Detailed Descriptions of Our Programs Old Original

1) 26-week Weight Control Program

  • Start date: Monday, May 6.
  • Time: 6:00pm to 7:00pm ET.
  • Leaders: Dr. Megan Pietrucha (clinical psychologist), Kristin Carlino, MS, RDN (registered dietitian/nutritionist), and Rich Weil, M.Ed. CDE (exercise physiologist and Certified Diabetes Educator)
  • Fee: $50 per session
  • Register HERE https://transformationweightcontrol.com/getting-started/

This is a 26-week session for individuals who:

  • want to lose more weight
  • prevent regaining the weight they’ve lost
  • have participated in our programs before
  • are new to our program.

I could not be more thrilled to be working with Dr. Megan Pietrucha (clinical psychologist) and Kristin Carlino (registered dietitian/nutritionist), on this 26-week program. They are truly experts in their fields, hard-working, smart, knowledgeable, and 110% committed. It will be a pleasure!

During this program you will attend weekly 1-hour sessions facilitated by Dr. Pietrucha, Kristin and me (exercise physiologist and certified diabetes educator). We rotate in and present information and lead discussions in our areas of expertise. You will be asked to weigh yourself on the morning of your group session, enter your weight in our secure database, and then you will receive feedback by email from one of the staff.

People frequently ask ahead of time for the topics that will be covered. The curriculum has been re-written and updated. We use the latest research-based information to help you meet your goals. Below is a partial list of topics that are in the curriculum so far. The staff meets regularly as a team during the program to be 100% certain that we are meeting your needs. 

Behavior Topics:

Dr. Pietrucha not only brings a new voice to the program, but she brings expertise in areas that I know will not only be new to many of you, but directly apply to help with losing weight and preventing regain. Those topics include improving performance (a real specialty of hers), motivation, coaching, psychological treatments such as Dialectical Behavior Therapy, Acceptance and Commitment Therapy, and of course, our foundation, Cognitive Behavior Therapy.

She and I see eye-to-eye on many aspects of weight control, including resilience (the most important factor in losing weight and preventing regain), self-efficacy, finding the “zone” and flow, values clarification (self-expression/exploration and its application to weight loss), focus and focus fade, analysis paralysis, and on her website she says willpower is b*** s***, which made me want to hire her immediately!

Other topics include:

  • Self-compassion
  • Emotional awareness
  • Challenge and change your irrational beliefs
  • Maladaptive perfectionistic thinking and enhancing your adaptive
    perfectionism
  • Mindfulness, emotion regulation and radical acceptance.
  • Brain and Weight Loss Science, including habit formation and changing
    maladaptive habits,
  • Strategies for coping with food cues and cravings
  • Coping with addiction to food and rewiring the brain
  • Weight loss plateaus and what to do about them
  • Set point, thrifty genes, and compensatory biological mechanisms that
    make losing weight and preventing regain challenging
  • Coping with chronic disease
  • Stress management
  • Assertiveness – learning how to say “no”
  • Procrastination and strategies for behavior activation
  • Principals of classic and operant conditioning
  • Ambivalence and intentional change
  • Behavior chains
  • Intention-implementation
  • Stages of change

 Nutrition Topics:

  • Food and Diet Planning
  • Creating and maintaining food plans
  • The latest research and review of popular diets such as intermittent fasting and plant-based; what works, what doesn’t.
  • Coverage of volumetrics and portion control
  • Manipulating the diet for optimizing weight loss and preventing regain
  • Food and inflammation, anti-oxidants, and the microbiome
  • Macronutrients, minerals, vitamins, and fiber for weight loss
  • Mechanics of appetite regulation and defeating compensatory biological mechanisms that make losing weight and preventing regain difficult
  • Food for satiety
  • Timing of meals for optimizing metabolism and losing weight

 Exercise Topics

  • Exercise planning and strategies for maintaining physical activity
  • Resistance and aerobic exercise
  • Yoga, Pilates, and other alternative exercise modalities
  • Exercise and physical and mental health
  • Exercise, losing weight, and preventing regain of lost weight
  • Exercise and preserving metabolic rate
  • Exercise and sedentary lifestyle
  • P.E. 101 – all the information about the body and how it functions that you should have learned in PE as a kid but didn’t!

Click HERE and scroll to the bottom of the page to register for the 26-week Program. If the link doesn’t work, here’s the address: https://transformationweightcontrol.com/getting-started/

2) 12-week Weight Control Medication Support Group

  • Group is currently running on Tuesdays from 6:00pm to 7:00pm ET
  • For individuals taking weight loss medication or just considering it
  • Join at any time.
  • Leaders: Kristin Carlino MS, RDN (registered dietitian/nutritionist) and Rich Weil M.Ed., CDE (exercise physiologist  and certified diabetes educator)
  •  Fee: $45 per session
  • Register HERE https://transformationweightcontrol.com/getting-started/

Weight loss medications have taken the country by storm. They are the most effective medications for losing weight and preventing regain ever developed. They cause rapid and large weight loss which can be unnerving and bewildering for individuals who experience profound physiological and psychological changes as a result. This group is for:

  • Individuals taking weight control medications who want to lose more weight or prevent regaining the weight they’ve lost.
  • Individuals who are not taking a weight control medication but are considering it.

We cover topics including:

  • Strategies for acquiring the medications, paying for them, and navigating insurance
  • The science, mechanisms, and health benefits of the new meds
  • Information and strategies for coping with side effects
  • Discussion and learning how to cope with loss of appetite, feeling full, losing interest in food, loss of food cravings and obsessing about food, leaving food on your plate, loss of “food noise”
  • Calculating new calorie needs based on new body weights
  • Reaching new set points
  • Addressing the challenges of altered body image
  • Receiving compliments about your new appearance
  • Dealing with new wardrobes and what to wear, what to do with old clothes, shopping at stores instead of online
  • And much, much more.

In this group you will find empathy, support, camaraderie, understanding, and strategies for coping with all the physiological and psychological changes from peers who are experiencing similar issues, as well as authoritative information and guidance from health-care professionals who have the experience and compassion to help you cope with the physical and psychological changes associated with large and rapid weight loss. We have recently started our third 12-week session but it is not too late to enroll. This support group has been very well-received.

A few testimonials about the Weight Control Medication Support Group, reprinted with permission of the attendees.

“Kristin and Rich rock! They know their stuff, and most important, they have the empathy necessary to help all of us through these challenging issues!”

“I never thought a support group for taking a medication of any type would be helpful or necessary. I was wrong. I am so glad to have found this group and taken a chance on participating at the suggestion of my doctor. It has been a godsend and has helped me in more ways than I could have imagined.”

“Attending this group has been one of the best things I’ve ever done on my weight loss journey. Rich and Kristin know what they’re talking about, and the support and ideas from all the group members has been invaluable”.

Click HERE and scroll to the bottom of the page to register and join the 12-week Weight Control Medication Support Group.  You may join at any time.

3) Body Image 4-week Series with Dr. Megan Pietrucha

We’re very pleased to present a 4-week body image series. The idea grew from a body image webinar that Dr. Pietrucha led in April 2024. It was so well-received and successful that attendees asked for more, so we conducted a second session with Dr. Pietrucha, and after that second session, attendees asked for even more, so we decided to create a 5-week session, and then yet again, at the end of that session, people requested even more, so we are now running a 4-week session. This session will dig deeper into the issues, offer you more skills to cope with the issues, and most important, focus on learning how to put those skills into action. 

Start date: Wednesday July 10
Time: 6:00pm to 7:00pm ET
Location: Zoom
Fee: $30 per session
You can register HERE 

Dr. Pietrucha’s approach to body image can be summarized this way:
“Reflecting on my childhood, adolescence, and adulthood, I recognize the complex interplay between my body, food, and self-perception. Early awareness of my body was influenced by familial attitudes towards food and subtle societal messages. Negative experiences with doctors and peers, alongside participation in physical activity, shaped my relationship with my body and food. Adolescence brought heightened self-consciousness, impacted by societal standards and dating relationships. Now, as an adult, my perception of my body is nuanced, with moments of acceptance and struggle, intertwined with feelings of self-worth. This exercise has prompted a deeper understanding of these dynamics and a commitment to cultivating self-compassion, challenging negative thoughts, and practicing mindful eating habits to foster a healthier relationship with my body and food.”

Here’s a detailed description of the sessions to be covered.

I. Mindfulness and Body Image
Mindfulness can play a powerful role in improving body image by promoting awareness, acceptance, and compassion toward one’s body. Here’s how mindfulness practices can positively influence body image:

Increased Awareness: Mindfulness encourages paying attention to the present moment without judgment. By being mindful, individuals can become more aware of their thoughts, feelings, and sensations related to their body without automatically labeling them as good or bad.

Acceptance: Mindfulness fosters acceptance of oneself as they are, including their body. Instead of constantly striving to change their appearance to meet societal standards, individuals can learn to accept and appreciate their bodies as they are.

Reduced Self-Criticism: Through mindfulness, people can learn to observe their thoughts about their bodies without getting caught up in self-criticism. This can help break the cycle of negative body image by recognizing that thoughts are just thoughts and not necessarily reflective of reality.

Connection to the Body: Mindfulness practices often involve tuning into bodily sensations, such as breathing or physical movements. This increased awareness can help individuals develop a more positive relationship with their bodies by focusing on how their bodies feel and function rather than solely on appearance.

Emotional Regulation: Mindfulness techniques can help individuals manage difficult emotions related to body image concerns, such as anxiety or depression. By cultivating a non-reactive awareness of their emotions, individuals can learn to respond to them in a more skillful and compassionate manner.

Overall, mindfulness can be a powerful tool for improving body image by fostering self-acceptance, reducing self-criticism, and promoting a more positive and compassionate relationship with one’s body.

II. Changing Negative Body Image Beliefs and Chatter
Changing negative body beliefs and self-talk is a journey that requires patience, self-compassion, and consistent effort. Here are some strategies that may help:

Practice self-compassion: Treat yourself with kindness and understanding. Acknowledge that everyone has insecurities and struggles with body image at times.

Challenge negative thoughts: When you catch yourself thinking negatively about your body, challenge those thoughts. Ask yourself if there is evidence to support them, or if they are simply ingrained beliefs.

Practice gratitude: Focus on what your body can do rather than its appearance. Appreciate its strength, resilience, and the experiences it allows you to have.

Surround yourself with positivity: Spend time with people who uplift and support you. Avoid media or social influences that promote unrealistic body standards.

Engage in self-care: Take care of your body in ways that make you feel good, whether it’s through exercise, nutritious food, rest, or pampering yourself.

Cultivate body positivity: Seek out body-positive content, such as books, podcasts, or social media accounts that promote acceptance and diversity.

Set realistic goals: Focus on health and well-being rather than achieving a certain appearance. Set small, achievable goals that align with your values and make you feel good about yourself.

Practice mindfulness: Pay attention to your thoughts and feelings without judgment. Mindfulness can help you become more aware of negative self-talk and learn to let go of unhelpful thoughts.

Seek support: If negative body beliefs are significantly impacting your mental health, consider seeking support from a therapist or counselor who can help you work through them.

Celebrate your uniqueness: Remember that there is no one-size-fits-all definition of beauty. Embrace your unique features and celebrate what makes you different.

Changing negative body beliefs and self-talk takes time and effort, but with patience and persistence, it is possible to cultivate a more positive and accepting relationship with your body.

III. Body Checking & Avoidance Behaviors
Body checking and avoidance behaviors are common features of body image disturbances and eating disorders. Here’s a breakdown of each:

Body Checking: This refers to repeatedly examining one’s body, often in a critical or scrutinizing manner. It can involve activities like looking in mirrors, pinching or measuring body parts, or assessing one’s appearance in reflective surfaces. Body checking can become compulsive and can significantly impact self-esteem and body image.

Avoidance Behaviors: These are actions taken to avoid situations or stimuli that trigger negative feelings about one’s body. Avoidance behaviors can include avoiding mirrors or other reflective surfaces, wearing oversized clothing to conceal one’s body, avoiding social situations where one might feel self-conscious about their appearance, or avoiding activities that require exposing one’s body (like swimming).

Both body checking and avoidance behaviors can contribute to maintaining or exacerbating body image disturbances and eating disorders. They often serve as coping mechanisms for underlying emotional distress or dissatisfaction with one’s body.

Treatment for these behaviors often involves a combination of therapy (such as cognitive-behavioral therapy or dialectical behavior therapy) to address underlying emotional issues, as well as strategies to challenge and change negative body image beliefs and behaviors. It’s important for individuals struggling with body image concerns to seek support from qualified mental health professionals who specialize in eating disorders and body image issues.

IV. Your Body Image & Relationships
The relationship between one’s body, self-image, and relationships is intricate and multi-faceted. Here’s a breakdown of how they can interconnect:

Body Image and Self-Image: How we perceive our bodies often influences our overall self-image or self-concept. If someone has a negative body image, they may also have lower self-esteem and a poorer self-concept. Conversely, those with a positive body image tend to have higher self-esteem and a more positive self-concept. However, it’s important to note that body image is just one aspect of self-image; it also encompasses factors such as personality, abilities, values, and roles in society.

Impact on Relationships: Body image can significantly impact relationships in various ways:

Intimacy and Romantic Relationships: A person’s body image can affect their comfort level with physical intimacy and may influence their ability to form and maintain romantic relationships. Those who struggle with body image issues may feel self-conscious or avoidant in intimate situations, which can strain relationships.

Friendships and Social Interactions: Body image concerns can also affect friendships and social interactions. Individuals may avoid social situations or withdraw from social activities due to fear of judgment or comparison with others. This can lead to feelings of isolation and loneliness.

Family Dynamics: Family dynamics can also be influenced by body image issues, especially if family members make comments or engage in behaviors that contribute to negative body image. Supportive family relationships can help mitigate body image concerns, while dysfunctional family dynamics may exacerbate them.

Work and Academic Life: Body image can impact performance in academic or professional settings. Those who are preoccupied with body image concerns may have difficulty focusing on tasks or engaging in social interactions at work or school.

Self-Esteem and Confidence: Body image and self-image are closely tied to self-esteem and confidence. Positive body image can contribute to higher self-esteem and confidence, while negative body image can undermine them. Confidence in one’s appearance can positively affect how they present themselves in relationships and social interactions.

Communication and Support: Open communication and support within relationships can help individuals cope with body image concerns. Partners, friends, and family members who provide understanding, encouragement, and acceptance can be instrumental in promoting positive body image and self-esteem.

In summary, body image, self-image, and relationships are interconnected aspects of our psychological well-being. Developing a positive body image and nurturing supportive relationships are important for overall mental and emotional health.

V. Having Body Compassion and Self-Compassion
Having body compassion involves treating your body with kindness, acceptance, and understanding, regardless of its shape, size, or appearance. It’s about cultivating a positive and nurturing relationship with your body, rather than engaging in self-criticism or judgment. Here are some key principles of practicing body compassion:

Self-Acceptance: Recognize that your body is unique and worthy of acceptance and respect just as it is, without the need for comparison to others or unrealistic ideals. Embrace your body’s individuality and appreciate its strengths and capabilities.

Self-Kindness: Be gentle and compassionate with yourself, especially when facing challenges or setbacks related to your body image. Treat yourself with the same kindness and understanding that you would offer to a friend in need.

Mindfulness: Practice being present and non-judgmental in your awareness of your body. Notice your thoughts and feelings without attaching labels of “good” or “bad.” Cultivate a sense of gratitude for all that your body does for you, from breathing and moving to experiencing the world around you.

Healthy Self-Care: Take care of your body’s needs in ways that promote overall well-being, such as nourishing it with balanced nutrition, engaging in regular physical activity that you enjoy, getting enough rest, and managing stress. Prioritize self-care practices that support your physical, mental, and emotional health.

Boundaries and Respect: Set boundaries with yourself and others to protect your body and honor its needs and boundaries. This may involve saying no to activities or behaviors that feel harmful or uncomfortable, and advocating for yourself in relationships and social situations.

Gratitude: Cultivate a sense of gratitude for your body’s resilience, vitality, and capacity for growth and change. Focus on what your body enables you to do rather than its perceived flaws or limitations.

Seeking Support: Reach out for support from trusted friends, family members, or mental health professionals if you’re struggling with body image issues or finding it challenging to practice body compassion on your own. You don’t have to navigate these feelings alone.

Practicing body compassion is a journey that requires patience, self-awareness, and ongoing effort. By cultivating a mindset of kindness, acceptance, and appreciation toward your body, you can foster a healthier and more positive relationship with yourself.

We think this 4-week body image series is important and filled with valuable tools and skills, and learning how to implement those skills to help you confront and implement solutions to overcoming body image issues, some you may be aware of, and some you may not. 

A few testimonials, reprinted with permission of the attendee, from our first two body image webinars led by Dr. Pietrucha:

“I felt safe enough to discuss a situation regarding my body image that happened to me over 35 years ago in Cape Cod.  To this day I have never discussed it with anyone because it is still raw and painful to me.”

“The webinar was informative and in a short time, brought out some honest feedback in the group members and really made me think about past influences and my perception of my body.”

“Dr. Pietrucha was fantastic! A great facilitator, warm, compassionate, smart, and helpful.”

You can register HERE 

4) 12-week Rainbow Follow-up Groups

  • Currently recruiting
  • Fee: $45 per session

For graduates of any of our programs who would like to lose more weight or prevent regaining the weight they’ve lost. These 12-week “modules” restart every 12 weeks, offering you the opportunity to renew as often as you like to continue treatment, or if you prefer, take some time off and check in later on when you feel you need a tune-up. Some individuals religiously renew for a single 12-week session once a year, while others have been with us continuously for more than a decade, some having attended more than fifty 12-week sessions!

You can register for the Rainbow group by clicking HERE and scrolling to the bottom of the page. Your name will be put on the waiting list as we recruit, and you will be kept updated.

5) Webinar

We’ll return to monthly single-session webinars once the 4-week Body Image Series with Dr. Megan Pietrucha described in #3 above is complete on July 31.

6) Exercise Class for beginners and experienced exercisers with the dynamic husband and wife team of Chris and Jamie Campagnola

This class is for beginners and experienced exercisers alike. Is your strength in decline? Have you lost weight (which means you’ve lost muscle)? Are you having trouble lifting things that used to be easy to do? Are activities of daily living such as walking down the street, climbing stairs, or just getting out of a chair, harder than it used to be? Do you find yourself relying on others to do the heavy work for you? Are you having trouble with balance, falling, or your posture? Have you been told you have osteoporosis or osteopenia? Do you have a chronic disease such as diabetes, cardiovascular disease, or arthritis?

If you answered YES to any of the above, then resistance training will help.

Join Chris, a Certified Strength and Conditioning Specialist with more than 30 years of fitness training experience, and Jamie, National Academy of Sports Medicine certified personal trainer, for a 45-minute resistance  exercise class using exercise tubing, bands, and even just your body weight, all of which you can do at home. Chris and Jamie will demonstrate the exercises, take you through a workout, give you feedback on your form, and answer any questions. If you don’t own exercise tubing and bands and you want them, we will send you the necessary information for where and what to purchase when you register. They are versatile and as effective as dumbbells and weight machines for building muscle and strength.

We’ll be setting a new date for the exercise class soon!