How Therapy Can Support Your Weight Loss Journey

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Editorial Team

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January 11, 2025

A woman writing notes in a notebook, symbolizing the reflective process of therapy to identify emotional triggers and support weight loss goals.

Medical Review by Jennie Stanford, MD, FAAFP, DABOM

Summary

  • Therapy can help you identify and manage emotional triggers for overeating, like stress, boredom, and sadness.
  • Cognitive behavioral therapy (CBT) is a practical approach that helps you recognize and reframe negative thoughts. This can be effective for curbing binge eating and emotional eating.
  • Accountability is a core concept in many kinds of therapy, and it also plays a key role in weight loss. Friends, family, and support groups can motivate and encourage you to stay on track.
  • Combining therapy with medical weight loss treatments can offer a comprehensive approach, addressing both emotional barriers and tangible obstacles to losing weight.

Learn how therapy can give you tools to lose weight more easily

Your emotions can strongly influence how and what you eat. Many people turn to food for comfort or distraction—eating not because they’re hungry, but to cope with difficult feelings.

In fact, about 20% of U.S. adults say they emotionally eat “often” or “very often.” While grabbing high-calorie, comforting treats might feel good in the moment, it can lead to weight gain over time.

That’s where therapy comes in. It helps you understand how your emotions and thought patterns can trigger overeating or unhealthy habits. It also gives you practical tools to build healthier behaviors. Negative thinking about diet and exercise is common—it’s easy to feel deprived or restricted when you’re changing your routines and limiting certain aspects. But therapy helps you reframe these thoughts, making it easier to stay motivated and stick to your goals.

In this article, we’ll explore emotional eating, cognitive behavioral therapy, and how therapy can complement medical weight loss plans. At Lemonaid Health, we’re here to support you on your weight loss journey.

Addressing the triggers that cause emotional eating

Therapy can help uncover and resolve the emotional triggers behind overeating. By exploring the connection between your emotions and food, therapy enables you to identify patterns of eating driven by stress, boredom, sadness, or other feelings.

As a result of neurotransmitters and other brain responses, these emotions and feelings often drive cravings, especially for high-fat, high-sugar foods, leading to overeating and emotional distress. Once you recognize these triggers, therapy can help you develop strategies to manage them in healthier ways. Evidence shows that therapy, particularly cognitive behavioral therapy (CBT), is effective in improving relationships with food and aiding in weight loss.

Cognitive-behavioral therapy (CBT) for weight loss

Cognitive behavioral therapy is a hands-on, practical approach that helps you identify and change negative thoughts, feelings, and behaviors. CBT helps you recognize how your thoughts about food, body image, and emotions can influence your eating habits. It’s currently recognized as the best treatment for binge eating disorder and is considered a first-line psychological approach for managing emotional eating.

CBT techniques your therapy might include

CBT is often personalized to fit your unique needs. Here are some of the techniques it often includes:

  • Journaling: Writing down your thoughts can help you spot patterns, understand emotions, and work through challenges more clearly. This practice increases your awareness of how your automatic thoughts and beliefs influence your feelings and actions.
  • Relaxation Exercises: Relaxation techniques, like deep breathing, guided imagery, meditation, muscle relaxation, and body scans, help you feel calm and in control. These practices lower your heart rate, reduce stress, and allow you to think more rationally instead of reacting emotionally. 
  • Problem-Solving Strategies: CBT helps you address everyday challenges with practical steps. You’ll analyze problems, explore coping options, evaluate their effectiveness, and create an action plan.
  • Behavioral Activation: Plan and enjoy activities that make you happy. Adding enjoyable moments to your day boosts your mood and increases positive emotions.
  • Goal Setting: Work with your therapist to set specific, measurable, and achievable goals. Break larger goals into smaller, manageable steps. Each goal should be tied to actions that address your presenting challenges and guide your progress.
  • Homework: CBT often includes homework to reinforce what you’ve learned. Tasks like reading, tracking behaviors, and practicing new skills help you apply concepts to real-life situations. Homework bridges the gap between sessions, encouraging skill-building and symptom reduction.

Seeking professional support through counseling or coaching can help you explore CBT. With time, it can help you build healthier ways to manage your emotions and aid in your weight loss.

Accountability & support

Accountability and support can support successful weight loss. Regular health counseling sessions can help you stay aware of your progress and identify areas where you can keep improving. This process can also be useful for learning mindfulness skills that may help you resist emotional eating impulses.

In addition to individual counseling, group therapy or support groups, either face-to-face or even online, create a sense of community. Sharing experiences with others who have similar goals boosts your confidence and keeps you motivated. Friends and family also play a crucial role—having loved ones who encourage and support your journey can make all the difference in staying on track.

Integrating therapy with medical weight loss plans

Combining therapy with medical weight loss plans can help you reach and maintain your goals more effectively. Research shows that people who pair certain types of therapy with weight loss medications tend to lose more weight.

Therapy can help you tackle the emotional and mental barriers that can get in the way, while medical treatments, like prescription weight loss medications,  can have a direct impact. Together, they provide a balanced approach that works for both your body and mind.

That’s where telehealth services like Lemonaid Health can make a difference. Through a virtual consultation, a healthcare provider can evaluate your health, recommend tests, and work with you to create a personalized plan. Whether it’s creating a diet and exercise plan, addressing hormonal imbalances, or finding appropriate medication, professional guidance helps you target the root causes and take control of your hunger.

Read more: The ultimate guide to Wegovy®: uses, benefits, side effects & more

Get help with weight loss from Lemonaid Health

Therapy can help you address the emotional side of weight loss, making it easier to manage triggers like stress and boredom. It teaches you healthier ways to cope and stay motivated. Pairing therapy with medical weight loss plans can make your journey even more effective.

With the right support, you’ll be equipped to handle challenges, stay on track, and achieve lasting success. And remember, you’re not alone! Get help with your weight loss by talking to a qualified US-based health professional who can help you find appropriate solutions—including FDA-approved medication in clinically indicated cases.

  1. Smith, J., Ang, X. Q., Giles, E. L., & Traviss-Turner, G. (2023). Emotional Eating Interventions for Adults Living with Overweight or Obesity: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 20(3), 2722. Accessed December 19, 2024 at https://doi.org/10.3390/ijerph20032722
  2. Elran Barak, R., Shuval, K., Li, Q., Oetjen, R., Drope, J., Yaroch, A. L., Fennis, B. M., & Harding, M. (2021). Emotional Eating in Adults: The Role of Sociodemographics, Lifestyle Behaviors, and Self-Regulation-Findings from a U.S. National Study. International journal of environmental research and public health, 18(4), 1744. Accessed December 19, 2024 at https://doi.org/10.3390/ijerph18041744
  3. Bogucki, O. E. (2021). CBT for Weight Control. Adaa.org. Accessed December 19, 2024 at https://adaa.org/learn-from-us/from-the-experts/blog-posts/professional/cbt-weight-control
  4. Tomiyama, A. J., Dallman, M. F., & Epel, E. S. (2011). Comfort food is comforting to those most stressed: evidence of the chronic stress response network in high stress women. Psychoneuroendocrinology, 36(10), 1513–1519. Accessed December 19, 2024 at https://doi.org/10.1016/j.psyneuen.2011.04.005
  5. Moynihan, A. B., van Tilburg, W. A., Igou, E. R., Wisman, A., Donnelly, A. E., & Mulcaire, J. B. (2015). Eaten up by boredom: consuming food to escape awareness of the bored self. Frontiers in psychology, 6, 369. Accessed December 19, 2024 at https://doi.org/10.3389/fpsyg.2015.00369
  6. Singh M. (2014). Mood, food, and obesity. Frontiers in psychology, 5, 925. Accessed December 19, 2024 at https://doi.org/10.3389/fpsyg.2014.00925
  7. Chand, S, P., Kuckel, D, P., & Huecker, M, R. (2023). Cognitive Behavior Therapy. StatPearls Publishing. Accessed Dec 11 2024 at https://www.ncbi.nlm.nih.gov/books/NBK470241/
  8. Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Cattivelli, R., Rossi, A., Novelli, M., Varallo, G., & Molinari, E. (2017). Cognitive behavioral therapy to aid weight loss in obese patients: current perspectives. Psychology research and behavior management, 10, 165–173. Accessed December 19, 2024 at https://doi.org/10.2147/PRBM.S113278
  9. Ruini, C., & Mortara, C. C. (2022). Writing Technique Across Psychotherapies-From Traditional Expressive Writing to New Positive Psychology Interventions: A Narrative Review. Journal of contemporary psychotherapy, 52(1), 23–34. Accessed December 19, 2024 at https://doi.org/10.1007/s10879-021-09520-9
  10. Melton L. (2017). Brief Introduction to Cognitive Behavioral Therapy for the Advanced Practitioner in Oncology. Journal of the advanced practitioner in oncology, 8(2), 188–193. Accessed December 19, 2024 at https://doi.org/10.6004/jadpro.2017.8.2.6
  11. Cully, J., Dawson, D., Hamer, J., & Tharp, A. (2021). BRIEF COGNITIVE BEHAVIORAL THERAPY. Accessed December 19, 2024 at https://www.mirecc.va.gov/visn16/docs/therapists_guide_to_brief_cbtmanual.pdf
  12. Silveri, O. C., Gallardo, N. A., Chandy, R. J., Edwards-Hampton, S. A., & Feldman, S. (2024). Accountability Frameworks in Medical Weight Loss Programs: A Comprehensive Literature Review. Cureus, 16(11), e73474. Accessed December 19, 2024 at https://doi.org/10.7759/cureus.73474
  13. Lattimore, P. (2019). Mindfulness-based emotional eating awareness training: taking the emotional out of eating. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 25. Accessed December 19, 2024 at https://doi.org/10.1007/s40519-019-00667-y
  14. Egoshi, M., Saito, A., Nordeng, L., Takayama, Y., & Furukawa, Y. (2024). Retrospective study of Cognitive Behavioral Therapy for Obesity modified as FIRE method (CBT-F) in combination with medication for weight loss. Medicine, 103(19), e38141. Accessed December 19, 2024 at https://doi.or/10.1097/MD.0000000000038141

By

Editorial Team

|

January 11, 2025

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment or medication.