
#PTonICE Podcast Episode 1966 - Obesity: time for rehab pros to embrace their role
Jul 23, 2025
Dr. Ellen Csepe, a faculty member at the Institute of Clinical Excellence, is on a mission to reshape how healthcare views obesity. She dives into the multifaceted nature of obesity, discussing its psychological and physiological implications. Ellen emphasizes the critical role of physical therapists in managing obesity, advocating for a compassionate, multidisciplinary approach. The conversation also touches on the impact of GLP-1 medications and the need for continuous learning in treating this complex issue, urging rehab professionals to enhance their involvement and support for those affected.
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Episode notes
Use Motivational Interviewing
- Use motivational interviewing to uncover patient's own views on their pain and weight.
- Avoid assuming pain is always caused by weight loss; treat individual factors.
Biology Challenges Weight Loss
- Hormonal imbalance makes weight loss biologically challenging and drives body to regain lost weight.
- Obesity involves neurological and behavioral factors beyond simple willpower or calorie counting.
Empathy Essential for Obesity Care
- Weight stigma oversimplifies a complex disease and undermines effective obesity treatment.
- Empathy and understanding are critical before addressing obesity therapeutically.

