Jackie pulled an interesting one on them, and I am glad she did it –- she stuck them in a restaurant with forbidden foods, a bit like putting a newly married man in the Playboy Mansion or an alcoholic in a bar. And their emotions ranged from anger to frustration to sadness. Ironically, the voice of reason in the appetizer ambush was Nikki who gave an eloquent discourse on taking responsibility, dropping the emotion about food, and offering alternatives. Even at the beginning of the episode, Nikki fessed up about the fact that this will be a day by day process, a day by day struggle. I would love of course to take some credit for Nikki's new transcendence, but like any good psychologist I must put the credit squarely where it belongs –- the hard work of the client.
Bryan expressed being literally AFRAID of pizza. For the past 7 weeks, our warriors have been living and breathing clean eating and exercise, but with the added pressure/incentive of Jackie and Craig lurking around the next corner and the structure of group therapy. What happens when they are like the rest of us, and no one is watching? When you try to lose weight and finally do lose weight, food can become scary and distortion can kick in.
Our clients face two sets of risks right now, and these risks sit on a continuum with success, moderation and permanent weight loss in the middle.