I just wanted to say that I think it is probably difficult to have a disorder that is stigmatised so much. It makes it harder to acknowledge it and work on it. You do that anyway, which shows strength. I agree that disorders do not make someone a bad person. How you act and what is the effect on others is what is important for that. We all make mistakes. What is important is to acknowledge them and learn from them and to prioritise the needs of people we might have hurt so that they can heal. I think that defines whether someone is a good person, whether they have NPD or not.

Dank je wel voor het lieve bericht! Ik ga soms naar de kinderboerderij, dat is volgens mij een beetje hetzelfde. Meestal probeer ik mijn neefje ofzo mee te nemen, maar soms ga ik ook gewoon. Dat is eigenlijk een beetje hetzelfde. :-)

Thank you for the kind message. It is good to hear that it is possible to have it great even after a miscarriage. I have had two miscarriages and two biochemical pregnancies. I did not really have time tomprocess this yet, as I had to continue treatment as my fertility is further declining due to my age. I think that might be part of the emotions as well.

It is difficult for me to not wager my personal happiness on it. I have a small nephew and when I take care of him, it just makes me very happy. It makes me feel like I would be as happy or even happier with my own child. Also, I was abused as a child and I feel that I did not have parents that really loved me. It feel unfair that I am not able to experience the mother/child bond from the perspectives of a child as well as that of a motger.

I also tried to take care of my younger siblings when I was a child. I was able to provide them with some of the emotional support my parents failed to provide, but because I was too young myself I always felt like I was not able to give them what they need. I am an adult now and I feel like I am capable now of providing children with a safe and warm environment. And I feel like I have all this love to give, but there is no child to give it to. I do not know where to put it.

I don’t know. Having a child will not fix all of this and a child does not exist to fix this or to make me happy. However, it could have been an area of my life that could have been beautiful and where I might have been able to give something and be valuable. And instead, this also does not work out and is another thing that goes on the pile of things that have failed in my life.

I agree that staking my life’s success on it is not a good idea. But I am not sure what else I have left. I am trying to become a writer and I am writing down all my experiences from my youth and with my sister who passed away and my fertility treatments, and so on. Maybe it can help some people who experience the same things. I think that might be fulfilling maybe and a way to create something positive out of the things that feel negative now.

Sad and empty. I love kids. I had fertility treatments for years, but that did not work out. I will start IVF again in a couple of days. Hopefully it will work this time. It is one of my last chances.

I would like to adopt or have foster kids. However, I suffer from PTSD and in my country it is very difficult to adopt or foster if you have a background with mental illness. Even though my psychologist and the people in my environment all say that they think I would be able to do it and my partner does not have any mental illness, my chances are very low.

To be honest, looking any further than the next IVF makes me panic. I do not know how to live with not having kids and how to deal with that. I had a lot of bad stuff happen to me. Having children would be something I believe would have made me very happy. It feels like I failed at life. However, I just turned 40, so I know I need to give up at some point.

( ͡°❥ ͡°)

Very solid argumentation…

It is not. I am not saying people should not eat healthy or should not try to lose weight. I am just saying that pushing the oversimplification that for everyone it is just calories in vs calories out and that it is only about willpower is not correct. People should get the right help with losing weight and the factors that cause the weight gain or makes people not losing the weight should be addressed.

There is lots of scientific work on this. I copied some links from another comment I made.

For example, this is an article in Journal of Obesity. It discusses the role of willpower and provides an overview of some of the research on other factors that affect whether people lose weight, such as metabolic compensation.

This is another interesting paper in the Irish Journal of Medical Science on patient’s view on obesity as a disease. I think the conclusion of this study aligns well with some of my claims:

The presence of beliefs and perceptions to support the narrative that obesity is a choice, that choosing to eat less and move more effectively treats the disease and willpower is a principle determinant of weight loss maintenance may negatively impact long-term treatment. A belief that obesity is a choice will see prevention and treatment strategies continually focus on education regarding eating less and moving more, which may be suboptimal. Therefore, the narrative must change and align with the science regarding the biology of obesity as a disease.

[This] (https://www.sciencedirect.com/science/article/abs/pii/S0953620521000029) paper on weight regain also claims that it is not just about compliance with a diet, but that, amongst others, metabolic adaptation and changed appetite play an important role as well.

If you disagree, please provide some substantiation. I would be interested in reading it.

Thanks! I think you are describing what a lot of people experience. Weight loss is highly complex and by oversimplifying it, lots of people do not get the help they need and are made to feel bad about themselves.

There is actually quite some scientific work supporting what I am saying. For example, this is an article in Journal of Obesity. It discusses the role of willpower and provides an overview of some of the research on other factors that affect whether people lose weight, such as metabolic compensation.

This is another interesting paper in the Irish Journal of Medical Science on patient’s view on obesity as a disease. I think the conclusion of this study aligns well with some of my claims:

The presence of beliefs and perceptions to support the narrative that obesity is a choice, that choosing to eat less and move more effectively treats the disease and willpower is a principle determinant of weight loss maintenance may negatively impact long-term treatment. A belief that obesity is a choice will see prevention and treatment strategies continually focus on education regarding eating less and moving more, which may be suboptimal. Therefore, the narrative must change and align with the science regarding the biology of obesity as a disease.

[This] (https://www.sciencedirect.com/science/article/abs/pii/S0953620521000029) paper on weight regain also claims that it is not just about compliance with a diet, but that, amongst others, metabolic adaptation and changed appetite play an important role as well.

I am personally quite interested in work on obesity due to eating disorders. The reason for this is that I suffered from an eating disorder causing obesity for most of my life (fortunately, I do not have the disorder anymore). The constant pressure to just eat less and getting blamed if you fail, severely increased my eating disorder and I saw the same thing happen to others with similar issues. I know that this is anecdotal and not everyone that is obese has an eating disorder and not everyone with an eating disorder is the same. However, there is some limited evidence that weight neutral treatment of binge eating disorder has better outcomes. This and treatment for my CPTSD is exactly what worked for me.

My experience is that if you spend time on providing sources, people usually are not interested in them and will not change their mind anyway. So I do not feel like it is worth the effort in every discussion. However, if you are interested in the work on this topic that substantiate my claims, then I am very glad to provide some links to some interesting articles.

This is an article in Journal of Obesity. It discusses the role of willpower and provides an overview of some of the research on other factors that affect whether people lose weight, such as metabolic compensation.

This is another interesting paper in the Irish Journal of Medical Science on patient’s view on obesity as a disease. I think the conclusion of this study aligns well with some of my claims:

In conclusion many people with obesity who agree obesity is a disease appear to have an imperfect understanding of the causes and treatment options. The presence of beliefs and perceptions that support the narrative that obesity is a choice, that choosing to eat less and move more effectively treats the disease and willpower is a principle determinant of weight loss maintenance may negatively impact long-term treatment. A belief that obesity is a choice will see prevention and treatment strategies continually focus on education regarding eating less and moving more, which may be suboptimal. Therefore, the narrative must change and align with the science regarding the biology of obesity as a disease.

[This] (https://www.sciencedirect.com/science/article/abs/pii/S0953620521000029) paper on weight regain also claims that it is not just about compliance with a diet, but that, amongst others, metabolic adaptation and changed appetite play an important role as well.

I am personally quite interested in work on obesity due to eating disorders. The reason for this is that I suffered from an eating disorder causing obesity for most of my life (fortunately, I do not have the disorder anymore). The constant pressure to just eat less and getting blamed if you fail, severely increased my eating disorder and I saw the same thing happen to others with similar issues. I know that this is anecdotal and not everyone that is obese has an eating disorder and not everyone with an eating disorder is the same. However, there is some limited evidence that weight neutral treatment of binge eating disorder has better outcomes. This and treatment for my CPTSD is exactly what worked for me.

I hope that this provides you with enough evidence to at least take the things I was saying into consideration. Please let me know if you find this useful. I have a lot more to share if you are interested.

Like I said, that is an oversimplification. There are many other factors that play a role, like the body working against the weight loss and lowering metabolism and increasing appetite, as I already discussed. There are also psychological factors and environmental factors that can have a big impact on weight loss.

Just ignoring those makes losing weight more difficult and means you have to do it entirely based on willpower. If you are one of those people for which these other factors play a big role it becomes very difficult to keep the weight off in the long term just based on willpower. This can be the case, for example, if you have an eating disorder, very high stress, untreated medical conditions (e.g. hypothyroidism), not enough money to buy healthy food, problems with the body signaling hunger or fullness, unsolved emotional issues, and so on.

Of course there are some people who just eat too much and who can just lose the weight easily by eating less. However, especially for people who are very overweight, these factors will play a role. They hear they should just eat less all the time and if they fail they are made to feel like a failure themselves and as if they have a lack of willpower. This is not the case. For them losing the weight is more difficult and the underlying issues should be addressed. You cannot just generalise like that and apply what works for you to everyone else.

Thanks for saying this. I think the idea that it is just willpower causes so much unnecessary suffering. As someone suffering from an eating disorder and thyroid disease, I was getting a bit down reading all the “it’s just calories in vs calories out” remarks. It is so much more complicated than that.

It is not as simple as just calories in vs calories out. Your body has a setting point for what weight it thinks it should be. Once you are overweight, your setting point will be higher and your body wants to get back to that higher weight. It will start working actively against you. This might mean your appetite will increase and your metabolism will slow down. I think that is what you are describing here.

Trying to push yourself to lose more weight despite your body working against you can cause rebound weight gain if you are not able to keep the diet (which might become increasingly difficult due to increasing appetite). The most important thing is to keep a healthy diet that does not reduce your quality of life too much and is doable on the long term, I think. If you are struggling everyday, then it might be better to eat a little bit more and stay on a higher weight a bit longer to ensure that you will maintain the weight loss.

Maybe this is already what you meant. But the phrase “calories in vs calories out” and stating that nothing else matters made me want to respond. I think it is a popular oversimplification that causes a lot of unnecessary suffering for people trying to lose weight.

Eating fruits and vegetables might definitely help and it is in any case very healthy! However, people should not always expect to lose more than 10% of their weight in the long term (over years). This 10% can already provide great benefits for your health, so definitely try to lose that weight if you are overweight.

Often it is said that it is just calories in vs calories out. This is only true up until a certain point. For many people, after losing about 10% of their weight, their body starts to work against more weight loss. Their metabolism starts to slow down and their appetite will increase, making it more difficult to lose weight. It might make it almost impossible to keep on a diet and it might even cause people to gain more weight back than they lost.

The theory behind this is that your body has a set point or settling point for what it thinks your weight should be. When you are overweight, the set point changes to a higher weight. When you lose weight, your body wants to get back to this higher set point. The set point can be changed to a lower weight, but that might take years and years. There also is some limited evidence that building more muscles might help somewhat.

I think it is important to add this to the discussion, as often there is the idea that weight loss is just based on self-control and limiting calorie-intake. While this might play a role, the idea that these are the only factors that determine your weight causes a lot of suffering for people. It might also cause more weight gain in the long term.

So, try to lose about 10% of your weight and if you feel like you are struggling after that, go to a specialised doctor who can help you with losing more weight (doctors without this specialisation are often clueless about weight loss in my experience). In addition, a psychologist might be able to help if your are overeating due to an eating disorder.

Apparently, it is not true

Here it does a great job of reducing a text of 174 words to 172 words. 👍

(I do not want to complain too much. Usually it works and it is short enough for me to quickly read it.)

I guess OP has never heard of eating disorders.

There are a lot of people with eating disorders that result in them being overweight. Some people who have been neglected and abused as children can turn to food as their only source of comfort. If you have not been safe as a child, you will likely not have a basic sense of safety as an adult. If no-one has been kind to you and took care of you, you will likely not know how to be kind to yourself and take care of yourself.

So, you use food to feel safe and to get a sense of comfort. You use it to numb the feelings, to feel something nice. Because you do not have the resources to cope with the world that others that were loved as children do have, you do not know how to deal with it another way. And you survive and fight to make something of your life after all that has happened to you.

And then you get overweight. And society will tell you that it is your own fault. That you should show more restraint. That you just should eat less. That you lack willpower. That you are repulsive. That you are inferior to people who are not overweight. That you are unlovable. Basically, that you are everything that they used to tell you that you were when you were a child.

And you try to lose the weight, but you feel awful. You feel unsafe. You have nothing else that gives you a nice feeling. People will compliment you and be nicer to you and say that you look better. But you are constantly stressed. You think about food day and night, constantly, until you break. And you eat and you gain the weight back, and more. And you will feel like a failure, and you will feel unlovable and repulsive. And you do not know how to deal with these feelings in any other way than by eating.

And so, the stigma around being overweight actually makes it more difficult to love yourself and to be kind to yourself. The focus on food and the idea that everything will be okay if you just lose the weight will make you put all your effort into weight loss, instead of solving the real problem. Namely, that you need to process trauma and find other ways of coping with feelings and the world.

I think this is what is happening to a lot of people who are overweight. And they might not even be aware of it. They might think it is just about food, because that is what everyone is telling them. That they should just work harder at losing weight. That they just should have more willpower.

But I think that many people who are overweight do not lack willpower at all. They have survived horrible things. They did not get basic life skill lessons that others did. They did not grow up with a sense of safety and feeling good about themselves. But they survived. And they try to make something of their lifes. And that takes a lot of willpower. And for them to get better and to lead a more happy life, they need help with learning new ways to cope, they need their strength to be acknowledged, they need to be accepted, and, above all, they need to be loved.