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Dr. Ramani

A Personal Thintervention

Dr. Ramani shares her own weight loss story (and photos).

Oct 4, 2010

Coming Clean #2:

Every day is a struggle. Guess what -– once the weight is off, it doesn't stay off. You kind of have to keep the regimen going. Forever. I still struggle at buffets, parties, restaurants etc. I still crave crappy food. Every day and every meal are a battle. Our gang of 7 is at the beginning of a lifelong journey -– not sure that they understand that yet. Temptation and possible relapse in the form of cheeseburgers, vodka tonics, ice cream, and cookies will lurk every day for them. 

Coming Clean #3:

Lie detectors are not common clinical practice. Not how I would typically do therapy, and I was just as surprised as them. Jackie wanted to know if they were being transparent, and a decision was made. Therapy is about a subjective reality –- the client's view of the world. If they choose to lie to me then we would try to get to the underlying causes and not the lie itself. Treatment can be frustrating when we are trying to enact behavioral change. If they don't tell the truth, then change won't happen. 

The assumption was if you did not lose weight, you lied. But I would have bet that even those who took the weight off would have been caught in their "lies." The entire exercise was designed to prove a hypothesis that was already assumed to be true. Losing weight is tough, our cast has been quite honest about their struggles with food, but they may not be as honest about their ongoing struggles with food.

Why do people lie? Typically fear, guilt and shame. Instead of shaming them more, perhaps normalizing the shame, guilt and fear could help them get "clean."

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LOVE IT!! You are really inspirational. You've been there done that WITHOUT Jackie!! Don't get me wrong, Jackie is great. But most of us don't get to work with her anyway. All we have is her DVDs.

So it's very discouraging to watch those contestants not doing well with all the help they have. You understand the struggle. It's so encouraging to hear that you still struggle every time you have a meal. You are NOT like other doctors or trainers who look down on us when they tell us what to do without empathy. You became much more authentic and real to me after watching the clip and reading this. I wish I could see more of your therapy sessions. Or I wish you are my therapist!

Dr. Ramani looks great. Her determination shows that anyone can do this. Change your mind and change your life!

If this doesn't motivate the people on the show- I don't know what will. I wish we had time to listen to more of the good doctor's advice on how she GOT and KEPT the inner strength it takes to build your outer strength. YOU GO GIRL!!!!!!!!!!! I really wish the group therapy session took up a little more of the show - this is really the interesting part. Workouts are great, but THIS is where weight loss really happens- in your head.

"Anything less is unacceptable" - love it.

I agree with Jill Davenport; there should be more focus on the group therapy portion of the show; this is where the real work is done.

WOW. I am amazed...I just assumed you were a thin person- you know...the type who has great genes and can just eat whatever she likes! I thought you were looking down on the folks who needed to lose weight...they really shouldn't have cut this clip out of the show, because I just happened upon it...and wow, it makes a big difference how I see you...I see you as an inspiration...who is empathetic toward those who need to lose weight...you have a lot of strength...and as a single mom, with 2 kids, and many jobs...you managed to find the discipline to lose 85 lbs over 17 months and keep it off over 3 years...that is a major accomplishment...and you did it like regular folks who don't have a chef or personal trainer. We should all draw from your story and be inspired to be the best we can be in life and beat our bad habits, with honesty and determination.

It must be hard to not intervene when the contestants have perfectly respectable losses (1 to 3 pounds) and break down in tears because they haven't lost 5-7. I think most therapists would be commending them and not pushing this idea that a 5-7 # loss a week is either desireable or sustainable. You even admit that you lost it slowly. Is the money so good that you will continue to support the negative self-talk that is being generated when the contestants lose a healty amount of weight vs an extreme one?

Does anyone know what kind of watch Jackie has on?? It is silver and over sized.

yes, she is fabulous. Inspiring and intelligent. And her hair is perfect :)