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as a part of managing weight, then it
is time to seek professional assistance
with your weight condition. The critical step is doing something about it.
The consequences of doing nothing are not only physical problems
but also a spectrum of psychological
concerns that include mood disorders, such as major depression and
bipolar disorder. The major psychiatric disorders have a national prevalence rate of 17.1 percent and 1.6
percent respectively, but are elevated
to 49.3 percent and three percent in
bariatric surgery patients. Increased
prevalence of anxiety disorders, binge
eating disorder, and personality disorders have also been identified.
Remember that when you’re
facing stressful transitions in
the life span, you may find
it harder to eat healthy.
During times of particularly high stress, we
may eat in an attempt
to fulfill emotional
needs — sometimes
called stress eating or
emotional eating. At the
same time we are likely
to eat high-calorie foods.
Binge eating behaviors
are suspected in about
30 percent of persons
seeking bariatric surgery.
Those who consider such
an option need to be aware
of not only the immediate surgical
risks, but also the extent of postoperative behavioral changes, which are
essential for postoperative success.
Weighing the risks of surgery with
the risks of obesity-related comorbidities can be emotionally taxing on
any person. This is an important time
to get helpful objective counseling in
comprehending the information on
surgical procedures.
On an individual basis, most of
us either have tried to lose weight or
are actively engaged in maintaining a
healthy weight. Why we struggle with
weight and how best to
lose weight are hotly
debated topics. The
nation’s current
weight struggles
have been
attributed to
a range of
biological,
societal and personal problems, such
as unhealthy school lunches, media
advertising, too much corn and corn
syrup in our diets, sugar substitutes,
lack of willpower, overreliance on
fast and prepackaged foods and many
more.
Remember it is important to take
this effort to manage weight gain in
stages. Use the five key strategies by
recognizing the warning signs and
what you are doing in response.
Keep a record of your behavior and eating habits. Then
use mindful management
techniques and engage
in regular physical
activity. Finally,
&
About the Author
Thomas W. Miller, Ph.D. ABPP is
a Professor Emeritus and Senior
Research Scientist, Center for Health,
Intervention and Prevention,
University of
Connecticut and
retired service
chief from the
VA Medical
Center
and retired
tenured
Professor in
the Department of
Psychiatry, College of
Medicine, University of Kentucky
Experts say that having the
right attitude can help you
think yourself thin.
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37
should these strategies not seem to be
working, seek professional assistance
through a certified or licensed personal trainer, professional counselor,
or medical professional.