The Biggest Losers

On a run after work this week, I shared with my husband how stunned I was to discover that the First Lady is considering an appearance on the show “The Biggest Loser.” Stunned about what? Stunned about the deep lack of knowledge around weight stigma and eating disorders that pervades the American public–lay people, politicians, health care providers, insurance companies–pervasive.

My husband had never heard of the show The Biggest Loser. During my attempt to explain it to him, he became confused–focusing on the term “Loser.”

He thought the show indicated that the heaviest person was the biggest loser. Because in America, anyone that is in any way overweight, but especially those who are obese, and especially if they are female, are implicitly considered losers.

I tried to explain to him that the explicit “winner” of the Loser show is the person who loses the most weight (weight loss=good, thin=good, fat=bad). The winner gets the opportunity to be called “The Biggest Loser.” Regardless of who wins the show, the implicit message is that overweight and obese people are losers.

Now, throw in the twist that if people could exercise like crazy (which is the psychiatric term I use for the trainers on the show) and eat only the “Right” foods, they could become a non-loser. On the show, the contestants no doubt lose weight; they also no doubt engage in a completely unsustainable lifestyle. Diets don’t work. They can cause eating disorders, including Binge Eating Disorder, which is often associated with obesity. Diets do not cure eating disorders or low self-esteem. Diets and exercise do not heal trauma or depression. Bariatric surgery and weight loss don’t cure it either.

Developing body acceptance, a sustainable relationship with food and a pleasurable movement/exercise practice will lead to wholeness and health.

News flash for the biggest losers: Health comes in all shapes and sizes!!!

This world needs a Biggest Winner show. The winner being someone who accepts herself, regardless of her size; someone who respects herself and her truth regardless of what the cultural ideal says; someone who cares about her health as measured by cholesterol levels, blood pressure, glucose tolerance, etc., rather than a number on a scale used to calculate a somewhat arbitrary “measure” of health as determined by the CDC in BMI.

We might want to consider changing our coins to “In Weight We Trust.”

I think our chances of abundant living are best with the original. And I believe that God made each of us with the potential to be healthy and loving of ourselves with a wide range of numbers on the scale. That just doesn’t happen when a giant scale is God.

-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

 

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

 

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.