Our approach with obese clients is tough, but filled with love or what some may call "tough love";
1) Lose any self-esteem issues if any.
2) Lose the dynamics of emotional eating if any.
3) Time is on your side when you have a goal, but time can work against you when trying to make a "date". (Surgery date, my wedding date etc.....)
Our approach to weight management involves elevating self-esteem, teaching how processed/unprocessed foods and even food preparation are HUGE dynamics at play with food addiction.
Photo by Jeremy Thomas on Unsplash
My lectures "From the Cradle to Cocaine" and "Healthy living is a JOURNEY and not a GURNEY" were both created about 10 years ago where I discuss how childhood nutrition is setting our children up for adulthood addictions and there are unintended consequences of making bariatric surgery too "common place" for weight management but not the last resort.
It is one thing to provide mental counseling during the pre-surgical phase for Bariatric procedures, but the results of the following study and rebound weight gain that occurs after most surgeries show continued mental counseling AFTER surgery is most vital.
Remember, the problem stems from the head, (Brain and Mouth), where the belly is just doing its job to digest decisions it had nothing to do with.
Abstract
Purpose: A cohort study that compared the differential risk of psychiatric disorders between those who did and did not undergo bariatric surgery, from before until after the surgery.
Materials and methods: Patients were followed for 1 year before and after the index date and a difference-in-differences (DiD) study design was executed.
Results: We included 56,661 bariatric surgery patients matched to 56,661 individuals with obesity. Among bariatric surgery patients, the incidence of psychiatric illness was 18% 1 year before and increased to 70% 1 year after surgery.
Conclusion: Preexisting psychiatric disorders are similarly prevalent among bariatric surgery patients and individuals with obesity. The prevalence of psychiatric disorders increased over time for both groups, but to a larger extent among bariatric surgery patients. The Study