First, let me say, I don't like the term obesity. I don't use it in my practice as a dietitian, or with my friends and family, unless it's such a major part of their vernacular it's the only way I can connect. If it's what I need to use to be on common ground or to make a point, I do. But in general, it's not a way I categorize bodies. People always have and always will come in different sized bodies. We don't diagnose someone's height and we shouldn’t diagnose their weight.
During an eating disorder assessment the clinician usually asks the patient several questions regarding their feelings about their bodies. What do they think is their ideal weight? Does their feelings about their bodies prevent them from participating in any life activities? Are there any body parts they especially obsess about and dislike? At what age did they start having negative feelings about their body? A common answer to this last question goes something like this:
I am so fat!
I am disgusting!
I can’t stand to look at myself!
My head is too big for my body!
I am so weak – I have no muscle tone!
I avoid mirror because I am so freakishly tall.
I’ve had my nose fixed but now I can see that my lips need work too!