Body Dysmorphia: Mind Games After Gastric Bypass Surgery
Maybe you've heard about body dysmorphia - it's a mental image many victims of anorexia nervosa have that tells them they look fat, even when they are emaciated. Bariatric patients can suffer from body dysmorphia as well.
When we were morbidly obese our emotional coping mechanisms kicked in and many of us were able to convince ourselves we really weren't that big. It is emotionally kinder to avoid body criticism, the whole issue seems hopeless. In fact, many morbidly obese patients will say they see themselves normal sized. That is until a rude moment reminds them they are not normal sized: a skinny chair, a turnstile, a bathroom stall, a flight of stairs, a photograph. This false perception is a subconscious coping strategy to protect us from the brutal truth, the truth about how big morbidly obese really is.
My sister and I were clothes shopping one day with our morbidly obese mother. She tried an outfit and complained to us, "but it makes me look fat." And gently we told her, "Mom, you are fat." Intellectually my mother knows she is morbidly obese, but the emotional issues run over reason and she doesn't see herself fat. She is in serious denial that is preventing her from getting the help she needs - bariatric surgery - to save her life.
After surgery, there is a tendency for the body dysmorphia to reverse. Before surgery we denied how big we were, after surgery we judge ourselves critically - like the anorexic - and fail to see an honest reflection. One woman, down from size 24 to size 10 wrote, "I feel fat daily. I never felt this at 248 pounds - I saw a thinner person in the mirror than I see now. I look at my size 10 jeans and they look like tents. I don't feel as attractive as I did when I was heavy. I don't understand it," she continued, "but I think it has to do with learning to accept yourself fat so you didn't see all the fat. Now I just have to learn to accept myself as thinner."
Many patients report hyper-judging their figures after weight loss. It seems the thinner you get the more judgmental of your body you become. To this day, the first thing I see in my reflection in my pudgy tummy - I think it's enormous. I don't see long slender legs or a tiny waist or trim arms. I see a Buddha belly. I've even apologized for my chubby tummy to others when they compliment my new figure. The apology usually goes, "Yes, but I can't get rid of this stomach." I say this while pointing to my "flaw".
That is wrong and brutally unfair to myself. I am working daily to keep this hyper-judgment in check, reminding myself the days of belittlement and self-loathing are over. Now is the time when I love myself.
Patients report universal success when they do one thing in the face of body dysmorphia: dress to impress! Get rid of the flowing camouflage clothes and wear a smart, well fitted outfit. Gentlemen, tuck in your shirts in. Ladies, wear a fitted skirt with a waistband. Small sized "fat clothes" do nothing for body image - dump that style and get something that flatters your new size. Enlist the help of friends you trust to find flattering clothes. Sometimes you have to force yourself to see your body as it is, a great fitting outfit will certainly do the trick.
Extreme cases of body dysmorphia after gastric bypass weight loss may be treated with counseling and psycho-therapy.
Kaye Bailey is a weight loss surgery success story having maintained her health and goal weight for 5+ years. An award winning journalist, she is the author and webmaster of http://www.livingafterwls.com and http://www.livingafterwls.blogspot.com - Fresh & insightful content is added daily, check in often.
Copyright © 2005 Kaye Bailey - All Rights Reserved.
Weight Loss Options -- Infrared Radiant Heat Saunas (IR Saunas)
Infrared Radiant Heat (IRRH) is a form of radiation that penetrates the outer surface of objects, including human skin. Heat is generated as the infrared energy interacts with and penetrates the skin surface.
Gastric Bypass Patients Should Include Tomatoes in Their Diet
After weight loss surgery it is important to include as many healthy foods in our diet as possible while still respecting the the restrictive nature gastric bypass system. One of the foods that many patients report having a high tolerance for is tomatoes.
Five Serious Dangers of Low Carbohydrate Diets
CancerCoronary heart diseaseStrokeOsteoporosisMajor Depression from Brain StarvationHeadlines.WASHINGTON, Jun 22, 2004 (United Press International via COMTEX) -- A coalition of nutrition, public health and consumer groups is calling on U.
Side Effects of The Famous Ephedra Product
Ephedra has been used in Chinese medicine for thousands of years. However, in the last decade, ephedra products have been thrust into the media spotlight given to high profile lawsuits, the FDA all encompassing ban, and the recent ban reversal.
Snacking, Fear, Greed and the Gastric Bypass Tool
Do you remember nodding your head with understanding during your pre/post WLS seminar when the speaker said, "Gastric bypass is only a tool, the rest is up to you." I nodded my head to the nurse dietician as she spoke to the room of fresh-out-of-surgery gastric bypass patients.
Calcium - The Key To Quick Weight Loss
Are you dieting your way to bone loss?Are you aware that the diet you follow may be depleting your bones of essential nutrients and increasing your chances of developing osteoporosis? Popular diets may promise quick weight loss, but calcium and other important nutrients are often missing from the menu, which can lead to bone loss.And women who consistently limit what they eat to avoid gaining weight may undermine the health of their bones, according to a study by ARS researchers in California.
Hydrate to Lose Weight: The Real Skinny On Water Retention and Sodium
If you've been scouring the news, devouring as much information as possible regarding weight loss, you've likely heard all the buzz about the relationship between weight loss and drinking water. It has been well documented that the liver is able to metabolize more fat if you help out your kidneys by drinking plenty of water each day.
The Lies You May Have Been Told About Ephedra, and How They May End Up Improving Your Life
Losing Weight quickly and easily has become one of the main goals of many people today. So, with all the information out there, where is the best place to find what you're looking for? I believe it is here, as I will explain.
Gastric Bypass Surgery - A Mortality Rate to Be Scared Of?
Success stories on the gastric bypass are everywhere, but how about the fatalities from the procedure? Barely mentioned in the magazines and newspapers, there is a serious risk carried by the gastric bypass and that risk is a 1 in 50 chance of you dieing within 1 month of the surgery - that certainly puts the frights up me. The study by Washington University is shocking to say the least.