Born or made to be fat?

If fat was not an issue, what else would occupy his (her) mind? Are there things your client puts up with from other people, that would not be at all tolerable if your client were slim and trim? Does overeating compensate for negative feelings – and what are these? (for example loneliness, feeling rejected, inadequate performance etc.) If your client was thin, what sort of expectations does he/she think might suddenly come her (his) way, that she (he knows are unlikely now? Is there a significant other involved in a conspiracy to keep your client overweight? What changes in your client's life occur as he/she gains and loses weight?

There are so many issues to deal with – and these all need to be addressed and worked through before one can even begin to think of working with the symptom of the problem. Perhaps this is why so many people lose kilograms only to pick them straight up again – perhaps their lives without the perceived safety of "fat" is just too daunting.

Your job, is also to ensure that you help the person to work with their new opinion of themselves as well as to cope with the responses of the outside world towards them.

In my next article, I plan to look at more fat issues – but this time I want to concentrate on fat (thin) behaviour.

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