Carole

Carole first gained weight as a teenager, and it increased further in later life as her health deteriorated. Carole’s weight is very much linked to her wider health concerns, and she finds it difficult to control her eating, take exercise, and lose weight alongside managing her conditions.

From a young age, Carole has been a big buil and felt larger than she was, although up until her teens her weight was under control. Taking on caring responsibilities as a teenager when her Mother’s health deteriorated, Carole gained some weight. This has crept up in later life as her own health declined.

Carole finds it difficult to lose weight with her health conditions. Carole suffers from Multiple Sclerosis, meaning she gets very tired and cannot go out. In the evenings when she feels lo, she turns to comfort eating. Her MS means she has poor mobility in her hands, making it difficult to prepare food from scratch. Carole also has sleep apnoea and has trouble controlling her eating as it makes her very hungry. However, since receiving treatment she has lost 1.5 stone. Carole has also faced depression from a young age. Difficult periods in her life, along with her wider health and weight concerns, have worsened this. Her depression also makes it hard to stop overeating, it’s a sort of spiral that you go down because the depression then gets worse and you feel bad about yourselft’s all too overwhelming, so you can’t do what you know you should d.

Carole wants to lose weight to improve her energy levels, as well as her self-image and her health. She has tried various diets and weight management groups in the past, but has found regimes where you have to count calories to be muddlin. Although she knows her weight loss needs to be about lifestyle change, Carole feels overwhelmed by the amount of weight she has to lose. Carole has recently started to attend a support group around overeating. She finds that this offers a space where she can talk about her weight in ways she feels embarrassed to with friends, and get suggestions and tips from others.

Carole finds exercise difficult due to her MS. Even if she manages to swim, she often finds the getting dry and dressed too exhausting. Her embarrassment around her body is another reason she has given up swimming. Access issues with classes and facilities being located some distance from her home has been another barrier to exercising. Carole also worries that being seen doing exercise could impact her disability benefits.

Carole finds that when she goes to the GP for health checks, her concerns around her weight have been dismissed. She feels healthcare professionals are embarrassed to discuss weight, leaving her feeling faile. The only support she has received from healthcare professionals has been a referral to a dietician, who offered generic advice that wasn’t what I neede. Indeed, Carole feels counselling would help her, but this is not something she can afford to pay for privately. With increasing levels of obesity in the country, Carole believes that new ways of dealing with weight need to be considered. Carole suggests that a reha style programme might help people work through their weight issues and improve their quality of life- as well as saving the NHS money. Carole believes that to address her own weight issues, she needs to learn to manage her eating and exercise patterns. However, in the context of her health issues, Carole feels unable to address her overeating, I have a choice about what I put in my body in theory but it doesn’t seem, when these things take over me, it doesn’t feel like choice then

Because appointments are so short, Carole finds that weight is always left until the end and then there is no time to discuss it. She thinks doctors find it easier to discuss other issues, but weight is a sort of taboo subject.

Age at interview 59

Gender Female

Carole says that residential rehab for overeaters would save money in the long-term, for example on antidepressant prescriptions and weight loss surgery.

Age at interview 59

Gender Female

Carole has epilepsy, low thyroid, Multiple Sclerosis (MS), irritable bowel syndrome (IBS) and depression. She feels the GP isn’t interested in her weight, or is embarrassed to discuss it.

Age at interview 59

Gender Female

Carole found calorie counting too muddling’ and switched to a less regimented’ programme. Being weighed in class made her more self-conscious of her weight and of the task ahead.

Age at interview 59

Gender Female

Carole could not afford the fees of one weight management programme and was not aware she could be referred by her GP to some programmes.

Age at interview 59

Gender Female

Carole has recently joined Overeaters Anonymous. She can talk about her compulsive eating there because the other group members share this experience, you don’t feel a freak.

Age at interview 59

Gender Female

Carole can talk to her friends about her MS and her epilepsy but not her weight, because it is too embarrassing.

Age at interview 59

Gender Female

Carole gets panicky if she doesn’t have bread in the house because it’s like a drug.

Age at interview 59

Gender Female

Carole has MS and overwhelming fatigue’ She hopes that carrying less weight would improve her energy levels.

Age at interview 59

Gender Female

Carole says the bigger you get, the less you can do. Being overweight and multiple sclerosis combined with a lack of adequate facilities in her area make it hard to control her weight through exercise.

Age at interview 59

Gender Female

Carole feels that life events, her MS and her weight have all contributed to her depression. Doctors tend to focus on her MS but she thinks her depression is the worst problem because it affects her weight.

Age at interview 59

Gender Female