by Cynthia L. Alexander, PsyD Read the rest of this article »

by Merle C. Goldberg, LCSW; and Heidi M. Limbrunner, PsyD

Merle Goldberg is in private practice in Silver Spring, Maryland, and is co-author of Weight Loss Surgery: Is It Right For You and My Thin Excuse: Understanding, Recognizing and Overcoming Eating Disorders.
Heidi M. Limbrunner, PsyD, is with Southeast Psychological Services in Charlotte, North Carolina.

Introduction
In our previous article in the November/December issue of Bariatric Times, we reviewed the rationale for using a cognitive behavioral model (CBT) traditionally used for eating disorder treatment for the bariatric surgery population. In this issue, we will further discuss in detail the topics and goals for each of the CBT groups (Table 1. Finally, we will review future considerations in the continued use of this model.

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by Pedro Paulo Tanaka, MD and Jay B. Brodsky, MD

Dr. Tanaka is Visiting Associate Professor (Anesthesia), Stanford University School of Medicine, Stanford University School of Medicine, and Associate Professor (Anesthesia), Federal University of Parana, Curitiba, Brazil; and Dr. Brodsky is Professor (Anesthesia), Department of Anesthesia, Stanford University School of Medicine.

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by Merle C. Goldberg, LCSW; and Heidi M. Limbrunner, PsyD

Merle Goldberg is in private practice in Silver Spring, Maryland, and is co-author of Weight Loss Surgery: Is It Right For You and My Thin Excuse: Understanding, Recognizing and Overcoming Eating Disorders. Heidi M. Limbrunner, PsyD, is with Southeast Psychological Services in Charlotte, North Carolina.

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by Terri Bly, PsyD; Megrette Fletcher Hammond, MEd, RD, CDE; Roger Thomson, PhD; and Paul Bagdade, PhD

Terri Elofson Bly, PsyD, conducts preoperative psychological assessments for surgical weight loss programs in the Minneapolis-St. Paul area and leads several monthly bariatric support groups.
Megrette Fletcher Hammond, MEd, RD, CDE, is a registered dietitian and diabetes educator at Wentworth-Douglass Hospital in Dover, NH, and Executive Director of the Center for Mindful Eating (www.tcme.org).
Roger Thomson, PhD, is on the faculty of Northwestern University Feinberg School of Medicine and is Co-director of Integrative Health Partners, a practice group that offers mindfulness-informed psychotherapy and courses in mindful eating. He can be reached through www.integrativehealthpartners.org.
Paul Bagdade, PhD, is a licensed psychologist and Director of Behavioral Health at HealthEast Bariatric Care in St. Paul, MN, and practices at Northwest Psychology Consultants.
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by Carol Bradley, RN, CS, MSN

From the Saint Mary’s Regional Medical Center; Adjunct Clinical Professor, Orvis School of Nursing, University of Nevada, Reno, Nevada

Address for correspondence:
Carol Bradley, RN, CS, MSN, Saint Mary’s Center for Health, Bariatric Surgery Center of Excellence, 645 N Arlington Ave., Suite 200, Reno, NV 89503; Phone: (775) 770-3174; Fax: (775) 770-6908; Email: carol.bradley@saintmarysreno.com.

Background

There is increasing consensus that bariatric surgery is superior to medical intervention for long-term weight loss in morbidly obese persons.[1] Most postoperative patients are able to lose a significant amount of weight, profit from reduced or resolved comorbidities, and have an improved quality of life (QOL).

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INTRODUCTION

As professionals in the field of weight loss surgery, it is crucial that we continue to explore the impact of the addiction factor after bariatric surgical procedures. Further, we must educate patients and families on the possibility of transferring from one type of unhealthy behavior (excessive consumption of food) to other forms of behavior that can lead a patient down an unhealthy path. The addiction factor is by no means limited to excessive food or alcohol consumption; it can show up as uncontrolled spending, drug-related difficulties, smoking, sexual promiscuity, or compulsive gambling. In fact, virtually any behavior exhibited in excess can interfere with the goals of a comprehensive bariatric surgery program.

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Bariatric Times • March 2007

by Andrea Bauchowitz, PhD, and Linda Gonder-Frederick, PhD

Both from the Behavioral Medicine Center,
Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, Virginia Read the rest of this article »