The Art & Science of Treating Bariatric Patients. The map is not the territory. The map steers us towards healthy living but the journey is singularly our own!. Charlie Bowman, MS, LCSW, LMFT, LCAC. A Therapist’s Perspective from a Patient’s Point of View. Case Study Charles Bowman
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The Art & Science of Treating
The map is not the territory.
The map steers us towards healthy living but the journey is singularly our own!
Charlie Bowman, MS, LCSW, LMFT, LCAC
A Therapist’s Perspective from a Patient’s Point of View
57 y.o. w/m/m
Max Weight: 388#
Max BMI: 54.1
Surgery Date: 12/7/2007
Surgeon: John Huse, MD
Hospital: St. Vincent Carmel
Procedure: Open Roux-en-Y
Family Hx: + for obesity, diabetes, HBP, arthritis, cancer
Mental Status Pre-Surgery: anxious, depressed,
obsessed with obesity
Outcome: The Surgery was Successful
Congratulations Mr. Bowman, We’ve successfully removed your inner critic!
Progression of Psychotherapy: Pre-Surgery
Progression: Early Post-Surgery
Progression: Late Post-Surgery
Dramatic, rapid changes in self-image requires support for adjustment through periods of disorientation
Preventing sabotage by working through inner conflicts supports behavioral compliance: Polarities & authority conflicts
Homeorhesus: Finding the “new normal” in metabolism, relationships, proprioception and movement
Surgery is One Support for Lifestyle Change
Time in Months Post-surgery
Source: John Guare, Ph.D.
The way a team plays as a whole determines its success. You may have the greatest bunch of individual stars in the world, but if they don't play together, the club won't be worth a dime. ~ Babe Ruth
Mindless Eating: Why We Eat More Than We Think, (2006). Brian Wansink, New York: Bantam Dell. This book identifies how to lose weight through awareness of purchasing, serving, eating habits and orientation to food.
Gestalt Therapy: An Introduction to the Basic Concepts of Gestalt Therapy. (2010). Clinical introduction to basic concepts in Gestalt therapy.
Gestalt Therapy: A Guide to Contemporary Practice, (2010). Phil Brownell, New York: Springer Publishing. Basic modern introduction to Gestalt therapy.
Gestalt Therapy for Addictive and Self-Medicating Behaviors, (2012). Phil Brownell, New York: Springer Publishing. Technical use of Gestalt therapy in addictions treatment.
Body of Awareness: A Somatic and Developmental Approach to Psychotherapy, (2001). Ruella Frank, Cambridge: Gestalt Press. Demonstrates how movement plays a critical role in a developing self-awareness..
Gestalt therapy focuses on unblocking the barriers clients experience to being fully alive and present. It emphasizes dynamic awareness and contact with one's internal and external environments. Particular attention is paid to the development of creative adjustments and the relationship that develops between therapist and client in the moment. For more information and training opportunities go to http://www.indygestalt.com