Your first steps with us
The treatment should be initiated three months before the surgery is scheduled, at which time you will be given an initial assessment of your eating behavior. You will then meet with your personal case manager, who will be either a registered dietician, nurse or behavior therapist, once to twice a week for the first six weeks, then every second week for the following six weeks. After surgery, you will meet with your caseworker every week for six weeks and then every other week for the next six weeks.
The case manager together with the patient go over the results from the eating evaluation, decide on the treatment goals, write the individual treatment plan, design the meal plan, a physical activity plan, and install the appropriate normal eating data pattern onto the Mandometer® to visualize the goals for normalizing your eating pattern. Short-term behavioral goals are rewarded with a gift when the goals have been reached. It is at this time that the patients discuss their concerns about the surgery, the preparation for the surgery and the period after surgery.
The case manager asks the patient to test the introductory meal size and goal rate of eating for one week and to record whether the amount of food is too much or too little, whether the eating rate is too fast or too slow, and whether the meal time feels stressful or makes reasonable demands on them. Their responses to the original meal size and eating rate are discussed at the next appointment.