Dor: Suppers Founder’s Story

Somebody must have known that I would make lemonade out of all those lemons I accumulated. That’s my idea of a spiritual solution: when everything fails and you can’t help yourself, take what you learned and help somebody else.

Ever since I was little, I have craved things: licorice, chocolate, pasta, oatmeal, peanut butter, cigarettes, cheese, coffee, alcohol, and so on and so forth. I was always looking for something that would change how I felt. I also had a lot of health problems: ear infections, drippy allergies, bellyaches and agitation, and ultimately hormonal complaints. I was said to be “high-strung.” Early on I made no connection between all these cravings and my health problems. My doctor shrugged his shoulders and told my mother, “She just operates in fifth gear,” handed her a prescription for barbiturates (I was 13) and directions for an ulcer diet.

As a young adult, my story continued with anxiety, depression, cigarettes, alcohol, a psychiatric hospitalization, more allergies, insomnia, dependence on benzodiazepines, and disenchantment with the medical system. I was not easy to live with, and there were serious consequences in my relationships, especially my marriage.

While I didn’t get addicted to anything that destroyed my life, I always felt captive in a defective, comfort-seeking body. Quitting this or that never helped because as soon as I removed one item, another would bump up into first position. This played out to the patently ridiculous when I quit cold turkey everything I knew was bad for me and found myself feeling just as addicted to granola as I had been to cigarettes! Even the most brilliant practitioners could not make sense of my experience, but the one who came closest was Bob Atkins, the diet doctor. After numerous failures with conventional medicine, I decided to go to the biggest quack I’d ever heard of. Atkins believed that blood sugar was at the root of all evils. As soon as I eliminated refined carbohydrates from my diet, I got relief from the near suicidal depression. It wasn’t a complete cure; I was still sick all the time, but eating a diet of protein, high quality fats and fiber, and no refined carbs made life manageable.

The story of The Suppers Programs is essentially the lessons I learned that did not help me but that I knew would help somebody else as long as there was a good match between problems and solutions. Mind you, all the things I learned were good things to know, but they were solutions to problems I didn’t have. This issue of poor matches between problems and solutions has come up over and over in my experience and in conversations with people who struggle valiantly to get well.

Since no conventional treatments resolved the health problems or the cravings, I took up holistic health practices. I cleansed my liver, purified my kidneys, learned how to grow food organically, bought the best water filter, meditated, prayed, worked a 12-step program, and did my daily readings, usually in the bathtub where I was the closest thing to relaxed that I experience. I went to therapy, went to doctors, went to alternative practitioners. I counted breaths, didn’t count breaths, noticed my thoughts while I did or didn’t count breaths. Meditation was a nice idea, but the truth was that I was calmest in motion, when nobody was trying to make me turn off the motor in my foot. I became the most beautiful deep breather and visualizer of tranquil places, but the buzz inside my head was out of reach of the best practices. I developed an eye-rolling contempt for people who held themselves up as spiritually superior to me by virtue of their meditation practices. Hah! I thought. They too have diagnosed me, by judging me spiritually inferior. How enlightened is that! I was a sane person in a crazy body. This went on for 30 years.

Divorced and middle-aged, I returned to school to get a counseling degree. I took the addictions classes because my life was filled with drinkers and people with softer but troubling addictions, and I loved them. At the same time, a friend I adore relapsed after 12 years of sobriety. It was crushing. It made no sense – except that she had that same kind of body I had, always scanning for the next snack, cigarette, or soft drink. Between grad school and my friend’s treatment, I got an insight into the disciplines that have grown up around the treatment of alcoholics and people with mental health issues. I finally found something useful to do with the data I’d gathered that was fascinating but not all that helpful for me personally. I suspected I could help people who were earnest about making diet and lifestyle changes to improve their health.

Here’s what I learned over the years:

Health care decisions are based on which door you walk through, and on your insurance. The doors I had walked through brought me to one psychologist, two psychiatrists and a psycho-pharmacologist, an internist, a cardiologist, three holistic MDs, an assortment of talk therapists and social workers, a spiritualist, the rooms of Al Anon, and a few other places I’ve lost track of. Behind each door were people who had the vocabulary to explain my problem in the languages of their disciplines. Behind each door I made some improvements, but hale health and happiness remained out of reach.

I learned that if the salary of the person whose door I walked through depended on my having a certain problem I was likely to get that label. I learned that I was anxious, depressed, suffering from adjustment problems. I had chronic fatigue syndrome, a mitral valve prolapse, low blood sugar, a hormone imbalance. I was a universal allergy reactor and a host for too much yeast and other organisms. I was showing signs of menopause at age 32 and one doctor told me my adrenal glands were exhausted. People treated the piece of me that related to their discipline and income source. I learned all this because I had good insurance and a generous husband. It was an excellent education, but my health problems and cravings persisted.

I learned that a therapy, no matter how wonderful, will not help if it’s not a good match for the problem (like taking antibiotics for a virus, a great solution to a different problem.) None of the therapies I had tried were bad therapies; they just didn’t address my core problem. All of the practitioners did a good job recognizing parts of me that they could competently treat, but still the solutions were little more than piecemeal symptom management.

This was a hard-won lesson: experts disagree with one another so their value to the rest of us remains limited. With good insurance and time on my hands, I read about and tried a wide range of conventional and non-conventional treatments. I learned that experts with degrees and long lists of publications to their credit were in complete opposition to other experts with the same degrees and equally impressive credentials. My current doctors clucked their tongues over my previous doctors’ work, each subsequently indicating I was a treatment failure through decreased ability to make eye contact with me. Diagnosis rich but solution poor, I had no one managing my whole case, and I became the case manager of me. I became the expert. Nobody had more to gain or lose. Nobody was more familiar with the symptoms.

I learned that although diet and lifestyle changes helped, they were not my total answer. Whatever my problem was, it was more than could be corrected through right living. For my self, I had to keep looking. Nevertheless, I learned that there is a gap between what people know and how we live. People know that diet and lifestyle change are key elements to solving the major health scourges, including addiction. But people hardly know how to prepare real food anymore. And even though we are swimming in good information, our eating habits and sedentary ways have led to an epidemic of diabetes and obesity. Some very strong forces are overwhelming the information.

So I learned that having good information is not enough. The whole culture needed whatever it takes to apply what we already know but ignore.

In many ways, I’m the luckiest person alive. I had insurance. I could afford good food and I had the time to cook it. I lived in a town with excellent recreational facilities and a wonderful library. And I knew no matter in which direction I fell, I’d never hit the ground because there were too many friends in the way, ready to break the fall. So I learned that there is no substitute for a supportive community.

By the late ‘90s, I resigned myself to finding spiritual solutions, which to me meant finding some value in not being able to solve my problem. I decided to accept feeling sick, anxious, and depressed and figure out a way to make these lemons into lemonade. Once my focus shifted to helping people with addictions, I got my own spiritual interpretation of these painful lessons. For years I’d been sitting in the bathtub pondering how ideally suited I was to doing something, but I didn’t know what. Once I yelled at God, “Talk English!” The message was coming through loud but not clear. It took formally studying addiction and watching a friend’s relapse unfold before I finally understood where all this would lead. It led to the food supply.

My education taught me that any addiction is a problem of the body, mind, and spirit. Whether the problem is food, booze, or drugs, there are physical, mental/emotional, and spiritual causes and consequences. As I read books and peopled-watched, it became clear that our most expensive addiction was to the food supply itself. Our treatment culture does a good job with the mind: we have lots of support groups and information and we’re taught cognitive behavioral strategies. In terms of spiritual needs, miracles take place every day in the rooms of the 12-step programs. But whose job was it to take care of the body? Not doctors, they deal with drugs and symptom management. Where were the advocates and free-to-users groups to heal our broken bodies and screaming cells with the one thing that provides lasting cure: wholesome food. How were we supposed to manifest lasting lifestyle changes if the disciplines and support groups that deal with the problem treat the physical body like an “outside matter”? Basic human nutrition – let alone brain nutrition – was barely on the radar screens of the professions that provide counseling to people with mental health problems and addictions. This was a form of insanity.

God started speaking English someplace around Glens Falls on the New York State Thruway. A friend was driving me to the high peaks of the Adirondacks, and I had five hours to do school work. I had brought a bag of books and articles on alcoholism to write a 10-page paper on stabilizing blood sugar as a means of reducing cravings. This was my idea of good vacation reading. By the return trip, a 75-page thesis on treatment failure was flowing out of my pen. It didn’t matter that my College of New Jersey program didn’t require a master’s thesis. It was being written even if my long-suffering professor and I were the only ones ever to read it.

Then I set out on a journey to find who “owned” the body in the treatment field. I asked every psychotherapist and psychologist I met if they knew of a support group that supported people’s physical body needs. No. Using the language of the scientists, I told myself, “Having a physical body is a necessary but insufficient condition for having an addiction. But it IS necessary.” My textbooks based on the currently favored models did not deal much with the body. And when I found snippets of information on things like nutrition or biofeedback in the text, I checked to see if they were referenced in the index. No. If someone wanted to find this information again, they’d have to comb the pages.

The next leg of the journey took me back to the bathtub, where I do some of my best work. I scoured the book Alcoholics Anonymous, affectionately known as the Big Book, page by page, recording references to problems involving the physical body. If you read it with your metabolic glasses on, the Big Book reads like an Old Testament record of cravings, allergy-like problems, and cake and coffee stories of bodies suffering from poor insulin regulation and assorted endocrine disruptions as well as starving brain cells. First drinking stories teemed with tip-offs to biological types of alcoholism, and stories of forgotten bodies emerged from in between the lines of spiritual awakenings. It was strange to learn that although nutritionists have understood the common thread of blood sugar, alcoholism, and mood chemistry for decades, the information didn’t make it into the literature on alcoholism or other addictions. Even Founder Bill W could not persuade the new keepers of AA to disseminate information on nutrients and blood sugar; he tried in the 1960s.

Throughout this process, I was also reading books by doctors and psychologists who had included the physical body in non-pharmaceutical ways in the treatment of addicts and people with mood and eating disorders. They seem to cluster in families. Common among their recommendations were dietary guidelines for repairing the cells of people whose bodies were broken by years of poor nutrition and drinking, nutrients for restoring neurotransmitters, and behaviors that stabilize blood sugar and restore digestive function.

I dove into nutrition and went too deep. Darn, mealtime is not just about food. Too focused on nutrients, I needed help with this part. A guest speaker had come to teach my grad school class on prevention. She was the head of our municipal alcohol and drug alliance. I asked her what she would change if she had a magic wand. Without skipping a beat, she said, “I’d have them all do whatever it takes to sit down regularly to home-cooked meals.” She didn’t mean nutrition.

In the back of my mind a tape was playing of something my mentor told me long ago. The healer who saw me through the darkest hours of my illness said, “Your solution to all problems is to cook dinner.” He wasn’t wrong. We were working with Bob Atkins for a nonprofit organization that supported innovative medicine. When we needed volunteers, we invited 50 people to dinner. I cooked; they volunteered. When I didn’t know where to go with lingering health problems, I created a monthly dinner and speaker meeting for complementary health care practitioners. It ran for eight years. When my son got to the age when kids start drinking, I invited his friends over and fed them. And whenever my depressions went on for more than a few weeks, I invited a large group of people to dinner and started cooking.

Though the menus have changed over the years, the family table has always been the heartbeat of the household. And friends have always been welcome. Our table is the classroom for lessons in nutrition and values. It’s the stage where problems are solved, love is expressed, and thoughts and feelings are shared. And it’s the one place where we daily express our gratitude. With this in mind, I plied myself to the task of creating family tables, first for alcoholics and then for anyone whose health and mental health challenges related to poor blood sugar regulation and unstable mood chemistry.

Around that time, my own health problems forced me back into treatment, and finally, after 30 years of bizarre medical issues, I was diagnosed with and treated for heavy metal poisoning. The $20,000 out of pocket was well worth it. Yes, I paid for it myself. The system that reimbursed me for decades of treatments that didn’t work did not reimburse me for the one thing that did. My treatment, chelation, was not approved for my problem, mercury toxicity.

With my own problem mostly resolved, I continued reading about innovative treatments for alcoholism and diabetes and the cluster of other health problems related to blood sugar and mood chemistry. I struggle with the lumbering disciplines that treat us. I won’t wait for the medical profession and other disciplines to scientifically prove that repairing cells with good nutrition is critical to healing. I’m not waiting for science to prove that each addict or diabetic is a distinct individual with a body and a history or that his or her problems must be dealt with at the level of his or her personal, natural reality. I’m not waiting for the insurance system to figure out a way to turn a profit by supporting lifestyle change, so that people can manifest these changes. I am not willing to hang around for science to come up with a deeper understanding of information we already know and don’t apply.

Nutrition education is on the rise, particularly now that the incidence of diabetes is skyrocketing. But Big Food and the diet industry have so much power that the needed message – eat whole food – is dwarfed by the messages you can read on the labels of more profitable packaged foods. What I had hoped to find and never did was a support group that included the physical body’s nutritional status in the recovery equations for addicts or anyone whose health challenges related to the food supply.

So I started to create it on paper.

In December 2005 a departing dinner guest, whom I didn’t know, overheard me talking about how I wanted to help alcoholics. She was attending the final meeting of the group I’d run for eight years for practitioners of complementary health care. I was giving it up to do my internship. “I’m going to be helping alcoholics,” I was saying. I’d decided to start my Suppers groups with “Suppers for Sobriety” because one wonderful thing about recovering alcoholics is that they sure do know how to work a program!

“I’m an alcoholic in recovery,” she shared, joining the conversation. “What are you going to do for us?” Cindy was proud and curious. I had not broached the subject with my own alcoholic friends because I was gun shy about saying anything negative about AA. But here was a woman who’d just eaten dinner at my table. She was willing to break her anonymity to find out what was going on. I gave her my stump speech on how the body had been left out of the body, mind, and spirit equation by the conventional treatment models and the support groups.

Cindy bought the idea. She volunteered to read everything I’d written and critique it from the point of view of a devoted AA member. The phone calls and e-mails flew between Princeton and Somerset as we wrote, scrapped, revisited, and improved each part of the developing literature. And, of course, she couldn’t help but find herself in the pages as explanations for her continued cravings and mood swings emerged. We agreed to do a pilot project with her AA friends over the summer.

I took all her notes and e-mails on a Christmas trip to the Adirondacks with another friend driving. There is something special about me and the New York State Thruway. I had another one of those moments after which life is not the same. I realized I was already in the middle of writing the manual for Suppers! The fact that I still had two children at home, graduate school to finish, a school garden to run, and clients to serve made no difference. I was not dealing with a negotiator.

While doing the research for my internship in a mental health agency, I was drawn to information about the shared roots of blood sugar and mood chemistry problems that crop up over and over in people with addictions, mental health challenges, and diabetes. Everything I read turned into fuel for the program design of Suppers.

The following summer, Cindy and I started the pilot project with a group of AA women in Somerset. Every participant contributed something important to the program design. The vegetarian forced us meat eaters to be scrupulous about nonjudgment and refraining from the promotion of any particular diet. One already knew how to make good food; she helped us focus on the importance of building community. Another was very interested in the role of cravings. Ultimately I came to the wretchedly inconvenient and politically incorrect realization that these problems are the logical conclusion of the cultural trend that sends women into the work force without providing an adequate substitute for the relationship services women have traditionally provided. My role became to create a program that would help make up for a generation of lost cooking skills, lost table-side communication skills, fast food, and junk values. My conviction is that without this relationship-building piece, alcoholics, diabetics, and anyone with food-related illnesses don’t stand a chance.

In 2008, we started transitioning to a program design that served a broader audience. Karen came on board and we created a general meeting as well as separate meetings for type 1 and type 2 diabetics. It was easy to adapt the program because the diabetics, like the recovering alcoholics, needed to go through the same process of experimenting their way to identifying the foods that made them feel stable. Karen, who has type 1 diabetes, helped create menus that were delicious, high in fiber, and low in carbohydrates. We were thrilled to watch the smooth lines on the continuous glucose monitors of our friends. The foods we were preparing did not spike their blood sugar.

Soon Lana showed up. She is a passionate raw food vegan with a turnaround story similar to ours, except that we were thriving on meat and vegetables and she was thriving on vegetables and fruits. Once again, it was a vegetarian who made an honest woman of me. Commitment to actively practicing nonjudgment was bumped up to the first principle of the program, even before whole food preparation. Time and again our members remark that it is the safety of the setting that allowed them to stick with the program and do some extremely uncomfortable work around their eating habits. Each new group develops it own personality and following. Each facilitator decides for her or himself how to get the best “helper’s high” by following their passion.

By 2009, we had figured out the process required to shepherd people away from how they eat now to relishing the flavor of stabilizing, vitalizing whole food. We call it “nutritional harm reduction,” a gentle process that lets people change at their own pace. At every meeting, we are reminded that healing for the greatest number takes place in an environment of nonjudgment, where we keep the focus on our personal needs by doing experiments with whole food, where no particular diet is deemed universally superior, and where, in honor of our roots in the 12 steps, we practice anonymity and protect our members from all commercial messages.

In December 2010, and just as we were completing the first edition of Logical Miracles, I had one more life-changing experience during a vacation in the Adirondacks. During a four-day vacation in a cabin in the woods I had a good chance to observe my 23-year-old son, Max, who had gotten very skinny at graduate school. It was surreal, gathering the observations that led me to test his blood sugar as soon as we walked in the door back in Princeton: weight loss, a burn wound that wouldn’t heal, and the need to urinate twice in three hours on, you may have guessed, the New York State Thruway. The only bright spot in his diagnosis of type 1 diabetes was that there was already a safety net around him as the steep learning curve of a newly diagnosed diabetic moved to the center of his radar screen.

Fourteen hours after Max was diagnosed, I put him on a plane back to school in Columbus, Ohio with a pocket full of insulin pens and a head full of information from Karen and me. I gave him a hundred dollars and instructions to blast through test strips and learn how his individual body reacted to food, drink, exercise and stress. He later said that running personal experiments was the best advice he’d gotten from anybody.

It’s 2017 and I’m updating my story. Suppers is proving to be adaptable to an array of diagnostic categories. We have a non-profit organization, a facilitator training program and about 40 facilitators. Our members include people who just want to learn to prepare healthy food deliciously to people with serious metabolic diseases. Doctors refer to Suppers and wish more of their patients would attend.

Suppers today is functioning in a different world from that of 10 years ago when we started. The main stream press runs stories about gut flora and addictive processed foods, and doctors are installing teaching kitchens in their practices. Eggs are back on the greenlight list for the general population, and inflammation is nominally the root of all evil. “Accountable care” is the wave we want to catch, and incentive programs are springing up, attracting people who are willing to make behavior changes in exchange for money or reduced medical insurance fees.

I can’t predict how incentive programs will work if there is no accounting for the addictive nature of the processed food supply. I suspect it will work for the people for whom it works, and then there’s the rest of us. The alcoholic who isn’t ready to quit, won’t quit for $100. Time will tell if the food addict who ate her way into type 2 diabetes can be incentivized to change with monetary rewards. In the meantime, our members’ successes validate our basic assumptions: that healing requires an environment of nonjudgment, personal experiments, and developing the capacity to observe one’s own body to collect data. It requires protection from the bottom-line-driven pressures to sell products and services that may or may not be good matches for a person’s needs. It requires whole food and an adequate return to a way of being that predates the epidemics of metabolic diseases, including especially the restoration of the family table.