Aims This presentation aims to share lived experience perspectives on the psychological burden of chronic obesity and repeated weight loss attempts. It highlights the clinical importance of obtaining consent before discussing weight and explores how systemic and interpersonal barriers affect patient engagement and outcomes. We explore how structural stigma and clinical norms contribute to patient harm. This session is co-designed and delivered by people with lived experience of obesity.
Methods Drawing on qualitative insights from individuals with lived experience, including members of the Weight Issues Network (WIN), we present narrative reflections and thematic analysis of common clinical encounters. These accounts were gathered through community consultation, peer interviews, and advocacy forums. Themes were identified around emotional distress, healthcare avoidance, and the impact of clinician communication styles.
Results Participants consistently reported feeling “lost in the system,” where weight was treated as a primary concern without consideration of psychological wellbeing or trauma history. Unsolicited weight discussions were frequently described as triggering shame, reinforcing stigma, and leading to disengagement from care. In contrast, when clinicians sought explicit consent to discuss weight and acknowledged the complexity of obesity, patients reported feeling respected, safe, and more open to collaborative care. Consent-driven conversations were associated with improved trust, adherence, and emotional resilience.
Conclusion For clinicians, the act of asking, “Do you mind if we talk about your weight today?” can be transformative. This simple question signals respect, autonomy, and a willingness to listen—key ingredients in trauma-informed, person-centred care. Embedding psychological insight and lived experience into clinical practice not only reduces harm but enhances outcomes. Clinicians are invited to reflect, listen, and lead change—starting with consent.