Welcome to the Bariatric Consultancy
The Bariatric Consultancy is a specialist provider of psychologically led Tier 3 multi disciplinary weight management services for adults presenting with morbid obesity.
This service has been designed as an alternative treatment to weight-loss surgery. Patients who meet the NICE guidelines and fulfil the NHS England Commissioning Guidelines, April 2013 for referral for bariatric surgery and wish to proceed on a surgical pathway, will have a thorough MDT assessment.
Any patient proceeding onto a surgical pathway will be thoroughly assessed and prepared before onward referral to a surgical provider.
The focus of the business is the treatment of severe and complex morbid obesity. The Consultancy was launched in 2007 by the two founding Directors Janet Biglari and Sevim Mustafa, both Psychotherapists with over 20 years’ experience working with eating disorders and adult mental health.
Realising the complex psychological issues facing bariatric surgery patients and the need for rigorous preparation for surgical intervention, the Directors designed the first Tier 3 multi-disciplinary service model in 2008. This was subsequently commissioned by NHS Eastern Coastal Kent as a one-year pilot in 2009. Since 2009, the Consultancy have developed and delivered seven large scale Tier 3 services; on average, 2500 patients access the services each year. The Bariatric Consultancy has a wealth of knowledge and experience in the field of obesity and offer a comprehensive training programme to other healthcare professionals. In 2017 the work of The Bariatric Consultancy was recognised by the ASO (Association of the study of Obesity) and awarded the prize for best practice.
There is a growing body of evidence correlating obesity with poor mental health; often linked to childhood maltreatment. The audited results of the Consultancy’s services help to establish that by addressing mental disturbance and low self-esteem patients are more able to understand their triggers to disordered eating and to make sustainable dietary changes. TBC’s success rate establishes that significant numbers of patients accessing treatment lose 5% to 10% of their excess body weight during the course of treatment. TBC also have high retention rates, with an average of 78% of patients completing treatment.
The psychological component of the service is based on Cognitive Behavioural Therapy (CBT) and consists of ten psychological behaviour change sessions structured to deliver a programme, which is focused on addressing an individual’s relationship to food. Part of the aim is to identify and implement new coping strategies. These sessions will help a patient to better understand their triggers to disordered eating which in turn will enable them to deal with life events and trauma without resorting to food.
The main focus of this work is:
Understanding how childhood patterns and injunctions impact on adult behaviour around food
Acknowledging childhood trauma such as school bullying and the impact it has on adult eating behaviour
Understanding current relationship to food and triggers to disordered eating
Acknowledging inner dialogue around food and negative thinking patterns
Setting goals to improve self-esteem and eating behaviour
Developing positive thinking and implementing change
Creating new coping strategies
Creating long-term strategies and learning to deal with setbacks
The expectation at the end of the intensive psychological intervention is an improvement in mental health and self-esteem and a reduction in the reliance on food to deal with trauma and life events.