The double stigma of obesity and serious mental illnesses: promoting health and recovery.

UNLABELLED: This article contrasts the traditional medical approach and size acceptance perspectives on obesity among people with serious mental illnesses.
PURPOSE: Higher incidences of obesity among populations with serious mental illnesses have been identified. In response, a recent initiative in mental health has urged providers to address the obesity rates among populations with mental illnesses by monitoring weight, prescribing weight loss medication, and recommending bariatric surgery. However, literature is emerging with regards to the double stigma experienced by individuals with obesity and a mental illness. Therefore, the traditional focus on weight loss can benefit from a size acceptance approach to focus on health promotion and avoid stigmatizing size. SOURCES USED: Citations of theoretical and behavioral health literature on the experiences of individuals with mental illnesses and obesity are presented. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Recommendations for interventions, training, and future research related to obesity and mental illnesses are provided. Implications are suggested for a size acceptance approach to interventions for individuals in recovery from mental illnesses to promote health at every size within mental health and medical settings.