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To wonder why people don’t look after themselves

190 replies

Redtoothpaste · 30/01/2025 10:14

My husband is overweight and has a number of obesity related conditions.

He has been told repeated by doctors that he needs to control his food intake and take better care of himself. He is already on life long medication, and has been for years. He is mid 40s.
He is very worried about his health but he repeatedly falls into his bad habits. His will power lasts a few days and he is eating shit again. He has he doesn’t without thinking. He is making himself and me worried.

Indont understand why he keeps doing this to himself. His response is always, “I will start tomorrow,” but he never does. This (delaying things that are difficult) is a very common trait with him and he got some therapy years ago but it hasn’t worked. He has dozens of self help / procrastination books which has never read.

He is a great husband and father to our two children. I just cannot seem to get through to him. He has a very, very traumatic childhood and he says he slipped into this attitude of putting things over whilst he was at school and its effect him his whole life. He now has a good job, we have a good life and I want it to continue.

OP posts:
StupidBitchy · 30/01/2025 16:05

To be honest it sounds like he's still somewhat depressed.

Comet33 · 30/01/2025 16:03

#NotAllFatPeople
Obviously...

But many.

RockPaperS · 30/01/2025 14:48

NameChangedOfc · 30/01/2025 13:27

I find obesity to be the least understood of eating disorders (quoted comment as a perfect example). And the people who suffer from it are clearly the most despised. Sad.

Someone obese doesn’t necessarily have an eating disorder!
Plenty of people are obese because they enjoy food and/or don’t like exercising. I used to be one of them, no judgment, but why deny that there is an element of choice (for most people at least)?

Pinckk · 30/01/2025 14:41

ImWithGuineaPigsOnThisOne · 30/01/2025 13:53

@Pinckk Fair enough you don't see it as the same . Maybe it's not the same in every case . But those who work in mental health especially in areas regarding trauma say it is a coping mechanism. Compulsively bingeing isn't just self indulgence it's eating double or triple portions and still wanting more. Going out in secret to buy food and eating it and eating, hiding it, lying about it, hoarding it. thinking about food all the time . Always on a a diet and afraid to hear just one chocolate biscuits in case you have 20 and still want to go out and buy more.

Gluttonous people, truly gluttonous people often struggle with the same Obsessive all or nothing perfectionist tendencies seen in anorexic people. we are hard on oursleves. Some of us even cut . Not all of us no but young and always tell if someone is a cutter because they may do it in other places not seen. Some of us also abuse alcohol drugs or gambling . Some shoplif t. For me I went into debt, I would buy and buy. It was like a had a hole inside me. I suspect the trauma issues in my case stopped me producing serotonin or dopamine the right way, it's like I needed a hit. I don't have ADHD.

90% of us admit to being abused as children in various ways. The other 10% have other demons May be . Also some have experienced emotional abuse like bullying by peers or being invalidated or shamed a lot by parents or maybe low level forms of sexual abuse (fondling, "flashing" etc) and they might not realise it has affected them. Or maybe it happened at an age where they didn't form conscious memories of it but someone who was there at the time did recall it? A lot of us minimise what we have been through or if we told we were just told it was what happens to loads of children and to forget about it .or we were punished for telling.Maybe not believed or gaslighted about it.

This may or may not be the case with the OP's partner. But nobody wants to feel out of control with food, nobody wants to be out of breath going up the stairs or unable to fit their clothes. Nobody wants to be fat. Not consciously. Some may become fat so predators will leave them alone (didn't work in my case, it still happened again and again) but it's not usually a conscious thought process.

So I'm not speaking for all obese people but I do think for many of us it's not as easy as put down the fork. Depression and passivity are a huge factor too.

Think about it-- do you know a really chubby person whom had never tried to diet? I doubt it. I expect they exist but I think it's rare. If it was a simple as willpower and dieting would there be any fat people?

Edited

What you’ve described doesn’t account for the sheer number of people that are obese though.

On the one hand it’s now considered somewhat biological, as discussed, some people don’t feel full so eat more than they should hence weight gain.

On the other hand, if it’s predominantly a trauma response in the vast majority of cases, then that would make the biological theory moot?

I don’t think it’s easy to lose weight at all. I know it’s hard and the heavier someone gets the bigger the struggle seems, so it probably feels pointless to try - I do get that but personal accountability has to play a role and it will be hard, but how else can someone lose weight? They have to make the decision to stop eating unhealthy otherwise they’ll always be in the same boat.

Pinckk · 30/01/2025 14:17

ImWithGuineaPigsOnThisOne · 30/01/2025 13:25

Sure it's not the case that everyone who is obese will have BED or bulimia but someone who can't stop eating even when they know it's killing them, that's not just enjoying food. In any case the OP s partner has trauma and it wouldn't hurt him to explore that . For many of us eating too much absolutely is a form of self injury and a self comfort at the same time. It's not as simple as just going on a diet .

Not all obese people have BED, but a huge number of them are walking around undiagnosed, not even realising.

The OPs partner did not have a happy childhood any more than I did . Yes I do enjoy food but its an obsession for me and way to sabotage myself I have urged to get rid of it afterwards. There is no way someone chooses to be the size I am. I'm a size 22-24. Used to be a size 30.

also self neglect and lack of self care are a lot to do with ow see worth. Someone with pride in themselves doesn't let themself go. How many obese people do you know who have good self worth ? Very few .

Yes I can imagine people who are obese don’t feel great due to their size and I realise that it will impact their self esteem in some situations of course, but plenty of people have low self esteem/self worth for a plethora of reasons, not just weight related.

I had a traumatic childhood and food Is my vice too. I’m not obese and I appreciate how lucky I am, in that I do get full fast. I crave sweets, high fat food and takeaways but they just taste so nice it is hard to walk past without chucking them in my trolly.

If I had a lovely childhood, I don’t believe for a second that somehow I wouldn’t have these intense cravings. I’m certain I’d still be the same size as I am now.

ImWithGuineaPigsOnThisOne · 30/01/2025 13:53

@Pinckk Fair enough you don't see it as the same . Maybe it's not the same in every case . But those who work in mental health especially in areas regarding trauma say it is a coping mechanism. Compulsively bingeing isn't just self indulgence it's eating double or triple portions and still wanting more. Going out in secret to buy food and eating it and eating, hiding it, lying about it, hoarding it. thinking about food all the time . Always on a a diet and afraid to hear just one chocolate biscuits in case you have 20 and still want to go out and buy more.

Gluttonous people, truly gluttonous people often struggle with the same Obsessive all or nothing perfectionist tendencies seen in anorexic people. we are hard on oursleves. Some of us even cut . Not all of us no but young and always tell if someone is a cutter because they may do it in other places not seen. Some of us also abuse alcohol drugs or gambling . Some shoplif t. For me I went into debt, I would buy and buy. It was like a had a hole inside me. I suspect the trauma issues in my case stopped me producing serotonin or dopamine the right way, it's like I needed a hit. I don't have ADHD.

90% of us admit to being abused as children in various ways. The other 10% have other demons May be . Also some have experienced emotional abuse like bullying by peers or being invalidated or shamed a lot by parents or maybe low level forms of sexual abuse (fondling, "flashing" etc) and they might not realise it has affected them. Or maybe it happened at an age where they didn't form conscious memories of it but someone who was there at the time did recall it? A lot of us minimise what we have been through or if we told we were just told it was what happens to loads of children and to forget about it .or we were punished for telling.Maybe not believed or gaslighted about it.

This may or may not be the case with the OP's partner. But nobody wants to feel out of control with food, nobody wants to be out of breath going up the stairs or unable to fit their clothes. Nobody wants to be fat. Not consciously. Some may become fat so predators will leave them alone (didn't work in my case, it still happened again and again) but it's not usually a conscious thought process.

So I'm not speaking for all obese people but I do think for many of us it's not as easy as put down the fork. Depression and passivity are a huge factor too.

Think about it-- do you know a really chubby person whom had never tried to diet? I doubt it. I expect they exist but I think it's rare. If it was a simple as willpower and dieting would there be any fat people?

User860131 · 30/01/2025 13:34

I think some people are being very harsh on OP. She has a life with this man. He is her children's father. In the fairly likely event that he dies younger than average she and her children will be deeply affected. Is she just meant to sit back and accept that her dh is eating himself to death or is it reasonable of her to want to do what she can to help him?

NameChangedOfc · 30/01/2025 13:27

RockPaperS · 30/01/2025 13:12

I disagree that it is the same as depression, as ‘cheering up’ is not something you do, it is how you feel, whereas putting food in your mouth is a physical act that we fully control.

I’m a smoker, I smoke daily, I know how hard it is not to do it BUT when I had a medical procedure with no smoking permitted for 3d I was able to stop (because there was a good reason). Someone with depression wouldn’t be able to ‘cheer up’ on demand, even for a good reason.

I find obesity to be the least understood of eating disorders (quoted comment as a perfect example). And the people who suffer from it are clearly the most despised. Sad.

ImWithGuineaPigsOnThisOne · 30/01/2025 13:25

Pinckk · 30/01/2025 12:35

I don’t see it as the same.
Most people are overweight in today’s society so it’s extremely common to overeat. There is always something assigned to it but actually some people will say I’ve had a nice life, happy childhood but I really really enjoy the taste of salt, sugar and high fat processed food, simply because it tastes good. It’s over indulging in the wrong foods that create obesity.

Most people aren’t anorexic and there absolutely other issues at play there in every case. It’s more like self harm by purposefully withholding food and the food is simply a tool.

Edited

Sure it's not the case that everyone who is obese will have BED or bulimia but someone who can't stop eating even when they know it's killing them, that's not just enjoying food. In any case the OP s partner has trauma and it wouldn't hurt him to explore that . For many of us eating too much absolutely is a form of self injury and a self comfort at the same time. It's not as simple as just going on a diet .

Not all obese people have BED, but a huge number of them are walking around undiagnosed, not even realising.

The OPs partner did not have a happy childhood any more than I did . Yes I do enjoy food but its an obsession for me and way to sabotage myself I have urged to get rid of it afterwards. There is no way someone chooses to be the size I am. I'm a size 22-24. Used to be a size 30.

also self neglect and lack of self care are a lot to do with ow see worth. Someone with pride in themselves doesn't let themself go. How many obese people do you know who have good self worth ? Very few .

Dappy777 · 30/01/2025 13:21

I often wonder this. I suspect that in many cases it's low level depression and anxiety, which people soothe with sugar and alcohol and fat. I guess you could call them deaths of despair. There are just too many people crammed into this little island. That means lack of space, small houses jammed on top of one another, and almost constant stress and noise. My local woods have been hacked down to make way for a new estate, and now the fields in the centre of the village are going to have 500 disgusting rabbit hutch 'homes' squeezed onto them. We didn't evolve to live this way. It's making us deeply unhappy. At the risk of sounding like a hippy, it's disturbing us at some deep, spiritual level.

NameChangedOfc · 30/01/2025 13:21

Comedycook · 30/01/2025 10:16

He has a very, very traumatic childhood and he says he slipped into this attitude of putting things over whilst he was at school and its effect him his whole life

You've just answered your own question

Exactly

MajorCarolDanvers · 30/01/2025 13:20

I see there’s a lot of skinny arseholes on this thread.

’i can be skinny why can’t you’ 🤦‍♀️

MajorCarolDanvers · 30/01/2025 13:14

He had a traumatic childhood that’s affected his whole life

that’s your answer.

he needs to work on his mental health first before he can tackle his physical health

how can you not understand that?

RockPaperS · 30/01/2025 13:12

FictionalCharacter · 30/01/2025 10:26

Indeed.
There are many people in your husband’s situation OP. If it was as simple as “just do it”, they obviously would. There’s something blocking him from doing what he needs to do. It’s possible that therapy could help, but he obviously can’t do it on his own.
It’s a bit like saying “why don’t people with depression just cheer up?” They are just not able to, that’s the whole problem.

I disagree that it is the same as depression, as ‘cheering up’ is not something you do, it is how you feel, whereas putting food in your mouth is a physical act that we fully control.

I’m a smoker, I smoke daily, I know how hard it is not to do it BUT when I had a medical procedure with no smoking permitted for 3d I was able to stop (because there was a good reason). Someone with depression wouldn’t be able to ‘cheer up’ on demand, even for a good reason.

MumWifeOther · 30/01/2025 13:03

LadyKenya · 30/01/2025 13:02

Not at all, you trying to be encouraging may not be necessary though, you assume that the OP needs your words of wisdomHmm. Good Day.

Ok old wise one, I won’t offer my opinion on a forum that is asking for opinions ever again. Good day!

LadyKenya · 30/01/2025 13:02

MumWifeOther · 30/01/2025 12:57

Omg 🤣😫 I know, I was just trying to be encouraging. What is it with some of you Mumsnettters!? Just like being pedantic and disagreeing for the sake of it??

Not at all, you trying to be encouraging may not be necessary though, you assume that the OP needs your words of wisdomHmm. Good Day.

MumWifeOther · 30/01/2025 12:57

LadyKenya · 30/01/2025 12:51

Nobody has any idea what the OP is doing, or not doing though, seeing as she has not specified.

Omg 🤣😫 I know, I was just trying to be encouraging. What is it with some of you Mumsnettters!? Just like being pedantic and disagreeing for the sake of it??

Priddy · 30/01/2025 12:56

AzurePanda · 30/01/2025 12:30

@Priddy that is clearly correct but there are an awful lot of us who also never or rarely feel full but are slim. It’s damned hard but for me the decision not to make poor food choices is worth it as I really value the way I feel when I’m slender and fit.

And there you go: you control your weight by rigorous dieting and you don't see why others shouldn't — and you completely ignore everything I wrote. Your experience is your experience.

HereBeMonsters27 · 30/01/2025 12:51

Pinckk · 30/01/2025 11:39

I agree some people get full faster faster and some get hungrier quicker. That’s where the genetic component comes in and I agree with that.

Being obese is now seen as a medical/genetic issue rather than an individual issue, fair enough.

If someone feels constantly hungry then why not consume healthy snacks and graze on raw carrots/cucumber/drink pints of water to fill your stomach all day for eg to ‘fill you up?’

So I’m conflicted because whilst I agree some people have an off switch to say they’re full and that is luck and that helps them keep trim, I don’t believe the majority of obese people eat mainly healthy foods.

Thats suggests to me that they’re eating higher calorie food which tastes nicer but because they don’t have an “I’m full now” switch they eat too much.

To summarie, they can’t help not feeling full, but they can help what they chose to eat to fill them up. 4 plates of raw veg would be a lot less calorific than 4 plates of cheese burgers….

Edited

I think for me at least, it still doesn't feel like I've eaten. I'm not hungry, but I'm still craving food. There's this constant gnawing need to something else - usually carby/salty/sugary (I mainly overeat bread and butter, but it might be crackers or cheese or snack bars or whatever else we have). Only then do I feel satiated.

I do eat plenty of healthy foods, but I eat too many foods on top of that. I certainly don't live on junk food - I don't even really like much packaged junk food (chocolate, crisps, doughnuts type stuff). It's the extra 'normal' food I overeat that causes problems.

LadyKenya · 30/01/2025 12:51

MumWifeOther · 30/01/2025 12:47

Obviously he needs to want to change which is why I suggested therapy. It’s also madness to not try and encourage healthy habits at home, and actually lead by example! Especially if there are kids involved who need to not follow the same pattern as dad, as we see MANY families in which all
members are overweight as no one breaks this cycle.

Nobody has any idea what the OP is doing, or not doing though, seeing as she has not specified.

MumWifeOther · 30/01/2025 12:47

LadyKenya · 30/01/2025 12:42

The OP could do all of that, and there would be nothing stopping her Husband eating whatever, when out, and about. The OP cannot control that, it is down to her Husband to want to change.

Obviously he needs to want to change which is why I suggested therapy. It’s also madness to not try and encourage healthy habits at home, and actually lead by example! Especially if there are kids involved who need to not follow the same pattern as dad, as we see MANY families in which all
members are overweight as no one breaks this cycle.

LadyKenya · 30/01/2025 12:42

MumWifeOther · 30/01/2025 12:32

I was already thinking there’s unresolved trauma and then read the part about his childhood. That is the issue. I hope he can seek therapy and then start to make small changes that will improve his life. Please encourage him and lead by example, ensure you help him plan healthy meals and don’t buy crap. Good luck 🙏🏽

The OP could do all of that, and there would be nothing stopping her Husband eating whatever, when out, and about. The OP cannot control that, it is down to her Husband to want to change.

Auldlang · 30/01/2025 12:40

Compulsive behaviour is way more complicated to overcome than "just doing it."

SoNiceToComeHomeTo · 30/01/2025 12:38

Overeating after serious childhood trauma is often a way of managing unbearable feelings, a kind of self-medication. He has a good life now but may still be troubled by feelings from his younger days. Therapy might help. So might an understanding overeaters anonymous type group.

Winter2020 · 30/01/2025 12:38

ilovemyhamster · 30/01/2025 10:23

I find this topic fascinating. I wonder this all the time. I guess if it was easy everyone would be a healthy weight and exercise and generally try and control the controllables. But so many don't. I think it's a mix of motivation and general mindset but even people with massive health problems persist with unhealthy lifestyles. I guess you need a strong reason why. Maybe talking to him about being around in the long term for his children would give him his reason why. 🙏🏻It's sad really isn't it. Being unwell is crap so you'd think he'd try and avoid it

You have suggested mindset and motivation are important and I don't disagree but life circumstances certainly have a role.

In my twenties I lost a couple of stone and maintained that loss for a decade plus - I focused on weight loss, I power walked every day for an hour to lose the first stone and went to bed each night with my arms feeling weak and shaky. I took up running and eventually ran a few marathons.

....cut to now and I am a middle aged night shift worker with 2 kids one of which has special needs. The vast majority of my life I am working, sleeping or taking care of my kids (which isn't always easy). I cannot prioritise my health and well-being. I have no time or energy to do so. I'm turning to Mounjaro. Three weeks in I'm 11lb down with 2 and a half stone to go until I hit a healthy weight and a lot of faith that I will get there.