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This week, we revisit an old episode of Comfort Food where Virginia Sole-Smith and Amy Palanjian chat with Lisa Du Breuil, an incredible fat activist and clinical social worker who specializes in eating disorders and addiction. They discuss sugar addiction and how to navigate endless treats with your kids.If you'd like to support Burnt Toast, please rate and review us in your podcast player! And considering becoming a paid Burnt Toast subscriber. It's just $5 per month or $50 for the year. Producing a weekly podcast requires a significant investment of time and resources from several talented people. Paid subscriptions make all of our work possible and enable us to offer an honorarium to expert guests, which is key to centering marginalized voices in this space.CREDITSThe Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith. Follow Virginia on Instagram or Twitter.Burnt Toast transcripts and essays are edited and formatted by Corinne Fay, who runs @SellTradePlus, an Instagram account where you can buy and sell plus size clothing.The Burnt Toast logo is by Deanna Lowe.Episode 58 TranscriptVirginiaHello and welcome to episode 24 of Comfort Food! This is the podcast about the joys and meltdowns of feeding our families and feeding ourselves.AmyAnd this week, we’re talking about sugar and whether we can really be addicted to it, if it makes our kids hyper, and how we can have a saner relationship with it, both ourselves and with our kids.VirginiaI’m Virginia Sole-Smith, I’m a writer, a contributing editor to Parents Magazine, and the author of The Eating Instinct: Food Culture, Body Image, and Guilt in America. I write about how women relate to food and our bodies in a culture that gives us so many unrealistic expectations about both of those things.AmyAnd I’m Amy Palanjian, a writer, recipe developer, and creator of Yummy Toddler Food and Yummy Family Food. I’m a contributor to Allrecipes Magazine and I love to help parents relax in the daily challenge of feeding their kids.VirginiaAs we’re recording this episode, I am just finishing the first month of my book launch and wrapping up my book tour for The Eating Instinct. I really loved all of the events, and if you guys are listening, anyone who has come out to the events, thank you so much. It’s been a total joy to talk about the book with people. But there’s one question that comes up at every single event, which has been really interesting, which is, “But what about sugar?” What I think happens is people hear me talking about the importance of trusting our bodies and listening to our hunger and fullness cues and not being afraid to take pleasure in food and how comforting eating should be at its core. And everyone’s with me. Everyone is nodding along like yes, yes, yes, we want to do that. We want to do that. And then someone raises their hand and says, “But wait, surely you don’t mean sugar?” And it’s so interesting that we just have, right now, this phobia around sugar. This cultural moment we’re having where we classify sugar in this different category from other foods. We really have started to think of it almost like alcohol or drugs.AmyAnd in terms of kids, there’s this giant fear of juice. There’s all of these fears of going to birthday parties and kids eating birthday cakes, that the kids are going to have these flaming meltdowns due to the sugar. And I think a lot of us believe these things because we hear our friends talking about it. But we don’t actually know what’s true and what’s not.VirginiaSo, we wanted to sort through all of this. And we wanted to bring in a really great expert to help us. So, we have Lisa DuBreuil with us. She is a therapist from Salem, Massachusetts, who works with clients on both eating disorders and addiction. So she’s kind of the perfect person to help us sort through these different issues. So Lisa, welcome! Why don’t you tell us a little bit about yourself and your work and your family?LisaWell, thank you very much. I’m delighted to be here with you. So yes, I’m a clinical social worker. I work at Mass General Hospital in Boston, working with people who have substance use disorders and my particular clinical specialties are folks that have both eating disorders and substance use disorders, and also people that have developed different problems after weight loss surgeries. I also have a private practice in Salem, where I live with my family, and up here I see mostly people dealing with binge eating disorder, body distress, trying to recover from diet culture, things like that.VirginiaI should mention, Lisa is also quoted pretty extensively in chapter six of The Eating Instinct. So there will be more of her in the book.LisaAnd I’m married, I have a husband and a 13 year old daughter.AmySo, let’s start with the big question here. Is sugar addiction a real thing?LisaIn a word? No, it’s not. There’s obviously way more detail to that. But bottom line? No, it’s it’s not an addiction.VirginiaI think that is so important and so refreshing for people to hear. I hope people are breathing a sigh of relief, because this really is this misconception. It’s everywhere. So I really appreciate you saying that. Let’s get into that detail a little bit more. Why don’t you tell us a bit about the biology of addiction? And why is sugar not classified in that same way as drugs or alcohol?LisaThe first thing I want to want to say is, I really understand why people have this concern, because we are living in a cultural time when we’re being told that sugar is dangerous and addictive. I want to make it really clear, I have total sympathy for people that are worried about this and parents that are worried about this. But when we look at the science, we’re just not seeing the evidence that we respond to sugar the same way that we respond to what what are called “substances of abuse.”One of the most important things, I think, for people to know is that our entire nervous system requires sugar. It runs on sugar. That’s all your brain uses for energy is carbohydrates and all carbohydrates break down, in the end, to sugar. So, we do have a drive for sugar because we can’t survive without it. But that’s not the same thing as having an addiction. So that’s the first piece I think it’s important for people to know.The biggest piece I think that can be helpful to people is understanding the concept of habituation, which is what happens when a person is exposed to something and because of the exposure and the access, is able to regulate themselves around it. When I work with people with who are dealing with both a substance use disorder and an eating disorder, with the substance use disorder, we can we talk a lot about restriction and abstinence, because that’s the best way we know right now to help people stabilize and live a balanced life. When I’m helping them with their eating disorder, we are moving away from restriction. We’re moving away from abstinence, because that’s the best way we know how to help people be able to live in balance and feel like they can regulate themselves.AmyI think a lot of what stresses adults and parents out is just that it often seems like treats and sugar are everywhere that we go. That in itself can make it seem like sugar is out of control, because it’s all over the place. But that’s a very different thing than being physically addicted to it.LisaYes. And the piece that parents need to understand is that the more restrictive they are, that the more special and forbidden they make them, the more a child is going to be interested in them. That’s Parenting 101. The minute you say to your child, “don’t touch that,” what happens? That’s all they want. That’s all they want to touch. So, it’s the same thing with foods.VirginiaIt sounds like one of the key differences we all need to kind of wrap our minds around is that if you are talking about a substance that is physically addicting, it is important to avoid. An alcoholic can’t drink, a drug addict needs to avoid drugs, whereas in terms of managing our feelings of out-of-control-ness or anxiety around something like sugar, we actually need to be okay having it. We need to be comfortable with the exposure.LisaRight. So with with a substance use disorder, the exposure to the substance, heavy use of the substance—because of neuroplasticity, because of our brain’s ability to adapt, and change—we develop tolerance. Anyone who has struggled with substances can tell you, there was a time when one or two drinks was enough, and now I can’t seem to stop. And that has to do with physical changes that occur in the brain. And obviously, I also want to say that addiction is much more complicated than this. It also involves psychosocial factors and oppression and all these other cultural influences. It’s not just about someone’s biology, but when we are talking about the biology there’s this tolerance that develops because the brain adapts to the heavy use. And we don’t see that with fruits. We don’t see that with sugar. What we see is that through exposure, and abundance that people and animals actually are able to regulate. It’s the restriction that creates the drive, the over over attention to to these foods.AmyIs it the restriction that causes some people to then binge eat? Is that like an emotional response?LisaYes, yes. Really all eating disorders involve restriction, which also we can call dieting. I mean, that’s what dieting is, it’s restricting calories or restricting certain foods. And so when that happens, you can create a strong drive to then overeat, and ignore your own hunger and fullness cues. Because, oh my god, now it’s available, and I better get it while it’s still here.VirginiaSo when people say, “Oh, I can’t trust myself around the Oreos. I’ll eat the whole bag,” we’re kind of focusing on the wrong piece. It’s not actually the food, it’s everything you did leading up to encountering the Oreo with restriction that got you there.LisaExactly. And when I talk to people, how I try and break it down for people is, with permission plus abundance, you can get discernment. When you have permission—honest to God, deep in your heart permission—to eat as many Oreos as you really want, and you have plenty of Oreos, you can get to a place where you can actually tell how many do I really want?The other part of this is eating regularly throughout the day, eating lots of different kinds of food, making sure your nutritional needs are getting met. Because that’s the other piece is that if you’re undereating in other ways, you’re going to make it harder for your body and brain to hear the signals for all the different kinds of food your body needs. In the end, if you’re undernourished at the end of the day, your brain is going to prioritize its needs. And what does it need? Carbohydrates.The last thing I want to say about that piece is, this is a feature, not a bug. Because for most of human history, the biggest threat to our existence was starvation. So we have an amazingly powerful, not in our direct control drive to keep us alive. And so trying to push against that is like trying to train yourself to need less oxygen.VirginiaYeah, you’re just never going to do it.LisaYou’re never going to do it.VirginiaI think we’ve all met these people who give up sugar for some period of time. And they say, “Well, as long as I don’t eat it, I just don’t crave it.” What’s going on there?LisaSo, here’s the thing. I’m a big believer in believing people when they tell me about their lived experience. So, if someone says to me, “I have to tell you, I’ve cut out sugar,”— although I have to point out that no one can completely cut out sugar because it’s present in lots of different foods and we would die without it. But I know what they mean, they mean added sugar treats, etc. So, if someone says to me, “I’ve done that and I’m functioning well. I go where I want to go. I don’t get preoccupied, I feel satisfied. And life is going well,” I’m going to believe them. It’s not my job to convince people that what they’re doing isn’t working, if what they tell me is that it is working.But that said, lots of times in my experience, most folks find that in order to maintain that kind of restriction, it requires a lot of other limits in their lives. Places they don’t go, people they don’t hang out with, preoccupation that they have to manage. One of the ways you can think about it is, if I asked you to stand up and balance a quarter on your index finger, you probably wouldn’t have a hard time doing that. If I asked you to do it all day long, this simple task over time would start to get really difficult because you get muscle fatigue and focus fatigue, and it would it would start requiring more and more of your energy, psychological energy and physical energy, to continue that hold, right? So that can be what happens when people try and have such a restriction because carbs are present in so many of our foods. And nutritionally most human diets, 50 to 60% of it is carbohydrates. Because our brains need such a large amount of carbs to run. So, for most people, it’s very hard to pull off over an extended period of time. But that doesn’t mean there aren’t some people that maybe can do that.VirginiaThat’s really good to be aware of, if you’re thinking about something like that. The odds are a little bit stacked, in terms of how your body’s gonna respond.LisaYes, and the more of a history you have of restricting and foods being forbidden, the more of an emotional pull those foods are going to have on you. So, lots of times the beginning of recovering with eating disorders is really healing from a lot of that restriction. So, in the beginning, sometimes people do over focus on those foods because they’re making up for all the years they weren’t allowed to have them.VirginiaBut then you see, as someone continues in their recovery, you see sort of a balancing.LisaYes, you do. Absolutely. And when I work with people, we don’t do it willy-nilly. We very planfully think about how to help someone move foods from the “forbidden” column into the “it’s okay to eat” column, and we do it in a way that feels safe and is planful. Because it can be very scary for people because they are afraid of getting completely out of control.VirginiaLisa, you work primarily with adults struggling with food in these profound ways, but I’m curious to know if there are any particular strategies that you use with your clients, particularly when it comes to overcoming these anxieties around the so-called forbidden foods, that you think are also useful for parents to incorporate.LisaSo, the first thing I would recommend is to look at the resources available through the Ellyn Satter Institute.VirginiaWe love Ellyn Satter on this podcast.LisaMy daughter is adopted from China, and when we brought her home, even though I was in recovery from my own eating disorder, I was really worried, like any parent would be, what if I pass this along to her? And a friend of mine said, “Oh, you have to check out Ellyn Satter.” And so I did andI discovered the Division of Responsibility. And that’s what I used when she came home. Although initially I just fed her on demand even though she was 18 months old, because she came to me undernourished because the orphanage didn’t have enough resources. She was very well loved, but they literally didn’t have enough food to go around sometimes. And so initially, I remember her eating big pats of butter because she was making up for lost time and her brain was growing exponentially and she needed fat. But eventually, as she was ready to do so, we moved into the division of responsibility and I found it incredibly helpful. So that’s always my go-to resource for parents.AmyI just want to jump in here and say if you guys haven’t listened to it, Episode 19, the whole episode is about the Division of Responsibilities. So definitely check that out.LisaI think It’s even helpful for adults. Lots of times…
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