Maybe youve heard about body dysmorphia its a mental image many victims of anorexia nervosa have that tells them they look fat, even when they are emaciated. Bariatric patients can suffer from body dysmorphia as well.

When we were morbidly obese our emotional coping mechanisms kicked in and many of us were able to convince ourselves we really werent that big. It is emotionally kinder to avoid body criticism, the whole issue seems hopeless. In fact, many morbidly obese patients will say they see themselves normal sized. That is until a rude moment reminds them they are not normal sized: a skinny chair, a turnstile, a bathroom stall, a flight of stairs, a photograph. This false perception is a subconscious coping strategy to protect us from the brutal truth, the truth about how big morbidly obese really is.

My sister and I were clothes shopping one day with our morbidly obese mother. She tried an outfit and complained to us, but it makes me look fat. And gently we told her, Mom, you are fat. Intellectually my mother knows she is morbidly obese, but the emotional issues run over reason and she doesnt see herself fat. She is in serious denial that is preventing her from getting the help she needs bariatric surgery to save her life.

After surgery, there is a tendency for the body dysmorphia to reverse. Before surgery we denied how big we were, after surgery we judge ourselves critically like the anorexic and fail to see an honest reflection. One woman, down from size 24 to size 10 wrote, I feel fat daily. I never felt this at 248 pounds I saw a thinner person in the mirror than I see now. I look at my size 10 jeans and they look like tents. I dont feel as attractive as I did when I was heavy. I dont understand it, she continued, but I think it has to do with learning to accept yourself fat so you didnt see all the fat. Now I just have to learn to accept myself as thinner.

Many patients report hyper-judging their figures after weight loss. It seems the thinner you get the more judgmental of your body you become. To this day, the first thing I see in my reflection in my pudgy tummy I think its enormous. I dont see long slender legs or a tiny waist or trim arms. I see a Buddha belly. Ive even apologized for my chubby tummy to others when they compliment my new figure. The apology usually goes, Yes, but I cant get rid of this stomach. I say this while pointing to my "flaw".

That is wrong and brutally unfair to myself. I am working daily to keep this hyper-judgment in check, reminding myself the days of belittlement and self-loathing are over. Now is the time when I love myself.

Patients report universal success when they do one thing in the face of body dysmorphia: dress to impress! Get rid of the flowing camouflage clothes and wear a smart, well fitted outfit. Gentlemen, tuck in your shirts in. Ladies, wear a fitted skirt with a waistband. Small sized fat clothes do nothing for body image dump that style and get something that flatters your new size. Enlist the help of friends you trust to find flattering clothes. Sometimes you have to force yourself to see your body as it is, a great fitting outfit will certainly do the trick.

Extreme cases of body dysmorphia after gastric bypass weight loss may be treated with counseling and psycho-therapy.

Kaye Bailey

An award winning journalist and former newspaper editor Kaye Bailey brings expertise in writing and personal experience with gastric bypass surgery to EzineArticles.com. Ms. Bailey developed a passion for writing at an early age. As a teenager she found writing her feelings about obesity helped her cope in a world that is often cruel to overweight children and adults alike.

Ms. Bailey says she found out she was fat in kindergarten when another child told her she was fat. “I didn’t even know what fat was but I could tell it was bad and I didn’t want to be fat. Until that day I had been unaware I was different. But there I was, a five-year-old girl sitting cross-legged on the floor learning a new word that would define me.”

At age 33 she underwent laparoscopic gastric bypass surgery. For the first time in her life after multiple failed diet attempts she lost weight. She said the decision to have surgery took courage, nerve, and a little bit of plain old faith. But she learned surgery was the easy part. Dealing with newfound emotions, struggling with food choices and fighting to keep from regaining weight were unexpected bumps in the road following massive weight loss with surgery.

Having spent most of her life overweight Ms. Bailey is strongly empathetic toward the obese, particularly overweight children. This compassion compelled her to found the website LivingAfterWLS.com, a fast-growing resource of information, understanding and support for the weight loss surgery community. While weight loss surgery is publicly perceived as an easy fix to obesity Ms. Bailey maintains the struggles after surgery challenge the vigor of even the most dedicated individual. As WLS becomes more readily available patients are finding there is a lack of long-term aftercare and support from bariatric centers.

The LivingAfterWLS.com site is complimented with daily blog. The blog, livingafterwls.blogspot.com offers readers the chance to comment or leave feedback about fresh content added daily. This site contains success stories and recipes as well as general information and WLS inspired topics. Complementing the site is a monthly newsletter titled “You Have Arrived” available exclusively to people who subscribe through the website or the blog. The path forward includes community forums, nutrition and fitness tracking tools.

Ms. Bailey makes her home on a ranch in the Rocky Mountains with her husband of eight years who has been her consort in life after WLS.