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Wednesday 17 July 2019
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An obese black woman holding a glass of fruit juice

About the Service - Bariatrics and Weight Management

The weight management service provides psychological and emotional support to individuals who are currently accessing the Medical Weight Management programme at Salford Royal. We work closely with our medical and dietetic colleagues in the service. Typically when we meet with someone individually, we will look at some of the challenges or barriers they might be experiencing when trying to lose weight, and try different techniques or strategies to overcome them. We might also consider some of the different factors which have impacted on their relationship with food, weight, eating, or appearance, and how these might be maintaining any difficulties they are experiencing with their weight. We do not weigh people as part of the treatment.

 

In addition to working with people individually, we also offer a six-week group which is run by a psychologist and a dietitian. The group programme looks at aspects such as:

  • Meal planning and self-monitoring
  • Mindful eating
  • Managing hunger and cravings
  • Setting goals and making changes
  • Managing mood and unhelpful thinking patterns
  • Managing stress
  • Coping with meals out and social eating
  • Managing challenges or setbacks

 

Some people who are overweight describe binge eating, which can be a symptom of an eating disorder. If your experiences and symptoms meet the criteria for an eating disorder, then we may discuss referring you to the local Eating Disorder Service in order to access treatment, rather than in our service. If you’re concerned that you may have an eating disorder, you can find out more information and get support from Beat, the eating disorder charity.

 

Bariatric surgery assessments

For some people, they may consider accessing weight loss surgery, or bariatric surgery, to help them in losing weight. If this is the case, as part of the bariatric pathway, they may be asked to see a psychologist for an assessment. Bariatric surgery is major surgery which requires people to make significant and sustained changes for the rest of their life. Sometimes people are afraid that their psychology assessment is something they may “fail” and therefore not be able to access surgery. The assessment is not designed to create barriers to surgery, or to cause any unnecessary hurdles. It aims to maximise the chance that the surgery will be a success, both in the short and long term, and to ensure that people fully understand the potential risks and consequences of the surgery. It also provides people with some space to consider whether they want to proceed with surgery, if they are not yet fully decided.


Sometimes this means that people will be asked to make changes, or to access another service or treatment, prior to receiving surgery. We appreciate that this can feel frustrating, but it is ultimately to try and give people the best chance at succeeding with the surgery.

If you are thinking about accessing bariatric surgery, you can find lots of helpful information, including details of our pre-surgery education group.

 

Helpful resources

There are lots of different resources that can be helpful in supporting you to make changes with regards to weight management. Here are a few of those that you might find useful, including some resources for individuals who are binge eating. You can also find some resources that can be helpful for aspects of mental health and wellbeing such as mood, anxiety and sleep, on our Useful Resources page 


Available apps

 Title
Change4Life
 A Government app which provides: advice around calories, saturated fat, salt and sugar in foods. Provides guidance on activity and making healthier food choices. Also provides recipes to try. Free.
Couch to 5k
 Helps people start running from nothing to 5k in 8 weeks. Gives audio instructions which start from 30 seconds running in 5 minutes and aims to increase fitness gradually. Free
NHS weight loss plan
 12-week diet and exercise plan which provides online support from a community, a weekly progress chart and education around making healthier choices. Free
Recovery Record
 Designed specifically for individuals with an eating disorder. Offers: Meal plans, Coping skill strategies, meal logs and social platform.
Strength and Flexibility
 Helps people increase fitness strength and flexibility by giving free equipment free exercises which are also accompanied by ‘how to’ videos

Useful books

Compassionate Mind Approach to Beating Overeating

Author: Ken Goss

ISBN-10: 1845298772

Beating Overeating Using Compassion Focused Therapy to understand and work with our urges and passions for food. Aims to help readers learn to enjoy and accept food paying attention to biological and emotional needs, whilst controlling urges.

 

Diet Trap: Feed your Psychological Needs and End the Weight Loss Struggle

Authors: Jason Lillis, Joanne Dahl, Sandra Weineland

ISBN-10: 9781608827091

An Acceptance and Commitment Therapy book which aims to help develop mindful eating habits, self-compassion, and a greater understanding of your values. Develop other ways to manage emotions, rather than emotional eating, and change your relationship with food.

 

Overcoming Binge Eating Disorder

Author: Chris Fairburn

ISBN-10: 0898621798

CBT perspective which provides education, skills and strategies to make changes for individuals diagnosed with binge eating disorder.

 

Overcoming Weight Problems

Author: Claire Grace

ISBN-10: 9781845290689

CBT perspective which aims to help educate readers around their weight difficulties whilst also changing behaviours and increasing motivation.

 

The Diet Trap Solution: Train Your

 Brain To Lose Weight And Keep It

 Off For Good

Authors: Beck, Judith S Beck, Deborah Beck Busis

ISBN-10: 178180589X

A Cognitive Behavioural Therapy perspective book which aims to

Help readers learn to identify their specific diet traps, prepare for their personal triggers and create action plans to strengthen their 'resistance muscle’.

 

Weight Escape

Authors: Joseph Ciarrochi, Russ Harris, Ann Bailey

ISBN-10: 1472119231

An Acceptance and Commitment Therapy perspective book which aims to:.

Focus on the mental barriers that can stop us setting and achieving our goals, it promotes a holistic approach to wellbeing and weight loss - one that goes beyond meal plans and calorie counting to give a deeper meaning and mindfulness to how you live and what you eat.

Uses practical exercises, quizzes and personal stories.       

 

The Intuitive Eating Workbook: Ten Principles for Nourishing a Healthy Relationship with Food

Author: Evelyn Tribole, Elyse Resch

ISBN-10: 1626256225

A mindfulness based workbook which addresses the ten principles of intuitive eating, and provides an evidence-based model to help readers develop a healthy relationship with food, pay attention to cues of hunger and satisfaction.


Useful sites

 Title
Centre for Clinical Interventions: Disordered Eating
 Information around disordered eating accompanied by written exercises and tasks.
Weight Loss Resources
 Offers a calorie counter, food diary, recipes and other resources to support weight loss.