title: [When the obese patient can't lose any weight or keeps putting some on].
abstract: The traditional obesity treatments have proven to be ineffective in the long-term. The presence of eating disorders frequently explains this phenomena. Eating educational and behavioral aspects must be addressed in a practical way so that patients could gradually become aware of their behavior towards food as well as internal sensations associated with hunger, satiety, craving and pleasure. Finally, the link between emotions and compulsive eating behaviors during and between meals is an essential aspect that the general practitioner can help the patient to understand. A specialized psychological treatment can then be considered when the patient shows sufficient motivation and consciousness.
authors.affiliation: Service d'endocrinologie, diabétologie et métabolisme, CHUV, 1011 Lausanne. veronique.divetta@hospvd.ch
authors.forename: Véronique
authors.initials: V
authors.lastname: Di Vetta
authors.forename: Jennifer
authors.initials: J
authors.lastname: Szymanski
authors.forename: Muriel
authors.initials: M
authors.lastname: Clarisse
authors.forename: Vittorio
authors.initials: V
authors.lastname: Giusti
mesh_terms: D003192:Compulsive Behavior / Q000523:psychology; D004644:Emotions; D005247:Feeding Behavior / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000523:psychology; D006801:Humans; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic / Q000379:methods*; D015430:Weight Gain; D015431:Weight Loss