You have been introduced to this powerful idea that obesity is not your fault. The brain’s appetite system and weight regulation system exists in a part of the brain that we do not have conscious control over. We would maybe like that not to be the case… but that is the truth of it. 

You have also learned about best weight  which is the place your body weight settles when you are living the most healthful way of living you can. Perhaps medications have been added or surgery considered to bring body weight down further.

You have learned that obesity is not a behaviour. You have also learned the power of some behaviour change strategies to improve health, well being, and sense of dignity. You find yourself on a role until something trips you up…. the thing called LIFE! 

We wobble off the path for countless reasons. One way of seeing this is that when distress goes up then our healthy behaviour begin to wane. Sometimes life stress is so high we just need to take a particular behaviour we are working on and put it on the backburner.  Even without these stressors, progress in behaviour change is not in a straight upward path. It has ups and downs, side routes, and detours. 

One of the key aspects of sustaining healthy behaviours is being aware of all these things in life do occur. We call them the 1) distress of life (jobs, finance, relationship, etc) , 2) mental illness (bipolar, depression, anxiety), and 3) disease distress (related to a particular disease). 

If there is room to continue to focus on shifts in behaviours the general plan here is to move from “if only this or that were better, then I could change” to. “given that all these things are happening, what can I do now”. 

Please review the module here from Dr. Macklin on Modulators:  

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