support groups - professionally facilitated or peer-led?

CarolineM
on 9/6/11 1:57 pm
I go to one that's affiliated with the HMO where I had the surgery. They're a COE, so the groups are professionally facilitated, by social workers. We start by going around the room, introducing ourselves and where we are in the process (pre-op, etc.) and about half the people usually add how much weight they've lost.

There is a monthly newsletter, addressing one topic, which is then the topic for the support group meetings. Recent months the topics have been getting enough protein, weight regain, getting back on track, transfer addictions, depression, self-image, surviving the holidays, eating with the family. A lot of the meetings don't end up sticking too closely to the topic, but it's a good starting point.

It's not uncommon for one of the surgeons or a nutritionist to attend, but they take questions, rather than lecture.

Before surgery, I would have said I never would be a support group person. I only attended pre-surgery because it was an insurance requirement, but I'm 15 months out now, and I have no plans to stop attending.

  HW 400   SW 355    CW 178   GW 180           5'10"
        
poet_kelly
on 9/6/11 2:18 pm - OH
What made you think before surgery that you wouldn't be a support group person?

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

CarolineM
on 9/7/11 1:42 am
I'm fairly introverted and often don't feel comfortable talking in a group situation. And I thought I would get bored hearing other people's issues and stories. That turned out not to be true. As a pre-op, I found it very helpful to hear the range of experiences, including a couple of people who had serious complications.

  HW 400   SW 355    CW 178   GW 180           5'10"
        
poet_kelly
on 9/7/11 6:34 am - OH
I'm glad you decided to try the group anyway.  And people that aren't comfortable talking much in front of a group can always just listen.  I think you can learn a lot even if you don't say much.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

nfarris79
on 9/6/11 8:55 pm - Germantown, MD
 I'm so glad you liked group last night! (and, a little sly secret..... Joyce & I are both therapists! Hope that doesn't undermine the "peer" status we enjoy.) I do prefer peer-lead, smaller groups. I also attend an in-person group weekly and have a few problems with it (but keep going anyway) - the 2 educational sessions per month are informative and the fact that they're upfront with a topic and the educational component (PS, exercise, nutrition) helps me frame it with informational expectations. However, the "support/MH" groups lead by a social worker I find quite a bit less supportive then they're intended. The facilitator seems to like to hear herself talk and some group members hijack the conversation at times. Being kinda an introverted person, I've felt really hurt to be talked over or ignored when I had something to add. So I guess that supports your point that the facilitator has to be not just a professional but really good at group process..... Lack of structure and cohesiveness can turn a lot of people off to the group itself. I've seen a few people just leave because they couldn't stand the dynamic. Pity.....

First ultra: Stone Mill 50 miler 11/15/14 13:44:38, First Full Marathon: Marine Corps 10/27/13 4:57:11Half Marathon PR 2:04:43 at Shamrock VA Beach Half-Marathon, 12/2/12 First Half-Marathon 2:32:47, 5K PR  Run Under the Lights 5K 27:23 on 11/23/13, 10K PR 52:53 Pike's Peek 10K 4/21/13(1st timed run) Accumen 8K 51:09 10/14/12.

     
 

poet_kelly
on 9/7/11 12:25 am - OH
I didn't know the two of you were therapists, but I don't think that changes your "peer" status.  That may be part of why you do a good job facilitating the group when it's your turn, but you definitely don't take on a "professional therapist" role even then.  I feel like all members of the group are "on the same level" if that makes sense.

When one person (or just a couple people) really take over the conversation and the facilitator doesn't address it, to me that is a big indication that the facilitator doesn't know how to facilitate a group.  I think it's very common to have one or two people that talk a lot more than others in a group, and sometimes it might be that person just being inconsiderate of others but I think it's more likely that other group members are more quiet or shy so they don't speak up so the one that's not quiet or shy ends up talking a lot more or they just don't realize someone else might have something to say.  When the facilitator just likes to hear herself talk is a whole other problem.

I think we can still get things out of a group even if it's not perfect.  As long as the problems don't outweight the benefits, I would keep going too.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

weein
on 9/7/11 3:06 am - CA

I attend 2 support groups per month. One is with the nurse that runs the bariatric program at the hospital. It is an ok support group. There are times, that a few people do high jack the meeting. I have learned some great things from the vets of the group. It was great to see people still coming to the support group 6 and 7 years out, and to hear about life that far out. 
The second one, is a small group of about 6-8 people, we meet once a month with the psychotherapist on the bariatric team. I really like this group. We have been meeting for 2 years now. We talk about anything and everything. If you want to talk you can and if you don't its ok too. I like the second group better, mostly because it is smaller and I really like the therapist, who I also see on my own. Therapy I feel at least for myself, is such an important part of my success.

Eileen

poet_kelly
on 9/7/11 6:36 am - OH
As time goes on, I am coming to believe that the "head stuff" is probably the most important factor in how "successful" we are (however you want to define success).

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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