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Hello everyone! I would appreciate your advice on how to continue therapy with one of my weight loss clients. She did well for first six sessions and lost 3 1/2 punds, but once we really moved into weight loss phase the resistance started. At the seventh session she told me she gained the weight back and she was very emotional, crying and scared of letting go of weight. Previously I did some work with her regarding emotional eating, we also did inner child work and both had positive results, but after that sixth week it seemed like we were at the beginning once again. She revealed to me that her father was abusive to her, but not in detail how he was abusive to her. She said that she could not really remember much from her childhood just that parents never really showed their love to her and that she felt nobody ever loved and that she did not deserve to be loved. She also told me that she has a lot of hatred towards herself. It became clear through hypnosis that her subconscious mind keeps the weight in order to protect her from being hurt, because if she is big, then she 'is not seen, she is not attractive, so nobody will hurt her'.
I spoke with her about the trauma experience and the stages of loss that one goes through emotionally. I did some sadness release in hypnosis and encouraged her to have a week or two when she can allow herself to have a good cry every day. She did feel a little better afterwards, but not significantly. She still seems very owerwhelmed with depression. At this point I am a bit doubtfull whether I should continue the therapy with her, since she is so emotionally unstable. It seems that her trauma is deeper than I thought at beggining. And she does not even weight herself anymore, beeing afraid that she did not lose any weight and that the whole thing does not work. Would it be best to refer her to a psychiatrist for evaluation and perhaps even pause the weight loss therapy untill she stabilizes and rather work on her recovering from childhood abuse?
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Permalink Reply by Donna Carter on February 21, 2010 at 11:34am
Permalink Reply by Donna Carter on February 21, 2010 at 4:46pm Petra,
I make it a habit to get a psych referal for anyone who is 20lbs+ overweight. Also, if you suspect depression...then....YES get a psych referal. If you get a referal, no need to stop working with her. You can be a huge help!
on another note,
Personally, I think it's a good thing to avoid the scale.(it belongs in the trash ~grin) What good are they? When a person starts to feel good, because they are focused on health, it isn't going to matter what the scale reads. Scales are like knick knacks... good for only one thing - collecting dust.
Also, good to note - I have found it makes difference when the client is motivated toward health (as opposed to motivated away from bad habits/fat/self hate).
~D
Permalink Reply by Doreen Cohanim C.Ht on February 22, 2010 at 12:34am
Permalink Reply by Petra Gustin on February 22, 2010 at 7:41am Hi Petra,
You said that you worked with her for six weeks and she lost 3 1/2 punds, and the she gained it all back, my question is, she lost the weight on her first session, second, when? to be honest If I have a client that i work with for six session, they would lose 3 to 4 pound per week.
What does she do to lose weight beside hypnosis?
Thanks Doreen Cohanim C.Ht
www.HypnoCruise.com
Permalink Reply by Doreen Cohanim C.Ht on February 22, 2010 at 5:09pm
Permalink Reply by Petra Gustin on February 25, 2010 at 1:42pm Hello Petra and thank you,
I didn't know about the binging, with cases like that you need to forget weight loss and this is why I ask you had a rapport for her, since when you build a rapport, you learn more about the client and know what to do and what not to do, and weight loss in this case is not the right thing to do, and this client is having an eating disorders, that It's involve abnormal activity in several different areas of her brain.
People who binge having an eating disorder need to get help from a health care professional, such as a psychiatrist, psychologist, and you a hypnotherapist.
My advice, stop the weight loss, make sure she sees a doctor and work on her emotional feelings, anger, sadness, worries, since stress can trigger all that and more.
All the best, Doreen Cohanim C.Ht
www.EnterYourMind.com
Permalink Reply by Petra Gustin on February 25, 2010 at 1:43pm Petra,
I make it a habit to get a psych referal for anyone who is 20lbs+ overweight. Also, if you suspect depression...then....YES get a psych referal. If you get a referal, no need to stop working with her. You can be a huge help!
on another note,
Personally, I think it's a good thing to avoid the scale.(it belongs in the trash ~grin) What good are they? When a person starts to feel good, because they are focused on health, it isn't going to matter what the scale reads. Scales are like knick knacks... good for only one thing - collecting dust.
Also, good to note - I have found it makes difference when the client is motivated toward health (as opposed to motivated away from bad habits/fat/self hate).
~D
Permalink Reply by Petra Gustin on February 25, 2010 at 1:49pm Hi Petra
Personally I would deal with her emotional issues with a mix of inner child and gestalt and cut away the negative ties, then get her to take the child to a safe place and then deal with her self worth. Having dealt with the emotional side you may well find the weight shifts.
Pete
Permalink Reply by Doreen Cohanim C.Ht on February 25, 2010 at 4:46pm
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