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Hi Sondra,

Your post was very dear and touching. There were so many things I was

thinking as I read it. And I thought 's response was excellent also

but I'd go a step further: I'd tell you to get some professional help to

sort out some of the feelings you are having. Not because there is anything

wrong with you but because it's a lot of turmoil to sort out. Some good

'relationship' counseling about now could be very beneficial and your future

relationships might be much richer for the effort. As normal and natural as

your feelings may be they are still, very difficult to deal with alone.

It's a wonderful but scary place you are in and I wish you great courage and

caution moving forward. It would be nice if you could find someone who

has had experience with Bariatric surgery patients in your area. I might be

able to help with that so if you need it let me know.

So many morbidly obese people are traumatized in subtle (and not so subtle)

ways by all the years of self loathing spent living in a fat body and a thin

obsessed culture. What I wish for you is the luxury of time and good help to

wiggle out of the protective coccoon you built for yourself when you were

morbidly obese (wisely, I might add) so that you can blossom into the woman

you truly are and truly deserve to be. Give yourself those gifts ( time and

good help) You might consider taking the post you wrote here with you if you

do decide to seek some help. Then forge ahead to a sturdy new you and then

....go get 'em girl!

Warm regards,

Carol

Shrinkin in Philly

PS To All Who " Relate "

Sondra's post provides great insight into some of the many interesting

relationship issues all post-ops experience. I am currently writing an

article about this subject and I'd love to have help from any of you who

would be willing to share your relationship " triumphs " or " challenges " .

Very little has been written about the enormous impact that Bariatric surgery

has on relationships. I don't think many of us had a clue how enormous that

impact might be. My clinical background and training is in systems theory

and family therapy and I am keenly aware of how easily a small change in a

person's life can effect the larger system around him/her. WLS is huge! It

can rip or ripple through our lives touching absolutely everything and

everyone around us. It's like a huge wave of cascading dominoes.

Some changes are positive ones. People may become more confident and

assertive. Lives may fill with new and better quality. Self esteem may

begin to flower where self loathing lived for many years. New relationships

may develop, nuturing and supporting in ways never before experienced. New

careers may explode with surprising power and success. Athletes are born who

never ran a race, rowed a boat or pressed a pound.

Some changes are negative. Guilt may be triggered, as well as self doubt,

and depression. In families or couples there may be new friction. When one

person seems to be taking more from life another may begin to feel deprived.

As one person feels more entitled and increases their demand for attention

another may feel less important or even ignored. Partners may have to

negotiate entirely new ways of being together both physically and

emotionally. People who move too quickly in new directions may leave loved

ones behind, confused and angry.

New relationships are forged with support groups and other post-ops.

Sometimes these are nurturing and become life long support people. Sometimes

patient relationships become obsessive and destructive. Families may suffer

and resent the loss of a parent or partner who seems distant and filled with

new priorities. Some patients have difficulty moving beyond their 'patient'

status and the attention it provides. Crafting a balanced response to such

a life changing experience and moving gracefully back into a full and varied

life is a challenge for most Bariatric surgery patients.

If you have had an unusual or unexpected experience in any of your important

relationships - something you believe was heavily influenced by your surgery

or its aftermath... I'd very much like to hear from you. I can protect your

identity if you wish but I need your full permission to quote your

words/story in my article. If you are interested in sharing your experience

or relationship story with others in this way please summarize it briefly and

send it to me at CarolASig@...

If you do write put " Relationship Article " on the subject line so I don't

miss your post.

Please also include your

name:

phone number:

email address:

date of surgery:

type of surgery:

surgeon:

Carol Signore, MAT, MS, LMFT

Private Practice: Ambler, PA

Clinical Memberships: 

   American Association of Marriage & Family Therapy

   Academy For Eating Disorders

Chairman AED Weight Loss Surgery SIG

Director: My Self Design

   A cognitive behavorial treatment program for Bariatric surgery patients

   see www.myselfdesign.com

>>Sondra's post:

> Dear Group,

> Not sure if there are many of you that will identify w/ this for two

reasons,

> 1) it seems like most people are married, and 2) I think I may simply be

> losing my mind.  I am now 18mths post op and down 120lbs, from a 24/26 to a

> 12 and feeling pretty good about life and things.  I am 32 and have never

> been married.  Now that I am " normal sized " I am getting more attention

from

> men, which is a great thing, but I am having trouble always wondering

" Would

> this guy be paying me any attention if he knew me before? " as well as still

> feeling like a MO person who should be THRILLED that someone/anyone would

> notice her, and therefore being nice to people who I'm not really attracted

> to for reasons having NOTHING to do w/ their appearance simply because they

> are attracted to me???!!!  I guess I thought that once I was 'normal' all

> these issues of 'attractiveness' would go away and prince charming was

going

> to rush in on his white horse and life would be 'perfect'.  Since of course

> it was my 'fat and ugly' appearance that was the reason I wasn't

married....

> not ever crossing my mind that it was because I am a bit sarcastic :)  I

> guess I'm just very frustrated w/ all the changes, not that they aren't

good

> just that it seems to be having a domino effect on everything.  Feeling

like

> I don't know how to act, how to reject people 'nicely', or how to allow

> myself to trust that someone could like me.  Perhaps I am just going a bit

> crazy or something.  Is there anyone else w/ these same issues?

>

> I know the " right " answer is that God will bring your mate into your life

> when you're ready, when you've stopped looking for him/her, when youleast

> expect it, etc etc.  And I know that one must accept themselves and be

HAPPY

> w/ who they are before you can be connected w/ someone else.  I just feel

> like screaming " I'm really a MO person, get to KNOW me!!! "

>

> Not to even begin to mention trying to 'explain' old 'saggy and baggy' that

> used to be my chest :)  Lots of drama it seems on every side.

>

> Thanks for letting me vent, it seems no one else can understand why I feel

> like Sondra the body snatcher!!!

>

>>'s answer

>>Hi Sondra,

Join the club.  Even old married people have similar feelings as yours.

Even men have similar feelings as yours.  I think that it is a hard

complicated problem to work out for yourself.

Here are the principles that I believe are true from some thinking about it.

Appearances are important.  The fact that people are more attracted to the

" new you " than to the " old you " is a reality.  It is a reasonable response

for them to have.  You had the surgery to be healthier and happier and more

active and people are going to be attracted to those things.  All that this

is saying is that you have made a good decision.

It's nice to have people attracted to you and you should like it.  It proves

you are human and you have a very normal response to a good thing.

You should give yourself time to learn to live in this new milieu.  Once you

get  into it, you will feel like a kid in a candy store (don't eat too much

and get sick).

Don't try to hide the fact of your surgery.  That is part of you too.

Beside the physical issues, it says a lot about how you make decisions about

your life and people that get close to you should be able to understand and

admire you for doing a smart, hard, risky thing.

I am still trying to decide how I want to deal with the loose skin issue for

myself.  How do other people's " significant others " deal with the loose skin

issue?  I for one, am bothered by even my minimal amount:  even though the

skin is not very evident when I am standing, sitting, lying down on my back,

or swimming (all is vanity...).

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Hi Sondra,

Your post was very dear and touching. There were so many things I was

thinking as I read it. And I thought 's response was excellent also

but I'd go a step further: I'd tell you to get some professional help to

sort out some of the feelings you are having. Not because there is anything

wrong with you but because it's a lot of turmoil to sort out. Some good

'relationship' counseling about now could be very beneficial and your future

relationships might be much richer for the effort. As normal and natural as

your feelings may be they are still, very difficult to deal with alone.

It's a wonderful but scary place you are in and I wish you great courage and

caution moving forward. It would be nice if you could find someone who

has had experience with Bariatric surgery patients in your area. I might be

able to help with that so if you need it let me know.

So many morbidly obese people are traumatized in subtle (and not so subtle)

ways by all the years of self loathing spent living in a fat body and a thin

obsessed culture. What I wish for you is the luxury of time and good help to

wiggle out of the protective coccoon you built for yourself when you were

morbidly obese (wisely, I might add) so that you can blossom into the woman

you truly are and truly deserve to be. Give yourself those gifts ( time and

good help) You might consider taking the post you wrote here with you if you

do decide to seek some help. Then forge ahead to a sturdy new you and then

....go get 'em girl!

Warm regards,

Carol

Shrinkin in Philly

PS To All Who " Relate "

Sondra's post provides great insight into some of the many interesting

relationship issues all post-ops experience. I am currently writing an

article about this subject and I'd love to have help from any of you who

would be willing to share your relationship " triumphs " or " challenges " .

Very little has been written about the enormous impact that Bariatric surgery

has on relationships. I don't think many of us had a clue how enormous that

impact might be. My clinical background and training is in systems theory

and family therapy and I am keenly aware of how easily a small change in a

person's life can effect the larger system around him/her. WLS is huge! It

can rip or ripple through our lives touching absolutely everything and

everyone around us. It's like a huge wave of cascading dominoes.

Some changes are positive ones. People may become more confident and

assertive. Lives may fill with new and better quality. Self esteem may

begin to flower where self loathing lived for many years. New relationships

may develop, nuturing and supporting in ways never before experienced. New

careers may explode with surprising power and success. Athletes are born who

never ran a race, rowed a boat or pressed a pound.

Some changes are negative. Guilt may be triggered, as well as self doubt,

and depression. In families or couples there may be new friction. When one

person seems to be taking more from life another may begin to feel deprived.

As one person feels more entitled and increases their demand for attention

another may feel less important or even ignored. Partners may have to

negotiate entirely new ways of being together both physically and

emotionally. People who move too quickly in new directions may leave loved

ones behind, confused and angry.

New relationships are forged with support groups and other post-ops.

Sometimes these are nurturing and become life long support people. Sometimes

patient relationships become obsessive and destructive. Families may suffer

and resent the loss of a parent or partner who seems distant and filled with

new priorities. Some patients have difficulty moving beyond their 'patient'

status and the attention it provides. Crafting a balanced response to such

a life changing experience and moving gracefully back into a full and varied

life is a challenge for most Bariatric surgery patients.

If you have had an unusual or unexpected experience in any of your important

relationships - something you believe was heavily influenced by your surgery

or its aftermath... I'd very much like to hear from you. I can protect your

identity if you wish but I need your full permission to quote your

words/story in my article. If you are interested in sharing your experience

or relationship story with others in this way please summarize it briefly and

send it to me at CarolASig@...

If you do write put " Relationship Article " on the subject line so I don't

miss your post.

Please also include your

name:

phone number:

email address:

date of surgery:

type of surgery:

surgeon:

Carol Signore, MAT, MS, LMFT

Private Practice: Ambler, PA

Clinical Memberships: 

   American Association of Marriage & Family Therapy

   Academy For Eating Disorders

Chairman AED Weight Loss Surgery SIG

Director: My Self Design

   A cognitive behavorial treatment program for Bariatric surgery patients

   see www.myselfdesign.com

>>Sondra's post:

> Dear Group,

> Not sure if there are many of you that will identify w/ this for two

reasons,

> 1) it seems like most people are married, and 2) I think I may simply be

> losing my mind.  I am now 18mths post op and down 120lbs, from a 24/26 to a

> 12 and feeling pretty good about life and things.  I am 32 and have never

> been married.  Now that I am " normal sized " I am getting more attention

from

> men, which is a great thing, but I am having trouble always wondering

" Would

> this guy be paying me any attention if he knew me before? " as well as still

> feeling like a MO person who should be THRILLED that someone/anyone would

> notice her, and therefore being nice to people who I'm not really attracted

> to for reasons having NOTHING to do w/ their appearance simply because they

> are attracted to me???!!!  I guess I thought that once I was 'normal' all

> these issues of 'attractiveness' would go away and prince charming was

going

> to rush in on his white horse and life would be 'perfect'.  Since of course

> it was my 'fat and ugly' appearance that was the reason I wasn't

married....

> not ever crossing my mind that it was because I am a bit sarcastic :)  I

> guess I'm just very frustrated w/ all the changes, not that they aren't

good

> just that it seems to be having a domino effect on everything.  Feeling

like

> I don't know how to act, how to reject people 'nicely', or how to allow

> myself to trust that someone could like me.  Perhaps I am just going a bit

> crazy or something.  Is there anyone else w/ these same issues?

>

> I know the " right " answer is that God will bring your mate into your life

> when you're ready, when you've stopped looking for him/her, when youleast

> expect it, etc etc.  And I know that one must accept themselves and be

HAPPY

> w/ who they are before you can be connected w/ someone else.  I just feel

> like screaming " I'm really a MO person, get to KNOW me!!! "

>

> Not to even begin to mention trying to 'explain' old 'saggy and baggy' that

> used to be my chest :)  Lots of drama it seems on every side.

>

> Thanks for letting me vent, it seems no one else can understand why I feel

> like Sondra the body snatcher!!!

>

>>'s answer

>>Hi Sondra,

Join the club.  Even old married people have similar feelings as yours.

Even men have similar feelings as yours.  I think that it is a hard

complicated problem to work out for yourself.

Here are the principles that I believe are true from some thinking about it.

Appearances are important.  The fact that people are more attracted to the

" new you " than to the " old you " is a reality.  It is a reasonable response

for them to have.  You had the surgery to be healthier and happier and more

active and people are going to be attracted to those things.  All that this

is saying is that you have made a good decision.

It's nice to have people attracted to you and you should like it.  It proves

you are human and you have a very normal response to a good thing.

You should give yourself time to learn to live in this new milieu.  Once you

get  into it, you will feel like a kid in a candy store (don't eat too much

and get sick).

Don't try to hide the fact of your surgery.  That is part of you too.

Beside the physical issues, it says a lot about how you make decisions about

your life and people that get close to you should be able to understand and

admire you for doing a smart, hard, risky thing.

I am still trying to decide how I want to deal with the loose skin issue for

myself.  How do other people's " significant others " deal with the loose skin

issue?  I for one, am bothered by even my minimal amount:  even though the

skin is not very evident when I am standing, sitting, lying down on my back,

or swimming (all is vanity...).

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