116. Bariatric Surgery and Eating Disorders with Dr. Marianne Miller

Understanding Disordered Eating

Just last year, The American Academy of Pediatrics put out (terrible) guidelines, that in a nutshell, give the “go-ahead” to evaluate children for weight loss medication and/or surgery.

Weight loss surgery is completely irreversible. So why is it being recommended?

There are many challenges that individuals will face when deciding to undergo weight loss surgery. Not only the painful physical challenges but the mental and emotional ones as well.

Dr. Marianne has been in the mental health field for 27 years and has specialized in eating disorders for the last 12 years. She was a full-time academic for 12 years and had a part-time eating disorder practice for much of that time until she left the university and went into private practice full-time in 2018. Dr. Marianne loves working with eating disorders as a therapist and a coach. She takes a non-diet, feminist approach that helps people of all genders live empowered, authentic lives. She embraces the Health at Every Size model and is LGBTQIA+ affirming.

Tweetable Quotes

"This idea of weight loss surgery is that it is completely irreversible. There is no going back.” - Rachelle Heinemann

"When they come out on the other end, they still have an eating disorder." - Rachelle Heinemann

"They say this whole procedure is to make people not hungry and not feel hunger basically switch off the part of their brain that regulates hunger and fullness cues. That’s so messed up" - Dr. Marianne Miller

“Everything's fine initially, but that eating disorder is never going to go away unless it's treated.” - Dr. Marianne Miller

“Even people who are recovered from an eating disorder, need to be in therapy throughout it [bariatric surgery].” - Dr. Marianne Miller

Resources

Follow Dr. Marianne Miller on Instagram @drmariannemiller

Visit Dr. Marianne Miller’s website https://www.drmariannemiller.com/

Journal prompts - https://www.subscribepage.com/r9d0a7_copy I

Interview with Jessica Setnik

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