In my (informed) opinion, CBT in its original form, as first pioneered by Dr. Aaron Beck, really only works for things like minor depression and adjustment disorders. (Yes, Dr. Beck wrote the foreword, too.) I lead PHP (partial hospitalization groups) for a very large mental health provider. These are designed for people with very serious mental health issues– bipolar disorder, schizophrenia, and major depressive disorder.

We use CBT techniques a lot, and it’s true that CBT has been proven to show results for people with these serious mental illnesses. The problem, though, is that the way it works in this context is just not the same as the way it works for people who are, say, depressed because they have specific problems in their lives. This is a really important point, because I think it explains why this diet technique isn’t any more likely to work for most people than any other technique is.

Nobody with minor, low-level depression has a biological need to think negative thoughts or make negative evaluations of situations. So a therapy like CBT, which is designed to correct these types of thoughts because they tend to lead to negative feelings, will work very well. But there is NO psychotherapy– whether it’s CBT or anything else– that will work to control the symptoms of severe and persistent mental illnesses all by itself. The reason is that these symptoms ARE biologically based. It would be considered malpractice for any doctor to use only CBT for these mental illnesses. It can help, but there is just too much of a biological reason why the symptoms are there.

Similarly, people DO have a biological need to eat (quite apart from the whole world of psychosocial reasons why people eat how and as they do.) You just can’t use CBT to control a biological urge. It doesn’t work. If it did, then we wouldn’t need drugs like lithium, Lamictal, and Seroquel. But trust me, we do! Some people with mental illnesses really are able to control them with therapies like CBT for a limited amount of time. A good example is a bipolar woman who becomes pregnant and can’t take her normal medications. CBT can work in the short term to control her symptoms. (I have to be honest, though– I’ve never actually seen this work very well at all.) But in the long run, it just doesn’t happen. I have to say it– I just plain don’t believe that this diet works in the long run any more than any other diet does, except for a very small number of people. And I’m afraid that it provides the same setup for failure and self-hatred as all the other diets do. That’s my .02 cents, and I’m sticking to it!
Rating: 2 / 5

Then I see a picture of myself and I think, “Who is that fat person looking back at me?” It takes a moment for me to realize that the fat person is me.

I am going to apply what I read in this book in order to make my thinking and my body correspond. We shall see what we shall see.

Frank Scoblete: author of Golden Touch Blackjack Revolution! and Golden Touch Dice Control Revolution!
Rating: 5 / 5