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While her infant daughter fought a neurological disorder in the hospital, Gabrielle Blawas fought a battle in her own head, sitting in her car in a fast-food parking lot. Fear for her daughter\u2019s health steered Blawas straight to the fast-food restaurant after each hospital visit, where she ordered two full meals and ate them alone in her car. The food provided physical and emotional comfort that was all too temporary, morphing into shame, guilt and what Blawas called a food coma.<\/p>\n
As a child, Blawas lost her father to a terminal illness and watched her mother withdraw into a deep depression. \u201cWe had a beautiful life, and then this illness hit him like a truck,\u201d Blawas said. \u201cI wasn\u2019t able to deal with the pain. I wasn\u2019t taught to deal with pain.\u201d So Blawas escaped the pain by sneaking out and partying. \u201cI took the rebel path. I turned to all the things you aren\u2019t supposed to do.\u201d<\/p>\n
Years later, with her baby daughter facing an uncertain diagnosis, Blawas turned to a new, secretive way of coping with pain: binge eating. \u201cI was a mom. I was married and had put my partying ways behind me. But food is the most acceptable drug,\u201d Blawas said. She ate all day, hiding the evidence of her binges from her husband, family and friends.<\/p>\n
Blawas\u2019s daughter was 2 years old when her neurological illness was successfully cured. But Blawas, who had gained 120 pounds over the course of her family\u2019s ordeal, had only just started to acknowledge her own battle with obesity. The irony, Blawas said, is that she works as a therapist. \u201cI was helping clients handle these kinds of issues, but I was ignoring them in myself.\u201d<\/p>\n
\n\tBlawas said she hit her \u201crock bottom\u201d when she accidentally caught a glimpse of herself in the reflection of a storefront window at the mall. \u201cI saw a person with severe obesity. It was me. I was shocked to my core. I hadn\u2019t seen myself in a reflection in years because I didn\u2019t want to,\u201d Blawas said. \u201cI went to my car, sobbed, then drove home. I stripped naked and forced myself to stand in front of a full-length mirror for two straight hours. I just sobbed. I made a vow to myself that I would not stop until I rescued the person I am. I would find her, and I would change my life.\u201d\n<\/p>\n
\n\tBlawas embarked on a weight-loss effort. \u201cI became my own client. I ate healthy foods. I exercised every day. I worked with a calorie deficit.\u201d But, Blawas said, \u201cThat\u2019s not what made me lose the weight. What I did was to tackle all the pain I\u2019d been burying all these years. I also made a daily effort to practice self-care. I meditated daily and started making time for things that brought me joy: time in nature, reading, journaling, hot baths. I finally started treating myself with love and compassion. I became my own best friend. Before this, food was my best friend. I gained so much weight because every time I had a difficult emotion show up, I would stuff it down with food. It became my coping mechanism for everything.\n<\/p>\n
\n\t\u201cMy obesity had nothing to do with food. It had everything to do with how I dealt with pain.\u201d\n<\/p>\n
\n\tAccording to Dr. Holly Lofton of NYU Langone Medical Center, the projected number of people with obesity in the United States will be 50% of the population by 2030. The Centers for Disease Control and Prevention reports that from 1999\/2000 through 2017\/2018, instances of obesity in the United States increased from 30.5% to 42.4% percent of the population. During that time, severe obesity increased from 4.7% to 9.2%.\n<\/p>\n
\n\tThe causes of obesity are complex, said Lofton, and involve nutrition, environment, opportunities to participate in physical activity and mental health. Even sleep plays a role in obesity, researchers have found. A growing body of research has identified poor sleep duration and quality as risk factors Researchers believe sleep\u2019s role in regulating our body\u2019s metabolism \u2014 the process that turns food into energy \u2014 contributes to obesity.\n<\/p>\n
\n\tDisparity levels among people who have access to safe physical activity and nutrition have also contributed to the rise in obesity. These disparities affect people of color and economically disadvantaged populations at the highest rates.\n<\/p>\n
\n\t\u201cWe need to work on a global scale to create a less obesogenic [creating weight gain] environment that is focused on access to obesity-related healthcare; safe, affordable environments for physical activity, and nutrition education that is available to everyone, including school-aged children,\u201d Lofton said. Lofton also said governments should create food policies that limit the use of preservatives and additives that contribute to obesity.\n<\/p>\n
Lofton encourages her patients with obesity to focus on their overall health, not just their weight. Regular preventive visits with healthcare providers can determine whether someone has, or is at risk of developing, obesity-related diseases. \u201cWeight is not as much under our own control as we are led to believe,\u201d Lofton said. Research shows the body tries to maintain a higher weight over time by increasing hunger hormones and decreasing satiety (the feeling of being satisfied when full) hormones when a person tries to eat less and move more \u2014 a process called metabolic adaptation.<\/p>\n<\/div>\n
\u201cIt is a chronic, serious condition people don\u2019t need to treat on their own. Work with medically trained professionals to treat obesity comprehensively if the usual diet and exercise are not working,\u201d Lofton said. Along with diet and exercise, treatment for obesity can consist of a combination of prescribed anti-obesity medications, surgery, counseling and emotional support.<\/p>\n
And, said Lofton, obesity is absolutely a health crisis. \u201cObesity-related conditions include heart disease, stroke, Type 2 diabetes and certain types of cancer. These are among the leading causes of preventable, premature death.\u201d Fatty liver disease \u2014 which is now the leading cause of liver disease in the United States \u2014 is strongly associated with obesity and on track to become the number one predictor of needing a liver transplant, Lofton said. She added that, while adult obesity appears to be leveling off, childhood obesity is becoming more common.<\/p>\n
Although Lofton believes attitudes toward obesity have changed somewhat in recent years as a result of the increase in its occurrence, people suffering from obesity still face weight bias. \u201cIt\u2019s [common] not only in social but also in medical and work environments,\u201d said Lofton. This makes patients with obesity at risk not just for physical conditions but also for psychological issues surrounding obesity becoming worse.<\/p>\n
It took Blawas two years to lose the weight she gained during her daughter\u2019s medical crisis. \u201cIt seemed like a long process, but I needed that long to dig in deep and go where I needed to go. Without those months, I wouldn\u2019t have gone in to confront my deep, dark pain. I wouldn\u2019t have found my tribe. I needed all of that time: everything \u2014 the good and the bad,\u201d Blawas said.<\/p>\n
Blawas said she tells her clients to not wish away the learning process and the journey to a better relationship with food. \u201cA lot of people want to forget the past,\u201d Blawas said. \u201cBut there\u2019s a difference between forgetting and moving forward. Don\u2019t wish the middle away. You need that part.\u201d<\/p>\n