Why Is a Psychological Evaluation Required Before Bariatric Surgery?

Summer can be an exciting time for teens—filled with vacations, swimming, sports, social gatherings, and more time spent with friends. However, summer can also bring increased pressure around appearance and body image. With more time in shorts, swimsuits, and summer clothing, many teens may become more aware of their bodies and compare themselves to others. Body image struggles are common during adolescence, but they can become overwhelming when teens begin to feel shame, anxiety, or distress about their appearance. As a parent, your support, understanding, and encouragement can make a meaningful difference. Here are practical ways to help your teen develop a healthier relationship with their body this summer. Understand Why Summer Can Be Challenging for Teen Body Image Teenagers are already navigating major physical, emotional, and social changes. During the summer months, body image concerns may increase because of: • More frequent social media exposure and comparison • Pressure to look a certain way for vacations, events, or photos • Increased focus on swimwear and clothing choices • Comments from peers or family members about weight or appearance • Unrealistic beauty and fitness standards promoted online It is important to remember body image is not just about how a teen looks—it is about how they feel about themselves and how they believe others see them. Tips for Supporting Your Teen’s Body Image This Summer 1. Create a Positive Conversation About Bodies The way parents talk about bodies has a powerful impact on teens. Try to avoid negative comments about your own body, dieting, or other people’s appearances. Instead of: • “I need to lose weight before we go on vacation.” Try: • “I want to focus on feeling strong, healthy, and enjoying our time together.” Help your teen understand that bodies come in many different shapes and sizes, and their worth is not determined by their appearance. 2. Focus on What Their Body Can Do Encourage your teen to appreciate their body for its abilities rather than only how it looks. Examples: • “Your body allows you to play the sports you love.” • “Your body helps you experience adventures with friends.” • “Your body deserves care and respect.” This shift can help teens develop body appreciation instead of focusing only on appearance. 3. Be Mindful of Social Media Influence Social media can contribute to unrealistic expectations about beauty, fitness, and appearance. Many online images are filtered, edited, posed, or carefully selected. Encourage your teen to: • Follow accounts that promote confidence and positivity • Unfollow accounts that make them feel inadequate • Teach social media literacy and the fallacies of social media • Teach how the use of filters can alter images, so what is seen is not always the truth • Take breaks from social media when needed • Remember that online images rarely show the full picture Have open conversations about how social media affects their mood and self-esteem. 4. Avoid Making Food the Enemy Summer often comes with increased messages about dieting, “summer bodies,” or needing to change before wearing certain clothing. These messages can negatively affect teens. Encourage balanced habits by: • Eating a variety of nourishing foods and have an inclusive diet • Label the foods by what they are, such as calling a cookie and cookie instead of referring to it as a “treat” or “dessert" • Enjoying less healthy food items without guilt • Avoiding labeling foods as “good” or “bad” and try “more” or “less healthy” • When talking about limits to less healthy foods, explain the reasons for limitations that do not include body size or appearance but rather the health reasons • Focusing on energy, health, and enjoyment A healthy relationship with food is an important part of a healthy relationship with the body. 5. Help Your Teen Find Comfortable Summer Activities Encourage activities that make your teen feel confident and connected rather than focused on appearance. Examples include: • Swimming for fun • Walking or hiking • Creative hobbies • Spending time with supportive friends • Outdoor activities they enjoy The goal is to help teens experience their bodies as something they live in and enjoy—not something they need to constantly evaluate. 6. Listen Before Trying to Fix the Problem If your teen shares body image concerns, try to listen with curiosity and compassion. You might say: • “That sounds really difficult. I’m glad you told me.” • “I can understand why that would feel upsetting.” • “How can I support you right now?” Immediately dismissing their feelings with comments like “You look fine” or “Don’t worry about it” may unintentionally make them feel unheard. 7. Watch for Signs That Your Teen May Need Additional Support Some body image concerns are part of normal development, but certain signs may indicate your teen is struggling more deeply. Consider seeking additional support if you notice: • Avoiding social events, swimming, or activities they once enjoyed • Excessive mirror checking or avoiding mirrors • Frequent negative comments about their appearance • Changes in eating habits or exercise patterns • Increased anxiety, sadness, or isolation • Spending significant time comparing themselves to others • Low self-esteem affecting daily life How Mental Health Therapy Can Help With Body Image Concerns Therapy can be a valuable resource for teens who are struggling with body image, confidence, self-esteem, or related emotional challenges. A mental health therapist provides a safe, supportive environment where teens can talk openly without fear of judgment. Therapy can help teens: • Identify and challenge negative thoughts about themselves • Build healthier self-esteem and confidence • Develop coping skills for social pressure and comparison • Improve emotional regulation and self-compassion • Explore the connection between thoughts, feelings, and behaviors • Develop a more balanced relationship with food, exercise, and appearance A therapist can also help parents learn effective ways to communicate, provide support, and respond to their teen’s struggles. Family therapy or parent guidance sessions may be helpful when body image concerns impact relationships at home. Seeking therapy does not mean something is “wrong” with your teen. It can be a proactive step toward helping them build resilience, confidence, and a healthier sense of self. Frequently Asked Questions About Teen Body Image Issues 

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In a world that’s becoming more inclusive and self-aware, identity exploration —especially gender exploration —is more visible, valid, and supported than ever before. Whether you're questioning aspects of who you are, how you relate to others, or how you express yourself, exploring your identity is a deeply personal and transformative journey. For many, this process can feel confusing, isolating, or overwhelming—especially without safe spaces to unpack those thoughts. That’s where mental health therapy can offer guidance, support, and affirmation. What Is Identity Exploration? Identity exploration is the process of discovering and understanding the core aspects of who you are. This may include: Gender identity (how you experience and express your gender) Sexual orientation Cultural or racial identity Religious/spiritual beliefs Values, roles, and personal goals It’s completely normal—and healthy—to question and reassess your identity throughout your life, especially during periods of growth, transition, or challenge. What Is Gender Exploration? Gender exploration is the process of examining your own sense of gender and how it aligns—or doesn’t—with societal expectations or the gender assigned at birth. It may involve: Questioning whether you identify as male, female, nonbinary, genderfluid , or another identity Exploring gender expression (how you present your gender through clothing, mannerisms, etc.) Understanding the difference between gender identity, gender expression, and sexual orientation Trying new pronouns or names Navigating social, medical, or legal transitions For some, this process results in identifying as transgender, nonbinary, agender, or gender-nonconforming . For others, it may be an ongoing or fluid experience. Why Identity and Gender Exploration Matter Exploring identity is not about “changing” who you are—it’s about uncovering your authentic self . Suppressing or ignoring your internal truths can lead to: Anxiety and depression Low self-esteem or self-worth Disconnection from others or yourself Shame, confusion, or isolation Affirming your identity—whatever it may be—can lead to: Increased self-confidence Greater emotional resilience Healthier relationships A stronger sense of purpose and alignment How Mental Health Therapy Can Support Identity and Gender Exploration Therapy provides a safe, nonjudgmental space to explore and express your identity—especially when it feels confusing, scary, or overwhelming. A therapist can help by: 1.Affirming Your Process Therapists trained in gender-affirming and identity-affirming care understand the nuances of identity development and will meet you where you are. 2. Offering Emotional Support Exploring your identity can come with grief, fear, or loss—especially if you're facing rejection, stigma, or internalized shame. 3. Helping You Cope With External Reactions Therapy can help you navigate difficult conversations with family, friends, or co-workers, and cope with discrimination or misunderstanding. 4. Building Self-Esteem and Resilience Exploring who you are takes courage. Therapy supports you in developing a stronger sense of self-worth and confidence in your identity. 5. Connecting You With Resources A therapist can help guide you toward LGBTQIA+ community support groups, medical professionals, and affirming social spaces. You Don’t Have to Have It All Figured Out Exploration is not a straight line. It’s okay to: Change your mind Be unsure Use different labels over time Choose not to label yourself at all Therapy isn’t about telling you who you are. It’s about helping you discover that for yourself —safely, with compassion and care. Start Your Journey With Support If you're questioning your identity or gender—or just want a safe place to explore without judgment—therapy can help. Our Clinicians specialize in gender identity, LGBTQIA+ issues, and identity exploration. Take your first step toward clarity and self-acceptance.

If you would like to learn more about BED, emotional eating, and eating behaviors please give us a call at 847-461-8414 . Megan Rosecrans Psy.D. LCP Licensed Clinical Health Psychologist Resources:

If you have any more questions about hypnosis, do not hesitate to contact us at 847-461-8414 . Megan Rosecrans Psy.D. LCP Licensed Clinical Health Psychologist References: Yapko, M. D. (2012). Trancework. New York, NY: Taylor & Francis Group

If you would like to schedule a Presurgical Spinal Stimulator Evaluation, please call us at 847-461-8414 . Megan Rosecrans Psy.D. LCP Licensed Clinical Health Psychologist