Therapy for living well. Tahirah Samuels, LMSW.
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Tahirah Samuels, LMSW
“At some point we all get stuck. We stay where we feel comfortable and forget what it was we really wanted to accomplish with our life. We find ourselves just going through the motions of day to day life, while hoping for an experience that will shake us out of our rut and make us feel fully alive again – where we would live each day with more satisfaction, health, success, joy, love and excitement.” ~Megan Thorpe
Definitions for Adults
•An adult who has a BMI between 25 and 29.9 is considered overweight.
•An adult who has a BMI of 30 or higher is considered obese.
BMI is just one indicator of potential health risks associated with being overweight or obese.
Research has shown that as weight increases to reach the levels referred to as "overweight" and "obesity,"* the risks for the following conditions also increases:
Coronary heart disease
Type 2 diabetes
Cancers (endometrial, breast, and colon)
Hypertension (high blood pressure)
Dyslipidemia (for example, high total cholesterol or high levels of triglycerides)
Liver and Gallbladder disease
Sleep apnea and respiratory problems
Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)
Gynecological problems (abnormal menses, infertility)
Non-Hispanic blacks have the highest age-adjusted rates of obesity (49.5%) compared with Mexican Americans (40.4%), all Hispanics (39.1%) and non-Hispanic whites (34.3%)
Being overweight is generally caused by the intake of more caloriesthan are expended by the body. Factors that may contribute to this imbalance include:
Eating disorders (such as binge eating)
Hormonal imbalances (e.g. hypothyroidism)
Insufficient or poor-quality sleep
Limited physical exercise and sedentary lifestyle
Metabolic disorders, which could be caused by repeated attempts to lose weight by weight cycling
Psychotropic medication (e.g. olanzapine)
Smoking cessation and other stimulant withdrawal
The variety of factors that play a role in obesity make it a complex health issue to address.
Behavior and environment play a large role causing people to be overweight and obese. These are the greatest areas for prevention and treatment actions.
The impact that obesity has on your relationship with your spouse, colleagues, boss, friends, and even your children is huge.
The connection between self esteem and being overweight and its effect on relationships has been much studied. It is very hard on your self esteem to be heavy when the rest of the world, or so it seems, is skinny or lean.
We are bombarded every day by images of celebrities in magazines and on TV, and most of them are quite svelte and beautiful. While big can be beautiful, or so some of the ads or songs say, it does not always feel beautiful.
Overweight children are more like to face bullying and isolation among their peers. Even though school officials continue to crack down on bullying and preach acceptance, children and teens can still be incredibly cruel. Often, overweight students are targeted and face open hostility and social rejection.
The scenario is an all-too-familiar one for a number of overweight people who have experienced weight-based discrimination in the workforce. While many victims of the bias have suspected their appearance has been hurting their careers.
The bias appears to be most prominent during the hiring process, when an employer knows a potential employee the least and therefore is most likely to be influenced by stereotypes (such as fat people are lazy).
While some studies say that people who are obese tend to develop panic attacks and other mental health related problems, there are others who say that it really is the other way round.
There are studies that indicate people who have mental health problems tend to become obese -
The rationale is simple; people who are undergoing depression or mental disorders do not feel good about themselves. They tend to be less physically active, and overeat. Therefore, they will be the least motivated to work out, or make a trip to the gym. They tend not to be focused on their physical health, thus making them prone to grow obese.
The debate of whether it was the egg or chicken that came first can go on and on, but there is growing evidence that reveal the link between treatments for anxiety and obesity.
Although it is true that certain medications for mood disorders have a link to obesity (due to side effects), but it does not mean a person should discontinue medications prescribed by a doctor.
What is it? This is another form of restrictive weight loss surgery. In the operation, about 75% of the stomach is removed. What remains of the stomach is a narrow tube or sleeve, which connects to the intestines.The Pros. For people who are very obese or sick, standard gastric bypass or biliopancreatic diversion may be too risky. A sleeve gastrectomy is a simpler operation that allows them a lower-risk way to lose weight.
The Cons. Unlike gastric banding procedures, a sleeve gastrectomy is irreversible. Most importantly, since it's relatively new, the long-term benefits and risks are still being evaluated.
The Risks. Typical surgical risks include infection, leaking of the sleeve, and blood clots.
What is it? This is essentially a more drastic version of a gastric bypass, in which part of the stomach -- as much as 70% -- is removed, and even more of the small intestine is bypassed.
The easy-to-use 50-day format of "Spiritual Secrets to Weight Loss" emphasizes both the physical and spiritual aspects of weight loss and encourages positive health habits and long-term lifestyle changes.
“The secrets to permanent weight loss lie in understanding the power of God.” –Kara Davis, author of Spiritual Secrets To Weight Loss: A 50-Day Renewal of the Mind, Body, and Spirit
These spiritual diets use the mind and the spirit to stay on track and transform all parts of existence, not just the way the body looks and feels.
Meditation and hypnosis have also been used.
Meditation is a relaxation technique that helps the body and mind disconnect from everyday stress and concerns. The more important issues in a person's life can be examined and dealt with from a clear perspective.
Individuals with weight loss goals can incorporate relaxation practices into their daily schedule to address whatever issues are affecting their ability to lose weight. Reasons for overeating vary according to the individual's life circumstances. Stress, boredom or comfort are all possible reasons why a person turns to food.
Also referred to as wellness coaching, is a process that facilitates healthy, sustainable behavior change by challenging a client to listen to their inner wisdom, identify their values, and transform their goals into action.
Health coaching draws on the principles of positive psychology and the practices of motivational interviewing and goal setting. The terms “health coaching” and “wellness coaching” are used interchangeably.
Coaching and psychotherapy both are rooted in person-centered psychology. Today many therapists are now coaching or have practices where they concurrently are practicing both disciplines.
A clear difference between psychotherapy and coaching is therapy focuses on a problem while coaching focuses on the solution, driven by client’s inner strength and wisdom.