You finish a meal and your brain immediately starts on the next one. You’re driving to work and you’re running the numbers on what you ate yesterday. There’s a quiet moment — kids occupied, no patient in front of you — and your brain fills it with food. What you want, what you shouldn’t have, how you’re finally going to fix all of this.
If that’s you, I want you to know two things right away. First, you’re not alone, and there’s nothing wrong with you. Second, it doesn’t have to stay this way.
I didn’t even realize how much I was thinking about food until I started to get a handle on it. It just felt like the way things were. For a long time I assumed everyone’s brain worked like mine — until I had a meal with one of my practice partners who clearly thought about food in a completely different way. That was years ago, well before I knew anything about coaching, and it cracked something open: what if the way I experience food isn’t the way everybody does? And what if I could learn to do it differently?
Why we think about food so much
There isn’t one reason. Here are the big ones.
- Food feels like a moral decision with dire consequences. This is diet culture. Eat the pizza and suddenly it means you failed, you wrecked everything, you’re lazy, you’ll never get this right. If your brain truly believes a food choice carries dire consequences, then of course it thinks about food constantly — that’s what brains do with high-stakes risks. Here’s the catch: those dire consequences were made up. They were inflated and handed to us to sell diets. They don’t actually exist.
- You’re hungry or undereating. This one’s more biological. When you’re being careful all day to make up for last night, your body starts to worry it’s heading into a famine and turns up the hormones that make you seek food. You wake up thinking about what you ate, eat lightly or skip breakfast, and then later in the day you feel like you lose control. The food thinking there isn’t weakness — it’s your brain trying to protect you.
- Food is entertainment. We socialize, celebrate, and grieve around food. And as we get busier as adults, we stop doing fun things — we end up with an entertainment deficit. So the brain reaches for whatever’s easy: social media, Netflix, and food. For me this hid in plain sight. I love to cook, so reading cookbooks and planning meals felt benign. But constantly thinking about food — even the well-intentioned kind — keeps cueing your brain that food is important and builds more desire.
- Well-intentioned planning. You’re keeping all the balls in the air. What’s for dinner, did I take something out, what am I grabbing for lunch. If you’re the one who feeds a household, you know the deal — stop planning and nobody eats. My husband used to ask, “Why are you always thinking about food?” Because if I don’t, we end up eating out.
- Food as a solution to something else. This is the big one. Your brain offers food as a fix for stress, for feeling bad, for loneliness, for self-doubt. Back when I was struggling with the Wendy’s fries, the thought could start at 10am — “you know what’d be nice? Fries at lunch.” It was never really about the fries. It was the stress I was carrying, and a quick break my brain knew would help. The trouble is, that part of your brain only sees the short term. The relief is real — and it’s gone almost before you swallow.
What to actually do about it
Let food be neutral. Take away the good/bad, right/wrong, the high stakes. I know that can feel risky if you’re newer to this — like the rules are the only thing holding it together. Start small: what if food were more neutral than I think? When the stakes drop, the pull drops, and a choice that doesn’t serve your goals stops feeling like a moral failure. You just choose differently next time, without the fight.
Feed your body earlier in the day. If you suspect you’re undereating earlier and obsessing later, try eating more earlier — enough that you actually feel satisfied. Your brain tends to get quieter, and you often feel more in control in the evening. People panic that this will spiral, but it’s different: you’re sending “I’m taking care of you” messages, not restriction messages. If it makes you nervous, run it as a two-week experiment. Nothing bad happens in two weeks, and you get real information.
Find other ways to be entertained. Notice where your brain is using food as entertainment — and give it something else to do. The goal isn’t to white-knuckle past it; it’s to stop feeding the part of your brain that’s been told food is the most interesting thing available.
Try the fancy-hat trick. When I realized how much I was thinking about food, I just practiced a brand-new thought — and because it was the opposite of everything I believed, I gave it a persona. Every time my brain piped up about food, I’d answer, in my head, “I’m just not that interested in food” — as a posh woman in a fancy hat who’d never had a food worry in her life. It was a little funny, which I think is exactly why it worked. After a few days, my brain mostly stopped bringing food up. (I never did buy the hat.) You really can adopt a thought that’s the opposite of how you think now — if you practice it enough, you start to become it.
Plan your food once — for time, not calories. If the constant mental meal-planning is the issue, sit down for a few minutes and decide once. To be clear: I don’t mean planning calories. That just buys back into restriction and feels lousy. I mean the time-management kind — jot down what you (or your family) are eating so you can stop carrying it around all day. I plan dinners for the week; lunches are leftovers; breakfast is whatever’s standard around the house. That’s it.
Get curious about what the food is really for. For the “food as a solution” piece, start by asking: what might my brain be trying to fix here? Not with judgment — with curiosity. It’s not bad intention; it’s a part of you trying to help. Once you can see what it’s reaching for, you can start catching that feeling earlier, before food even gets offered.
You don’t have to fix all of this at once. Pick the reason that sounds most like you, and start there.
Want the full walk-through? I cover all of it in this week’s episode of the Thriving As A Physician podcast. Listen wherever you get your shows or by clicking below.



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