Introduction to Severe Obesity for Psychiatrists
The obesity epidemic is a well-recognized phenomenon in North America and has led to the recognition of obesity as a disease by the American Medical Association. Moreover, this rapid increase in the prevalence of obesity has been a driver for the increase
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Introduction to Severe Obesity for Psychiatrists Raed Hawa and Sanjeev Sockalingam
The obesity epidemic is a well-recognized phenomenon in North America and has led to the recognition of obesity as a disease by the American Medical Association. Moreover, this rapid increase in the prevalence of obesity has been a driver for the increased focus on treatments for severe obesity, specifically weight loss surgery. As a result of the complex psychiatric co-morbidities in severely obese patient populations, mental health needs have been recognized as a critical component to caring for obese patients in clinicians’ practice. With the increase in the number of bariatric surgeries performed over the last 15 years and evidence for its efficacy in treating severe obesity, more healthcare providers are now involved in pre- and post-surgery patient care, including the R. Hawa (*) Toronto Western Hospital Bariatric Surgery Program, University Health Network, 399 Bathurst Street, Toronto, ON, Canada M5T 2S8 Department of Psychiatry, University of Toronto, Toronto, ON, Canada e-mail: [email protected] S. Sockalingam Toronto Western Hospital Bariatric Surgery Program, Centre for Mental Health, University Health Network, 200 Elizabeth Street, Toronto, ON, Canada M5G 2C4 Department of Psychiatry, University of Toronto, Toronto, ON, Canada e-mail: [email protected]
assessment and management of psychiatric issues. Despite the growing evidence on the relationship between mental health issues and severe obesity management, and the emergence of evidence- based treatments for weight loss in severe obesity, there are a limited number of mental health resources to assist clinicians and interprofessional teams in a comprehensive approach to severe obesity care and bariatric surgery. The proposed textbook is designed to present a comprehensive and state-of the-art approach to assessing and managing bariatric surgery psychosocial care. This textbook will provide clinicians with a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management. The textbook is divided into three sections based on guideline-based care: understanding obesity and its management, assessment of psychosocial issues in severe obesity, and psychological and pharmacological treatments of mental illness in severe obesity. Initial chapters will focus on obesity prevalence and its relationship to psychiatric illness and social factors. Genetic, neurohormonal pathways and developmental factors for obesity, including childhood adversity, will be discussed and will inform subsequent chapters focused on medical and surgical treatments of obesity. The second section of the textbook will focus on evidence and strategies for assessing a range of common psychiatric issues in severe obesity. The
© Springer International Publishing AG 2017 S. Sockalingam, R. Hawa (eds.), Psychiatric Care in Severe Obesity, DOI 10.1007/978-3-319-42536-8_1
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authors will review common psychiatric presentations, their
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