RT Journal
A1 Vash P
T1 FIlling the void
JF JAMA
JO JAMA
YR 2012
FD April 4
VO 307
IS 13
SP 1381
OP 1382
DO 10.1001/jama.2012.403
UL http://dx.doi.org/10.1001/jama.2012.403
AB 
A lengthy consultation included review of her history (I learned that an uncle had fondled and molested her when she was a teenager), examined her, and got the necessary laboratory tests. I then discussed her potential treatment options. These included bariatric surgery, but she felt that wasn't something she wanted. She said she might consider medications in the future, but for now she wanted to make some changes herself and take control of her weight. With the help of a food journal, she stopped consuming all regular soft drinks, abandoned her afternoon and evening snacks, and reduced her meal portion sizes. But despite my strong advice and pleading, she would not talk with a psychologist. We worked together for more than six months, building a relationship of respect and trust, during which time she lost about 90 pounds.