Don't be the Chicken & Cheetos Lady

[Dr. Colleen Long 185]

Why Psychologists Deny Certain People for Weight Loss Surgery and How to Not be One of Them

I have worked as a psychologist, providing psychological evaluations prior to bariatric weight loss surgery for the past eight years. For the most part, people need a power tool to help them lose and keep off the weight they have lost over and over again in their lives. The gastric sleeve, bypass, and now balloon are those tools. However, every once in a while, I will encounter someone who believes these procedures are the magic bullet.

I can pick this up in five seconds when I learn that:

• this person has no exercise plan to maintain their weight loss
• a barrage of excuses as to why they can't exercise anymore
• zero insight into why they are overweight ("I don't know why I am overweight, I just eat steamed vegetables and grilled chicken mostly.")
• a lack of motivation or understanding for why they also have to engage in behavioral modification in addition to the surgery

"Why would you reveal all of this?" you ask. Aren't I giving away the keys to the kingdom to anyone who reads this and wants to pass a psychological evaluation? Perhaps- but who are you really cheating if you don't go within and face the real demons that got you here in the first place?

When I ask people about their eating styles, I tend to group them into four categories:

1) emotional eater- someone who uses food when they are bored, stressed, tired, lonely, sad, or even happy in addition to eating when they are hungry

2) skip and binger- someone who fails to think about food until it is too late, and when they are ravenous end up going for whatever is available which is usually some type of carb and calorie laden fast food

3) miscellaneous- someone who just recognizes that they eat too large of portion sizes and/or the wrong types of food

4) food addict- usually someone with a history of other addictions, trauma, and a significant amount of weight to lose. They usually have comorbid psychological diagnoses that have been unaddressed or ill-addressed.

Out of the four categories, the 4th is the most troubling for a psychologist. This particular person is most correlated with the patient who fails to address their core issues, eats "around the sleeve," or bypass, experiences dumping syndrome, comes back a year later and asks for the bypass, or a different procedure.

This is the person who, ironically, is usually the most resistant to my recommendation that they seek therapeutic support prior to the surgery. They want it done YESTERDAY. They want it NOW. It is this type of thinking that got them into trouble in the first place. The impulsivity and lack of emotional regulation.

I've witnessed people fail to address their maladaptive eating patterns and never quite get to their goal weight. I had a male that would buy a bag of pepperonis at the grocery store and snack on them all day and couldn't understand why he wasn't losing weight. This daily "snack," which was a mental security blanket, served as a veritable IV drip of fat and calories throughout the day.

I've had a woman who figured out how to ground up her favorite foods into a liquid form because she never quite let go of her attachment to "comfort foods." One of her most notable liquid concoctions consisted of chicken and Cheetos. I'll just leave that for you to chew...er swallow.

They say with drug and alcohol recovery- you "slay the dragon," but with food addiction recovery, you have to take it for a walk three times a day. If you don't fundamentally shift your relationship with this dragon, you're going to get burnt when you are walking it.

My number one tip for transforming your relationship with food is to start looking at eating the same way you do as brushing and flossing: You don't necessarily salivate at the idea of what type of toothpaste you will use, where you will do it, who you will do it with, right? You just do it twice a day because you don't want to lose your teeth and you want to maintain healthy gums.

Food has to be thought of in the same way. You fuel up. You don't use food as a place to define your quality of life. You don't use food to Celebrate. You don't use food to demarcate the end of a long day. You don't use food to help you feel less alone. You figure out healthier coping alternatives to meet these needs.

Loneliness-call a friend for support

Celebrate- get a massage

Demarcate the end of a long day- start a tea ritual and use essential oils

Another reason you must say goodbye to comfort food is that it triggers the pleasure center of the brain, which ignites our dopamine, which perpetuates the addiction. Many people think we are just telling them to get rid of the comfort food because of the carbs or calories, but there are unique and harmful chemical consequences to ingesting these types of food we know are bad for us.

If you are ready to take a modern approach to weight loss and stop dieting for good- check out my wls/vsg psychological support course here for free.

Facebook community.png" class="ipsImage ipsImage_thumbnailed" data-fileid="70722" data-unique="k0ygdhsm7" src="https://s.bariatricpal.com/uploads/monthly_2017_04/58eea1f84a2dc_JoinourFacebookcommunity.png.7bdd2e53029d24b7bdc8255344a4e253.png" style="width: 400px; height: auto;">

Edited April 12, 2017 by Dr. Colleen Long

[blizair09 3,250]

I really do hope that everyone will read your post and take it to heart. Thanks for taking the time to contribute!

[Dr. Colleen Long 185]

Thank you for that very kind feedback. This is my first post- so a great welcome to know it is helpful

[Dr. Colleen Long 185]

yikes...just realized the link for my free course is not working- try this

[Newme17 3,444]

Wow! I'm in the first category. Emotional eater. I used to clean when my emotions got the best of me. Now, I look (or have looked) for something I shouldn't be eating. I changed after having kids. Lol. Like @blizair09 said, I hope everyone reads and really ponders this, as well as take advantage of the free course. I'll have a look tomorrow. Thanks for sharing this!

[VSG4Mag 106]

Thanks for the post. I look forward to checking out your course.

[Alex Brecher 10,498]

2 hours ago, Dr. Colleen Long said:

yikes...just realized the link for my free course is not working- try this

Great article! I updated the links.

[CindyD67 8]

This is fabulous! I needed to hear this--it's not pretty but spot on--as an emotional eater and "not enough time" to exercise, I realize that's what I need to change. I'm not sure how yet but I know I have to--one day or urge at a time.

Sent from my SAMSUNG-SM-N910A using BariatricPal mobile app

[Redmaxx 740]

Great article.

[Bodhi Tree 54]

Fantastic read [emoji106]

Sent from my SM-G900W8 using BariatricPal mobile app

[Navigating the Wilderness 824]

Yeah, I knew a patient who was rapidly regaining weight. When asked what said patient was eating, it was revealed to be mostly Angel food cake. Why? Because they said it contained mostly egg whites which were Protein, and thus on their bariatric diet sheet.

[blizair09 3,250]

23 minutes ago, Navigating the Wilderness said:

Yeah, I knew a patient who was rapidly regaining weight. When asked what said patient was eating, it was revealed to be mostly Angel food cake. Why? Because they said it contained mostly egg whites which were Protein, and thus on their bariatric diet sheet.

Jeez...

My brother (who was banded about 3 years ago) has regained almost all of the weight he lost (even though he claims he has only gained 30 pounds). When I talk about these last pounds I want to lose, he keeps saying "at some point, you're going to want to live." My response to him is that now, I am living. Some people will completely waste the opportunity they have been given. You see it on these forums every single day.

[Rosalynn 8]

Can you be in more then one category? Because I think I'm 2. & 3. I don't eat until 11:00 or 12:00 so I eat Breakfast & lunch together. Then I don't eat again until 6:00 or 7:00. My body doesn't tell me when it's hungry or full. So that's why I think I'm in two categories. Since I've been seeing a nutritionist we've came up with drinking Protein Shakes for breakfast and a snack.

[Mindy78 372]

I love this. I was always a 2 before surgery, also didn't schedule time for exercise. I realize without me time. I'm good to nobody. I schedule time to exercise and eat and what to eat. I see my husband has the same issue now as well as emotional eating. I've found packing healthy lunch and making sure he takes it helps a lot.

[Sherrie Scharbrough 311]

Hi Colleen

I just wanted to know if this program is just for the newbies that have had their WLS. I am 3 years and 9months out from my RNY. I have been at my goal weight for 3 years. Do you think this would be something for me or not? Thank you

Sherrie