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Wedding Woes

Dietitian? Therapy? Both?

Dear Prudence,

Grief, stress, and hiding indoors for a year led me to gain significant weight in 2021. I understand that what’s medically considered overweight is way too extreme, and that many people my new size and much larger are happy, healthy, and gorgeous. However, I’m not feeling so good, and the cause of my recent gains were clearly the opposite of happiness and health. I’ve come to the difficult conclusion that I’d like to lose some weight. But I’m so wracked with guilt and fear about the idea. I really hate it when other people talk about or focus on weight loss. I know most weight loss programs and diets are ineffective and dangerous. And I feel so bad that it even matters to me—I don’t want to be that person. On top of it all, I struggled with disordered eating in my teens and early 20s; luckily it got better without anything very bad happening, but it’s still a tenuous relationship. I’m so afraid of triggering my old disordered habits and of generally buying into a cultural standard I don’t want any part of. At the same time, I feel like there’s a chance I’d be happier if I looked the way I did a year or two ago. Is there any way I can try this that isn’t a terrible, stupid idea?

— Losing Weight Baggage

Re: Dietitian? Therapy? Both?

  • Go with the most simple, least triggering ways first; like eating more fruits and vegetables without cutting out any food groups or calorie counting. If you can't think of anything that wouldn't trigger old habits then therapy is a must.
  • Whether or not you like the definition of overweight does not mean that it's not a real status.  It's also on a spectrum and overweight and morbidly obese do not come with the same health factors.  There's a reason for the classification.

    That said, if you want to do something about it, seek a dietician and a trainer.  
  • Definitely start with therapy. They may be able to help LW with the mental factor of weight/eating while a dietitian might be a good way to learn what to eat when {"I'm craving carbs but I need to know what's better, instead of chips but still satisfy my craving"}

    But sounds like therapy might be ideal to figure out the mental factor.

    Tbh LW isn't alone. I know I gained weight and I've had to process accepting I'm a different body type/size.
  • I’d start with a registered dietitian. They can help you work through a true nutrition plan while helping you identity foods that are triggering. I agree counseling is important but an RD can also be a huge help here. 
  • I heard once that the easiest weight to take off is the last you put on.  So that’s good news.  Like say your 50 lbs overweight and were for like 10 years.  And in the last year, you gained 20….I was TOLD those 20 would be quickest to lose. Then the other 50 is slower. 

    I hold no science behind that. 

  • Therapy, but you're going to have to be really careful about finding the right therapist. Body positivity shouldn't mean feeling guilt for wanting to change your own body. In fact, it should be just the opposite. It's your body and it's your choice. You can appreciate that there are healthy, happy, beautiful people who are your size that do not want to change their bodies and still want to change your own body.

    A good therapist can help you unpack wanting to change for your own comfort versus chasing an imaginary "perfect" body that you think will magically make you happy. 
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