The psychological side of maintaining a healthy lifestyle includes what Dr. Hrabowski refers to as a biopsychosocial model, an approach that includes biological, psychological and social factors.

He says his role isn’t to educate about what is or isn’t healthy so much as about what prevents people from implanting change toward healthy choices.

“One major obstacle is their definition of self-control and will-power,” Dr. Hrabowski said. “A lot of people will perceive it as something innate and something they should have and just be able to do. There is an expectation that it should just come naturally to them. That’s a major obstacle that I come across quite frequently.”

Even when results begin to show, he notes another mental barrier that people suffer from after a few weeks of transitioning to living healthier.

“Another obstacle is impatience with oneself, impatience with the process of change and the expectation that we should be able to just sustain that change.”

With both nutritional counseling and psychological counseling, with a therapist, Dr. Hrabowski says it, “increases the likeliness of long-term change.”

Along with teaching the role of environment in shaping one’s behavior, the CBNH offers ways to help people better control their own surroundings by understanding how we respond to ourselves and others.

“We’re very much motivated by positive feedback,” Dr. Hrabowski said. “Whether that be coming from a loved one or coming from a scale, whatever the external source is, we really do crave and are driven by that positive feedback. But as we achieve that goal or we plateau to some degree, the positive feedback may diminish and therefore we’re less motivated. We can’t be dependent on positive feedback. We have to be aware of how we feel both when we’re getting the positive feedback and also when we’re not getting the positive feedback.

“When we plateau pre-maturely in our weight loss or exercise goal, we get frustrated and annoyed we aren’t seeing as much change as in the beginning. If we bring it to a higher consciousness and recognize how we’re responding to immediate frustration and immediate sources of reward, then we can better cope with them, and it will be much more likely to succeed long-term.”