Depression and Weight Management are interwoven together by the juxtaposition: into action.
Mental states are constructed under the dynamic power of the great universal impulse that lies back of all action, enthusiasm, or zeal (Fillmore, 2019). Zeal is the energy behind all action and the forerunner of every effect.
Emotion is created by motion; being sustained, maintained, and encapsulated in perception. Zeal is harnessed enthusiasm generating forward movement, which is the antithesis of depression. Depression is stagnation, inertia, and non-movement of thought and feeling. Depression and weight can be treated simultaneously, however, perception (mindset) must change for successful immediate and long-term results.
Self-image or the way a person “sees” themselves is foundational for change. Aligning the mindset with behavior that creates movement in a direction the enhances overall well-being would be one of the first tasks as a behavioral provider. I would need to discover and encourage in the interview and future treatment, a (partnership) that draws out motivation.
When a person is in depression, it can be difficult to generate motivation, movement, and reframe mindset. I would work to manage the depression first and integrate weight management methods in accordance with exploring a clients (patient) drives, expectations, and desire for change. Sadly, most mental health specialists immediately move to medication that slows down a person’s motivation and produces weight gain.
I would first understand that working with someone who is visibly obese and depressed has a self-concept (image) that might be well suited to their individual preferences but not getting the desired results they want. My duty would be to explore through building rapport, what and why change is important, then get them to see their role in making change. No one can be forced into behavior change, but through education (educing within) a contrast, and reframing their outlook (perception), they will take ownership for their situation (responsibility) and accept a different standard of living (lifestyle) to willingly meet the challenge.
Problem solving and behavioral therapy give the patient and provider the opportunity to collaborate on a plan that the patient feels is reasonable to follow healthier lifestyle choices through motivational interviewing, talk therapy, and behavior modification.
References
Fillmore, C. (2019). Twelve powers of man. Bibliotech Press.
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