
07/09/2025
Fatman at the Doctor’s
Whenever I have gone to the doctor with a health concern, the response has almost always been the same: “You need to lose weight.”
That has been the default answer to nearly everything, no matter the problem. Chest pain, joint pain, breathing issues, fatigue. The conversation circles back to weight. Of course, weight is a factor. I am not denying that. But what I rarely heard was an offer of help, or a pathway of support. Very few ever acknowledged the psychological side of obesity, or asked me about my binge eating disorder.
Across the years, I have occasionally felt supported, but those moments have been exceptions rather than the norm. I remember one or two doctors who treated me with real compassion, who listened without judgement, who referred me to services that could help. But far too often, I left the surgery feeling like I had been lectured rather than cared for.
The truth is, many GPs do not seem to have the time, the training, or sometimes the inclination to deal with the underlying issues. Binge eating disorder is not widely understood, and too often, compassion is missing. The problem gets reduced to “eat less and move more,” as if it were that simple. That kind of response can be patronising and demoralising, and it leaves people like me feeling even more hopeless.
For me, Bye Bye Fatman, these experiences left scars. I would avoid making appointments because I dreaded the same conversation. And like many obese people, I have carried shame into the waiting room before even sitting down. It takes courage to face your health when you feel judged before you even speak.
Perhaps things are changing. I do think there is more awareness now than when I was younger. But many obese people still dread a trip to the doctor. They fear dismissal, embarrassment, and being made to feel like a problem rather than a person.
I know that weight loss is part of the answer, but I also know that food addiction and binge eating disorder are real. They deserve compassion, not condemnation. They deserve support, not shame. And until more medical professionals recognise that, people like me will continue to leave the doctor’s office feeling heavier in spirit than we walked in.