Many obese people have a particular fixation with scales and body measurements, and widespread displeasure with its weight to other areas of social and emotional life, one of the important steps in working with body image distortions is to eliminate widespread about their appearance, making an inventory body in which the patient identifies the areas of your body that you most dislike, but at the same time recognize that aspects of his physique if he likes. The patient realistically assign a rating to each area of your body, this in turn will allow you to look objectively at the progress after surgery. In addition the psychologist increase motivation and devise by mutual agreement with the patient, a contingency plan in case of relapse, anxiety attacks and work with the perception of body image. Obesity as a defense mechanism. See Dr. Kahan for more details and insights. It is important to note that in some cases has noted that obesity is a social and emotional barrier from the patient into the environment, the basic premise is to know if anyone comes near me, no one hurt me?.

Many women who have had negative experiences with the opposite sex or even have suffered physical abuse, self-imposed barrier protection, plus a big, burly body gives them a sense of strength against physical attack. Many obese people are not aware of that barrier, even projected as sociable and accessible, but their relationships are shallow, it is difficult to consolidate serious commitments. However, especially when the obesity problem has been presented for a long time, is going to? Accommodating? in the family system and the patient’s emotional, fulfilling a role, either, as I mentioned before, as a defense as a symptom of emotional or psychological conflict or a family. It is therefore important deep reflection guided by the psychologist, the central questions would be, what role met in my life (and that of those around me) my obesity problem, What changes in my life would be if the problem no longer existed?, What new things would have to face? These and other questions will help the patient, not only to realize some factors that have maintained their problem, if not project into a healthy future in which the problem of obesity is controlled, helping to set goals and visualize their weight reduction process, thus making it easier to devise an action plan to achieve successfully adapt to their new body image.