Thank goodness so many advances have been made in our understanding of obesity. There are more options now available for people living with obesity, in the form of surgery and medication for those who have found diet and exercise alone not helpful. However, what seems to not be changing, are the judgements and assumptions made by the general public...
I receive reminders on a daily basis as to why it is important to listen carefully to our clients, and to suspend all assumptions and judgements about their world or life. Many years ago, when my child was seriously ill with cancer no-one was able to work out why he was so unwell. His blood tests showed something was clearly wrong, but it took near...
The Subtle And Not So Subtle Hurt In Many Relationships And Families, When it Comes To Weight Management. One question I ask my clients is who do you have supporting you thought this process? I ask this because having true care and support and understanding is powerful, and an important part of being able to wade through the muddy waters of hype, m...
I've been mulling this over for some time now wondering if I can articulate my concerns about asking our patients/clients to "do the work". My main concern is that while whatever technique, theory, meal plan, therapeutic modality makes sense to us, we need to be mindful that this may be the first time the person sitting before us may have...
Reaching out for help and support when you are vulnerable is never easy. The weight loss market place has become cluttered and crowded with noise and such ridiculous promises, that it has completely muddied the waters without acknowledging there is a huge difference between people who may want to lose a few kil...
If somebody reaches out for help with weight management, it is often one of many repeated attempts to ask for help and support. When listening to people's history and past experiences, I've realized how often they feel they need to edit what they are saying due to the fear of being judged and not believed. Clients will tell me they now refuse to wr...
Just like any chronic complex health condition, obesity management needs careful and ongoing interdisciplinary care. This might be any combination of medication, surgery along with dietary and exercise guidelines and counselling. It is for some of the reasons below, why attending to a person's inner psyche, their pain, or their trauma might be impo...
There is a teeny corner of the health service providers who are working in the area of obesity that I sit in as a counsellor. The research and understanding of the complexities of obesity are so impressive and hopefully will help thousands and thousands of people in years to come with all the new advancement in medical and surgical treatments. Howe...
TWO, OR MORE THINGS CAN BE TRUE AT THE SAME TIME If we can accept that two or more things might be, and, or are true at the same time we open up the capacity for another layer of support for our patients. One truth, belief or experience doesn't necessarily exclude the other. I am not talking about facts or data here, rather about people's thoughts,...
When we ask people to walk a mile in someone else's shoes when thinking what it might be like to be going through something sad or challenging, I wonder why it is so different for the general population to consider the same when it comes to having compassion and a willingness to understand what it might be like for someone living with obesity. I am...
When we help our patients living with obesity, whether it is through surgery, medication, behavioural change, or a combination of interventions there are many other factors that declare themselves in my consultations, that I think are worthy of support and help, and an important part of holistic care for the persons wellbeing. I speak daily with pe...
After listening to thousands of people's stories when seeking help for weight loss and long-term weight management, a recurring sentiment is one of self-flagellation, self-loathing, incredibly high expectations of self, a lot of guilt, enormous shame and harsh criticism of self. Year after year they berate them selves for not being more disciplined...
I've been reflecting lately on the way the discussion about weight in some circles still relegated to the personal responsibility realm. This spills into the natural vs medical debate among many people. I've been thinking about how many loved ones lives have been saved or how many loved ones lives are now bearable or comfortable thanks to sci...
I have listened to hundreds of people over the years, who, have been told that they are just making excuses, when they have not been able to follow the advice they have been given. I challenge this assumption, as it is just more blame being placed on someone who is already vulnerable. I think it is really important for us who work in the area...
There is something that I have observed over the years while working in the area of long-term weight management that seems to slip through the cracks when it comes to care and support. What I notice happening is that people can go from feeling supported and heard by their healthcare providers, only to return to their home and or social circles...
There is something that comes up over and over again in my conversations with people living with obesity that is so upsetting and painful for them. I am heartened by the advocacy and the medical research that is finally being heard, and recognised in removing blaming the individual for their weight. My concerns are that we stil...
Not being believed is a horrible feeling. Not being believed over and over again is a really horrible feeling. Being blamed for what you are not being believed about is also a really awful feeling. Being blamed by people who are meant to be helping you or reading running commentaries on social media about the concept of will power and lack of self ...
Some things to do with our weight, our height and our health are simply out of our control. For example no amount of nutritious food, exercise and positive thinking will make me taller or make my legs longer. I probably will feel stronger and fitter from the exercise and my insides will feel good from the extra nutrition and may protect me from som...
My Reflections On World Obesity Day (March 2022) It was world obesity day on Friday March 4th and I was reflecting on the many treatments that are available for people living with obesity, in particular just how fraught it can be trying to find appropriate help. Particularly when there is an attitude from the community/media/ socia...
Every time I read the words or hear the words "guilt free" I feel a slight tinge, and sometimes a great tinge of discomfort. When the words "guilt free" are used when discussing food and eating, especially as a way of selling products I cringe even more. As if people who are feeling vulnerable about their weight need to be humiliated and shamed any...
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