are set but center is still slightly jiggly. Let rest for 2 minutes, then carefully invert onto plates. Serve warm.

Storage and Reheating
Store in airtight containers in the refrigerator for up to 3 days. Reheat gently in a microwave at 50% power for 20–30 seconds or warm in a 300°F oven for 5 minutes.

Nutritional Facts (Per Serving)
Calories: 210
Protein: 14g
Fat: 14g
• Saturated Fat: 3g
• Monounsaturated Fat: 7g
• Trans Fat: 0g
Carbohydrates: 13g
Fiber: 4g
NET Carbs: 9g
Sugar: 5g
Iron: 2.1mg
Sodium: 45mg (optional)
Potassium: 260mg
Cholesterol: 105mg
Cobalt: 0.3µg

Recipe created by Britt’s Meal Planning Kitchen
Shared in collaboration with Liver Disease Recipes and Discussions (LDRD)

Disclaimer: This recipe is designed to be liver-friendly but should always be reviewed by your healthcare provider for personal dietary needs.

Understanding Dopamine and Food Cravings: A Brain-Based Approach to ControlMeta DescriptionDiscover how dopamine drives ...
05/30/2025

Understanding Dopamine and Food Cravings: A Brain-Based Approach to Control

Meta Description
Discover how dopamine drives food cravings and how to manage them using proven behavioral strategies. Perfect for bariatric recovery, emotional eating, and food addiction support.

When cravings hit, it feels personal—like you’ve failed, again. But there’s a biological reason for that powerful pull toward chips, chocolate, or comfort food. It’s not just about hunger. It’s about dopamine.

In this article, we’ll explore what dopamine is, how it fuels food cravings, and the most effective strategies to manage those cravings, especially for those in bariatric recovery or healing their relationship with food.

What Is Dopamine and How Does It Influence Cravings?

Dopamine is a neurotransmitter, a chemical messenger that sends signals in the brain. It plays a major role in how we feel pleasure, anticipate rewards, and form habits. When you eat highly palatable food—think sugary, salty, fatty snacks—your brain releases dopamine. This creates a loop:
• See or think about a favorite food
• Anticipate pleasure (dopamine rises)
• Eat the food (dopamine spikes)
• Reinforce the habit

Over time, your brain becomes wired to expect rewards from food, especially in times of stress, boredom, or emotional discomfort. This is why it’s so hard to “just say no.” Your dopamine circuitry has been trained.

Why Food Cravings Spike After Bariatric Surgery

Post-bariatric patients often experience intense cravings despite physical fullness. Why?

Because bariatric surgery changes your stomach, not your brain.

Your neural patterns—the dopamine-driven reward loops around food—are still active. Even more, the restricted nature of early recovery phases (clear and full liquids) removes the usual food rewards, creating something called a dopamine deficit. Your brain starts searching for the hits it used to get from food.

This often results in:
• Emotional outbursts or sadness
• Cravings for high-dopamine foods (like red meat or sugar)
• Mood changes around mealtimes
• Anxiety or grief related to food loss

Proven Behavioral Strategies to Manage Dopamine and Cravings

Instead of fighting cravings, the goal is to redirect and rewire dopamine pathways through behavior. Here’s how:

1. Use Non-Food Rewards to Rebuild Dopamine Pathways

Introduce new sources of reward:
• Journaling progress
• Playing music or calling a friend
• Practicing a hobby
• Using a reward chart or sticker system

This gradually teaches your brain that pleasure doesn’t have to come from food.

2. Delay and Distract

The urge to eat usually rises and falls like a wave. Use the “10-Minute Rule”:
• When a craving hits, delay acting on it for 10 minutes.
• Engage in a non-food activity (walk, journal, stretch).
• Most cravings fade when the dopamine wave passes.

3. Create Novelty in Non-Food Ways

Dopamine loves newness. Add variation to your day:
• Take a different walking route
• Try new herbal teas or infused waters
• Change your daily routine (new chair, new journal)

Novelty satisfies dopamine without triggering food behaviors.

4. Build Structure with Predictable Eating

Dopamine thrives in unpredictability. Create calm with consistent:
• Meal timing
• Meal composition
• Hydration routines

Predictability calms the nervous system and dulls reward-seeking urgency.

5. Control Food Cues in Your Environment

Out of sight is out of mind—and out of dopamine range:
• Remove tempting foods from counters and pantry
• Unfollow food-heavy social media pages
• Avoid going grocery shopping when emotional or hungry

Cues are the fuel that trigger the dopamine engine.

6. Track and Journal Cravings

Awareness is power. Track cravings:
• What time do they occur?
• What triggered them?
• Did you act on them?

This builds mindfulness and separates emotional hunger from physical hunger.

Dopamine Cravings Are Not a Moral Failing

Cravings are biological, not personal. You’re not broken—you’re responding to a dopamine system that’s been trained by years of environmental exposure to hyper-palatable food. The goal isn’t to eliminate dopamine but to redirect it.

Every time you choose a non-food reward, delay a craving, or notice a pattern, you’re rewiring your brain. This is neuroplasticity in action—true transformation at the root level.

Final Thoughts from a Behavior Analyst

The relationship between dopamine and food is powerful, but not permanent. With strategic behavior change, you can reduce the pull of cravings, develop new reward pathways, and reclaim emotional balance after bariatric surgery or during a weight loss journey.

Cravings are data. Behavior is modifiable. Recovery is a process.

Tags:
dopamine and food cravings, bariatric surgery recovery, food addiction help, emotional eating, behavioral nutrition, reward-based eating, cravings after weight loss surgery, neurobiology of food, dopamine reset, stop food cravings naturally

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05/28/2025

📘 Phase 2: Full Liquids – The Habituation Window
Day 2

Behavioral Snapshot:
Welcome to Day 2 of Phase 2. You’re still deep in the learning curve of this new environment. The initial novelty of “surviving” clear liquids is behind you, but now you’re adjusting to monotony. It’s common to feel a psychological letdown here, not because you’re doing something wrong, but because your brain is learning that food no longer delivers spikes of pleasure, variety, or volume. This is not just a nutritional shift. It’s a complete overhaul of your reward system.

Common Internal Narratives Today:
• “Is this it? Just protein shakes and creamy soups?”
• “I’m tired but not sure why.”
• “I feel like I’m doing everything right, but I’m not feeling any better yet.”
• “I want something solid. Just something to bite.”

What’s Actually Happening:
This is a behavioral extinction phase. Your body is no longer getting the reinforcement cues it used to associate with eating—flavor variety, chewing, crunch, salt hits, or the psychological comfort of volume. Meanwhile, your brain is being asked to rewire its connection to food through consistency and predictability. That takes effort. And effort, without immediate reward, feels like grief.

Today’s Reinforcement Targets:
• ✅ Hit your full fluid + protein goal
• ✅ Log intake and note satiety patterns
• ✅ Reward yourself for consistency, not variety

Suggested Reinforcers (Non-Food):
• 20-minute music-only walk (focus on rhythm, not steps)
• Phone call with someone who doesn’t talk about food
• Audible/Kindle short story while sipping slowly
• New journal pen or sticker for your tracking log

Shaping New Behaviors (Micro-Wins):
• Try warming your shake and sipping it like a latte. It mimics a comforting routine.
• Blend a full liquid soup with fresh herbs or a roasted veggie broth ice cube for flavor contrast.
• Practice “mindful sipping”: 1 sip, 1 pause, 1 breath. This isn’t just for slowing down—it helps teach interoception (the sense of internal body signals).

Emotional Check-In Prompt:

“What part of my old food routine am I missing today—and how else can I meet that need?”

Behaviorist Note:
You’re not failing. You’re extinguishing decades of reinforcement histories and building new contingencies on purpose. That takes emotional labor. Don’t confuse effort with error. If today felt flat, it’s a sign of progress. Your brain is letting go of chaos. Keep tracking.



Resources
Liver Disease Recipes and Discussions - Bariatric Support
The Bariatric Behaviorist
Britt’s Bistro Cafe - Meal Planning

05/27/2025

📘 Phase 1: Clear Liquids – The Phase of Deprivation and Rapid Learning
Behavioral Reality:
This phase often triggers extinction bursts. Your body (and brain) suddenly notices the complete absence of familiar rewards: texture, flavor variety, chew satisfaction, and volume. That’s no accident—your pre-surgery environment was full of variable-ratio food rewards, and now, we’re in a fixed, highly restricted environment.

What to Expect:

Increased irritability and frustration

Heightened cravings, often irrational

Loss of temporal cues (no longer eating by the clock)

Emotional “withdrawal” from food as comfort

Supportive Strategies:

Use replacement behaviors like sipping herbal tea, journaling, or deep breathing

Reinforce yourself with non-food rewards (stickers, phone calls, music)

Log all intake to build behavior tracking fluency

📘 Phase 2: Full Liquids – The Habituation Window
Behavioral Reality:
The brain is now adapting to new response contingencies—what you put in your mouth is predictable and non-triggering. You are slowly reducing food-related anxiety by learning that nutrition doesn’t always come from “fun” foods.

What to Expect:

Emotional flattening (food used to create emotional highs/lows)

Mild depression or grief as old reinforcers disappear

Testing limits (drinking a little too fast, or sipping too much)

Supportive Strategies:

Reinforce compliance: chart daily goals and reward consistency

Practice mindful sipping as a training routine

Use shaping to gradually tolerate new textures (creamy broths to protein shakes)

📘 Phase 3: Pureed – The Phase of Novel Behavior Chains
Behavioral Reality:
This is the first major reintroduction of motor patterns around chewing. You are re-learning how to eat—bite, chew, swallow—on a smaller anatomical structure. Every bite is a behavioral trial.

What to Expect:

Anxiety about vomiting or feeling stuck

Repeating “safe” meals to avoid adverse effects

Over-monitoring every swallow (hypervigilance)

Supportive Strategies:

Use chaining techniques to build mealtime confidence: prep → smell → chew → track outcome

Implement errorless learning by controlling portions and environment

Log wins: every successful meal is a data point for self-efficacy

📘 Phase 4: Soft Foods – The Phase of Behavioral Resurgence
Behavioral Reality:
Old patterns resurge here. You’re more mobile, hunger is returning, and you’re testing foods. This means previously extinguished behaviors (snacking, fast eating, grazing) may reappear.

What to Expect:

Random return of emotional eating urges

Portion distortion (your eyes haven’t adjusted to new stomach size)

Social pressures from family meals

Supportive Strategies:

Use environmental engineering (small plates, timers, planned leftovers)

Reinforce eating speed behaviors with visual timers or paced bites

Identify high-risk triggers and plan alternative responses in advance

📘 Phase 5: Solid Foods – Generalization and Maintenance
Behavioral Reality:
This is where generalization begins. Can you apply what you’ve learned across new environments—work, restaurants, holidays, stress?

What to Expect:

Gradual return to “real” life can reintroduce triggers

Long-term habit building feels boring without reinforcement

Weight loss may slow—creating a reinforcement thinning effect

Supportive Strategies:

Create a Variable Ratio Reinforcement Plan for long-term goals (non-scale victories)

Teach self-monitoring as a lifestyle (tracking food, emotions, sleep, and routines)

Maintain your support system as a reinforcement community

Final Thoughts from a Behavior Analyst
Bariatric recovery is a behavioral transformation, not just a physiological one. Each phase presents a different learning curve and reinforcement structure. Success hinges on recognizing patterns, using intentional shaping, and building replacement routines that match your new needs.

Your behavior is not broken. It’s adapting. Every sip, chew, and choice is a data point—and you are the best analyst for your own recovery.

05/23/2025

Breaking Habitual Eating: A Complete Analysis



1. Definition of Habitual Eating

• Habitual eating is the repeated act of eating not driven by physical hunger but by routine, emotions, or environmental cues.
• It often occurs automatically and without awareness.
• This behavior is usually reinforced over time through repetition and reward, making it neurologically ingrained.



2. Root Causes of Habitual Eating

• Emotional responses such as anxiety, sadness, stress, or boredom
• Established time-based cues like always eating at 8 PM regardless of hunger
• Social expectations like snacking during a movie or party
• Environmental triggers such as the smell of food, ads, or seeing snacks on the counter
• Hormonal imbalances or dysregulated blood sugar cycles



3. How the Brain Forms Food Habits

• Habitual behaviors originate in the brain’s basal ganglia, which governs automatic actions.
• The brain releases dopamine in anticipation of a reward, not just the reward itself.
• Food-related habits are especially reinforced when there’s a consistent cue, routine, and perceived reward.
• Even thinking about the habit can activate the brain’s reward system, encouraging repetition.



4. The Habit Loop

• Every habit is driven by a loop consisting of:
• A cue (triggering situation or emotion)
• A routine (the behavior, like eating chips when stressed)
• A reward (emotional relief or sensory satisfaction)
• The more often this loop runs, the stronger it becomes.
• Interrupting the loop requires identifying and altering one or more components.



5. Recognizing Habitual Eating Patterns

• Keep a food journal that includes time, hunger level, emotional state, and setting
• Use a 1–10 hunger scale before eating to measure true hunger
• Ask yourself:
• Am I truly hungry or just reacting to a cue?
• What emotion or setting preceded this urge?
• Could this need be met in another way?



6. Psychological Tools to Break the Cycle

• Practice mindfulness by pausing before each bite and eating without distractions
• Use a food-specific mindfulness method called urge surfing, where you notice cravings without reacting
• Try CBT techniques such as:
• Reframing food thoughts (“I deserve this” becomes “I deserve peace without regret”)
• Labeling urges without acting on them
• Practicing self-compassion when patterns resurface



7. Delay and Distract Method

• Commit to delaying eating by 10–20 minutes when a craving strikes
• Distract yourself with a healthy behavior such as:
• Drinking water
• Stretching or walking
• Calling a friend
• Listening to music or journaling
• Use this delay to identify whether the urge fades without eating



8. Environmental Restructuring

• Keep visible counters clear of snacks
• Store trigger foods out of sight or avoid bringing them into the house
• Eat only in designated areas (e.g., not in front of the TV or in bed)
• Use smaller plates or bowls to support portion awareness
• Turn off screens while eating to increase awareness and reduce dissociation



9. Nutritional Corrections to Prevent Habit-Driven Eating

• Eat regular, balanced meals to prevent extreme hunger
• Prioritize protein and fiber at every meal to increase satiety
• Avoid refined sugars and highly processed foods that trigger repeat cravings
• Stay hydrated, as thirst often mimics hunger
• Avoid skipping meals, which can trigger compensatory overeating later



10. Creating New, Supportive Habits

• Replace food-based routines with alternative activities such as:
• Herbal tea instead of dessert
• Journaling or art instead of snacking
• Meditation or walks after dinner
• Set new rituals like lighting a candle or playing music at the end of the day instead of opening a snack drawer
• Build new reward systems (e.g., weekly relaxation time or small treats unrelated to food)



11. Tools and Apps for Habit Awareness

• Use food journals like MyFitnessPal or YouAte to track context, not just calories
• Try habit-tracking apps like Streaks, Habitica, or Way of Life
• Explore mindfulness-based eating apps such as Eat Right Now
• Schedule daily reflection time to monitor emotional states and triggers



12. Managing Emotional Eating vs. Habitual Eating

• Emotional eating is usually driven by acute emotional distress
• Habitual eating can persist even during emotional neutrality
• Strategies to address both include:
• Naming the emotion
• Giving yourself permission to feel without reacting
• Practicing “urge journaling” where you write instead of eat
• Creating a list of emotional alternatives (e.g., baths, crying, calling a safe friend)



13. Social and External Pressures

• Be mindful of settings that encourage grazing (e.g., potlucks, office snack tables)
• Prepare responses for food pushers:
• “No thanks, I’m full.”
• “I’m working on mindful eating.”
• Carry safe foods or snacks to reduce reliance on unknown choices
• Find a support buddy to help with accountability



14. Overcoming Common Habitual Eating Barriers

• Boredom
• Solution: Create a list of 20 non-food enjoyable activities
• Night eating
• Solution: Establish a kitchen “close time” and brush teeth early
• Emotional triggers
• Solution: Create emotional check-in rituals and use calming tools
• Lack of time
• Solution: Batch prep meals and keep a list of 10-minute liver-safe recipes
• Social pressure
• Solution: Rehearse polite refusals or suggest alternate activities



15. What to Do After a Slip

• Reframe the experience as data, not failure
• Journal what led to the behavior and how it could be interrupted next time
• Avoid compensatory restriction which can lead to further rebound eating
• Reconnect with your core goal (peace, stability, liver health, etc.)
• Use affirming language like: “That moment is over. I choose differently now.”



16. When to Seek Support

• If habitual eating patterns interfere with health goals, mental clarity, or liver stability
• If emotional eating escalates into binge eating or significant distress
• If isolation, shame, or self-hatred begins to dominate eating behavior
• Consider working with:
• A behavioral nutritionist or therapist
• Bariatric mental health specialist
• A certified addiction counselor (especially if crossover from alcohol to food is occurring)



17. Reinforcement and Consistency

• A new habit becomes automatic after consistent repetition (averaging 66 days for most people)
• Track wins—non-scale victories like energy, bowel regularity, fewer blood sugar dips
• Use visual cues (calendars, post-it notes, alarms) to reinforce new habits
• Reward yourself with non-food milestones (e.g., new journal, book, fitness gear)



18. Sample Self-Awareness Prompts for Journaling

• What was I feeling right before I ate?
• What did I actually need?
• Did food meet that need? If not, what might have?
• How can I prepare for this scenario next time?



Conclusion

Habitual eating is a neurologically and emotionally embedded behavior that can be interrupted through awareness, environmental change, emotional honesty, and consistent behavioral shifts. Breaking this cycle empowers individuals to rebuild their relationship with food from one of unconscious repetition to one of intentional nourishment.

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