Anonymous wrote:Former morbidly obese person here - I used to think I was addicted to food but went to a shrink and he said nope it’s impulse control. Started a low dose of Adderall and it made the difference immediately. I was able to stick to a diet plan, and I could actually substitute other activities for snacking without obsessing over the fact there was junk food in the kitchen and I could eat a couple of cookies for a dessert and stop instead of a couple handfuls and then go back for more.
Do not push someone to have bariatric surgery if they're not independently motivated to do so. About a third of people who have bariatic surgery experience "addiction transfer" within the first two years after surgery, where they replace their compulsive eating habits with another compulsive addiction such as alcohol/drug abuse, gambling or shopping. If someone isn't in the right emotional place for that kind of drastic lifestyle change, the end result can be worse than where they were pre-surgery.
Anonymous wrote:Anonymous wrote:He needs therapy with someone qualified in addiction behaviors and likely gastric bypass. I don't think there is anything you can do other than encourage him to see a therapist. Sorry.
This.
More specifically to OP's actual question, how should she support?
Answer:
1. privately do research on competent/frequent providers of the multiple types of bariatric surgery in your area-on your health plan. Set aside this info for later.
1.5. Do some internet reading about life after bariatric surgery and the mandatory lifestyle changes. This is no small change.
2. privately research likely therapists trained in addictive behaviors. Personally, I'd pick a psychiatrist who can prescribe, because I have seen up close the utility of certain meds for this kind of compulsive behavior. Wellbutrin is one, but there are others and I typically see them taken in combo. Set aside this info for later.
3. Have a firm, loving, specific conversation with your DH including your observations and conclusions. Your conclusions should definitely include PP's take above. Your DH has a mental illness and seeing it as such will help you reframe the conversation. This isn't about exercise, "healthy snacks," laziness, or going keto so your DH can be less plump and be the dynamo lover you once knew.
Expect denial and resistance. Most Americans, fat and slim, still only see morbid obesity as a straightforward issue of willpower and self-control.
Your husband's brain has actually been re-wired in its stimulation—>reward system, in the frontal lobe.
4. Find a therapist for yourself who is at least knowledgable about this constellation of symptoms and disease. You need a neutral sounding board who also isn't going to blithely suggest "after dinner walks" and less SmartPop in the house as an actual solution.
Repeat 3 at intervals. Don't worry about granola bars too much, because even if you take them away, he'll buy them on the drive home.
Yes, I'm internet diagnosing but I know of what I speak. I work in inpatient psych, fwiw.
Good luck, and be gentle with yourself.
Anonymous wrote:I used to be the overweight one. Clinically pre-obese. I think what helped was the consistency of going to the gym with DH and strength training.
.Anonymous wrote:Have you read The Obesity Code by Dr. Jason’s aging or seen any of his videos? I am a huge carb addict and was 120 pounds overweight and I have lost 70 pounds with intermittent fasting and extended fasting. I also try to stay low carb or keto when I’m eating but it is harder than fasting...I have FAR fewer cravings when I fast then when I eat at all.
There are also medications that can help a lot with binge eating. Contrave combines the antidepressant Wellbutrin with the opiate agonist Naltrexone, which is used for fighting alcoholism and opiate addiction. It essentially blunts the very real high that you get from bingeing, so the binges themselves are not as addictively rewarding.
My DH supports my fasting by preparing all meals for the kids in fasting days, doing all of the grocery shopping to help keep me from foods that are really tempting, and encourages me all the time. We set goals together and he eats what I eat.
Your kids don’t need lots of carbs. In fact, a ketogenic diet could be really good for their brain health and moods. I would drastically remove trigger foods from the house for him.
You can do a lot with harm reduction for him. You can’t be abstinent from food and eating anything can trigger a binge, so help him by prepping low-carb things he could eat like pepperoni or bacon.
Another really great book is “Why We Get Fat” by Gary’s taubes. It changed so much for me.