Dr. Ramani

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

on 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."