Weight Loss Counselling in Runcorn

Photo of Carolyn Heffey - CP Counselling & Wellbeing Therapies- Supervisor , Counsellor, MBACP Accred
If your searching for a Counsellor then I understand you have reached a point in your life when you are ready to look at issues that are having an impact on you. Maybe causing you day to day difficulties and stopping you being able to live your life the way you want to. It can be a frightening process when you decide to reach out for help to look at issues that are causing emotional distress. Counselling is an approach to help you gain an understanding of the issues affecting you and work towards making positive changes in your life. You have taken the first step in seeking help simply by searching for a counsellor.
If your searching for a Counsellor then I understand you have reached a point in your life when you are ready to look at issues that are having an impact on you. Maybe causing you day to day difficulties and stopping you being able to live your life the way you want to. It can be a frightening process when you decide to reach out for help to look at issues that are causing emotional distress. Counselling is an approach to help you gain an understanding of the issues affecting you and work towards making positive changes in your life. You have taken the first step in seeking help simply by searching for a counsellor.
01928 244556 View 01928 244556
Photo of Lauren Walter - CBT Runcorn, Psychotherapist, MSc, MBABCP
CBT Runcorn
Psychotherapist, MSc, MBABCP
3 Endorsed
Runcorn WA7
You might be feeling low, anxious, overwhelmed, or stuck—like you’ve lost your spark or can’t break unhelpful patterns. Are you overwhelmed with stress? Maybe you want to feel more in control, less burdened by worry or more like yourself again. My clients often come to me wanting clarity, confidence, and a clear path forward. They’re looking for a therapy that works, with a therapist who understands and doesn’t just listen, but guides. If this sounds like you, you're in the right place. Together, we can uncover what’s holding you back and start building practical tools to move forward. Therapy with CBT Runcorn is a fresh start
You might be feeling low, anxious, overwhelmed, or stuck—like you’ve lost your spark or can’t break unhelpful patterns. Are you overwhelmed with stress? Maybe you want to feel more in control, less burdened by worry or more like yourself again. My clients often come to me wanting clarity, confidence, and a clear path forward. They’re looking for a therapy that works, with a therapist who understands and doesn’t just listen, but guides. If this sounds like you, you're in the right place. Together, we can uncover what’s holding you back and start building practical tools to move forward. Therapy with CBT Runcorn is a fresh start
01928 249639 View 01928 249639
Photo of Dr Maria Katsarou-Makin, Psychologist, PsychD, CPsychol
Dr Maria Katsarou-Makin
Psychologist, PsychD, CPsychol
1 Endorsed
Serves Area
Discover the Power of Talking-How often do you have the need to TALK to somebody and what stops you is what they might think?We all go through periods during which we feel alone, not understood and that is perfectly fine.Other times, we may need to change things in our lives and we don’t know where to start. Asking for help can be difficult too. These are the times when a Professional can be your sounding board, with a compassionate, non-judgemental and safe attitude can offer you an opportunity to discover new perspectives, new possibilities. Stop suffering in silence... You have more power to change things than you think you have.
Discover the Power of Talking-How often do you have the need to TALK to somebody and what stops you is what they might think?We all go through periods during which we feel alone, not understood and that is perfectly fine.Other times, we may need to change things in our lives and we don’t know where to start. Asking for help can be difficult too. These are the times when a Professional can be your sounding board, with a compassionate, non-judgemental and safe attitude can offer you an opportunity to discover new perspectives, new possibilities. Stop suffering in silence... You have more power to change things than you think you have.
01204 803058 View 01204 803058
Photo of Sharon Pritchard, Psychotherapist, MSc, MBABCP
Sharon Pritchard
Psychotherapist, MSc, MBABCP
Serves Area
I am experienced in addressing a wide range of issues including: Addictions, Anxiety, Bereavement, Depression, Emotional issues connected with weight loss, Generalised Anxiety Disorder, Obsessive Compulsive Disorder, Panic Disorder, Post Traumatic Stress disorder, Specific Phobias and Social Phobia, Self-Esteem, Stress, and Work Related Issues.
I am an experienced cognitive behaviour therapist, EMDR Consultant and counsellor. I offer individual therapy, working with anxiety and mood disorders, using Cognitive Behaviour Therapy (CBT), EMDR and Counselling in Northwich, Cheshire. I qualified at Keele University with a BSc (Dual Hons.) degree in Psychology and Criminology and subsequently studied for the Post-graduate Diploma in Counselling, passing at Masters level, and the MSc in Cognitive Behavioural Therapy at The University of Chester. I trained with Dr Michael Paterson to Level 4 in EMDR in 2015.
I am experienced in addressing a wide range of issues including: Addictions, Anxiety, Bereavement, Depression, Emotional issues connected with weight loss, Generalised Anxiety Disorder, Obsessive Compulsive Disorder, Panic Disorder, Post Traumatic Stress disorder, Specific Phobias and Social Phobia, Self-Esteem, Stress, and Work Related Issues.
I am an experienced cognitive behaviour therapist, EMDR Consultant and counsellor. I offer individual therapy, working with anxiety and mood disorders, using Cognitive Behaviour Therapy (CBT), EMDR and Counselling in Northwich, Cheshire. I qualified at Keele University with a BSc (Dual Hons.) degree in Psychology and Criminology and subsequently studied for the Post-graduate Diploma in Counselling, passing at Masters level, and the MSc in Cognitive Behavioural Therapy at The University of Chester. I trained with Dr Michael Paterson to Level 4 in EMDR in 2015.
01606 533441 View 01606 533441

More Therapists Nearby

Photo of Dunja Sullivan- Eating Disorders, Psychotherapist, MA
Dunja Sullivan- Eating Disorders
Psychotherapist, MA
Online Only
Hello and welcome. I am a Transactional Analysis (TA) psychotherapist and clinical psychologist, integrating TA with body psychotherapy and Internal Family Systems (IFS). I work both individually and in groups, specializing in eating disorders (anorexia, bulimia, and binge-eating disorder). Many people come to therapy after trying numerous behavioral approaches—diet plans, discipline, exercise—with little lasting change. This makes sense, as eating disorders are not issues of willpower but of emotional regulation; the behaviors are symptoms, not the root.
Hello and welcome. I am a Transactional Analysis (TA) psychotherapist and clinical psychologist, integrating TA with body psychotherapy and Internal Family Systems (IFS). I work both individually and in groups, specializing in eating disorders (anorexia, bulimia, and binge-eating disorder). Many people come to therapy after trying numerous behavioral approaches—diet plans, discipline, exercise—with little lasting change. This makes sense, as eating disorders are not issues of willpower but of emotional regulation; the behaviors are symptoms, not the root.
View
Photo of Stephanie Newton - Diamond Wellbeing, Psychologist, MSc, GMBPsS
Diamond Wellbeing
Psychologist, MSc, GMBPsS
Sometimes life can throw up challenges, which can be overwhelming or provoke anxiety. You may feel like you aren't good enough or you are experiencing low self esteem. You may want to stop binge drinking, or reduce your alcohol intake, stop smoking, get ride of anxiety, stress or a bad habit, overcome a phobia or lose weight. Perhaps you are going through a divorce? Struggling to sleep? Overcoming abuse? Or maybe you are coping with grief? It could be that work is stressful? I can help you overcome a range of challenging emotions, so that you can reconnect to your inner peace and start to feel positive and confident.
Sometimes life can throw up challenges, which can be overwhelming or provoke anxiety. You may feel like you aren't good enough or you are experiencing low self esteem. You may want to stop binge drinking, or reduce your alcohol intake, stop smoking, get ride of anxiety, stress or a bad habit, overcome a phobia or lose weight. Perhaps you are going through a divorce? Struggling to sleep? Overcoming abuse? Or maybe you are coping with grief? It could be that work is stressful? I can help you overcome a range of challenging emotions, so that you can reconnect to your inner peace and start to feel positive and confident.
0161 524 9869 View 0161 524 9869
Photo of Michelle Thomas - Castle Therapy, Counsellor, DCounsPsych, MNCPS Acc.
Castle Therapy
Counsellor, DCounsPsych, MNCPS Acc.
Wirral CH60
#Live your best life. This is my mission and why I founded Castle Therapy, it's my aim to help as many people as possible live their best lives. Through hypnotherapy & counselling I can help with phobias, becoming healthier, anxiety & depression and much more. I was drawn to re-training and qualifying as a hypnotherapist and counsellor following a successful career with VirginMedia. As a Management and Leadership consultant & coach I was always looking for new ways to help my colleagues reach their full potential.
#Live your best life. This is my mission and why I founded Castle Therapy, it's my aim to help as many people as possible live their best lives. Through hypnotherapy & counselling I can help with phobias, becoming healthier, anxiety & depression and much more. I was drawn to re-training and qualifying as a hypnotherapist and counsellor following a successful career with VirginMedia. As a Management and Leadership consultant & coach I was always looking for new ways to help my colleagues reach their full potential.
0151 453 0639 View 0151 453 0639
Photo of Dr Jenny Bowe, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Jenny Bowe
Psychologist, PsychD, HCPC - Clin. Psych.
Chester CH2
I'm a Clinical Psychologist offering therapy for individuals who are struggling with their relationships—whether that's with other people, food, alcohol, their work, their past, or their own sense of self. I work with people who are experiencing difficulties in romantic relationships, or who find themselves struggling to form or sustain meaningful romantic connections. My approach helps people make sense of these patterns and understand what may be getting in the way of the relationships they want. I also specialise in Eating Disorders and Weight Management, helping people understand their relationships with their bodies and food.
I'm a Clinical Psychologist offering therapy for individuals who are struggling with their relationships—whether that's with other people, food, alcohol, their work, their past, or their own sense of self. I work with people who are experiencing difficulties in romantic relationships, or who find themselves struggling to form or sustain meaningful romantic connections. My approach helps people make sense of these patterns and understand what may be getting in the way of the relationships they want. I also specialise in Eating Disorders and Weight Management, helping people understand their relationships with their bodies and food.
View
Photo of Dr Paula Watson, Psychologist, PhD, HCPC - Sport Psych.
Dr Paula Watson
Psychologist, PhD, HCPC - Sport Psych.
2 Endorsed
I’m a HCPC-registered Exercise Psychologist specialising in weight loss therapy, disordered eating and exercise.
Are you tired of constantly thinking about food, exercise or losing weight? You’re “good” for a few weeks, only to self-sabotage and beat yourself up after another binge. Perhaps food has always been the go to – whether you’re happy, stressed, or frustrated. Or perhaps exercise is the problem - you struggle to stick to a routine, or worry it's becoming obsessive. You may dislike your body, and feel a failure for letting yourself go. If these resonate, you’re not alone. It’s easy to get stuck in these negative cycles, but with the right support it's possible for things to change.
I’m a HCPC-registered Exercise Psychologist specialising in weight loss therapy, disordered eating and exercise.
Are you tired of constantly thinking about food, exercise or losing weight? You’re “good” for a few weeks, only to self-sabotage and beat yourself up after another binge. Perhaps food has always been the go to – whether you’re happy, stressed, or frustrated. Or perhaps exercise is the problem - you struggle to stick to a routine, or worry it's becoming obsessive. You may dislike your body, and feel a failure for letting yourself go. If these resonate, you’re not alone. It’s easy to get stuck in these negative cycles, but with the right support it's possible for things to change.
01923 961943 View 01923 961943
Photo of Annabel Eve Coulthard - Coco Belle Therapies, MSc
Coco Belle Therapies
Verified Verified
Online Only
You might feel anxious, overwhelmed, or stuck—juggling chronic stress, pain, illness, caregiving demands, or ongoing challenges. You want to regain balance, motivation, and greater control over your wellbeing—not just coping, but truly thriving. I provide a supportive, coaching-led space to explore practical lifestyle changes alongside mindfulness interventions that nurture your mental, emotional, and physical health. My approach is personalised and paced to suit your needs. I also acknowledge how culture, roles, and pressures may shape your experience. Together, we build plans that fit your life and support your wellbeing.
You might feel anxious, overwhelmed, or stuck—juggling chronic stress, pain, illness, caregiving demands, or ongoing challenges. You want to regain balance, motivation, and greater control over your wellbeing—not just coping, but truly thriving. I provide a supportive, coaching-led space to explore practical lifestyle changes alongside mindfulness interventions that nurture your mental, emotional, and physical health. My approach is personalised and paced to suit your needs. I also acknowledge how culture, roles, and pressures may shape your experience. Together, we build plans that fit your life and support your wellbeing.
View
Photo of Dr Wendy Nicholls, Psychologist, PhD, AFBPSsS
Dr Wendy Nicholls
Psychologist, PhD, AFBPSsS
Serves Area
Escape the diet trap and find lasting weight loss with me.
You will escape the diet cycle and find lasting peace with food in my coaching programme. Together with me, you will discover why dieting has not worked for you, understand the unique reasons why and when you eat, and cultivate a mindful, intuitive relationship with food. My approach is based on Mindfulness-Based and Acceptance and Commitment Therapy.
Escape the diet trap and find lasting weight loss with me.
You will escape the diet cycle and find lasting peace with food in my coaching programme. Together with me, you will discover why dieting has not worked for you, understand the unique reasons why and when you eat, and cultivate a mindful, intuitive relationship with food. My approach is based on Mindfulness-Based and Acceptance and Commitment Therapy.
01952 984237 View 01952 984237
Photo of Julia Bright, Counsellor, MBACP
Julia Bright
Counsellor, MBACP
Serves Area
I am a qualified counsellor with a strong background in psychology and psychotherapy, specialising in eating disorders - particularly in binge eating, emotional eating, weight loss challenges and body image.
I believe therapy builds the foundation for lasting change. I don’t offer coaching instead of therapy - I begin with therapeutic work and continue with coaching if needed. You may already be partway through your journey. Maybe you’re nearing the end of your Mounjaro journey and worried the weight might creep back. Or perhaps the side effects were too much.
I am a qualified counsellor with a strong background in psychology and psychotherapy, specialising in eating disorders - particularly in binge eating, emotional eating, weight loss challenges and body image.
I believe therapy builds the foundation for lasting change. I don’t offer coaching instead of therapy - I begin with therapeutic work and continue with coaching if needed. You may already be partway through your journey. Maybe you’re nearing the end of your Mounjaro journey and worried the weight might creep back. Or perhaps the side effects were too much.
01223 912887 View 01223 912887
Photo of Dr Keely Lewis-Clarke, Psychologist, CPsychol
Dr Keely Lewis-Clarke
Psychologist, CPsychol
I qualified as a Clinical Psychologist in 2009 and have over 18 years experience working for the NHS. I worked in the Specialty of Weight Management for 8 years. My aim was to help people understand the psychological barriers to making health-related changes. I work with people to explore the reasons behind obesity, overweight, binge eating, emotion-driven eating (comfort eating) and/or difficulties breaking the cycle of yo-yo dieting. I also help people improve their relationships with food, their bodies and with themselves.
I qualified as a Clinical Psychologist in 2009 and have over 18 years experience working for the NHS. I worked in the Specialty of Weight Management for 8 years. My aim was to help people understand the psychological barriers to making health-related changes. I work with people to explore the reasons behind obesity, overweight, binge eating, emotion-driven eating (comfort eating) and/or difficulties breaking the cycle of yo-yo dieting. I also help people improve their relationships with food, their bodies and with themselves.
0161 524 0594 View 0161 524 0594
Photo of Paul Andrew Guy - PG Psychotherapy, Psychotherapist, UKCP Trainee
PG Psychotherapy
Psychotherapist, UKCP Trainee
1 Endorsed
Do you find yourself feeling overwhelmed, people pleasing, or stuck in a place that leads you to being frustrated or anxious in your life? Maybe it is starting to impact on those closest to you and you are now looking for a different experience. As a fully qualified and highly experienced therapist, I work one-to-one with adults on a whole range of different presenting issues that can include anxiety, low mood, stress, relationship issues, and unhelpful patterns of behaviour. People access therapy when they find that they are stuck not knowing what to do next, or how to get out of repetitive and destructive situations. I can help.
Do you find yourself feeling overwhelmed, people pleasing, or stuck in a place that leads you to being frustrated or anxious in your life? Maybe it is starting to impact on those closest to you and you are now looking for a different experience. As a fully qualified and highly experienced therapist, I work one-to-one with adults on a whole range of different presenting issues that can include anxiety, low mood, stress, relationship issues, and unhelpful patterns of behaviour. People access therapy when they find that they are stuck not knowing what to do next, or how to get out of repetitive and destructive situations. I can help.
0161 694 6315 View 0161 694 6315
Photo of Josie Foster - Huddersfield Holistic Healing, Counsellor, MSc, MBACP
Huddersfield Holistic Healing
Counsellor, MSc, MBACP
1 Endorsed
Serves Area
Huddersfield Holistic Healing offers a comprehensive, therapeutic service in a safe and confidential environment for you to reach your full potential with the support and guidance from a fully trained talking therapist. You may feel that it would be beneficial to explore something that is troubling you and leaving you feeling stuck, or you may like to consider the possibility of taking a new direction to allow you to fully love the life you live. If you have an unhealthy habit that you’d like to break, or a fear you’d like to overcome, then Huddersfield Holistic Healing is here to help you.
Huddersfield Holistic Healing offers a comprehensive, therapeutic service in a safe and confidential environment for you to reach your full potential with the support and guidance from a fully trained talking therapist. You may feel that it would be beneficial to explore something that is troubling you and leaving you feeling stuck, or you may like to consider the possibility of taking a new direction to allow you to fully love the life you live. If you have an unhealthy habit that you’d like to break, or a fear you’d like to overcome, then Huddersfield Holistic Healing is here to help you.
01484 959726 View 01484 959726
Photo of Dr Siobhan Reilly, Psychotherapist, MBBS, UKCP Trainee
Dr Siobhan Reilly
Psychotherapist, MBBS, UKCP Trainee
1 Endorsed
I don't offer endless talking therapy. I offer focused, solution-oriented work with regular progress check-ins, so you always know where you're going & why it matters. As a GP who retrained as a therapist/counsellor and clinical hypnotherapist, I combine my wide range of expertise with powerful psychotherapeutic tools to get you ‘unstuck’ and moving forward. Struggling with anxiety? stress? burnout? phobias? low self-esteem? lack of purpose? regret? perfectionism? people-pleasing? relationship issues? career dissatisfaction? spiritual disconnection? unwanted habits? IBS?, weight-related issues? I can help.
I don't offer endless talking therapy. I offer focused, solution-oriented work with regular progress check-ins, so you always know where you're going & why it matters. As a GP who retrained as a therapist/counsellor and clinical hypnotherapist, I combine my wide range of expertise with powerful psychotherapeutic tools to get you ‘unstuck’ and moving forward. Struggling with anxiety? stress? burnout? phobias? low self-esteem? lack of purpose? regret? perfectionism? people-pleasing? relationship issues? career dissatisfaction? spiritual disconnection? unwanted habits? IBS?, weight-related issues? I can help.
View
Photo of Heather Budzynski, Counsellor, MBACP
Heather Budzynski
Counsellor, MBACP
The decision to attend counselling can be difficult and sometimes overwhelming. It is the quality of the 'therapeutic relationship' that is key to progress, so that you feel supported and comfortable to talk about what matters to you. I believe passionately in the counselling process, and for me the promotion of positive mental health and well-being is at the core of our work together. (Please do take a look at my website heretolisten.uk for further information about my practice and how I work, as well as some examples of client reviews.)
The decision to attend counselling can be difficult and sometimes overwhelming. It is the quality of the 'therapeutic relationship' that is key to progress, so that you feel supported and comfortable to talk about what matters to you. I believe passionately in the counselling process, and for me the promotion of positive mental health and well-being is at the core of our work together. (Please do take a look at my website heretolisten.uk for further information about my practice and how I work, as well as some examples of client reviews.)
01244 667128 View 01244 667128
Photo of Linda Hayward, Counsellor, MBACP
Linda Hayward
Counsellor, MBACP
I believe that when we’re free of emotional and psychological problems, we are able to live our lives to the fullest and reach our potential, for a life without limits. By looking after our mental health, we naturally improve the quality of our life. Good mental health, strengthens and supports our ability to maintain good physical health.
I believe that when we’re free of emotional and psychological problems, we are able to live our lives to the fullest and reach our potential, for a life without limits. By looking after our mental health, we naturally improve the quality of our life. Good mental health, strengthens and supports our ability to maintain good physical health.
01782 288674 View 01782 288674
Photo of Dr Melany McKenna - WellbeingWorks, Dr Melany McKenna and Associates, Psychologist, HCPC - Clin. Psych.
WellbeingWorks, Dr Melany McKenna and Associates
Psychologist, HCPC - Clin. Psych.
Serves Area
WellbeingWorks is an independent Psychology practice offering a range of services to support emotional wellbeing. Services include psychological therapy, psychological supervision, and coaching. We can support with a wide range of difficulties including stress, anxiety, low mood, low self esteem, support with challenges around performance, and difficulties with adjustments/transitions. This list is not exhaustive so please don't hesitate to email us if you think we may be able to help. With an experienced team of Senior and Consultant Psychologists you are guaranteed the highest level of expertise.
WellbeingWorks is an independent Psychology practice offering a range of services to support emotional wellbeing. Services include psychological therapy, psychological supervision, and coaching. We can support with a wide range of difficulties including stress, anxiety, low mood, low self esteem, support with challenges around performance, and difficulties with adjustments/transitions. This list is not exhaustive so please don't hesitate to email us if you think we may be able to help. With an experienced team of Senior and Consultant Psychologists you are guaranteed the highest level of expertise.
View
Photo of Lois Chadwick, Psychotherapist, MBACP
Lois Chadwick
Psychotherapist, MBACP
Online Only
I am a qualified psychotherapist. My practise offers a safe, supportive and confidential space to work through the material you bring to the session. I work within a range of areas. A few of these include trauma, difficult relationships, addictions, family issues, anxiety, depression and abuse (see below for more). We navigate together, at your pace, and unpick gently past wounds or present emotional states that effect your everyday. We seek to change negative patterns and encourage different ways of approaching problems. With empathetic exploration at the front of our work, we allow for healing.
I am a qualified psychotherapist. My practise offers a safe, supportive and confidential space to work through the material you bring to the session. I work within a range of areas. A few of these include trauma, difficult relationships, addictions, family issues, anxiety, depression and abuse (see below for more). We navigate together, at your pace, and unpick gently past wounds or present emotional states that effect your everyday. We seek to change negative patterns and encourage different ways of approaching problems. With empathetic exploration at the front of our work, we allow for healing.
01273 092509 View 01273 092509
Weight Loss Counsellors

What is the relationship between weight management and mental health?

Mental health can be significantly influenced by one's physical health, so overall improvements in one's quality of life as a result of improved physical functioning from weight loss can have an overall positive impact on an individual's mental health and allow them to engage more readily in everyday activities. In addition, many strategies used to manage weight, such as exercise and maintaining a healthy diet, are also associated with reducing the symptoms of common mental health conditions, such as anxiety or depression. Individuals may also benefit from the improved self-esteem and self-efficacy that can come with successful weight management.

What is the psychological approach to losing weight?

While there are no specific therapy modalities specifically for weight loss, common psychological therapies can be highly effective in helping clients make lasting lifestyle changes. This may be called the "psychological approach" to weight loss because it does not rely on physical interventions, such as medication or weight loss surgery, to help clients lose weight. Weight loss counselling can be used in addition to or instead of such physical interventions. Some clients simply seek therapy to address the challenges that may accompany weight loss in general, including negative thoughts surrounding their body, disordered eating patterns, or difficulty completing daily tasks as a result of their weight challenges. In such cases, therapists will often utilise behavioural coaching or Cognitive Behavioural Therapy techniques to help clients understand how their thoughts may be influencing their diet and physical activity patterns.

What type of therapy is commonly used in weight loss counselling?

Weight loss counseling often involves a combination of therapy and psychoeducation. Common techniques used by weight loss counselors include journalling, thought diaries, and other Cognitive Behavioural Therapy strategies that encourage clients to consider how their feelings about their weight loss impact their mental health. Weight loss counsellors may also teach clients mindfulness exercises, which can be used by clients during and after eating to be more aware of physical cues from their body surrounding eating. Some clients looking for weight loss therapy may also benefit from group therapy approaches, which utilise the power of social connection and accountability to help clients adhere to their weight loss plan.

Is therapy recommended for individuals undergoing bariatric surgery?

While therapy is not a requirement for individuals undergoing bariatric surgery, many individuals undergoing weight loss surgery may benefit from seeing a counsellor. Prior to surgery, counsellors can help clients decide whether surgical weight loss is a good fit for them and assist in surgery preparation. Post-surgery, counsellors can assist clients with the psychological component of maintaining their weight loss, as well as help clients navigate any postoperative pain. Throughout the surgical process, therapists can help clients process body-image challenges that may come with dramatic changes in weight, as well as manage symptoms of anxiety or depression that may accompany the major life changes bariatric surgery can bring.