And if you don't believe her, ask a doctor -- family-practice physician Chris Balgobin, 32, who works at Fairview Health Service's Cedar Ridge Clinic in Apple Valley. He once weighed 304 pounds and, not surprisingly, struggled to get his patients to take his advice about healthier living. (Older patients, he said, asked him, "When are you going to do something for yourself?") Now the 5-foot-6 Balgobin is a lean and muscular 180 pounds. How did he do it? Slow and steady lifestyle changes. Exactly one year ago, he and wife, Mia, 33, the parents of two girls, ages 5 and 21 months, stopped eating out regularly and, instead, went weekly to the grocery store to stock up on fruits, vegetables, low-calorie cheeses and low-fat snacks. Other big changes: He eats breakfast every morning and works out five times a week, at home or in a fitness center, running, rowing, spinning and lifting weights. The busy doctor often plans his workout schedule a day in advance so he has no excuse for skipping. Mia has lost 70 pounds this year, and Balgobin, who was always overweight, looks at himself now, "and I can't imagine how it was."
Find ways to treat yourself
Kids aren't the only people who like rewards for good behavior. If you are giving up a behavior, replace it with something you enjoy (as long as it's not another bad habit, of course). Exercise, reading, volunteering, exiting a bad relationship? You get to pick.
Malinksy encourages her clients to create a "joy jar," with different colored pieces of paper representing pleasures that cost nothing (90 minutes of uninterrupted time to read, for example, or a soak in a bath); pleasures that cost a little (a movie ticket, a CD), and pleasures that cost a lot, such as a long-desired trip to Hawaii. Resist getting bogged down in "shoulda, woulda, coulda," she said. So what if you ate a doughnut at work today? You usually eat two. Grab from Jar No. 1.
Remember the bad old days
Fletcher found that people who were most successful at reaching their goals didn't just keep successes fresh in their minds. They remembered their last drunk, too. "They were able to compare and contrast what their lives were like then and what their lives are like now," she said. Formerly obese women told her things like, 'I remember what it felt like when I couldn't fit into an airplane seat. Now, I can play with my grandchildren. I look in the mirror every day.'"