

Weight Issues
Chronic weight struggles often have deeper neuropsychological roots that go beyond willpower or diet alone. At Amen Clinics, we identify multiple brain types associated with eating issues and use advanced brain imaging to uncover your unique brain patterns—so we can create a personalized, effective treatment plan that supports lasting change.
What are Weight Issues?
If you are on a diet right now, you are not alone! Unfortunately, losing weight and gaining it back (yo-yo dieting) is a vicious cycle that leaves millions of people frustrated and unhappy. In spite of what the $90 billion weight-loss industry wants you to think, traditional and fad diets simply do not work. Did you know that as the size of your waistline goes up, the size of your brain goes down? In other words, the more overweight you are, the greater the stress on your physiology—particularly the increased inflammation in your body—which affects the volume of the grey matter between your ears, in addition to putting you at risk for serious medical problems.
WHO HAS WEIGHT ISSUES?
If you’re overweight or obese, you’re not alone. According to the Center for Disease Control (CDC), an astonishing 69 percent of adults are overweight or obese, with nearly 112 million Americans classified as obese—that’s more than 1/3 of adults! Even more startling is that 1/3 of all American children are overweight, and 20 percent of them are classified as obese!

COMMON SYMPTOMS OF WEIGHT ISSUES
Body mass index (BMI) is a measurement that compares weight to height. An optimal BMI is between 18.5 and 25; the overweight range falls between 25 and 30; over 30 indicates obesity, and over 40 indicates morbid obesity. Just Google “BMI Calculator” and fill in your height and weight to determine your BMI. If your BMI is above the healthy range, if you are unable to maintain a healthy BMI, if you have trouble following a diet, or if you have tried dieting but haven’t been able to lose weight, you may need help.

UNTREATED WEIGHT ISSUES CAN LEAD TO A HIGHER RISK OF:
- Depression & Anxiety Disorders
- Panic Disorder
- Bipolar Disorder
- Agoraphobia (fear of leaving home)
- Low Self-Esteem
- Alzheimer’s Disease
- Stroke & Heart Disease
- Type 2 Diabetes
- Addictions
- Suicidal Thoughts

What Causes WEIGHT ISSUES?
Unfortunately, most people have trouble losing weight and keeping it off. That’s because traditional and fad diets ignore one key factor: the brain. Giving everyone the same weight-loss plan will never work. Based on our brain-imaging work with tens of thousands of patients, there are five types of overeaters, and each type needs its own weight-loss plan with targeted nutritional recommendations. See below on this page to learn more about the different types.

Why Choose Amen Clinics FOR TREATING WEIGHT ISSUES?
The Amen Clinics Method—developed through 30 years of clinical practice uses a detailed clinical history, SPECT imaging to understand brain function, neuropsychological testing and laboratory studies to target treatment specifically to your brain using the least toxic, most effective means. By discovering your particular brain type, we get very important information that helps us create the best nutrition and lifestyle plan for your type and the best strategies to enhance your brain so you can stick with that plan to help you lose weight, become healthier, increase your energy and optimize your brain function.
OVERWEIGHT AND OBESE BRAINS WORK DIFFERENTLY
People who struggle with their weight often have underlying brain issues that prevent them from following a healthy eating plan. Until the brain is optimized, it will be difficult to stick with a good diet. The five types of overeaters are associated with specific brain patterns. The most common brain SPECT findings in the five types are:
- Type 1: Compulsive Overeaters have increased activity in the anterior cingulate gyrus (ACG), which is commonly caused by low levels of serotonin.
- Type 2: Impulsive Overeaters typically have too little activity in the prefrontal cortex (PFC).
- Type 3: Impulsive-Compulsive Overeaters show a combination of low PFC activity and high ACG activity.
- Type 4: Sad or Emotional Overeaters typically have excessive activity in the deep limbic system.
- Type 5: Anxious Overeaters show increased activity in the basal ganglia.
The Five Types of Overeaters
Our brain-imaging work has shown us that there are multiple types of overeaters. Some are compulsive and others are impulsive. Some people are both. Some eat to improve their mood and others to calm their worries. Read below to learn more about the five types.
Type 1: Compulsive Overeaters
People with this type tend to get stuck on thoughts of food. They hear the ice cream in the freezer calling their name… over and over and over again. They often feel compulsively driven to eat and might say they have no control over food. They also tend to be nighttime eaters because they worry and have trouble sleeping.
Compulsive overeaters tend to get stuck on thoughts or locked into one course of action. They often:
- Get stuck on thoughts about food
- Get stuck on their worries
- Are rigid and inflexible
- Have trouble seeing options
- Hold grudges
- Are oppositional or argumentative
- Feel like they MUST have things their way, or they get upset
In addition, learning how to get “unstuck” from their thoughts about food and worries is very helpful.
Type 2: Impulsive Overeaters
People with this type struggle with impulsivity and have trouble controlling their behavior, even though they may begin each day with good intentions:
- They don’t think about food constantly, but whenever they see something they like, they can’t resist.
- They have a hard time saying “no” even if they aren’t really hungry.
- They have a hard time bypassing a second—or third or fourth—slice of pizza, piece of cake, or helping of mashed potatoes.
Impulsive overeating is common among people who have attention deficit hyperactivity disorder (ADHD), also known as attention deficit disorder (ADD), which has also been associated with low dopamine levels in the brain. People with ADHD/ADD struggle with:
- A short attention span
- Distractibility
- Disorganization
- Impulsivity
Research suggests that having untreated ADHD/ADD nearly doubles the risk for being overweight. Without proper treatment, it is nearly impossible for these people to be consistent with any nutrition plan.
Impulsive overeating may also be the result of some form of toxic exposure, a near-drowning accident, a brain injury to the front part of the brain, or a brain infection, such as chronic fatigue syndrome. Overweight smokers and heavy coffee drinkers also tend to fit this type.
Impulsive overeating may worsen with food or treatment that boosts serotonin because this neurotransmitter calms the brain and although it can decrease worries it also decreases impulse control.
Things that deplete dopamine levels are also a problem, so we help impulsive overeaters by boosting dopamine levels and strengthening the prefrontal cortex.
Type 3: Impulsive-Compulsive Overeaters
People with this type have a combination of both impulsive and compulsive features. On the surface it seems almost contradictory, but people can be both impulsive and compulsive at the same time (think of the compulsive gambler, who cannot stop focusing on placing a bet and has no restraint to prevent him from doing it).
- These people often think about food all day long.
- Many people with bulimia have this type.
- This type is particularly common in children and grandchildren of alcoholics or people who have a significant family history of alcoholism.
Type 4: Sad or Emotional Overeaters
People with this type tend to use food to medicate underlying feelings of sadness and to calm the emotional storms in their brains. They often struggle with:
- Boredom
- Loneliness
- Depression
- Low self-esteem
- Pain issues
- Decreased libido
- Periods of crying
- Low energy levels
- Suicidal thoughts
- Lack of interest in usually pleasurable activities
- Feelings of guilt, helplessness, hopelessness, or worthlessness
For some people, these feelings come and go with the seasons and tend to worsen in winter. Others experience mild feelings of chronic sadness, called dysthymia. Still others suffer from more serious depressions. This type is more frequently seen in women.
Type 5: Anxious Overeaters
People with this type tend to use food to medicate their feelings of
- Anxiety
- Tension
- Nervousness
- Fear
They may be plagued by feelings of panic and self-doubt, and suffer physical symptoms of anxiety, such as:
- Muscle tension
- Nail biting
- Headaches
- Abdominal pain
- Heart palpitations
- Shortness of breath
- Sore muscles
It is as if anxious overeaters have an overload of tension and emotion. They tend to predict the worst and often complain of waiting for something bad to happen. They may be excessively shy, easily startled, and freeze in emotionally charged situations.
Certain behaviors and substances can exacerbate feelings of anxiety and make anxious overeaters more likely to eat in an attempt to make those feelings go away. For example:
- Focusing on the negative
- Believing every negative thought they have
- Too much caffeine or other stimulating substances
- Drinking alcohol
“With A Better Brain Comes A Better Life”
– Daniel G. Amen, M.D.
