One of the most frustrating things about PCOS, from my perspective, is that, although we share a common constellation of symptoms (or else we wouldn’t have the diagnosis), every woman’s body is unique. So the dietary treatment of this condition is constantly evolving. I spend a lot of time studying the impacts of food on mood and brain health, and of course, in the great scientific tradition of self-experimentation, I’m always trying out new theories on myself. I wonder, watch, consume, and observe various foods, quantities, and combinations, and then see what happens. I also make observations based on my client’s self-reports, and my interpretation of what happens to their mood and overall sense of well-being, as affected by what they consume. My findings from this moderately unscientific study: • There are no absolutes • The rules change all the time • People believe an astonishing variety of things about food, many of them bearing absolutely no basis in science or reality • Science is probably way behind where it needs to be to support our health • M.D.s are highly unlikely to offer sound advice about food – far better to seek out the services of a dietician • The only thing the food police can agree on is that we should all be eating plenty of organic dark leafy greens • The body is fine with certain foods on some days, and not so fine on others • PMS induces chocolate consumption, wild carb cravings, and a desire for rare, salty beef • Almost everyone with PCOS gets out of control when they over-consume refined carbs • If you’re gluten-sensitive, you will get brain fog if you abuse gluten • It is true that weighing yourself daily, or multiple times a day, contributes to anxiety, and may well be a symptom of an eating disorder • Everything you ban is that much likelier to become the object of your obsession, unless you take steps to balance out your body and your brain chemistry • Details matter • Consistency matters • Treats are really good for staying on track, if they’re chosen wisely • Weight loss is rarely easy; maintenance is even harder • Depressed women with PCOS almost always overeat, not undereat • The less you sleep, the more you eat • Caffeine can be devilishly addictive, or of little consequence • Dairy is the subject of much debate, and a great deal of angst, given its popularity as a self-soothing food category • Carbs are not evil – they’re necessary for healthy brain function – but the belief that they are is remarkably fixed. My point here is that we must consider the challenges of modern dietetics, medical science, and brain treatment (from either a pharmacological or psychological/therapeutic perspective) as a process of constant evolution. If you’re doing something that isn’t working, change it up. If what you’re doing is working, but not working well enough, change it up. If you have a gut sense that something’s bogus, listen to yourself. And if you’re feeling burned out, disgusted, and hopeless about trying to figure this out, give yourself a break, retreat, do the best you can, and come back at it with renewed vigor, a calmer mind, and a more balanced perspective. Seek consultation with experts. Read up a bit. It’s all just information – no judgment. The ability to thrive depends upon your ability to adapt. Gretchen Kubacky, Psy.D. is a Health Psychologist in private practice in West Los Angeles, California. She has completed the inCYST training. She specializes in counseling women and couples who are coping with infertility, PCOS, and related endocrine disorders and chronic illnesses. If you would like to learn more about Dr. HOUSE or her practice, or obtain referrals in the Los Angeles area, please visit her website at www.drhousemd.com, or e-mail her at AskDrHouseMD@gmail.com. You can also follow her on Twitter @askdrhousemd.