C: I am 205 lbs
T: I am fat, ugly, worthless than others
F: bad sad resigned
A: more binging
R: stay or increase obesity

I am trying to use T this is where I am, I have lost weight before, I am an MD, I know low carb will work, I know no food will satisfy my urge because of hunger for something else, etc, etc.

Even those bridge thoughts seem so artificial and fake I cannot even identify or accept them

I know the theory – HOW do I put in practice? The urge jar sits there mocking me.