Tracy Williams

64 statements · 2 topics · summaries given as host listed separately

Featured statements

▶ Ep 2 · 16:54
our patients have, they have disordered eating, um, but they're not welcome in a lot of disordered eating outpatient programs because their BMI doesn't meet the criteria or their symptomatology doesn't meet the criteria for inclusion.
quote · Depression
▶ Ep 2 · 17:20
our patients actually are excluded often from, from, you know, targeted disordered eating treatment because they technically, because of their BMI status, don't meet criteria.
quote · Depression
▶ Ep 18 · 18:12
so many of our patients have restrictive eating patterns and, you know, and everyone just assumes that they all have binge eating.
quote · Obesity
▶ Ep 18 · 17:40
it's all a spectrum
quote · Obesity

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Tracy's statements about Depression 32 statements

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Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course

▶ Ep 2 · 0:34
clinical Kids and teens experiencing obesity are at higher risk for mood disorders including depression and anxiety, body image difficulties, self-esteem issues, peer relationship problems (including bullying and teasing), and lower resilience. ↗
▶ Ep 2 · 2:00
clinical There is a reciprocal relationship among psychosocial factors in obesity: poor sleep impacts mood and attention, and kids with obesity are at risk for ADHD; these factors are interconnected and affect self-perception. ↗
▶ Ep 2 · 3:00
clinical All psychosocial aspects of patients' lives need monitoring even after bariatric surgery. ↗
▶ Ep 2 · 4:00
quote What we are doing is we are helping the teenagers in their quality of life as well as with their health. ↗
▶ Ep 2 · 5:00
quote all in all, long-term mental health care is advised, uh, particularly post-operatively. ↗
▶ Ep 2 · 5:00
guideline Long-term mental health care is advised post-operatively, including assessment such as 3-month screening for depression and anxiety, and some places recommend screening for body dysmorphia. ↗
▶ Ep 2 · 6:20
clinical There is a connection between quality of physical health and quality of moods, emotions, and relationships: as physical health improves, mood and relationships are likely to improve. ↗
▶ Ep 2 · 6:40
clinical Pre-operative discussions about post-surgical lifestyle changes are important because teenagers typically do not spend much time thinking in future tense. ↗
▶ Ep 2 · 7:00
quote if you think back to your teens, you're probably not spending a whole lot of time thinking future tense. ↗
▶ Ep 2 · 7:30
clinical Post-operative check-ins should assess not only adherence to recommended behaviors but also how patients are managing lifestyle changes. ↗
▶ Ep 2 · 8:00
clinical Developmental transitions such as finishing high school, academic stress, and preparing to launch from home are important considerations, as stress has a connection with relationship to food. ↗
▶ Ep 2 · 8:20
quote we know that stress has a connection with our relationship with food. ↗
▶ Ep 2 · 9:00
clinical People who experience obesity tend to have disconnection from their body and are not fully connected to their sense of physical self. ↗
▶ Ep 2 · 9:20
quote people who experience obesity tend to have disconnection from their body are not fully connected to their sense of physical self. ↗
▶ Ep 2 · 9:40
clinical After bariatric surgery, physical changes happen rapidly but the change in how patients view themselves does not happen as quickly, leading to a disconnect where patients do not recognize they are changing even when others comment on it. ↗
▶ Ep 2 · 9:50
quote The change in how patients view themselves is not happening as quickly as the physical changes. ↗
▶ Ep 2 · 10:10
quote they are not recognizing that they are changing. They are not seeing it and there's no way for us to force them to see it that will come with time. ↗
▶ Ep 2 · 10:20
clinical Positive body image and physical satisfaction continue to be a work in progress post-operatively and will not automatically result from bariatric surgery or subsequent cosmetic surgery; this is a subconscious process that takes time. ↗
▶ Ep 2 · 10:40
quote positive body image that continues to be a work in progress even postoperatively. That is something that has subconsciously take place that will not just happen as a result of having surgery, whether it's bariatric surgery or subsequent cosmetic surgery. ↗
▶ Ep 2 · 11:00
guideline Cosmetic surgery teams should assess for body dysmorphia. ↗
▶ Ep 2 · 11:48
clinical Patients who have been bullied and socially isolated may be at risk when they suddenly receive attention (such as male attention) after weight loss post-surgery. ↗
▶ Ep 2 · 12:30
guideline Social concerns should be addressed preoperatively; mild concerns require basic tools for managing peer conflicts and difficult conversations, while severe concerns (difficulties forming or keeping friendships, dating issues) require referral for concurrent treatment during the bariatric journey. ↗
▶ Ep 2 · 13:26
guideline Pre-surgical evaluation should include discussion of who knows about the surgery, who is supporting the patient, and the quality of that support, as well as how to address lack of support from family members. ↗
▶ Ep 2 · 14:30
guideline Patients should be prepared with responses for when people comment on their changed appearance post-surgery, particularly if they have not disclosed the surgery. ↗
▶ Ep 2 · 15:45
guideline Separate conversations with parents and with teens are a crucial component of pre-surgical evaluation. ↗
▶ Ep 2 · 16:54
clinical Access to mental health services is difficult, and bariatric patients are often excluded from targeted disordered eating treatment because their BMI status does not meet criteria despite being on the eating disorder spectrum. ↗
▶ Ep 2 · 16:54
quote our patients have, they have disordered eating, um, but they're not welcome in a lot of disordered eating outpatient programs because their BMI doesn't meet the criteria or their symptomatology doesn't meet the criteria for inclusion. ↗
▶ Ep 2 · 16:54
clinical Bariatric surgery patients have disordered eating but are often not welcome in disordered eating outpatient programs because their BMI or symptomatology does not meet inclusion criteria. ↗
▶ Ep 2 · 17:20
quote our patients actually are excluded often from, from, you know, targeted disordered eating treatment because they technically, because of their BMI status, don't meet criteria. ↗
▶ Ep 2 · 17:40
quote it's all a spectrum ↗
▶ Ep 2 · 18:12
quote so many of our patients have restrictive eating patterns and, you know, and everyone just assumes that they all have binge eating. ↗
▶ Ep 2 · 18:12
clinical Many bariatric surgery patients have restrictive eating patterns, not binge eating as commonly assumed. ↗
Tracy's statements about Obesity 32 statements

Open the Obesity collection →

Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course

▶ Ep 18 · 0:34
clinical Kids and teens experiencing obesity are at higher risk for mood disorders including depression and anxiety, body image difficulties, self-esteem issues, peer relationship problems (including bullying and teasing), and lower resilience. ↗
▶ Ep 18 · 2:00
clinical There is a reciprocal relationship among psychosocial factors in obesity: poor sleep impacts mood and attention, and kids with obesity are at risk for ADHD; these factors are interconnected and affect self-perception. ↗
▶ Ep 18 · 3:00
clinical All psychosocial aspects of patients' lives need monitoring even after bariatric surgery. ↗
▶ Ep 18 · 4:00
quote What we are doing is we are helping the teenagers in their quality of life as well as with their health. ↗
▶ Ep 18 · 5:00
guideline Long-term mental health care is advised post-operatively, including assessment such as 3-month screening for depression and anxiety, and some places recommend screening for body dysmorphia. ↗
▶ Ep 18 · 5:00
quote all in all, long-term mental health care is advised, uh, particularly post-operatively. ↗
▶ Ep 18 · 6:20
clinical There is a connection between quality of physical health and quality of moods, emotions, and relationships: as physical health improves, mood and relationships are likely to improve. ↗
▶ Ep 18 · 6:40
clinical Pre-operative discussions about post-surgical lifestyle changes are important because teenagers typically do not spend much time thinking in future tense. ↗
▶ Ep 18 · 7:00
quote if you think back to your teens, you're probably not spending a whole lot of time thinking future tense. ↗
▶ Ep 18 · 7:30
clinical Post-operative check-ins should assess not only adherence to recommended behaviors but also how patients are managing lifestyle changes. ↗
▶ Ep 18 · 8:00
clinical Developmental transitions such as finishing high school, academic stress, and preparing to launch from home are important considerations, as stress has a connection with relationship to food. ↗
▶ Ep 18 · 8:20
quote we know that stress has a connection with our relationship with food. ↗
▶ Ep 18 · 9:00
clinical People who experience obesity tend to have disconnection from their body and are not fully connected to their sense of physical self. ↗
▶ Ep 18 · 9:20
quote people who experience obesity tend to have disconnection from their body are not fully connected to their sense of physical self. ↗
▶ Ep 18 · 9:40
clinical After bariatric surgery, physical changes happen rapidly but the change in how patients view themselves does not happen as quickly, leading to a disconnect where patients do not recognize they are changing even when others comment on it. ↗
▶ Ep 18 · 9:50
quote The change in how patients view themselves is not happening as quickly as the physical changes. ↗
▶ Ep 18 · 10:10
quote they are not recognizing that they are changing. They are not seeing it and there's no way for us to force them to see it that will come with time. ↗
▶ Ep 18 · 10:20
clinical Positive body image and physical satisfaction continue to be a work in progress post-operatively and will not automatically result from bariatric surgery or subsequent cosmetic surgery; this is a subconscious process that takes time. ↗
▶ Ep 18 · 10:40
quote positive body image that continues to be a work in progress even postoperatively. That is something that has subconsciously take place that will not just happen as a result of having surgery, whether it's bariatric surgery or subsequent cosmetic surgery. ↗
▶ Ep 18 · 11:00
guideline Cosmetic surgery teams should assess for body dysmorphia. ↗
▶ Ep 18 · 11:48
clinical Patients who have been bullied and socially isolated may be at risk when they suddenly receive attention (such as male attention) after weight loss post-surgery. ↗
▶ Ep 18 · 12:30
guideline Social concerns should be addressed preoperatively; mild concerns require basic tools for managing peer conflicts and difficult conversations, while severe concerns (difficulties forming or keeping friendships, dating issues) require referral for concurrent treatment during the bariatric journey. ↗
▶ Ep 18 · 13:26
guideline Pre-surgical evaluation should include discussion of who knows about the surgery, who is supporting the patient, and the quality of that support, as well as how to address lack of support from family members. ↗
▶ Ep 18 · 14:30
guideline Patients should be prepared with responses for when people comment on their changed appearance post-surgery, particularly if they have not disclosed the surgery. ↗
▶ Ep 18 · 15:45
guideline Separate conversations with parents and with teens are a crucial component of pre-surgical evaluation. ↗
▶ Ep 18 · 16:54
quote our patients have, they have disordered eating, um, but they're not welcome in a lot of disordered eating outpatient programs because their BMI doesn't meet the criteria or their symptomatology doesn't meet the criteria for inclusion. ↗
▶ Ep 18 · 16:54
clinical Access to mental health services is difficult, and bariatric patients are often excluded from targeted disordered eating treatment because their BMI status does not meet criteria despite being on the eating disorder spectrum. ↗
▶ Ep 18 · 16:54
clinical Bariatric surgery patients have disordered eating but are often not welcome in disordered eating outpatient programs because their BMI or symptomatology does not meet inclusion criteria. ↗
▶ Ep 18 · 17:20
quote our patients actually are excluded often from, from, you know, targeted disordered eating treatment because they technically, because of their BMI status, don't meet criteria. ↗
▶ Ep 18 · 17:40
quote it's all a spectrum ↗
▶ Ep 18 · 18:12
quote so many of our patients have restrictive eating patterns and, you know, and everyone just assumes that they all have binge eating. ↗
▶ Ep 18 · 18:12
clinical Many bariatric surgery patients have restrictive eating patterns, not binge eating as commonly assumed. ↗

Summaries Tracy gave as host · 8 summaries

Recaps of other experts' statements, not Tracy's own clinical position.

Summaries Tracy gave as host · Depression 4 summaries

Open the Depression collection →

Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course

▶ Ep 2 · 3:20
host summary Tracy Williams summarizing a resource: Bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers and improves their quality of life and overall health. ↗
▶ Ep 2 · 3:20
host summary Tracy Williams summarizing a resource: bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers. ↗
▶ Ep 2 · 4:00
host summary Tracy Williams summarizing a resource: Research shows that psychosocial symptomatology in bariatric surgery patients tends to remit or improve for the most part, and psychosocial concerns seen post-operatively are typically pre-existing conditions rather than new symptoms. ↗
▶ Ep 2 · 5:40
host summary Tracy Williams summarizing a resource: Follow-up research shows decreases in mood disorder symptoms (anxiety, depression, anger, disruptive behavior), improvements in social isolation, and improvements in mood and relationships as patients feel better about themselves. ↗
Summaries Tracy gave as host · Obesity 4 summaries

Open the Obesity collection →

Traci Williams, MD - 2024 Pediatric Bariatric Surgery Update Course

▶ Ep 18 · 3:20
host summary Tracy Williams summarizing a resource: bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers. ↗
▶ Ep 18 · 3:20
host summary Tracy Williams summarizing a resource: Bariatric surgery has a significant and positive impact on the psychological comorbidities of obese teenagers and improves their quality of life and overall health. ↗
▶ Ep 18 · 4:00
host summary Tracy Williams summarizing a resource: Research shows that psychosocial symptomatology in bariatric surgery patients tends to remit or improve for the most part, and psychosocial concerns seen post-operatively are typically pre-existing conditions rather than new symptoms. ↗
▶ Ep 18 · 5:40
host summary Tracy Williams summarizing a resource: Follow-up research shows decreases in mood disorder symptoms (anxiety, depression, anger, disruptive behavior), improvements in social isolation, and improvements in mood and relationships as patients feel better about themselves. ↗