Traci Williams
14 statements · 1 topic · summaries given as host listed separately
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in the mental health world. There is not a good understanding of obesity, how obesity develops, and the general thinking is you are experiencing obesity because you are binging or binge eating. And that is not typically the case.
quote ·
Obesity
If social concerns are mild, basic tools for managing conflicts with peers or difficult conversations should be provided; if more severe (difficulties forming or keeping friendships, dating issues), referral out is needed so issues are addressed in tandem with the bariatric journey.
guideline ·
Obesity
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Traci's statements about Obesity 14 statements
Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course
Statement
Kids and teens experiencing obesity are at higher risk for mood disorders including depression and anxiety, body image difficulties, self-esteem issues, peer relationship problems, bullying, and lower resilience.
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Psychosocial concerns in obesity have a reciprocal relationship where poor sleep impacts mood and attention, which then affects self-esteem and other factors.
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Long-term mental health care is advised post-operatively, including assessment with 3-month screens for depression and anxiety.
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As physical health improves after bariatric surgery, the quality of moods, emotions, and relationships are likely to improve as well.
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Teenagers typically do not spend a lot of time thinking future tense, making preoperative discussions about post-surgical lifestyle changes important.
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Stress has a connection with relationship with food, which is relevant for teenagers dealing with academic performance pressure.
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People who experience obesity tend to have disconnection from their body and are not fully connected to their sense of physical self.
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After bariatric surgery, the change in how patients view themselves does not happen as quickly as the physical changes, leading to body dysmorphia where teens do not recognize they are changing even when others comment on it.
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Positive body image and bodily satisfaction continue to be a work in progress even post-operatively and will not just happen as a result of having surgery, whether bariatric or cosmetic.
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Teens who have been bullied and isolated, then lose weight post-surgery, can suddenly receive male attention that puts them at risk.
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If social concerns are mild, basic tools for managing conflicts with peers or difficult conversations should be provided; if more severe (difficulties forming or keeping friendships, dating issues), referral out is needed so issues are addressed in tandem with the bariatric journey.
Open
Statement
In the mental health world, there is not a good understanding of obesity or how obesity develops, with the general thinking being that obesity is caused by binging or binge eating, which is not typically the case.
Open
Quotation
in the mental health world. There is not a good understanding of obesity, how obesity develops, and the general thinking is you are experiencing obesity because you are binging or binge eating. And that is not typically the case.
Open
Summaries Traci gave as host · 5 summaries
Recaps of other experts' statements, not Traci's own clinical position.
Summaries Traci gave as host · Obesity 5 summaries
Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course
Host summary
Traci Williams summarizing a resource: bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers.
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Host summary
Traci Williams summarizing a resource: Bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers.
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Host summary
Traci Williams summarizing a resource: Research shows that psychosocial symptomatology tends to remit or improve after bariatric surgery, and new symptoms are less likely to emerge than pre-existing symptoms resurface.
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Host summary
Traci Williams summarizing a resource: Some places recommend doing screens for body dysmorphia post-operatively.
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Host summary
Traci Williams summarizing a resource: Follow-up research shows decrease in mood disorder symptoms including anxiety, depression, anger, disruptive behavior, and improvements in social isolation after bariatric surgery.
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