Facing Overweight and Obesity: A Guide for Mental Health Professionals

The number of people who are overweight and obese has reached epidemic proportions in the United States. Estimates show that 78% of the adult population is either overweight, obese, or extremely obese. This represents a substantial increase from recent decades. Overwhelming scientific evidence links an increasing body mass index to increasing morbidity and mortality. Although numerous treatments for obesity are available, the cornerstone of treatment is behavioral modification, focusing on diet changes and exercise regimens. Additional therapies include a growing array of medications and surgeries. To improve care for patients who are overweight or obese, mental health providers should have a thorough understanding of overweight and obesity and its treatment to effectively address this topic with their patients. In addition, they must recognize that recidivism and failure to maintain weight loss is quite high, and that successful treatment requires a concerted and sustained effort. [ Psychiatr Ann . 2019;49(2):65–77.]