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Showing posts with label psychological-evaluation. Show all posts
Showing posts with label psychological-evaluation. Show all posts

What Kind of Dieter Are You?

If you’ve failed at dieting and weight-loss programs, the cause may be your personality and not the kind of diet you’ve tried. Which one of these diet personalities fits you?

The All-or-Nothing Dieter

The All-or-Nothing dieter doesn’t believe in moderation – he can either have something or not, not even a small portion or a taste. This extreme thinking can be dangerous, and often sets the person up for a binge on the “forbidden foods.” One slip is all it takes for this dieter to deem himself a failure.

Ideas for Change

Even dieters can treat themselves every once in awhile.  Portion control is the key as is selecting the low fat version of your favorite treat.

The Instant Gratification Dieter

This dieter is gung ho…for about a week. She spends hours at the gym, eats only salad, and wants one thing: To fit into a dress or look good for an event. This dieter is setting herself up for failure too, as it is difficult to maintain this kind of momentum for the long term.

Ideas for Change

Make changes you can stick with. Be realistic as weight loss takes time.

The “Perfect” Dieter

This dieter has a clear image of everything he has eaten all day – and all of it is good. He  “forgets” the chocolate nibbled on after dinner, “doesn’t count” the dressing used on the very, healthy salad, and “loses” his food journal. But he steps on the scale, and can’t figure out why he is not losing weight.

Ideas for Change

Research shows keeping a food diary, either paper or electronic is a must to help you achieve your weight loss goals.

The Realist

The realist dieter knows what she’s doing. She tracks her food – even if she makes less-than-nutritious food choices. She is prepared; her pantry is filled with whole grain snacks, and her refrigerator is filled with fruits and vegetables. She is honest, and accepts the fact that weight loss is a slow process, and a lifelong learning experience.

Ideas for Change

You’ve got it!  Continue to practice mindful eating.  Make exercise a part of your routine.

What kind of dieter are you?

Learn more about how Penn can help you meet your weight-loss goals. Join us for a free information session about weight-loss surgery at Penn. 
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I’m Not Crazy, I Just Want to Lose Weight

David Sarwer, PhD, director of clinical services at the center for weight and eating disorders, explains the importance of psychological evaluations before bariatric surgery.

When considering weight loss surgery, many people wonder why they need
a pre-surgical psychological evaluation. It is a good question with several answers. Psychological evaluations have become a routine part of pre-surgical care. In 1991, the National Institutes of Health recommended psychological examinations prior to bariatric surgery when the health care team was concerned about a patient’s readiness to make the necessary lifestyle changes after bariatric surgery.

Over the past 10 years, organizations such as the American Society of Metabolic and Bariatric Surgery have strongly supported pre-surgical psychological evaluations and extended the recommendation to all bariatric surgery candidates. Today, nearly all insurance companies recognize the value of pre-surgical psychological evaluations and require them for all potential candidates as a part of the preoperative approval process.

The Penn Metabolic and Bariatric Surgery team believes that a psychological evaluation before bariatric surgery is critical to improve patients’ post-surgical success. The evaluation is an opportunity to identify motivations, address psychological challenges that may contribute to a person’s obesity or impact preparedness for surgery and arrange for appropriate follow-up support. It is not designed to be a barrier to surgery.

The Penn Metabolic and Bariatric Surgery Program is committed to providing the highest quality care to help patients reach their weight loss goals. As part of that mission, the pre-surgical psychological evaluation allows the health care team to optimize individuals’ chance for long-term weight loss success.

- David Sarwer, PhD

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