Contributors; Part I: Introduction; 1: Introduction to Severe Obesity for Psychiatrists; 2: Severe Obesity: A Patient's Perspective; 2.1 Patient Story #1; 2.1.1 Weight Gain Journey; 2.1.2 Pre-Surgical Weight Loss Efforts; 2.1.3 Pre-Surgical Support; 2.1.4 Pre-Surgery; 2.1.5 Hospital Stay; 2.1.6 Recovery at Home; 2.1.7 New Habits; 2.1.8 Noticing Shifts; 2.1.9 Conclusion; 2.2 Patient Story #2; 2.2.1 My Story; Part II: Causes and Treatment of Obesity: From Genes to Integrated Care Models; 3: Causes of Severe Obesity: Genes to Environment; 3.1 Introduction; 3.2 Definitions.

3.3 Regulation of Food Intake and Energy Expenditure3.3.1 Regulation of Food Intake; 3.3.2 Regulation of Energy Expenditure; 3.4 Etiology of Severe Obesity; 3.4.1 Mono/Oligogenic Causes of Obesity; 3.4.1.1 The Leptin-Melanocortin Pathway; Leptin (LEP) and Leptin Receptor (LEPR) Mutations; SH2B1 Deficiency; POMC Deficiency and PC1/3 Deficiency; Melanocortin 4 Receptor (MC4R) Mutations; SIM1 Deficiency; BDNF and TrkB; KSR2; Prader-Willi Syndrome; Bardet-Biedl Syndrome; Albright Hereditary Osteodystrophy; 3.4.2 Etiology of Common Obesity; 3.4.2.1 Genetic Factors.

3.4.2.2 Environmental and Diet Factors Diet; Eating Patterns; Physical Activity; Television Watching; Socioeconomic Factors; In Utero Environment; Medications; Physiological Changes; Gut Microbiota; 3.4.2.3 Gene-Environment Interaction; 3.4.2.4 Obesity Secondary to Other Medical Conditions; Primary Hypothyroidism; Cushing's Syndrome; Hypothalamic Lesions; 3.5 Review of Case Histories; References; 4: Insecure Attachment and Trauma in Obesity and Bariatric Surgery; 4.1 Defining the Field; 4.1.1 Trauma; 4.1.2 Trauma and Obesity; 4.1.3 Insecure Attachment.

4.1.4 Attachment and Obesity4.2 Causal Mechanisms and the Roots of Obesity; 4.2.1 Patterns of Eating; 4.2.2 Body Image; 4.2.3 Psychopathology; 4.2.4 Biological Mechanisms; 4.3 How a Relational View of Obesity Can Shape Assessment and Care in Bariatric Surgery; 4.3.1 A Relational Approach to Care in Bariatric Surgery; 4.4 Conclusion; References; 5: Medical Complications Resulting from Severe Obesity; 5.1 Endocrine; 5.1.1 Type 2 Diabetes Mellitus; 5.1.1.1 The Pathology of Type 2 Diabetes in Overweight/Obese People; 5.1.1.2 Screening and Diagnosis of Type 2 diabetes.

5.1.1.3 Management of Type 2 Diabetes for Obese/Overweight Patients5.1.2 Thyroid Function; 5.2 Cardiac; 5.2.1 Hypertension and Hyperlipidemia; 5.2.2 Coronary Artery Disease; 5.2.3 Cardiomyopathy; 5.2.4 Sudden Cardiac Death; 5.3 Respiratory; 5.3.1 Asthma; 5.3.2 Pulmonary Hypertension; 5.3.3 Obstructive Sleep Apnea (Refer Chap. 12); 5.3.4 Obesity Hypoventilation Syndrome (Refer Chap. 12); 5.4 Gastrointestinal; 5.5 Musculoskeletal Disorders; 5.6 Pain and Cognition; 5.7 Renal; 5.8 Reproductive System; 5.9 Cancer; 5.10 Anemia; 5.11 Integumentary; References.

This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients? obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease?s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.