Girls Talk Healthy Aging

79: Why Obesity Doesn’t End With Weight Loss: With Dr. Robyn Pashby


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Today we are learning from Dr. Robyn Pashby, a Clinical Health Psychologist specializing in weight management and obesity. Dr. Pashby sheds light on the long-standing stigma surrounding obesity and how medical professionals are shifting the conversation to focus on treating the person first rather than just the disease. She discusses the complex emotional toll that individuals living with obesity experience and how our society’s harsh judgments often lead to negative self-talk, shame, and mental health struggles.

Dr. Pashby also explores the rapid changes happening in the field of obesity medicine, particularly with the rise of GLP-1 medications like Ozempic and Wegovy and other medical interventions. While these treatments offer new hope, they also come with controversy, as some still view weight loss medications as a shortcut rather than a legitimate medical necessity. She challenges this perspective by emphasizing that obesity is a chronic condition, not a willpower issue.

The conversation takes a deep dive into the emotional and psychological impacts of weight loss. While shedding pounds is often seen as a positive milestone, it can also bring unexpected challenges, from shifting relationships with family and friends to fears of weight regain. Many individuals who lose weight struggle with anxiety about maintaining their progress, and the societal pressures surrounding body image only add to the burden. Dr. Pashby highlights how trauma and past experiences shape a person’s journey with obesity, making it essential to approach weight management with compassion and a long-term mindset.

Another critical issue Dr. Pashby addresses is the accessibility and regulation of GLP-1 medications. Many people are self-managing their use of these drugs without proper medical supervision, sometimes turning to online sources for cheaper or easier access. She discusses the risks of this trend and the importance of working with a knowledgeable healthcare provider. Additionally, she examines the impact of these medications on individuals with a history of eating disorders, who may be at higher risk of developing unhealthy relationships with weight loss treatments.

Dr. Pashby is also the author of an upcoming book that delves into the intersection of eating disorders and obesity, a topic that is often overlooked in discussions about weight management. She offers insights into how we can move forward in a world where obesity is still misunderstood and stigmatized, despite the progress being made in medicine and body acceptance.

Tune in as we challenge outdated beliefs and offer a new perspective on health, weight, and self-compassion.

About Dr. Pashby: A Clinical and Medical Psychologist, coach, speaker, author, and the founder of Health Psychology Partners in Washington, DC.Visit: www.healthpsychologypartners.com

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