There is a strong relationship between anxiety and weight gain. Especially during the months surrounding COVID-19, there has been increased attention given to this phenomenon. There are several reasons why anxiety can lead to weight gain, weight gain can lead to anxiety, and then the vicious cycle can go on and on.
In our culture, we are taught that anxiety is an emotion that is painful and uncomfortable. When there is uncertainty or chaos, we feel unease and we want to soothe the discomfort. Eating will always be an easy, convenient, and quick way to do that. It’s fine to use food to comfort ourselves on occasion. After all, the first time in our lives that we expressed any uneasy (e.g., crying as a baby), we were usually met with a bottle. Thus, many of us associate eating and food with comfort and soothing from a young age, and this continues into adulthood. However, when eating is the ONLY way that we are soothing our anxiety, we are likely to gain weight and then create more problems for ourselves.
Additionally, it is well-known that high levels of anxiety and stress lead to increased cortisol production, and having high cortisol makes it more difficult to lose weight once one has gained. Our cells become less sensitive to glucose and we are more likely to store fat in a state of constant anxiety. Thus, maintaining high levels of anxiety (levels that may have increased because of the weight gain that resulted from the overeating) may contribute to stubbornness when it comes to weight loss.
At Structure House, we work with our participants to learn alternative ways to manage anxiety so that food is not always the only tool in the toolbox. We offer training in meditation, cognitive-behavioral therapy, and acceptance and commitment therapy. Additionally, the robust fitness programming that we provide on campus (and teach participants how to continue at home) is another powerful way to manage one’s anxiety. When we are experiencing tension emotionally, discharging through physical activity is a research-proven way to buffer its effects.
Anxiety and weight gain does not have to be a vicious cycle. At Structure House, we can support our participants in finding a better way to deal with life’s often chaotic twists and turns.
Dr. Katie Rickel graduated summa cum laude from Duke University with a Bachelor of Science in psychology and earned a Ph.D. in clinical psychology from the University of Florida. She completed an APA-accredited clinical internship in health psychology at Duke University Medical Center, with advanced training in behavioral and bariatric obesity treatment as well as the psychological management of chronic pain and illness. Dr. Rickel also has expertise in treating anxiety disorders, including obsessive-compulsive disorder and specific phobias. Her research has been presented at various professional conferences and published in scientific journals. Dr. Rickel has also appeared on “The Dr. Oz Show” and has been quoted in several popular media outlets, including the Wall Street Journal, Huffington Post, Health magazine, Yahoo! Health, Women’s Health magazine, Weight Watchers magazine, and abcnews.com.
Digital publications:
How to Stay Healthy, Even When You’re Traveling , Curvy Girl Health
“DNA Diets”: Miracle or Scam? , Curvy Girl Health
Conquering Your Gym Phobia , Curvy Girl Health
Taking the Scary Out of the Scale , Curvy Girl Health
Interview With Dr. Katie Rickel: “Weight loss is not just about eating less and moving more” , HealthReporter
Journal publications:
Differential Response of African-American and Caucasian Women to Extended-Care Programs for Obesity Management , Ethnicity and Disease, 2011
Problem Solving, Treatment Adherence, and Weight-Loss Outcome Among Women Participating in Lifestyle Treatment for Obesity , Eating Behaviors, 2009
The Contributions of Weight Loss and Increased Physical Fitness to Improvements in Health-Related Quality of Life , Eating Behaviors, 2009
Rickel, K. (2012) This Year’s Resolution: Maintain Your Motivation. HealthUpdate: The Patient’s Guide to Wellness. American Hospitals Publishing Group, Int,12(1),7.
Rickel, K.A. & Friedman, K.E. A significant percentage of WLS patients complain that they have difficulty maintaining their motivation to exercise. Are there any techniques that I might use to enhance their motivation? Ask the Expert Column. Bariatric Nursing and Surgical Patient Care, 3(2), 167-170.
Edwards, C.L, & Rickel, K. (2008). An Introduction to Eating Disorder and Weight Management [Review of video entitled Problems of Eating and Weight Management with G. Terrence Wilson. PsycCRITIQUES: Contemporary Psychology, APA Review of Books, 53 (26), Article 11.
Featured in:
6 Major Benefits of Stepping Outside of Your Comfort Zone , WeightWatchers
6 Benefits of Breaking Your Go-To Routine , WeightWatchers
How to Lose Weight in a Way That’s Actually Empowering , Time
Do You Have to Ditch Alcohol to Lose Weight? , ABC News
‘My Pants Didn’t Fit’: Travelers Checking In at Fitness Resorts to Drop Pandemic Pounds , CNN Travel
Fighting Fat Discrimination, but Still Wanting to Lose Weight , The New York Times
8 Ways to Change Your Set Point Weight , MyFitnessPal
What is the Noom Diet? , Elemental
Great Ways to Lose Weight Without Really Trying , Next Avenue
Take Control of Your Disease Instead of Allowing Your Disease to Control You , MCL World
25 Amazing Weight Loss Tips from the Stars , Now to Love
The 30 Best Breakfast Habits to Drop 5 Pounds , Medium
8 Ways to Lose Weight Without Really Trying , Modern Ghana
5 Ways COVID-19 Could Have Hurt Your Relationship with Food – And How to Deal , MyFitnessPal
Great Weight Loss Habits that Work, According to Experts , Eat This, Not That!
9 Secrets to Lasting Weight Loss , Yahoo! Life
Are Your Friends Sabotaging Your Diet? , Prevention
6 Resilience Tips to Keep Your Weight Loss on Track ?, Scooper News Health Issue
10 Methods Being Affected Person Can Assist with Weight Loss , WSGEI News
Chronic Pain and Food Addiction , Eating Disorder Hope
6 Common Reasons People Fear Losing Weight , Victoria Advocate
7 Things People Who Feel Half Their Age Do Every Week , Silver Sneakers
How to Ditch Weight Stigma and Reach Your Goals , MyFitnessPal
8 At-Home, Self-Care Strategies That Can Help You Lose Weight , MyFitnessPal
How to Start Your Journey to Lose Weight , MyFitnessPal
9 Signs You Need to Rehab Your Relationship with Food , MyFitnessPal
6 Resilience Tips to Keep Your Weight Loss on Track , MyFitnessPal
5 Ways to Ditch Dieting-Related Mood Swings , MyFitnessPal
Science Shows Losing Weight Could Help Ease Depression , MyFitnessPal
12 Ways to Stop Stress Eating , MyFitnessPal
Here’s How to Go on a Diet Without Feeling Cranky , The List
10 Things the Weight-Loss Industry Won’t Tell You , MarketWatch
25 Weight Loss Hacks to Help You Nail Your 2018 Resolutions , Life & Style Magazine
12 Ways to Stop Stress Eating , The Gameplan for Living
8 Methods to Change Your Set Level Weight , RMKSA
What’s the Difference Between Dieting and Healthy Eating? , Gear Up to Fit
3 Easy Ways to Break Your Junk Food Snacking Habits , SheKnows
20 Pounds Younger: The Life-Transforming Plan for a Fitter, Sexier You! , Michele Promaulayko & Laura Tedesco
Sleep and Weight Loss: Is There a Connection? , National Council on Aging
Selected published abstracts and conference presentations:
Rickel, K.A., Gibbons, L.M., Milsom, V.A., DeBraganza, N., Murawski, M.E., Nackers, L.M. & Perri, M. G. (2007). Racial/ethnic differences in the effectiveness of extended care following lifestyle intervention for obesity. Poster presented at the 28th annual meeting of the Society of Behavioral Medicine. Washington, D.C. (Published Abstract).
Rickel, K.A., Durning, P.E., Debraganza, N., Milsom, V.A., Murawski, M.E., Gibbons, L.M., & Perri, M.G. (2006). Treatment of Obesity in Underserved Rural Settings (TOURS): Changes in physical activity and physical fitness in African-American and Caucasian women. Poster presented at the 27th annual meeting of the Society of Behavioral Medicine. San Francisco, CA. (Published Abstract).
Rickel, K.A., Milsom, V.A., Murawski, M.E., DeBraganza, N., Fox, L.D. Durning, P.E., Janicke, D.M., & Perri, M.G. (2005). Do self-reported changes in diet or exercise predict weight loss in lifestyle treatment of obesity? Poster presented at the 18th Annual College of Public Health and Health Professions Research Day. University of Florida, Gainesville, FL.
Rickel, K.A., Durning, P.E., & Perri, M.G. (2004). Treatment Preference and Perceived Difficulty as Predictors of Exercise Adherence. Poster presented at the 25th annual meeting of the Society of Behavioral Medicine. Baltimore, MD. (Published Abstract).
Milsom, V.A., Rickel, K.A., DeBraganza, N., Gibbons, L.M., Nackers, L.M., Durning, P.E., & Perri, M. G. (2007). Contributions of weight loss and physical activity to improvements in fitness and metabolic profile. Poster presented at the 28th annual meeting of the Society of Behavioral Medicine. Washington, D.C. (Published Abstract).
Gibbons, L.M., DeBraganza, N., Milsom, V.A., Murawski, M.E., Nackers, L.M., Rickel, K.A., Durning, P.E., & Perri, M. G. (2007). Do the benefits of weight-loss treatment outweigh the risks for elderly, obese women? Poster presented at the 28th annual meeting of the Society of Behavioral Medicine. Washington, D.C. (Published Abstract).
Nackers, L.M., Milsom, V.A., Gibbons, L.M., DeBraganza, N., Rickel, K.A., & Perri, M.G. (2007). Is it better to have lost and regained than to never have lost at all? The impact of weight regain on metabolic risk factors. Poster presented at the 28th annual meeting of the Society of Behavioral Medicine. Washington, D.C. (Published Abstract).
Milsom, V.A., Gibbons, L.M., Debraganza, N., Rickel, K.A., Murawski, M.E., Durning, P.E., & Perri, M.G. (2006). What constitutes a successful weight-loss outcome? The impact of 5% and 10% weight reduction on metabolic risk factors for disease. Poster presented at the 27th annual meeting of the Society of Behavioral Medicine. San Francisco, CA. (Published Abstract).
Gibbons, L.M., Milsom, V.A., Murawski, M.E., Debraganza, N., Rickel, K.A., Durning, P.E., & Perri, M.G. (2006). Length of treatment and successful outcome in the management of obesity. Poster presented at the 27th annual meeting of the Society of Behavioral Medicine. San Francisco, CA. (Published Abstract).
Lutes, L.D., Perri, M.G., Dale, M.S., Milsom, V.A., Debraganza, N., Rickel, K.A., Durning, P.E. & Bobroff, L.B. (2005). Treatment of Obesity in Underserved Rural Settings (TOURS): Changes in nutritional intake in African-American and Caucasian women. Poster presented at the 27th annual meeting of the Society of Behavioral Medicine. San Francisco, CA. (Published Abstract).
Fennell, E.B., Kelly, K.G. & Rickel, K.A. (2005). Pediatric case studies in neurocognitive sequelae of familial Myelomeningocele. Poster presented at the 33rd annual meeting of the International Neuropsychological Society. (Published Abstract).
Murawski, M.E., DeBraganza, N., Rickel, K.A., Milsom, V.A., Durning, P. E., Fox, L.D., Janicke, D. M., & Perri, M. G. (2005). Treatment of Obesity in Underserved Rural Settings (TOURS): Effects on quality of life. Poster presented at the 26th annual meeting of the Society of Behavioral Medicine. Boston, MA. (Published Abstract).
Milsom, V.A., Rickel, K.A., Murawski, M.E., DeBraganza, N., & Perri, M.G. (2005). Weight loss improves functional mobility in older obese women. Poster presented at the 26th annual meeting of the Society of Behavioral Medicine. Boston, MA. (Published Abstract).
Aranda, M., Meisel, F., Bearn, L., Rickel, K., & Ferrante, F.M. (2001). The effect of ethnicity on the treatment of low back pain. Abstract presented at the 2001 Annual Meeting of the American Society of Anesthesiologists. New Orleans, LA.
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