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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?

 

Views: 16

Replies to This Discussion

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
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
uh... referral!.... haha... hate it when I have to correct my own spelling! I don't have an excuse.
~D.

Donna Rodolph said:
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
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
Dear Doreen,

Thanks for your question. I followed the weight loss program that I received training from Susie Kappas. In that program for the first four weeks we do not put any pressure on the client to lose weight, but we introduce healthy lifestyle habits - make them move the body more, regulate their eating habits, etc. Most clients do lose weight already in these first four weeks, though. Also, after they move into the active weight loss phase the healthy weight loss is considered 1-2 pounds per week. She had very irregular eating habits when we started the therapy and she certainly needed some time to adjust to a healthier lifestyle. So, I do not see a problem in that.

Besides hypnosis she does regular exercise - 3-4 days per week and trying to eat smaller and regulated meals. She also does journaling, vision board, uses anchor for relaxation, etc. But, what concerns me is that she seems to be continually emotionally unstable despite all the work that we have done - she would get triggered and then binge. She is even consciously aware that she is afraid of letting go of the weight. So far I have mostly did the therapy with her symptomatically and I did not go for the cause.

Doreen Cohanim C.Ht said:
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
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
Dear Doreen,

Thank you for your input. It was very helpful. Yes, I did reffer her to a pshychologist for an evaluation at the last session we had yesterday. Yes, she might need to stop with weight loss therapy for a while untill she emotionally stabilizes.

I greatly appreciated your help.



Doreen Cohanim C.Ht said:
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
Dear Donna,

Thank you very much for your input. It helped me to decide what to do.



Donna Rodolph said:
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
Dear Peter and Lorraine,

Thank you for your input.

Yes, I did deal with her emotional issues for at least 5-6 sessions already. The inner child did have just a little bit of positive effect. At the end she told me that it was a scary for her to hear that she was worthy, that she deserves love. She said that this was so completley unknown to her that she could not really accept it.

I do not know the gestalt therapy.

Yes, I thought that once the emotional issues are dealt with she will easily let go of weight. But, the depth of her emotional issues concerns me. That is why I sent her to a phsychologist for an evaluation now and I will go from there once I have his opinion.


Peter Bateman & Lorraine Gleeson said:
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
My pleasure...

Doreen Cohanim C.Ht
www.EnterYourMind.com
For her emotional issues can you not go down the analysis route ? Find out where they come from, if the client thinks she knows where they are from then that is not the cause. A bit of analysis might uncover a lot.

Although this is different I know of a woman who wouldn't stop binge eating and didn't know why. She came up with a whole bunch of theories. Under analysis it turned out that as a four year old child she hardly ate anything then one day she overheard her mother say to a friend that she would die if she didn't eat, from that day forward she never stopped !

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