All language subtitles for My 600-lb Life S08E09

Seana: MY MIND SCARES ME.
MY BODY SCARES ME.

I FEEL LIKE A MONSTER
JUST WALKING AROUND.

Woman:
SOMEWHERE IN ME

IS THIS LITTLE GLIMMER OF HOPE.

I JUST WANT TO BE
A NORMAL PERSON.

YOU CAN'T DO IT,
AND THEN I JUST GET MAD.

Woman #2:
IF I DON'T MAKE A CHANGE NOW,

I'M SCARED
IT'S GONNA BE TOO LATE.

IT HURTS!

Woman #3:
I REFUSE TO STOP FIGHTING.

I HAVE TO DO THIS
FOR MY CHILDREN.

SO, WHAT IS WITH THAT?

Seana: I DON'T KNOW.

YOU WANT TO KILL YOURSELF
WITH THE FOOD, BE MY GUEST.

--Captions by VITAC--
www.vitac.com

CAPTIONS PAID FOR BY
DISCOVERY COMMUNICATIONS

Seana: EVERY DAY OF MY LIFE

FEELS LIKE
IT'S HARDER THAN THE LAST

AND THAT THINGS
JUST KEEP GETTING WORSE FOR ME

BECAUSE OF MY SIZE.

AND I'M SO TIRED OF IT
AND ALL THE PAIN.

I DON'T WANT TO LIVE THIS WAY
BECAUSE I HATE THE SIGHT OF ME.

IT'S JUST TOO BIG TO BE NORMAL,

AND IT KEEPS ME FROM BEING ABLE
TO DO A LOT,

SO I FEEL LIKE
I'M TRAPPED MOST OF THE TIME

BECAUSE OF HOW HARD IT
IS TO MOVE AND GET AROUND.

IT'S HARD TO WALK.
IT'S HARD TO BE ABLE TO STAND

FOR MORE
THAN TWO MINUTES AT A TIME.

AND THAT TIME GETS LESS
AS I GET BIGGER

AND IT HURTS QUICKER,
SO I'M LOSING MY ABILITY TO MOVE

AND DO THINGS,
AND THAT REALLY UPSETS ME

BECAUSE I DON'T WANT
TO LOSE MY INDEPENDENCE.

I CAN AT LEAST
STILL CLEAN MYSELF.

MY MOM HIRED A FRIEND OF MINE,
DERRICKUS, TO BE MY CARETAKER,

BECAUSE I LIVE WITH HER

BUT SHE TRAVELS
MOST OF THE YEAR.

SO, DERRICKUS IS THERE TO HELP
ME DO A LOT WHILE SHE'S GONE.

BUT I DON'T WANT HIM TO EVER
HAVE TO HELP ME WITH THIS,

OR ASK ANYONE TO DO THAT FOR ME.

BUT IT'S ALREADY ALMOST TOO HARD
FOR ME TO DO ALL THE TIME,

SO SOMETIMES I THINK ABOUT
JUST NOT DOING IT.

BUT THEN WHEN YOU'RE BIG LIKE ME

AND HAVE ALL THESE FOLDS,
YOU CHAFE A LOT,

AND THEN YOU GET BLISTERS
AND SORES

AND THAT CAN
GET INFECTED EASILY.

SO, I PUSH MYSELF TO JUST DO IT
AND GET IT OVER WITH,

BUT I STILL CAN'T
REALLY DO IT WELL

AND GET TO ALL THE AREAS

WHERE I HAVE
TO BE CAREFUL ABOUT,

WITH ALL THE SORES AND STUFF.

SO, I KNOW IT'S GETTING TO
A DANGEROUS PLACE WITH ME,

AND I HATE IT.

I HATE HOW MY LIFE IS,
BUT I MOSTLY JUST HATE MY BODY.

I HATE MY BODY MORE THAN
ANYTHING IN THE WHOLE WORLD.

I FEEL LIKE A MONSTER
JUST WALKING AROUND.

MY LEGS AND MY FEET DISGUST ME
THE MOST ABOUT MY BODY.

THEY DON'T EVEN SEEM HUMAN
ANYMORE, NONE OF ME DOES,

SO I DON'T EVEN WANT
TO LOOK AT MYSELF AT ALL ANYMORE

BECAUSE I'M EMBARRASSED OF WHAT
I'VE DONE TO MYSELF AND MY LIFE.

I'M 22 YEARS OLD.

I SHOULD BE, LIKE, IN COLLEGE,
PARTYING, HAVING FUN,

LIVING MY LIFE,
BUT I CAN'T...

...ALL BECAUSE I'VE LET FOOD
TAKE THAT ALL AWAY FROM ME.

AT THIS POINT,
I CAN'T REALLY STOP EATING.

I DON'T WANT TO BECAUSE IT'S
THE ONLY GOOD PART OF MY DAY.

AND I CAN NEVER
GET ENOUGH OF IT.

I ALWAYS WANT SOMETHING,

AND IT'S LIKE MY HUNGER
NEVER STOPS.

HI.
HEY, SEANA.

IT'S SO HOT, JEEZ LOUISE.

SO, WE GOT YOUR STUFF.

YES.

Seana: USUALLY, I START EATING

WHEN DERRICKUS
COMES OVER TO CHECK ON ME.

HE BRINGS ME SOMETHING TO EAT
OR HE'LL MAKE IT FOR ME.

Derrickus:
HOW YOU FEELING TODAY?

MY BACK HURTS.
SAME OLD, SAME OLD.

DID YOU EAT?

NO. CAN YOU MAKE ME
SOME BURRITOS?

OKAY.
AND HASH BROWNS?

OKAY.
HOW MANY DO YOU WANT?

UM, FOUR.

OKAY.

FOUR BURRITOS AND WHAT?

OKAY.

Derrickus: SEANA TO ME IS MORE
LIKE FAMILY THAN A FRIEND,

AND I JUST WANT
TO SEE HER HAPPY.

I TRY TO HELP HER
AS MUCH AS I CAN,

BUT EVERY TIME I COOK SOMETHING,
OR I HELP HER PREPARE HER MEALS,

I GIVE IT TO HER IN PORTIONS
AND THAT DON'T SEEM LIKE ENOUGH.

BECAUSE SHE EATS
WHEN THE SUN COME UP

AND EATS WHEN IT GOES DOWN.

SHE DON'T KNOW WHEN TO STOP.

SOMETIMES I FEEL HELPLESS,

BUT I DON'T WANT
TO SEE HER HURT,

SO I GIVE HER WHAT SHE WANT.

Seana: ONCE I'M EATING,
EVERYTHING BECOMES OKAY.

IT'S HARD TO EVEN DESCRIBE
WHAT IT REALLY DOES FOR ME,

BECAUSE IT'S LIKE IT TAKES ME
TO THIS WHOLE OTHER PLACE.

EATING TO ME IS MY SAFE HAVEN.

IT JUST MAKES ME HAPPY.

NO MATTER HOW SAD I AM,
IT MAKES ME HAPPY.

I DON'T HAVE ANYTHING ELSE
IN MY LIFE

THAT MAKES ME FEEL THAT WAY.

I ALWAYS ZONE OUT
WHEN I HAVE FOOD,

LIKE I'M IN A TRANCE SOMETIMES,

AND I DON'T SNAP OUT OF IT
UNTIL THE FOOD IS GONE.

BUT THEN I JUST WANT MORE
SO I CAN GO BACK TO THAT

BECAUSE IT JUST
MAKES IT ALL BETTER.

I FEEL LIKE NO MATTER
WHAT I GO THROUGH,

FOOD WILL ALWAYS
MAKE ME FEEL BETTER.

SO, HOW DO YOU STOP SOMETHING
THAT DOES THAT FOR YOU?

YOU CAN'T REALLY.

SO, AFTER DERRICKUS FEEDS ME,
I FIND WAYS TO KEEP EATING.

OKAY, SEANA, I GOT TO GO.
DO YOU NEED ANYTHING ELSE?

NO, I'M OKAY.

ALRIGHTY. SEE YOU LATER.

BYE.
BYE-BYE.

BE CAREFUL.

I'M NEVER SATISFIED
WHEN IT COMES TO MY HUNGER,

BECAUSE EATING
IS SUCH A GOOD FEELING.

AND ONCE I'M EATING, I WON'T
THINK ABOUT THINGS THAT ARE SAD.

Man: How can I help?

CAN I PLEASE HAVE

A LARGE STUFFED-CRUST
PEPPERONI PIZZA?

THE CINNAMON-BITES THING.

AND THAT'S ALL.
THANK YOU.

SO, I EAT AND TRY AND FORGET
ABOUT MY LIFE

AND ALL THE THINGS
I'VE BEEN THROUGH.

I'VE HAD A REALLY HARD LIFE,

AND I FELT LIKE IT'S JUST BEEN
CHAOS EVER SINCE I WAS BORN.

A LOT OF THAT
IS BECAUSE OF MY DAD

AND HOW HE TREATED ME
AND MY MOM.

HE WAS VERY VERBALLY ABUSIVE

AND SOMETIMES
PHYSICALLY ABUSIVE --

MOST OF THE TIME.

A LOT OF IT WAS BECAUSE
MY DAD HAD A DRUG PROBLEM,

BUT I DIDN'T KNOW IT THEN.

AS A KID, ALL I KNEW WAS THAT
HE WAS EITHER SCREAMING AT ME,

CALLING ME NAMES, OR HITTING ME.

SO, I NEVER EVEN FELT WANTED
BY HIM AND THAT HURT ME A LOT.

THE RELATIONSHIP
WITH SEANA'S FATHER

WAS VERY TRAUMATIC
FOR HER AS A CHILD.

HI.

HE WASN'T EASY
TO GET ALONG WITH,

AND I SHOULD HAVE
WALKED AWAY YEARS BEFORE,

BUT WE STAYED TOGETHER
FOR A WHILE.

Seana: MY MOM NEVER REALLY KNEW
HOW BAD THINGS WERE

BETWEEN ME AND MY DAD.

SHE KNEW SOME OF IT,
BUT MOST OF WHAT HE DID,

HE DID WHEN WE WERE ALONE,
SO I JUST KEPT IT TO MYSELF

BECAUSE I DIDN'T WANT
TO MAKE MY DAD ANGRY.

INSTEAD, WHEN MY FATHER DID
THINGS THAT HURT ME,

I WOULD TURN TO FOOD.

IT WAS ALL I COULD REALLY DO
AND ALL I HAD POWER OVER.

EATING MADE ME FEEL LIKE
I WAS GONNA BE OKAY

AND THAT NOTHING WAS WRONG.

SO, I NEVER WANTED
TO STOP EATING

AND GETTING THAT FEELING.

AND BY THE TIME WHEN I WAS 8,
I WAS ALREADY OVER 150 POUNDS.

BUT EVENTUALLY MY MOM DECIDED TO
LEAVE MY DAD AFTER A BIG FIGHT.

Cricket: THE LAST STRAW WAS
SEANA FELL ASLEEP

IN THE BACK SEAT OF THE CAR,
AND HE DECIDED

HE WAS GONNA PUT
A CIGARETTE OUT IN THE GAS TANK.

SO WE GOT INTO A FISTFIGHT
OUT IN THE YARD.

AND THAT WAS WHEN I DECIDED
IT WAS TIME TO GO.

I MEAN, I COULD PUT UP WITH ALL
THE JUNK

HE WANTED ME TO PUT UP WITH
MYSELF,

BUT WHEN IT COMES TO SEANA,

I WASN'T GOING
TO LET HIM TRY TO KILL HER.

THAT'S WHEN I PACKED UP
EVERYTHING

AND MOVED TO KANSAS CITY.

Seana: MOVING TO KANSAS CITY
TO A WHOLE NEW SCHOOL

AND PEOPLE I DIDN'T KNOW,
IT WAS HARD,

BUT I WAS GLAD TO BE AWAY
FROM MY FATHER.

HE WASN'T COMPLETELY
OUT OF MY LIFE

BECAUSE WHEN
MY PARENTS SEPARATED,

HE GOT SUMMERS WITH ME.

I'M NOT EVEN SURE
WHY HE WANTED SUMMERS WITH ME

BECAUSE HE'D TELL ME
HE DIDN'T EVEN WANT ME AROUND

AND THE ABUSE GOT WORSE.

WHEN I GOT BACK HOME
AFTER THE SUMMER,

I WOULD HAVE LOTS OF BRUISES
FROM MY DAD HITTING ME.

I WOULD JUST SAY, "I FELL OFF
A BIKE," OR SOMETHING.

I NEVER TOLD MY MOM
BECAUSE I WAS SCARED

THAT IF I TOLD HER,
HE'D DO SOMETHING TO ME AND HER.

SO I NEVER WENT TO HER,

AND SHE DIDN'T KNOW ALL THE
ABUSE WAS HAPPENING TO ME.

BUT AS LONG AS I HAD FOOD,
IT WAS OKAY.

SO I WAS PUTTING ON MORE WEIGHT,

AND I GOT UP PAST 200 POUNDS
BY THE TIME I WAS 10,

BUT BEING THAT SIZE
MADE IT HARDER AT SCHOOL

BECAUSE THE KIDS STARTED
MAKING FUN OF ME A LOT

FOR HOW BIG I WAS.

SO I DIDN'T HAVE
A LOT OF FRIENDS,

AND I FELT REALLY ISOLATED.

NO ONE REALLY LIKED ME.

MY PERSPECTIVE WAS THAT
I HAD FOOD AS MY FRIEND,

SO I DIDN'T NEED ANYONE
OR ANYTHING ELSE.

MY WEIGHT GAIN CONTINUED AND GOT
EVEN WORSE WHEN I WAS TEENAGER.

BY THE TIME
I WAS IN HIGH SCHOOL,

I WAS ALREADY AROUND 400 POUNDS.

I'D JUST NONSTOP ATE.
I DIDN'T CARE.

IF I SAW IT AND I WANTED,
I ATE IT.

BUT IT WAS GETTING TOO HARD FOR
ME TO GET AROUND

AND THE KIDS
MAKING FUN OF ME GOT SO BAD,

I JUST COULDN'T TAKE IT ANYMORE.

I DROPPED OUT OF HIGH SCHOOL
WHEN I WAS 16,

BUT BEING OUT OF SCHOOL,

I JUST GOT WORSE
AND SO DEPRESSED

THAT I HAD A MENTAL BREAKDOWN.

MY MOM HAD TO TAKE ME
TO A MENTAL HOSPITAL.

WHEN I WAS IN THE HOSPITAL,
I HAD TO TELL THE DOCTORS

WHY I WAS DEPRESSED,

AND I TOLD MY MOM ABOUT MY DAD
AND HIS ABUSE

AND SHE KIND OF ALMOST LOST IT.

I HAD THOUGHT THAT ONCE WE LEFT,
HE WASN'T GONNA DO IT AGAIN

BECAUSE HE WOULD SEE THAT THIS
IS HIS ONLY OPPORTUNITY TO VISIT

WITH HIS DAUGHTER
DURING THE SUMMERS,

SO HE WOULDN'T ACT THAT WAY.

APPARENTLY HE CONTINUED,
AND SHE FINALLY BROKE DOWN

AND TOLD ME ABOUT IT
WHEN SHE WAS 16.

Seana: IT BROKE MY HEART,
SEEING MY MOM THAT UPSET.

IT WAS JUST AWFUL.

I DIDN'T KNOW WHAT TO DO
AND I JUST WANTED TO EAT,

BUT I COULDN'T
WHILE I WAS IN THE HOSPITAL.

I DIDN'T GAIN MUCH FOR A BIT.

WHEN I GOT OUT,
I GOT A COUNSELOR,

AND SHE TAUGHT ME A LOT
ABOUT HOW FOOD IS MY COPE,

BUT IT'S ALSO MY ENEMY, TOO,

AND THAT I NEED TO LEARN
HOW TO EAT SAFELY.

BUT EVEN THOUGH
I WAS GETTING COUNSELING,

IT STILL DIDN'T STOP ME
FROM EATING.

BY THE AGE OF 18, I WEIGHED
AROUND 500 POUNDS.

THERE WERE DAYS WHEN ALL I DID
WAS SIT AT HOME AND EAT NONSTOP.

MY MOM WASN'T HAPPY ABOUT THAT
BECAUSE SHE WANTED ME TO WORK

ON GETTING BETTER
WITH MY COUNSELOR,

BUT I DIDN'T CARE BECAUSE
IT WAS WHAT I WANTED TO DO.

WHEN I TURNED 19,
MY DISABILITY KICKED IN,

AND I GOT MY APARTMENT
AND A DOG AND A CAR.

I MOVED A FEW CITIES AWAY
TO FALL CITY

SO I COULD DO WHAT I WANTED
WITHOUT ANYONE

I KNEW BOTHERING ME.
WHAT I WANTED TO DO WAS EAT.

SO I KEPT EATING, AND THAT'S
MOSTLY WHAT I DID

FOR THE NEXT YEAR OF MY LIFE.

WHEN I WAS 20,
I MET SOMEONE ONLINE

AND TOLD HIM HE CAN MOVE IN
WITH ME AND THAT DIDN'T GO WELL.

IT WAS OKAY AT FIRST, AND THEN
I FOUND OUT HE WAS A DOPEHEAD.

HE WAS ADDICTED TO METH
AND THAT LED TO ME

GETTING ADDICTED TO METH, TOO.

IT JUST GOT WORSE
BECAUSE HE STARTED ABUSING ME,

PHYSICALLY AND MENTALLY.

IT'S PRETTY MUCH
THE TYPE OF LOVE

I WAS USED TO,
SO I JUST TOOK IT.

THINGS GOT REALLY BAD
AND I JUST SHUT OFF

AND WAS IN THIS DOWNWARD SPIRAL
UNTIL MY MOM CAME AND GOT ME.

AFTER ABOUT A MONTH OF ME
NOT BEING ABLE TO CONTACT HER

CONSISTENTLY
WITHOUT HIM INTERFERING,

I FINALLY WENT UP THERE.

AND I TOLD HER --
PACKED HER UP,

AND I SAID, "GET EVERYTHING
YOU NEED DOWN TO KANSAS CITY.

I DON'T CARE
WHAT YOU DO WITH HIM.

DUMP HIM OFF IN A DITCH
SOMEWHERE

AS FAR AS I'M CONCERNED."

Seana:
I TOLD HIM WE WERE BREAKING UP,

AND I WAS LEAVING AND GOING BACK
TO BE WITH MY MOM,

AND HE RESPONDED

BY STEALING THE VAN
WITH ALL OF MY STUFF IN IT --

MY I.D., MY WALLET, CLOTHES --

AND I HAD NOTHING.

I WAS ADDICTED TO METH,

AND I COULDN'T BELIEVE
HOW MUCH I MESSED UP MY LIFE.

SO RIGHT AFTER, I WENT BACK
TO MY MOM'S,

AND I TRIED TO TAKE A BUNCH
OF PILLS.

AND MY MOM STOPPED ME.

SHE MADE ME PUKE THEM OUT
AND TOLD ME,

"EITHER YOU GO TO
THE HOSPITAL VOLUNTARILY

OR I'M CALLING THE POLICE."

SO I WENT TO THE HOSPITAL
VOLUNTARILY.

I GOT MYSELF TOGETHER AGAIN AND
WENT BACK TO LIVE WITH MY MOM.

IT FELT LIKE WHEN I LEFT
THE HOSPITAL THE FIRST TIME,

BECAUSE I WAS JUST EATING
A LOT AGAIN TO COPE WITH THINGS

AND GAINING AND GETTING BIGGER.

AND THAT'S PRETTY MUCH
MY LIFE NOW,

AND I CAN'T BELIEVE
I LET IT GET LIKE THIS.

HELLO.
HI.

HOW ARE YOU DOING?

IT'S BEEN SO LONG
SINCE I'VE SEEN YOU.

I KNOW. I MISS YOU.

AW.

I MISS YOU SO MUCH.

YOU GOOD?

GOOD. WHAT'S NEW?

NOTHING. HOW ARE YOU?

I'M FINE.
TOUR WAS EXHAUSTING.

IT WAS?
YEAH.

WELL, COULD YOU COOK ME
A MEAL?

MM. I GUESS.

I THINK SEANA'S
KILLING HERSELF SLOWLY

BY EATING AS MUCH
AS SHE DOES EVERY DAY.

IF SEANA DOESN'T STOP,
THEN SHE'S PROBABLY GONNA DIE

SO THERE'S NOT GONNA BE
VERY MUCH LONGER.

I DON'T THINK SHE'S GONNA
LAST ANOTHER TWO YEARS.

I ALWAYS DREAD THAT PHONE CALL.

I THINK SOMEDAY
SOMEBODY'S GONNA CALL ME

AND SAY THAT THEY WOKE UP
AND FOUND HER DEAD.

I STRESS ABOUT THAT A LOT.

IF SEANA DIED, IT WOULD BE
THE END OF THE WORLD FOR ME.

I JUST DON'T KNOW
WHAT I WOULD DO WITH MYSELF

AND HOW I WOULD HANDLE LIFE
WITHOUT HER IN MY WORLD.

Seana: I KNOW I'M GIVING UP
MY WHOLE LIFE FOR FOOD.

I DON'T EVEN FEEL LIKE
I HAVE A HUMAN BODY ANYMORE.

I WOULD LOVE TO FEEL
LIKE A HUMAN AGAIN,

BUT I DON'T THINK I'LL EVER GET
THAT IF I DON'T CHANGE MY BODY.

IT'S ALREADY MADE ME A PRISONER

WHERE I'M MISSING OUT
ON EVERYTHING.

THAT LOOKS AWESOME.

IT'S TIME TO EAT.

HERE YOU GO --
YOUR FAVORITES.

OH, HOLY ME.

OKAY.

THE LIFE I WANT
IS NOWHERE NEAR THIS.

MY FOOD ADDICTION IS KILLING ME
AND IT'S REALLY SCARY

BECAUSE I'M AFRAID TO GO
TO SLEEP BECAUSE OF IT.

I JUST WANT TO BE
A NORMAL 22-YEAR-OLD,

AND IT SUCKS BECAUSE I CAN'T
BECAUSE OF THIS STUPID BODY.

EVERYTHING'S GETTING HARDER
AND WORSE EVERY DAY.

I CAN'T KEEP LIVING LIKE THIS.

EVERYTHING HAS TO CHANGE.
EVERYTHING.

I'M RUNNING OUT OF TIME
TO DO THAT.

MY MOM KEEPS
REMINDING ME OF THAT

AND TELLING ME
I NEED TO GO TO HOUSTON

TO SEE DR. NOW
AND TRY TO GET HELP.

I KNOW SHE'S RIGHT BECAUSE
I FEEL LIKE A TICKING TIME BOMB.

IF I THINK ABOUT IT TOO MUCH
AND WHAT COULD HAPPEN SOON,

IT TERRIFIES ME.

Seana: MY MOM CONVINCED ME TO GO
TO HOUSTON AND SEE DR. NOW.

I TOLD HER I'D GO IF SHE'D
TAKE ME AND SHE SAID SHE WOULD.

I'M LOOKING FORWARD
TO HAVING THIS TIME WITH HER.

IT'S SOMETHING
I'VE ALWAYS WANTED TO DO

EVER SINCE SHE GOT HER JOB
AS A TOUR-BUS DRIVER,

BUT I KNOW THIS TRIP
ISN'T GONNA BE EASY,

BUT I KNOW THIS IS IMPORTANT
FOR ME TO DO.

NOT JUST FOR MY MOM,
BUT FOR ME,

BUT I DON'T WANT TO
LIVE LIKE THIS ANYMORE.

I'M HOPING DR. NOW CAN HELP ME
DO THAT

BECAUSE NO ONE ELSE
HAS BEEN WILLING TO HELP ME.

AS SOON AS MY MOM GETS HERE
TO PICK ME UP,

WE'RE GONNA GO TO HOUSTON.

IT'S GONNA BE
A REALLY LONG CAR RIDE.

LIKE 11 OR 12 HOURS,
MY MOM SAID.

I'M SCARED TO BE IN THE CAR
FOR AS LONG AS THAT.

THAT AND BEING ABLE
TO EAT ENOUGH

IS THE ONLY THING
THAT'S SCARING ME.

THIS IS JUST GOING
TO BE A HARD TRIP,

BUT I'LL AT LEAST
HAVE MY MOM WITH ME TO HELP.

SHE WENT TO RENT A CAR
THAT WAS BIG ENOUGH FOR ME.

I'M REALLY HAPPY ABOUT THAT

AND THEN WE'RE GONNA
GET SOME TIME TOGETHER.

HEY.

I GOT YOUR FOOD.

THANK YOU.

I THINK WE'LL EAT
ON THE ROAD, THOUGH,

BECAUSE
WE WERE ALREADY LATE.

OH, MY GOSH, OKAY.
WELL, I GOT THE TRUCK,

BUT I DON'T KNOW

IF YOU'RE STILL
GONNA BE ABLE TO GET INTO IT.

WE JUST NEED
TO HURRY, THOUGH.

BUT, YEAH, LET'S GO.

YOU COMING?

I'M COMING, I'M COMING.

NOW, GET ME HELP.

GIVE ME A SECOND.

I HOPE I CAN FIT BECAUSE
MY APPOINTMENT WITH DR. NOW

IS TOMORROW.

IF THIS TRUCK ISN'T BIG ENOUGH,

I'M NOT SURE WHAT MY OPTIONS
ARE GONNA BE

TO GET TO HOUSTON AND DO THIS.

YEAH, WE'RE GOOD.

YOU GOOD?
YEAH.

I'LL SHUT THE DOOR.

AS LONG AS I HAVE FOOD,
I THINK I CAN MAKE THIS TRIP.

BUT I JUST HOPE
THE FAST-FOOD PLACES

AREN'T TOO FAR APART ON THE ROAD
BECAUSE THAT'S THE ONLY THING

THAT'S GONNA MAKE
THIS DRIVE TOO MUCH FOR ME,

BUT AS LONG AS I HAVE
SOME GOOD FOOD LIKE THIS,

I'LL BE ALRIGHT
AND I KNOW I CAN MAKE IT.

WE'VE ALMOST MADE IT HALFWAY
TO HOUSTON,

AND I TOLD MY MOM I'M STARVING,

SO WE GOT SOME MORE FAST FOOD
AND WE'RE STOPPING OFF.

I'M REALLY SORE, BUT I'VE BEEN
HOLDING IT TOGETHER.

AND ONCE I EAT
AND REST TONIGHT,

I THINK I'LL BE READY
TO DO THIS AGAIN TOMORROW.

BUT I KNOW TOMORROW WE HAVE
TO START REALLY EARLY

AND WE HAVE TO GO
EVEN LONGER THAN TODAY.

I'LL BE ABLE TO HANDLE IT
AS LONG

AS WE HAVE PLACES
TO STOP TO GET SOMETHING.

I CANNOT WAIT TO GET
INTO THE ROOM.

I KNOW, RIGHT?

I AM SO WIPED OUT.

SERIOUSLY, I'M DYING.

FOOD ALWAYS GETS ME
THROUGH ANYTHING.

THAT'S THE REASON
I CAN'T STOP EATING.

I'M NOT SURE HOW DR. NOW
IS GONNA HELP ME DO THAT.

I JUST NEED HIS HELP AND I'M
HOPING I CAN GET IT TOMORROW.

IT'S GONNA BE
A REALLY LONG DAY TOMORROW,

BUT IF I GET WHAT I NEED
TO HAVE A NEW LIFE,

THEN IT'LL ALL BE WORTH IT.

WE'LL JUST HAVE TO SEE
HOW IT GOES TOMORROW,

BECAUSE WE WON'T KNOW
UNTIL I GET THERE AND I SEE HIM.

HOW ARE YOU FEELING,
LIKE, PHYSICALLY?

MY LEG IS KILLING ME,
AND MY BACK IS KILLING ME.

JUST WANT TO LAY DOWN
AND GO TO SLEEP.

YOU DO?

BUT I'M STILL HUNGRY.

WE'VE BEEN BACK ON THE ROAD
FOR ABOUT FIVE AND A HALF HOURS,

SO WE'RE CLOSE TO HOUSTON
AND DR. NOW,

BUT THIS DAY OF TRAVELING

HAS BEEN A LOT HARDER
THAN YESTERDAY

AND I'M IN MORE PAIN,

BUT MY MOM'S BEEN
HELPING ME STAY DISTRACTED

BY GETTING ME SOME GOOD STUFF
TO EAT MOST OF THE DAY.

FOOD IS PRETTY MUCH
THE ONLY THING

KEEPING ME GOING RIGHT NOW.

I'M REALLY NERVOUS
ABOUT MEETING DR. NOW.

MY BIGGEST FEAR
IS THAT HE TELLS ME MY BODY

TOO MESSED UP FROM MY WEIGHT,
SO IT'S TOO LATE TO GET HELP,

THAT I SHOULD HAVE
DONE IT SOONER.

I'M HOPING HE AT LEAST THINKS

I HAVE A CHANCE
TO DO THIS PROGRAM.

I'M TRYING TO MAKE
MY LIFE BETTER.

YOU MADE IT. YOU OKAY?

MM.

SEANA?

BUT I DON'T KNOW WHAT
HE'S GONNA SAY,

SO I'M JUST REALLY AFRAID RIGHT
NOW OF WHAT'S GONNA HAPPEN.

I JUST HOPE IT'S GOOD,
AND I GET A CHANCE

BECAUSE I DON'T KNOW
WHAT I WEIGH ANYMORE.

Seana: I'M AT DR. NOW'S TO SEE
IF HE'LL LET ME DO HIS PROGRAM,

BUT I HAVE TO GET
MY WEIGH-IN FIRST.

I'M NERVOUS ABOUT
WHAT IT'S GONNA BE.

I'M HOPING THAT IT'S NOT
MUCH HIGHER THAN 600,

BUT I'M NOT SURE, REALLY,

AND I WISH
I DIDN'T HAVE TO FIND OUT.

I JUST HOPE IT'S NOT BAD.

Woman #4: 659.

WOW.
OH, MY GOD.

I'M EMBARRASSED ABOUT MY WEIGHT

AND THAT MY MOM WAS HERE
TO SEE IT, TOO.

KNOWING IT'S THAT HIGH MAKES YOU
FEEL A LOT OF GUILT AND SHAME.

I WANT MORE THAN ANYTHING
TO CHANGE AND TO LOSE WEIGHT.

I JUST NEED HELP TO DO IT

BECAUSE I KNOW
I CAN'T ON MY OWN.

THAT'S UNBELIEVABLE.

I KNOW.

HELLO.
HI.

HI.
HOW ARE Y'ALL DOING?

HOW ARE YOU?

I'M DOING GOOD.
I'M DR. NOWZARADAN.

I'M SEANA.NICE TO MEET YOU, SEANA.

CRICKET.
AND YOU'RE...

MOM.

MOM, OKAY.
WHERE ARE Y'ALL COMING FROM?

MISSOURI.
KANSAS CITY.

KANSAS CITY.
THAT'S A BIT OF A DRIVE.

YOU FEELING OKAY?YES, SIR.

OKAY, GOOD. ALRIGHT.

SEANA, IT LOOKED LIKE
YOU'RE AT 659 TODAY, HUH?

YEAH.

AND YOU'RE ONLY 22,
HUH?

YES, SIR.

YEAH, ALRIGHT.

SO TELL ME
A LITTLE BIT ABOUT YOURSELF.

HAVE YOU BEEN HEAVY
ALL YOUR LIFE?

YES, SIR.

ALRIGHT. HAVE YOU TRIED
TO LOSE WEIGHT

AT ANY POINT
IN YOUR LIFE?

YEAH, BUT I JUST DON'T STAY
ON THE DIETS USUALLY, HONESTLY.

WHY?

I EAT TOO MUCH
OR I EAT TOO LITTLE.

I DON'T THINK EATING TOO LITTLE
IS THE PROBLEM.

WHEN YOU OVEREAT,
DO YOU DO THAT

BECAUSE YOU'RE HUNGRY
OR YOU'RE STRESSED OR WHAT?

USUALLY EITHER HUNGRY

OR I'M JUST BORED
OR DEPRESSED OR SOMETHING.

OKAY, SO YOU
USE FOOD TO COPE.

SO SEANA,
YOU NEED TO LEARN

HOW YOU'RE GONNA CORRECT
YOUR EATING HABIT, RIGHT?

YES, SIR.

ALRIGHT. WE'RE GONNA START
WITH A 1,200-CALORIE-A-DAY,

HIGH-PROTEIN,
LOW-CARB DIET.

I'LL GIVE YOU A PACKET

THAT BREAKS
THE WHOLE DIET DOWN.

THAT WAY YOU'LL EAT
ONLY THREE TIMES A DAY.

NO SNACKING.
YOU THINK YOU CAN DO THAT?

YES, SIR.

ALRIGHT, SO I'M GOING
TO GIVE YOU A GOAL.

AT YOUR WEIGHT,
IF YOU STICK TO THE DIET,

YOU SHOULD VERY EASILY
LOSE AT LEAST

80 POUNDS
OVER THE NEXT 2 MONTHS.

80 POUNDS?

YEAH. YOU CAN LOSE
ALMOST TWICE THAT

IF YOU STICK TO THE DIET
LIKE YOU SHOULD, OKAY?

IF YOU DO THAT,

THEN WE'LL CONSIDER YOU
FOR WEIGHT-LOSS SURGERY.

MM-HMM.

BUT FOR THAT YOU HAVE TO MOVE
DOWN TO HOUSTON.

YES, SIR.
OKAY?

AND YOU NEED SOMEONE HERE
WITH YOU TO SUPPORT YOU

AND HELP YOU.YES, SIR.

OKAY, SO
IF YOU MOVE TO HOUSTON,

WHO'S GONNA BE COMING
WITH YOU TO SUPPORT YOU?

NO ONE.

NO ONE WOULD BE HERE
WITH YOU?

WHEN YOU'RE
OVER 600 POUNDS,

YOU CANNOT DO EVERYTHING
FOR YOURSELF,

SO IT'S DANGEROUS
TO LIVE ALONE, RIGHT?

YEAH,
BUT I DON'T HAVE ANYBODY.

ALRIGHT, SO YOU HAVE
TO THINK ABOUT THAT,

BUT FIRST
YOUR FOCUS NEEDS TO BE

ON CHANGING YOUR DIET
AND LOSING 80 POUNDS

TO SHOW ME
YOU'RE WILLING TO WORK HARD

AND YOU'RE READY
TO DO THIS, OKAY?

OKAY.

I'M ALSO GONNA GIVE YOU
SOME EXERCISES

TO START DOING, OKAY?OKAY.

ANY SWELLING
IN YOUR FEET?

MM-HMM.
I GOT MY...

YEAH. RAISE IT UP,

LET ME SEE,
HOW IS YOUR LEG DOING?

SO YOU GOT LYMPHEDEMA
IN BOTH LEGS?

LET ME SEE THE OTHER ONE.

YEAH. ALRIGHT.

SO IF WE GET
YOUR WEIGHT DOWN,

WE CAN HELP ADDRESS
YOUR LYMPHEDEMA, OKAY?

OKAY.

SO YOU NEED TO START WORKING
HARD TO DO THAT, OKAY?

YEAH.

DOES THAT MEAN
I'M IN YOUR PROGRAM?

WELL, IF YOU LOSE WEIGHT

AND CHANGE
YOUR EATING HABITS, YEAH.

OKAY.
OKAY?

NOW, YOU SHOULD BE
UNDER 200 POUNDS,

SO YOU GOT ABOUT 460 POUNDS
THAT YOU HAVE TO LOSE.

OKAY.

OKAY?
OKAY.

BUT THAT STARTS
WITH LOSING 80 POUNDS

OVER THE NEXT TWO MONTHS.

YES, SIR.

ALRIGHT, IS THERE
ANY OTHER QUESTION?

I DON'T THINK SO.

I THINK WE'RE GOOD.

ALRIGHT.I THINK WE'RE OKAY.

IF YOU NEED ANYTHING,
GIVE ME A CALL.

OKAY.

ALRIGHT. SEANA,
NICE TO MEET YOU.

NICE TO MEET YOU.NICE TO MEET YOU, TOO.

NICE TO MEET YOU.

Dr. Nowzaradan: MY CONCERN
ABOUT SEANA RIGHT NOW

IS THAT
SHE DOESN'T SEEM VERY MOTIVATED

TO START
TURNING HER LIFE AROUND,

AND THAT MAKES ME WONDER

IF IT'S SOMEONE ELSE PUSHING HER
TO DO THIS, POSSIBLY HER MOTHER

BECAUSE THERE SEEMS TO BE
A DYNAMIC BETWEEN THEM,

WHERE SEANA IS STILL DEPENDENT
ON HER MOTHER LIKE A CHILD IS.

AND IF THAT'S THE CASE,

WE'RE NOT GONNA BE ABLE
TO MAKE MUCH PROGRESS WITH HER

UNLESS WE CHANGE THAT.

BUT HOPEFULLY, SHE WILL SHOW ME
THAT SHE'S MOTIVATED

AND READY TO DO WHAT SHE NEEDS,

BY HITTING HER WEIGHT-LOSS GOAL
BY HER NEXT APPOINTMENT.

I'LL GO GET THE TRUCK.

Seana: I'VE NEVER LOST WEIGHT
LIKE DR. NOW WANTS ME TO LOSE.

80 POUNDS IS SO MUCH.

THINKING ABOUT
HAVING TO LOSE THAT

MAKES ME SCARED AND
A LITTLE SICK TO MY STOMACH

BECAUSE I DON'T WANT
TO LET ANYONE DOWN.

SO I'LL TRY MY HARDEST BECAUSE
I'M REALLY WANTING TO MAKE IT.

IT'S BEEN ALMOST A MONTH
SINCE I WENT TO SEE DR. NOW.

I'VE ASKED DERRICKUS TO TRY
AND GET ME HEALTHIER MEALS

AND HELP ME FIGURE OUT
A BETTER DIET.

THERE'S LOTS OF PAPERS
DR. NOW GAVE ME

WITH HIS DIET
AND EXERCISE ON THEM.

I'M NOT SURE HOW, BUT I THINK
I LEFT HIM IN A HOTEL

ON THE WAY BACK HOME,

AND I'VE BEEN SCARED
TO TELL MY MOM OR CALL DR. NOW

AND ASK HIM FOR ANOTHER ONE.

BUT I'M HOPING WITH
DERRICKUS HELPING ME,

THAT I'M LOSING AS MUCH
AS DR. NOW TOLD ME.

I'M ALSO TRYING TO DO
WALKING FOR EXERCISES

TO BUILD UP MY STAMINA,

AND I FEEL LIKE
THAT'S ALL HELPING ME A LOT

BECAUSE IT'S BEEN HARD.

HERE YOU GO.
IS THAT POTATOES?

AND CORN.

WHAT?
POTATOES AND CORN.

SO I'M HOPING IF I LOSE
WHAT DR. NOW TOLD ME TO LOSE

AND FIGURE OUT
MOVING TO TEXAS,

THAT HE'LL TELL ME
I CAN DO HIS PROGRAM.

I TALKED TO MY MOM ABOUT
DERRICKUS COMING WITH ME,

AND SHE SAID SHE'D KEEP
PAYING HIM TO TAKE CARE OF ME.

HOW DO YOU FEEL
ABOUT MOVING TO TEXAS?

HMM?

HOW DO YOU FEEL
ABOUT MOVING TO TEXAS?

I DON'T KNOW.

HOW DO YOU FEEL
ABOUT MOVING TO TEXAS?

I'M EXCITED,

BUT I WISH I STILL
HAD THE PAPERS HE GAVE ME,

THAT HAD ALL THE DIETS
AND EXERCISES ON IT.

WHY HAVEN'T YOU CALLED HIM
AND ASKED HIM?

INFORMED HIM
ON WHAT HAPPENED?

BECAUSE I'M NERVOUS
AND SCARED.

HE'S GONNA BE LIKE,

"THIS WHOLE TIME
YOU HAVEN'T HAD THEM?"

I'M GONNA BE LIKE, "NO."
HE'S GONNA BE LIKE, "WHY?"

I'M GONNA BE LIKE,

"BECAUSE I WAS SO SCARED
AND NERVOUS TO CALL YOU.

I THOUGHT YOU WOULD JUST KICK ME
OUT THE PROGRAM ALL TOGETHER."

YOU COULD JUST TELL HIM
YOU FORGOT ABOUT THEM

IN A RENTAL CAR.

HE'S GONNA BE LIKE,

"SO IT TOOK YOU ALMOST
A WHOLE MONTH TO REALIZE THAT?"

I'M GONNA BE LIKE...

"TURTLE MODE ACTIVATED."

LIKE, I'LL BE SO SCARED.

ANY WAY YOU LOOK AT IT,
YOU'RE GONNA HAVE TO CALL HIM.

I KNOW.

MY LIFE LITERALLY REST
IN THIS MAN'S HANDS.

Seana:
I DON'T WANT TO CALL DR. NOW.

I JUST DON'T WANT HIM
TO BE UPSET.

WHAT I WANT TO DO
IS KEEP DOING THE DIET

I AM NOW AND MAKE IT ENOUGH.

SO I'M TRYING THE HARDEST I CAN,
BUT IT'S JUST NOT EASY.

Seana: IT'S BEEN TWO MONTHS
SINCE MY DR. NOW APPOINTMENT,

AND I WAS SUPPOSED TO BE BACK
FOR ANOTHER ONE

SOMETIME LAST WEEK,
BUT I WAS TOO SCARED TO GO

BECAUSE I NEVER FOUND THE PAPERS
WITH HIS DIET AND STUFF.

I'VE BEEN JUST TRYING
TO FIGURE IT OUT WITHOUT THEM.

DERRICKUS KEPT PUSHING ME
TO CALL DR. NOW

TO ASK HIM FOR ANOTHER COPY,

BUT I WAS TOO SCARED
ABOUT WHAT HE WOULD SAY.

WHEN MY MOM CALLED ME
TO ASK ME HOW IT WENT,

I TOLD HER EVERYTHING
AND SHE MADE ME PROMISE TO CALL

DR. NOW, TO TELL HIM
WHAT HAPPENED

AND TO TRY AND SEE
IF HE'LL STILL HELP ME.

SO I'M DOING THAT,
BUT I REALLY DON'T WANT TO.

Woman #5:
Dr. Nowzaradan's office.

HI, CAN I PLEASE TALK
TO DR. NOWZARADAN?

May I tell him
who's calling?

SEANA COLLINS.
Okay.

Dr. Nowzaradan:
Hello.

HI, DR. NOW.

Hi, Seana, you missed
your appointment,

so if you're calling,

I'm guessing you're still
in Kansas City right now, huh?

YES, SIR.

What's going on?

You doing your diet
and everything you need?

UM, I'M DOING MY DIET,
I THINK,

BUT WHEN I WAS
COMING BACK HOME,

I LOST THE PAPERS
YOU GAVE ME.

So you lost the paper,

and you didn't call us
to get another copy?

I WAS SCARED YOU WOULD GET MAD
AT ME IF I CALLED BACK

AND SAID I LOST THEM.

Why should we get mad at you
because you lost something?

I DON'T KNOW.
I JUST THOUGHT YOU'D BE MAD.

Well, if you didn't
have the diet,

then you didn't know
what to do,

so I'm guessing you wasted
two months of time,

you could've been
making progress.

Is that the case?

I DON'T THINK SO.
I'VE STILL BEEN TRYING.

You come
and see us to get help.

We give you the first step
of that help,

and you not only
don't seem to care enough

to keep track of it,

but you don't try to get
another one from us.

You don't seem very motivated
to do this.

Tell me, what is the plan,
what is your idea?

TO ASK YOU IF YOU COULD
SEND ME NEW PAPERS.

That's what you should have
done two months ago,

but the diet is only
a temporary thing

to get you
in the right path.

But, eventually,
what are you gonna do?

Because you don't seem
very concerned

about turning
your life around

or that you really
want to do this.

I AM AND I'VE BEEN WORKING
HARD ALREADY.

Well, I hope that's true,

but I doubt you made it
to your goal.

So this is what
we're gonna do.

I'm gonna give you
one more month

to lose 50 pounds
from your last weigh-in.

If you've already been losing
weight like you're saying,

this should be no problem.

Doing the diet, you should be
able to lose a lot more.

Okay?
OKAY.

Okay, we'll send you another
copy of the diet again, okay?

OKAY.

But you need to eat
only three times a day,

no snacking in between.

Only meat and vegetable,

and no high-calorie
foods, okay?

I ALSO STOPPED SNACKING,

AND I STOPPED
DRINKING SODA, TOO.

Okay, that's great.
YEAH.

YES, SIR.

I'M GONNA TRY
HARDER, I PROMISE.

Okay, good. If you need
anything, let me know.

OKAY.
Alright.

THANK YOU.

Bye.
BYE-BYE.

Seana: I'M FEELING REALLY BAD

BECAUSE I KNOW DR. NOW
ISN'T HAPPY WITH ME,

BUT I'M GLAD HE'S GIVING ME
THE PAPERS AGAIN AND MORE TIME,

BUT THAT'S STILL A LOT
OF WEIGHT TO LOSE BY THEN.

IT JUST SUCKS, ME NOT WANTING
TO DISAPPOINT PEOPLE.

IT MAKES IT HARDER FOR ME
TO TRY

BECAUSE I FEEL LIKE
I'M ALREADY DISAPPOINTING THEM.

SO WHAT'S THE POINT
IN EVEN TRYING?

I'M BACK IN HOUSTON FOR ANOTHER
APPOINTMENT WITH DR. NOW.

DERRICKUS DROVE ME
DOWN THIS TIME,

BECAUSE MY MOM
IS STILL TRAVELING FOR A WHILE.

THIS TRIP DRIVING HERE

IS TOO HARD FOR ME
TO DO WITHOUT ANY HELP.

MY MOM WANTS ME TO CALL HER
AFTER I'M DONE

WITH THE APPOINTMENT
TO TELL HER WHAT HAPPENED.

I'M REALLY SCARED
TO FIND OUT MY PROGRESS

BECAUSE I DON'T WANT
TO LET HER OR DR. NOW DOWN.

THE PAPERS DR. NOW SENT ME
WITH HIS DIET AND EXERCISES

WERE A LOT HARDER
THAN WHAT I WAS DOING.

I TRIED TO DO WHAT THEY SAID,

BUT AFTER A FEW DAYS,
I LOST THEM AGAIN.

I TRIED TO REPRINT THEM,
BUT I COULDN'T FIND THE E-MAIL,

AND I DON'T KNOW
WHAT HAPPENED.

SEANA.

SO I'VE JUST BEEN TRYING
REALLY, REALLY HARD.

I DO AS MUCH AS I CAN TO DIET
AND LOSE WEIGHT

BECAUSE I REALLY DON'T WANT
TO MESS THIS UP

AND LET EVERYONE DOWN AGAIN.

Seana: I'M AT DR. NOW'S OFFICE
WITH DERRICKUS,

TO SEE HOW MY WEIGHT LOSS DID
AND IF MY DIET WAS ENOUGH.

AT MY LAST WEIGH-IN,
I WAS 659.

DR. NOW CHANGED MY GOAL
TO LOSE 50 POUNDS,

SO I NEED TO SEE
A NUMBER BELOW 609.

I'M NOT SURE WHAT HAPPENED.

I THOUGHT I WAS
TRYING REALLY HARD,

AND THAT I'D HAVE
BETTER PROGRESS,

SO I'M REALLY SCARED BECAUSE
I DON'T KNOW WHAT THIS MEANS.

HELLO.
HELLO.

HOW ARE YOU ALL DOING?

GOOD, HOW ARE YOU?

I'M GOOD, THANKS.

AND WHO IS THE PARTNER
WITH YOU?

MY COUSIN, DERRICKUS.

NICE TO MEET YOU.
ALRIGHT.

SEANA,
IT'S THREE MONTHS LATER,

AND YOU HAVEN'T
LOST ANY WEIGHT.

SO WHAT'S GOING ON?

UH...

I DIDN'T READ THE BOOKLET
BECAUSE I LOST IT AGAIN.

YOU'RE TELLING ME
YOU LOST IT AGAIN?

YES. YEAH.

THE SECOND TIME?YEAH.

YOU LOST THE E-MAIL, TOO?YEAH.

SO WHY DIDN'T YOU CALL ME
AGAIN AND ASK FOR IT?

I WAS AFRAID
YOU'D BE MAD AT ME.

NO, I WOULDN'T GET MAD
OF YOU THEN,

BUT I GET MAD AT YOU NOW
FOR DOING NOTHING

AND WASTING ALL THAT TIME.

YEAH.

AND YOU HAVEN'T
LOST ANY WEIGHT.

YEAH.

SO WHAT'S THE POINT
OF COMING HERE

FROM KANSAS CITY
TO HOUSTON

AND GOING BACK
AND COMING BACK

AND NOT LOSING WEIGHT
IN ALL THAT TIME?

SO, WHAT IS WITH THAT?

I DON'T KNOW.

WHAT DO YOU MEAN
YOU DON'T KNOW?

I GUESS IT WAS JUST LAZY
ON MY PART.

YOU WANT TO KILL YOURSELF
WITH THE FOOD, BE MY GUEST.

SO WHY EVEN LOSE WEIGHT?

HMM?

I DIDN'T PUT ANY EFFORT IN,
I GUESS.

WHAT DO YOU MEAN?

I DIDN'T DO MY PART LIKE
I SHOULD HAVE BY CALLING YOU

AND TELLING YOU THAT I LOST IT.

WELL, YOU DIDN'T DO THAT,

BUT COULDN'T YOU EAT
MORE APPROPRIATELY?

FOR YOU TO BE 650 POUNDS,

YOU HAVE TO EAT 7,000
TO 8,000 CALORIE A DAY

TO KEEP THAT WEIGHT GOING.

YES, SIR.

SO WHAT IS THAT POINT
OF EATING THAT MUCH

AND COMING DOWN HERE

AND GIVE ME THE SAD STORY
OF YOU LOST THE PAPER?

THE DIET WILL HELP
YOU HIT THE GOAL,

BUT WITHOUT IT, YOU COULD
HAVE STILL LOST SOMETHING.

THE PAPER
WAS THE ONLY THING

THAT'S GONNA KEEP YOU
FROM LOSING WEIGHT?

NO.

YOU SAID YOU THOUGHT
YOU WERE LOSING.

SO WHAT HAPPENED?

I DON'T KNOW.

SO WHAT IS IT?

YOU'RE EATING WHATEVER,
WHENEVER,

AND EXPECTING ANYBODY ELSE
TO DO THE JOB FOR YOU?

NO, SIR.

SO WHAT DO YOU
EXPECT TO HAPPEN?

THAT I MAGICALLY
MAKE YOU LOSE WEIGHT?

NO.

I HAVE TO DO MY PART,
AND I DIDN'T.

WELL, RIGHT NOW,

IT DOESN'T SEEM
THAT YOU HAVE ANY INTEREST

IN MAKING ANY CHANGES,

BECAUSE WE GAVE YOU
THE INSTRUCTION,

YOU LOST THE INSTRUCTION.

WE GAVE IT TO YOU AGAIN,

AND YOU LOST IT
THE SECOND TIME.

SO FAR, EVERY CHOICE
YOU MADE SHOWS ME

THIS DOESN'T
REALLY MATTER TO YOU.

NO, SIR. IT DOES.

WELL, IF THIS IS
IMPORTANT TO YOU,

THEN WHAT DO YOU
WANT TO DO ABOUT IT?

TRY TO LOSE WEIGHT.

OKAY. AND WHAT IS STOPPING YOU
FROM DOING THAT?

EATING TOO MUCH.

WHY?

DON'T YOU REALIZE
THAT'S HARMING YOU?

YES, SIR.

YOU DO?

KIND OF, YEAH.

OKAY. THEN WHAT DO YOU
DO ABOUT IT?

I SHOULD STOP.

NO, WE DON'T WANT YOU
TO STOP EATING,

WE WANT YOU TO EAT NORMAL.I KNOW, BUT I KNOW LIKE...

WELL, YEAH,
LIKE, EAT BETTER CHOICES.

BETTER CHOICES?YEAH. TO EAT LESS.

SO I'LL GIVE YOU
AN INSTRUCTION,

IF YOU THINK YOU CAN MAKE
THOSE A PART OF YOUR PROGRAM

AND WORK ON THEM?

YES, SIR.

YOU'LL NEVER LOSE
THEM AGAIN, NOW?

NO.

OKAY, SO YOU READY
TO DO THIS OR NOT?

YEAH.

OKAY. IS YOUR FAMILY
HELPING YOU TO DO THAT?

YES, SIR.

WHERE'S YOUR MOM?

I THOUGHT SHE WAS
GONNA HELP YOU DO THIS.

SHE COULDN'T BE HERE.

SO IS SHE HELPING YOU
WITH YOUR WEIGHT LOSS?

I'M THE HOMEMAKER.

I MAKE SURE SHE KEEPS
EVERYTHING NEAT AND STUFF.

I HELP HER
AROUND THE HOUSE

AND GET HER AROUND
AND MOVE AROUND

TO GET MORE EXERCISE
AND...

OKAY, WELL, IF YOU ARE
HELPING HER

DOING ANYTHING
TO GET HEALTHY,

SHOULDN'T WE SEE SOME RESULT
ON THE SCALE?

BUT THERE ARE NO RESULTS,

SO NONE OF THIS ADDS UP.

SO WHO COOKS?

I DO ALL THE COOKING
AND CLEANING.

SHE WANT TO EAT SOMETHING,
YOU GIVE IT TO HER?

I COOK IT AND I --

MY THING IS I COOK IT,
AND I MAKE HER TRY

TO GO MAKE HER TO DO

SO SHE CAN MOVE AROUND,
MAKE HER FIX HER OWN PLATE.

I CANNOT GET HER
TO EAT VEGETABLES.

SHE EATS A LOT OF MEAT,

BUT SHE JUST WON'T EAT
THE VEGETABLES.

UNLESS IT'S THE ONE SHE LIKES,
LIKE POTATOES AND CORN.

NO.

WELL, IF SHE EATS
LIKE YOU SAY,

THEN WHERE ARE
THE EXTRA CALORIE COMING,

BEING 650 POUNDS?

PROBABLY
HER SNACKING HABITS.

WHEN I'M AT WORK.

YOU'RE 22 AND 650 POUNDS,

ALMOST 660, REALLY.

YOU COULD HAVE YOUR WHOLE LIFE
AHEAD OF YOU.

DON'T YOU WANT THAT?

YES.

DO YOU HAVE
A GOAL IN YOUR LIFE?

YEAH.

WHAT IS YOUR GOAL
IN YOUR LIFE?

TO BE A TOUR-BUS DRIVER.

WHY TOUR BUS?

BECAUSE I LIKE THE THOUGHT
OF TOURING WITH BANDS AND STUFF.

OKAY.

MY MOM DOES IT,
AND I LIKE HER JOB.

OKAY.

AND SO, HOW DO YOU THINK
YOU CAN GET THAT JOB?

I DON'T...

AT THIS RATE YOU'RE GOING,

YOU'RE NOT GONNA MAKE IT
TO 30, YOU KNOW THAT, RIGHT?

YES, SIR.

SO, YOU'RE KILLING YOURSELF
WITH THE FOOD,

AND WE'RE TRYING TO STOP YOU
FROM DOING THAT,

AND IT DOESN'T SEEM
TO MATTER TO YOU.

OR YOU ARE IN THE WORLD
THAT THAT DOESN'T EXIST,

AND YOU GOT A COCOON
AROUND YOURSELF,

AND YOU'RE NOT SEEING THE
REALITY OF WHAT'S GOING ON,

AND YOU DEPEND
ON EVERYBODY ELSE

TO MAKE THOSE CHANGES
FOR YOU. OKAY?

AND NONE OF
THAT'S GONNA HAPPEN

UNTIL YOU DECIDE
TO CHANGE IT.

NOBODY ELSE
CAN DO THAT FOR YOU.

SO EVERYTHING
IS UP TO YOU.

NOT EVERYBODY ELSE,
IT'S YOUR LIFE,

AND YOU GOT TO
MAKE THOSE CHANGES.

ALRIGHT?
IF YOU WANT TO LIVE LONGER,

THEN YOU'RE GONNA HAVE
TO DO THE RIGHT THING.

YES, SIR.
OKAY?

SO WE'LL GIVE YOU ONE
LAST CHANCE TO DO THAT,

BUT IF YOU COME NEXT MONTH
AND YOU DON'T LOSE WEIGHT,

I DON'T KNOW WHAT ELSE
WE CAN DO FOR YOU.

YES, SIR.

AND YOU'RE IN A PATHWAY THAT
YOU'RE GONNA KILL YOURSELF,

AND NOBODY CAN
HELP YOU WITH THAT.

YOU'RE 650 POUNDS.

IF YOU STICK
WITH A 1,200-CALORIE DIET,

YOU CAN LOSE
100 POUNDS A MONTH.

BUT WHAT I WANT YOU TO DO

IS TO ONLY LOSE 80 POUNDS
OVER 2 MONTHS.

THAT'S 40 POUNDS A MONTH,

AND YOU SHOULD EASILY
BE ABLE TO DO THAT, OKAY?

MM-HMM.SO THAT SHOULD BE EASY GOING.

YOU KNOW?

THAT'S NOT GONNA BE
VERY HARD TO DO. OKAY?

MM-HMM.

ALRIGHT.
SO LET'S DO THAT,

AND I HOPE TO SEE YOU
IN TWO MONTHS.

OKAY.ALRIGHT. ANY OTHER QUESTION?

NO, SIR.

MAKE SURE THE EXERCISE,

AND WE'LL GIVE YOU
THE READING MATERIAL.

THIS TIME, DON'T LOSE IT.
OKAY?

YES, SIR.

ALRIGHT.
I'LL SEE YOU IN TWO MONTHS.

IF YOU NEED ANYTHING
BEFORE THEN, GIVE ME A CALL.

OKAY.

ALRIGHT.
I'LL SEE Y'ALL LATER.

THANK YOU.
OKAY.

Dr. Nowzaradan: SO FAR, SEANA
HAS ONLY CONFIRMED MY CONCERNS

ABOUT THE ISSUES
WE MAY HAVE WITH HER,

AND HOW DIFFICULT
IT'S GONNA BE

TO START TURNING
HER SITUATION AROUND.

THE BIGGEST ISSUE BEING THAT
SHE HASN'T DECIDED

WHETHER SHE REALLY WANTS
TO DO THIS OR NOT,

BUT ALL SHE NEEDS TO SHOW ME
IS A LITTLE BIT OF REAL EFFORT

TO PROVE TO ME SHE'S READY TO DO

WHAT IT TAKES TO TAKE BACK
CONTROL OF HER LIFE.

Seana: I'M JUST MORE UPSET NOW,

BECAUSE I THOUGHT
THAT HE'D UNDERSTAND,

BUT HE DIDN'T REALLY.

INSTEAD, HE GAVE ME
THE 80-POUNDS GOAL AGAIN

AND TOLD ME I HAVE TO LOSE
WEIGHT OR I'M GONNA DIE,

AND I'M SCARED
THAT HE SAID THAT.

BUT AT THE SAME TIME, IT'S TRUE,
SO I NEED TO FIX IT.

THE PAST MONTH HAS NOT GONE
ANYWHERE LIKE HOW I WANTED IT.

BASICALLY, MY MOM TOLD ME
I HAD TO MOVE OUT,

AND I HAD NOWHERE
TO LIVE ALL OF A SUDDEN.

SO I BASICALLY HAD TO PACK
EVERYTHING AND MOVE OUT.

MY MOM GAVE ME A LITTLE MONEY
TO TRY

AND HELP ME TRANSITION
TO BEING ON MY OWN.

AND SHE ALSO TOLD ME
THAT SHE CAN'T KEEP PAYING

DERRICKUS TO TAKE CARE OF ME.

SO, I HAVE NO ONE
TO MOVE TO TEXAS WITH ME NOW.

SO, I FEEL LIKE MY LIFE
HAS JUST FLIPPED UPSIDE DOWN.

I'M TRYING TO FIGURE OUT
HOW TO SURVIVE,

AND I'M SCARED
BECAUSE I FEEL REALLY LOST.

I JUST FEEL BAD
AND IT'S ALL MY FAULT,

AND I DON'T KNOW WHAT TO DO,

AND I FEEL LIKE IT'S GOING
TO ALL CRUMBLE DOWN AROUND ME.

I HATE BEING BY MYSELF BECAUSE
I KNOW WHENEVER I'M ALONE,

I JUST FEEL LIKE EVERYTHING JUST
GOES SPIRALING OUT OF CONTROL,

AND I JUST DON'T KNOW
WHAT TO DO ANYMORE.

I NEED HELP.

Seana: I MISSED MY APPOINTMENT
WITH DR. NOW AGAIN.

I JUST NEED MORE TIME

BECAUSE I'M TRYING TO GET BACK
ON MY OWN TWO FEET

AND FIGURE OUT MY
LIVING SITUATION LONG-TERM,

BECAUSE I'LL BE
OUT OF THE MONEY MY MOM

GAVE ME
IN A COUPLE OF MONTHS.

I TRIED LOOKING FOR A JOB ONLINE

THAT I COULD HANDLE
TO MAKE SOME MONEY,

BUT THERE'S NOTHING
I COULD FIND.

SO, I HAVE NO IDEA
WHAT I'M GONNA DO.

I'M SCARED I'M JUST LETTING
EVERYONE DOWN CONSTANTLY.

AND I KNOW DR. NOW'S
NOT HAPPY WITH ME EITHER.

I'M TALKING TO HIM TODAY
BECAUSE HE WANTS TO TALK TO ME,

SO I TOLD HIS OFFICE PEOPLE
I'D DO IT.

I'M HOPING HE UNDERSTANDS
THAT I'M TRYING.

Hi, Seana.
HI.

How are you?

I'M GOOD. HOW ARE YOU?

Alright.

So, it's been several months
since I've seen you

and you've missed
another appointment.

What's going on with you?

UM...

I DON'T KNOW RIGHT NOW.

Is mom not
with you anymore?

NO, SHE MOVED TO ARIZONA
FOR WORK.

Okay.

So what happened
to Derrickus?

HE ABANDONED ME.

HE'S LEFT.

IT WAS JUST -- JUST ONE THING
AFTER ANOTHER.

Well, Seana, so it seems

like nothing
going right for you

in Kansas City,

and you have
no support system.

It's not benefiting
you staying over there.

So, it's better for you
to come down to Houston

so we can help you and have
a support system for you

and get you in the program,

so you can lose weight
and change your life.

Do you think
you can do that?

NO.
Why?

BECAUSE I HAVE NO WAY
DOWN THERE.

I HAVE NO ONE
TO HELP ME MOVE.

I HAVE NO WAY
TO GO DOWN THERE.

So, what option
we got for you?

I HONESTLY DON'T KNOW
RIGHT NOW.

Seana, it's not looking like
you really want to do this,

because you came down here

and we gave you a diet
over six months ago,

but it doesn't look like
you have lost any weight.

And you're almost 700 pounds,
BMI 100, 23 years old,

and not able to do anything
to change your life.

You're not gonna live long
at all.

So, what are your ambitions

and what do you want
to do with your life?

I WANT TO COME DOWN THERE,
BUT I HAVE NO WAY.

Well, if you can,

why haven't you been able
to follow the diet?

Do you still have the diet?

THOSE ARE IN THE BOXES
I HAVE PACKED, MY STUFF.

I WASN'T ABLE TO BRING
ALL MY STUFF WITH ME, SO...

Okay, so what good does it
do packed up?

I DON'T KNOW.

Seana, I think at this point,
you need to find a way

to come down to Houston
and be part of a program

so we can get
your weight down.

Because it looks like you're
almost gonna hit 700 pound

and it's gonna be
BMI of over 100

and it's gonna be a very
dangerous situation for you.

Okay?
OKAY.

You're only 23,
but I don't think

you're even gonna make it
to 30 the way you're going.

It seems like you have not
gotten ahold of your life

and you don't know what your
priorities are at this point.

And you're not following
the diet

and you're not doing anything

to get your life
changed better,

and you're just gonna be

in a very dangerous
situation for you.

I don't think you are
realizing that

and you just...

Personally,
the longer you wait,

the harder it's gonna be
to turn your life around.

So, this is gonna be
a priority for you

to make these changes
and see

if you can move down
to Houston as soon as possible,

because it doesn't
seem that

you have any support system
in Kansas City.

YES, SIR.

And there is nothing there
for you to continue there.

So, let's get you
moved down here

as soon as possible.
Okay?

OKAY.
Alright.

So, you need to make
those arrangements.

But in the meantime,

you stick with
the healthy eating habit

and don't overeat, okay?MM-HMM.

And do your exercises

and see if we can get you
to move down here.

OKAY, I CAN TRY.

And then I want you
to come back here

in one month
or two months,

whichever you feel.

If it is in one month,

I expect you to have lost
50 pounds by then.

And if it's in two months,

I expect you to lose
80 pounds by then. Okay?

OKAY.
Okay, good.

In the meantime,
you follow the diet

and try to eat healthy

and get down to Houston
as soon as possible.

If you need any help
or you need anything,

you can give me a call.
Okay?

OKAY.

Alright. I look forward
seeing you down to Houston

and see if we can change
your life for the better. Okay?

YES, SIR.
Alright, Seana.

Give me a call
if you need anything. Okay?

OKAY. THANK YOU.

Yeah. Bye.
BYE.

Seana: THAT WASN'T AS TERRIBLE
AS I WAS THINKING.

I COULD STILL TELL
I'M DISAPPOINTING DR. NOW,

BUT I FEEL LIKE HE WANTS
TO HELP ME FIGURE OUT THINGS

SO I CAN GET MY LIFE
TOGETHER AGAIN.

THE THOUGHT OF MOVING TO HOUSTON
ON MY OWN IS TERRIFYING,

BUT I'M PRETTY MUCH
ON MY OWN NOW,

SO IF I MOVE TO HOUSTON,
AT LEAST THERE I'LL HAVE DR. NOW

TO HELP ME.

SO, SOMEHOW I HAVE TO FIGURE OUT
HOW TO DO IT,

HOW TO LOSE 50 POUNDS.

BUT RIGHT NOW, I HAVE NO IDEA

HOW I'M GONNA MAKE THE MOVE
TO HOUSTON ON MY OWN.

MY MOM IS TAKING ME
TO THE AIRPORT TODAY,

SO I CAN GO TO HOUSTON
ON MY OWN AND LIVE THERE.

SHE SAYS SHE THINKS
IT'S A REALLY GOOD IDEA

THAT I MOVE TO HOUSTON
AND TRY TO DO DR. NOW'S PROGRAM.

AND SHE SAYS SHE'LL GIVE ME
A LITTLE BIT

MORE MONEY TO GET DOWN THERE

AND TRY AND FIND A PLACE
THAT I CAN AFFORD.

BUT MY MOM IS GONNA HELP ME
GET CHECKED IN,

BUT AFTER THAT, I'M ON MY OWN

AND THAT'S THE PART
I'M SCARED OF.

THANK YOU.

ALRIGHT, AND WE'LL TAKE CARE
OF YOUR BAG.

THANK YOU.
HAVE A GREAT DAY.

I'M REALLY SCARED TO DO THIS.

I HAVEN'T BEEN ON A PLANE
SINCE I WAS 8 YEARS OLD,

AND I'VE NEVER TRAVELED ALONE
AT THIS SIZE BEFORE.

SO, I'M JUST STRESSED
ABOUT DOING THIS.

THEY'RE NOT GONNA LET ME
COME IN PAST THIS LINE NOW.

I KNOW.
YOU KNOW THAT, RIGHT?

YEAH.
IF YOU DON'T DO THIS,

THEN I DON'T KNOW
WHAT IS GONNA HAPPEN.

I KNOW.

BUT YOU GOT THIS,
I HAVE NO DOUBT.

AND IT'S GONNA CHANGE
YOUR LIFE FOREVER.

JUST GO GET IT.
OKAY.

I LOVE YOU.
LOVE YOU, TOO.

GO AHEAD.
GO GET IT, SEANA.

I'M TRYING.

I'M REALLY SCARED RIGHT NOW.

I'M ALREADY STARTING
TO HURT A LOT.

I FEEL LIKE MY LEGS
ARE GIVING OUT.

THIS IS REALLY HARD.

IT'S MORE ACTIVITY
I THINK I'VE HAD IN A LONG TIME,

SO IT'S ALREADY TOO MUCH.

I'M SO EXHAUSTED,
BUT I JUST HOPE

I DON'T RUN OUT OF ENERGY
BEFORE I GET TO THE GATE.

AND I HOPE THE REST OF THE WAY

ISN'T GONNA BE
TOO HARD OF A WALK.

I'M STILL REALLY NERVOUS
ABOUT GETTING ON THE PLANE

AND HOW THAT'S GONNA GO.

I JUST HOPE I DON'T GET STUCK
IN THE AISLE

OR CAN'T FIT IN THE SEAT
OR SOMETHING.

I'M VERY RELIEVED I MADE IT ON.

I'M REALLY TIRED,
BUT I'M EXCITED ABOUT THAT.

BEING ABLE TO DO THAT
WAS MY BIGGEST FEAR.

I'M FEELING BETTER RIGHT NOW.

I'M JUST GONNA TRY AND NOT
THINK ABOUT ALL OF THE STUFF

I STILL HAVE TO DO
WHEN I GET TO HOUSTON.

IT ALL OVERWHELMS ME.

MY MOM GAVE ME MONEY FOR A HOTEL
THAT'LL LAST ME A LITTLE BIT.

I HAVE TO MAKE SURE
THAT I LOSE THE WEIGHT

DR. NOW SAYS I HAVE TO LOSE

BEFORE
MY APPOINTMENT IN A MONTH.

BUT RIGHT NOW,
I JUST NEED TO REST.

AND THEN WHEN I GET TO HOUSTON,

I'LL WORRY ABOUT IT
AND FIGURE IT ALL OUT SOMEHOW.

Seana: I'VE BEEN HERE IN HOUSTON
FOR A MONTH NOW.

I MOSTLY JUST STAYED
IN MY HOTEL ROOM THE WHOLE TIME.

I HAVEN'T SEEN ANYBODY,
SINCE I DON'T KNOW ANYBODY HERE.

THE ONLY TIME I GO OUT
IS TO WALK AROUND THE HOTEL

FOR EXERCISE OR WALK MY DOG.

BUT OTHER THAN THAT,

I DON'T HAVE A CAR
OR A LOT OF MONEY,

SO I'VE JUST BEEN PUTTING
MY FOCUS ON DIETING.

AND I'VE WORKED REALLY HARD
ON DR. NOW'S DIET.

I'M HOPING IT'S BEEN ENOUGH,

BECAUSE I'VE CHANGED
MY WHOLE LIFE TO DO THIS.

I STILL HAVEN'T FOUND A PLACE
TO LIVE

BECAUSE ALL MY ENERGY
IS GOING INTO

WHAT I NEED TO GET
MY WEIGHT DOWN TO THE GOAL

I'M SUPPOSED TO HAVE.

SO, I'M HOPING THAT
I'VE FINALLY LOST SOME WEIGHT

AND DID IT THIS TIME.

SEANA?

AT MY LAST WEIGH-IN, I WAS 658,

AND THE GOAL I HAVE NOW
FROM DR. NOW

IS TO LOSE 50 POUNDS,

SO MY WEIGHT NUMBER NEEDS TO BE
DOWN TO 608 TO BE AT MY GOAL.

HOLY

I'VE NEVER LOST ANY TYPE
OF WEIGHT LIKE THAT BEFORE,

SO I FEEL REALLY GOOD.

REALLY, REALLY GOOD.

I'M SO PROUD OF MYSELF.

I DOUBTED MYSELF A LOT,

BUT I TRIED MY HARDEST
THIS PAST MONTH,

EVEN THOUGH I WAS ON MY OWN.

SO IT FEELS REALLY GOOD TO SEE
MY PROGRESS AND WHAT I DID.

I HOPE THAT SHOWS DR. NOW
WHAT HE WANTS TO SEE,

AND THAT HE THINKS
I'M READY FOR SURGERY NOW.

HI, SEANA.
HI.

HOW ARE YOU?GOOD, HOW ARE YOU?

ALRIGHT. IT'S BEEN A WHILE
SINCE I'VE SEEN YOU,

SO HOW YOU'VE BEEN?

I'VE BEEN BETTER.

WHAT DO YOU MEAN, BETTER?

EXPLAIN TO ME.

I'VE BEEN STRUGGLING
A LOT.

WITH THE MOVE DOWN HERE?
YEAH.

SO, ARE YOU
LIVING DOWN HERE NOW?

YES, SIR.

WHERE ARE YOU LIVING NOW?

I'M LOOKING FOR A PLACE.
THERE'S A COUPLE OF OPTIONS.

YOU'RE LIVING
IN A HOTEL, THEN?

YES, SIR.

OKAY, WELL, I'M GLAD
YOU'RE DOWN HERE.

ARE YOU ABLE TO MANAGE
EVERYTHING YOURSELF?

YES, SIR.

OKAY. TELL ME ABOUT WHAT'S
GOING ON WITH YOUR WEIGHT,

BECAUSE YOU LOST SOME WEIGHT
SINCE LAST TIME

I SAW YOU, WHICH IS GOOD.

BUT YOUR PROGRESS IS NOWHERE
NEAR WHERE IT SHOULD BE,

IF YOU WERE ACTUALLY DOING
THE DIET LIKE YOU NEED.

IT'S BEEN EIGHT MONTHS

SINCE YOU FIRST CAME DOWN
TO SEE ME AND GET HELP,

AND IN THAT TIME,
YOU ONLY LOST 35 POUNDS,

WHICH IS NOT A LOT.

NO.

SO, YOU STILL HAVE A LOT
TO SHOW ME

TO CONVINCE ME
YOU'RE READY TO DO THIS.

I WOULD NORMALLY SAY
AT THIS POINT,

THAT I'M NOT SURE THERE'S
ANY MORE WE CAN DO FOR YOU.

BUT BECAUSE I SEE YOU'RE TRYING
A LITTLE RIGHT NOW,

I'M WILLING TO GIVE YOU
TWO MORE MONTHS

TO SHOW ME YOU CAN LOSE
80 POUNDS, OKAY?

OKAY, THANK YOU.

BUT I WANT YOU
TO START THERAPY TO SEE

IF THEY CAN HELP YOU START
TO WAKE UP AND DO WHAT YOU NEED

AND TO HELP MOTIVATE YOU
TO START MAKING BETTER CHOICES

AND TAKE RESPONSIBILITY
FOR YOUR SITUATION

BEFORE THINGS GET WORSE
FOR YOU, OKAY?

OKAY.

AND THEN, IN TWO MONTHS,

I WANT YOU TO LOSE
80 POUNDS, OKAY?

YES, SIR.

BUT YOU'RE RUNNING OUT
OF CHANCES, SEANA.

SO, IT'S TIME TO DO BETTER.YES, SIR.

YOU STILL HAVE THE DIET, RIGHT?I DO.

OKAY, I'LL GIVE YOU ANOTHER
JUST IN CASE.

AND I'LL ALSO GIVE YOU
ANOTHER COPY OF THE EXERCISES.

AND YOU'RE GONNA START
DOING YOUR EXERCISES, TOO.

AND TRY TO DO SOME EXERCISE
ON DAILY BASIS, OKAY?

YES, SIR.
OKAY. ANY QUESTIONS?

NO, SIR.
ALRIGHT.

SO, WE HAVE A LOT OF WORK
TO DO TO GET YOU ON A TRACK

AND GET YOU TO UNDERSTAND
WHAT TO DO AND NOT TO, OKAY?

YES, SIR.

ALRIGHT, WELL, I'M GLAD
TO SEE YOU BACK DOWN HERE.

I THOUGHT YOU WOULD NEVER
MAKE IT DOWN HERE,

BUT I'M GLAD
YOU FINALLY DID, OKAY?

YES, SIR.

ALRIGHT,
I'LL SEE YOU LATER.

THANK YOU.

Dr. Nowzaradan:
I'M GLAD TO SEE

SEANA HAD SOME WEIGHT LOSS
IN THIS TIME,

AND THAT SHE'S MOVED
DOWN HERE TO HOUSTON

SINCE SHE LOST HER SUPPORT
SYSTEM BACK HOME.

BUT HER PROGRESS IS STILL FAR
AWAY FROM WHERE IT SHOULD BE,

SO SHE STILL NOWHERE CLOSE
TO SHOWING ME

THAT SHE'S READY FOR ANY BIG
STEP LIKE WEIGHT-LOSS SURGERY.

BUT NOW THAT SHE'S HERE
IN HOUSTON,

WE'LL START HER
GOING TO PSYCHOTHERAPY,

TO SEE IF THEY CAN
HELP WORK WITH HER

TO HELP GET HER MORE MOTIVATED,

TO START TAKING RESPONSIBILITY
FOR HER SITUATION

BEFORE SHE GETS ANY WORSE
AND ENDS UP IN THE SITUATION

WHERE WE ARE OUT
OF OPTIONS WITH HER

AND UNABLE TO HELP HER ANYMORE.

BECAUSE SHE COULD VERY EASILY

AND VERY QUICKLY END UP
IN THAT PLACE

IF SHE DOESN'T START DOING
MORE OF WHAT SHE NEEDS SOON.

Seana: I'M A LITTLE DISAPPOINTED
AND SAD

THAT DR. NOW DIDN'T SEEM PROUDER
OF ME LIKE I WAS HOPING,

AND THAT HE STILL WANTS ME
TO SHOW HIM MORE

BEFORE I CAN GET SURGERY.

BUT SEEING WHAT
I'M CAPABLE OF TODAY

MAKES ME WANT TO MAKE
EVEN MORE PROGRESS,

SO I'LL KEEP WORKING HARD
TO SHOW HIM

I CAN DO EVEN BETTER NEXT TIME

AND FINALLY GET
MY WEIGHT-LOSS SURGERY.

I'M GOING TO THE THERAPY
DR. NOW SET UP.

IT'S SUPPOSED TO HELP ME
LOSE MORE WEIGHT,

EVEN THOUGH
I LOST A LOT LAST TIME.

BUT I'VE HAD A LOT OF THERAPY
IN MY LIFE IN THE HOSPITALS,

SO I THINK I KIND OF
KNOW WHAT TO EXPECT.

USUALLY IT'S GOOD BECAUSE
I FEEL LIKE EVERY TIME

I GET THERAPY, I GET SOMETHING
HELPFUL OUT OF IT.

BUT IT'S STILL NOT
AN EASY PROCESS,

AND THERE ARE THINGS
I DON'T WANT TO TALK ABOUT,

BECAUSE I DON'T NEED TO.

AND IF I HAVE TO,
IT JUST UPSETS ME.

BUT WE'LL JUST SEE HOW IT GOES,
I GUESS.

ARE YOU SEANA?
HI.

I'M DR. PARADISE,
COME ON IN.

HAVE A SEAT ON THE COUCH
OVER HERE. HAVE A SEAT.

HI, THERE. WELCOME.

THANK YOU.I'M GLAD YOU MADE IT IN.

TELL ME A LITTLE BIT
ABOUT YOURSELF.

WHAT WAS
YOUR CHILDHOOD LIKE?

WITH MY MOM,
IT WAS REALLY GOOD.

WITH MY DAD, NOT SO GOOD.

OKAY, TELL ME ABOUT YOUR HISTORY
WITH YOUR MOM AND YOUR DAD.

THEY WERE TOGETHER
WHEN YOU WERE BORN?

WHEN I WAS BORN, YES,
UNTIL I WAS 4.

DO YOU KNOW WHAT PULLED
YOUR PARENTS APART?

UM, MY DAD'S ABUSIVENESS.

OKAY.

AND HIM AND HER
JUST NOT GETTING ALONG.

DO YOU KNOW
IF HE WAS ABUSIVE TO YOU?

OH, HE WAS.
REALLY MENTAL ABUSIVE.

AND PHYSICALLY SOMETIMES.

LET'S TALK ABOUT
THE MENTAL PART.

HE MADE FUN OF YOU,
HE SAID MEAN THINGS?

BECAUSE OF MY WEIGHT.

HE MADE FUN
OF MY WEIGHT A LOT.

SO, YOUR DAD GAVE YOU
A HARD TIME ABOUT THAT.

YEAH.

ONE OF THE THINGS
THAT HAPPENS,

ESPECIALLY WHEN A YOUNG PERSON
IS ABUSED,

IS THEY TEND TO THINK
IT'S THEIR FAULT.

MY GUESS IS,
DID YOU THINK YOU DESERVED IT

BECAUSE
YOU WERE OVERWEIGHT?

YEAH.
YEAH, OKAY.

DOES HE EVER
APOLOGIZE TO YOU?

NOT REALLY.

OKAY.

HOW ARE YOU FEELING
RIGHT NOW?

LIKE...

I JUST DON'T WANT
TO TALK ANYMORE.

YEAH, AND DOING THIS,

IT'S A LITTLE BIT LIKE GETTING
A DEEP-TISSUE MASSAGE.

WE'RE WORKING THROUGH KNOTS,
AND IT'S GONNA HURT.

BUT THE IDEA IS AFTERWARDS,
YOU'RE GONNA BE ABLE

TO MOVE MORE.
SO IT'S NORMAL,

BUT I THINK YOU'RE PROTECTED
AGAINST SOME OF THIS STUFF,

BUT WHEN WE PUSH THROUGH IT,
IT'S GONNA GIVE YOU ACCESS

TO STUFF
THAT YOU DIDN'T HAVE BEFORE.

I JUST WANT TO GO EAT

A GIANT FRICKIN'
PIZZA RIGHT NOW.

THAT'S WHAT
YOU FEEL LIKE DOING?

YEAH, HONESTLY.

OKAY. BUT YOU GOT TO STAY
ON THE EATING PLAN

IF YOU'RE GONNA STAY
IN THE PROGRAM

AND REACH THE NEXT LEVEL,

WHICH IS HAVING
THE SURGERY, RIGHT?

YEAH.
SO, YOU SHOULD BE DOING

EVERYTHING
YOU CAN TO STAY ON THE DIET.

SO, LET'S COME UP
WITH A DIFFERENT STRATEGY.

WHAT COULD YOU DO?

I HAVE NO IDEA.

YOU COULD TAKE A WALK.

IF YOU WERE HOME, YOU COULD DO
SOME OF YOUR EXERCISES

WITH YOUR WEIGHTS
AND STUFF, RIGHT?

SO YOU COULD DO
SOMETHING PHYSICAL.

WHAT DO YOU ENJOY DOING?

I LIKE SWIMMING.

SO, THAT COULD BE A GOAL,

IS TO FIGURE OUT SOME PLACE
TO GO SWIMMING.

YEAH.

YEAH. AND THEN,
THE LAST THING,

AND THIS IS YOUR LEAST FAVORITE,
IS THE LONG-TERM STUFF.

I THINK IT WOULD HELP YOU
TO KEEP TALKING

ABOUT RELATIONSHIP
WITH YOUR FAMILY,

AND THE EMOTIONAL EATING,
TO GET AT THAT,

SO THAT WE CAN REWRITE
YOUR UNDERSTANDING OF THAT,

SO THAT YOU'RE NOT
SO VULNERABLE TO IT.

YEAH.

OKAY?
OKAY.

ARE YOU FEELING OKAY
ABOUT WHAT WE TALKED ABOUT?

YEAH.
OKAY. SO SEANA,

I NEED YOU TO KEEP
TAKING CARE OF YOURSELF.

STAYING PHYSICALLY ACTIVE,
STAYING ON THE DIET,

IT'S ALL GONNA
GO TOGETHER.

OKAY. THANK YOU.

I CAN'T WAIT TO HEAR
HOW WELL YOU'RE DOING.

I'LL GET THIS DOOR
FOR YOU.

THANK YOU.

Seana: THERE'S A LOT
THAT I FEEL BAD ABOUT,

AND IT'S STUFF
THAT WILL HURT ME

THAT I DON'T WANT
TO THINK ABOUT.

AND DEALING WITH THE HARD STUFF

ENDS UP MAKING ME WANT
TO EAT EVEN MORE,

SO I'M NOT SURE
WHAT I'M GONNA DO.

Seana: SINCE SEEING DR. PARADISE
AND TALKING TO HIM,

I'VE TRIED TO PUSH MYSELF
TO WORK ON THINGS

LIKE HE SAID I SHOULD.

BUT I DON'T THINK I'M MAKING
MUCH PROGRESS WITH IT

LIKE HE WANTS,

BECAUSE I FEEL LIKE I'M
STRUGGLING EVEN MORE RIGHT NOW.

BECAUSE WHEN THINGS
COME IN MY MIND

THAT I DON'T WANT IN MY MIND,

THEN I TRY TO USE SOMETHING
THAT'S NOT FOOD TO DEAL WITH IT.

AFTERWARDS,
IT'S LIKE IT'S WORSE.

MY CRAVINGS ARE STRONGER.

KIND OF LIKE MY CRAVINGS
PUNISH ME FOR TRYING THAT.

I STARTED TO THINK ABOUT THINGS
MY DAD HAS SAID TO ME,

I'M TRYING TO GO
FOR A WALK TO FORGET.

BUT THEN AFTER THAT,
ALL I REALLY WANT TO DO

IS EAT AS MUCH AS I CAN.

AND THE SNACK STATION
HERE AT THE HOTEL

LETS YOU GET THINGS
AND CHARGE THEM TO THE ROOM,

SO THAT PLACE HAS BECOME
MY BIGGEST TEMPTATION.

I'M TRYING TO FIND WAYS
TO COPE THAT AREN'T EATING,

BUT THIS IS JUST HARD.

PART OF ME WISHES
I DIDN'T START THIS PROCESS,

BECAUSE I FEEL LIKE
IT'S JUST BLOWING UP IN MY FACE.

IT'S TIME FOR ME TO GO BACK
TO DR. NOW,

TO SEE HOW I DID
WITH MY WEIGHT LOSS.

I'M HOPING I AT LEAST DID
AS WELL AS LAST TIME.

I WAS REALLY PROUD OF MYSELF
FOR LOSING THAT MUCH.

EVEN THOUGH I KNOW DR. NOW
WANTED ME TO LOSE MORE,

BUT IT'S BEEN HARDER THIS TIME
WITH THE THERAPY STUFF,

AND I LOST THE DIET AGAIN.

SO I'M DOING IT ALL OFF MEMORY
FOR THE PAST FEW WEEKS.

SEANA?

I'M REALLY HOPING DR. NOW

STARTS TO SEE HOW HARD
I'M TRYING,

BECAUSE I REALLY WANT THIS,
AND I NEED IT, TOO.

THAT'S DISAPPOINTING.

I DON'T KNOW WHAT HAPPENED,

EXCEPT FOR THAT I THINK IT WAS
A MISTAKE PUSHING MYSELF TO TRY

AND FIND OTHER WAYS
TO COPE WITH THINGS.

I KNEW THIS WOULD HAPPEN,
AND I'M FRUSTRATED,

BECAUSE I FEEL LIKE
I WAS GOING IN A GOOD DIRECTION,

AND ALL THAT GOT MESSED UP.

AND NOW DR. NOW ISN'T GOING
TO BE HAPPY WITH ME AGAIN.

SO THIS APPOINTMENT
PROBABLY WON'T GO WELL.

HEY, SEANA.
HI.

HOW ARE YOU?GOOD, HOW ARE YOU?

ALRIGHT.
HOW ARE YOU GETTING ALONG?

GOOD.

OKAY. WELL, YOU GAINED
13 POUNDS THIS TIME,

SO HOW IS YOUR EATING HABIT
COMING ALONG?

I FOUND SOME MORE
DIFFERENT WAYS TO...

I FOUND
SOME MIXTURES OF FOOD

THAT I LIKE FROM YOUR DIET,
YOU KNOW?

LIKE TUNA
WRAPPED IN LETTUCE.

MM-HMM.
IT'S REALLY GOOD.

WELL, I'M SURE IT IS.

BUT THE ISSUE IS,
THAT'S NOT THE ONLY KIND OF FOOD

YOU'VE BEEN EATING THE PAST
TWO MONTHS, BECAUSE YOU GAINED.

SO, DO YOU FEEL PSYCHOTHERAPY
HELPING AT ALL?

YEAH, I GUESS.

YOU GUESS?

YEAH.

THEN WHY DO YOU THINK
YOU DID WORSE THIS TIME

THAN LAST TIME?

I DON'T KNOW.

DO YOU STILL HAVE THE DIET
OR DID YOU LOSE IT AGAIN?

HONESTLY,
I LOST IT AGAIN.

ARE YOU SERIOUS?

YES, SIR.

SO, WE NEED TO GIVE YOU
ANOTHER COPY?

COULD YOU?

WE GIVE YOU ANOTHER COPY,
AND YOU'LL READ IT?

YES, SIR.

AT THIS POINT,
I DOUBT THAT,

BECAUSE THIS WILL BE THE
FOURTH COPY WE HAVE GIVEN YOU.

WHAT ABOUT YOUR EXERCISES?

SO YOU NEED ANOTHER
COPY OF THOSE, TOO?

YES, SIR.

ALRIGHT.
HAVE YOU HAD ANY ACTIVITY

OVER THE LAST TWO MONTHS?

WHAT'S THAT?
HMM?

ACTIVITY?
MM-HMM.

ARE YOU DOING
ANY WALKING, EXERCISING?

I WALKED THROUGH THE HALLWAYS
A LITTLE, YEAH.

OKAY.
SO WHAT DO YOU DO ALL DAY?

PLAY WITH MY DOG IN THE ROOM,
REALLY.

YOU AND YOUR DOG, HUH?

YEAH.

SO, NO EXERCISE?

I TOOK HER OUT SOMETIMES.

I WALK HER OUT,
AND THEN I WALK HER BACK IN.

THE BEST I CAN TELL YOU
AT THIS POINT, SEANA,

IS TO KEEP WORKING
WITH PSYCHOTHERAPY.

KEEP GOING TO THAT.

I'M GONNA GIVE YOU
THOSE PAPERS AGAIN,

BUT MAKE SURE YOU HOLD ON
TO THE INFORMATION

WE'VE GIVEN YOU THIS TIME.

FOLLOW THE DIET
AND EXERCISES

AND LOSE 80 POUNDS
OVER THE NEXT 2 MONTHS.

SO, I'M GONNA
GET YOU THE STUFF,

AND YOU SHOULD BE ABLE TO LOSE
AT LEAST 10 POUND A WEEK.

AND THIS IS SOMETHING

THAT YOU'RE GONNA HAVE TO
TRY TO EAT HEALTHY, OKAY?

YES, SIR.

BUT IF YOU DON'T DO
WHAT YOU NEED THIS TIME,

I THINK IT WILL BE CLEAR

THAT YOU'RE NOT REALLY
INTERESTED IN DOING THIS.

INSTEAD, YOU WANT SOMEONE ELSE
TO DO ALL THE WORK FOR YOU.

AND IF WE GET TO THAT POINT,
THEN THAT WILL BE IT FOR YOU.

YOU WON'T BE
DOING MY PROGRAM

OR GETTING
WEIGHT-LOSS SURGERY.

YOU UNDERSTAND THAT?
YES, SIR.

ALRIGHT.
ANY OTHER QUESTIONS?

NO, SIR.

ALRIGHT, SEANA, TRY TO DO
BETTER WITH YOUR DIET

AND LOSE SOME WEIGHT.

AND IF YOU HAVE ANYTHING
THAT YOU NEED, GIVE US A CALL.

AND THEN WE'LL SEE
HOW YOU'RE DOING, OKAY?

YES, SIR.
ALRIGHT.

AT THIS POINT, I'M NOT SURE
WHAT MORE WE CAN DO FOR SEANA.

I THINK THE CONCERNS I'VE HAD
FROM THE BEGINNING WITH HER,

THAT SHE'S NOT REALLY THE ONE
WHO WANTS TO DO THIS,

AND THAT HER MOTIVATION TO TRY
AND GET WEIGHT-LOSS SURGERY

MAY BE TO MAKE HER MOM HAPPY

ARE THE PRIMARY ISSUES
WE ARE DEALING WITH, WITH HER.

THEN IT'S ALSO A LEVEL
OF IMMATURITY WE HAVE WITH HER,

WHERE SHE EXPECTS
SOMEONE ELSE TO COME IN

AND CLEAN UP THE MESS
OF HER LIFE FOR HER,

INSTEAD OF MAKING THE CHOICES

SHE NEEDS TO PUT
IN THE HARD WORK

TO TAKE RESPONSIBILITY
FOR HER LIFE.

BUT WE ARE GIVING HER EVERY TOOL
AND CHANCE WE CAN

TO HELP HER DO THIS.

HOPEFULLY PSYCHOTHERAPY
WILL START TO GET THROUGH

TO HER SOON,

TO HELP HER START MAKING
THE CHOICES SHE NEEDS NOW

BEFORE IT IS TOO LATE.

Seana: I'LL TRY HARDER,
BUT I'M FRUSTRATED

BECAUSE I DON'T FEEL
LIKE THIS IS MY FAULT.

I THINK THE THERAPY
MESSED ME UP SOME.

I'M SO SCARED I'M GONNA FAIL
AND MESS THIS UP.

AND IT'S TERRIFYING
TO HEAR DR. NOW SAY

I ONLY HAVE ONE CHANCE LEFT,

BECAUSE WITHOUT THIS,
I'M DOOMED,

AND I'M GONNA DIE SOON.

Seana: SINCE MY LAST APPOINTMENT
WITH DR. NOW,

I'VE BEEN TRYING TO DO BETTER.

I HAD ANOTHER SESSION
WITH DR. PARADISE,

AND I TOLD HIM I DON'T WANT
TO TALK ABOUT A LOT OF THINGS.

AND I FEEL LIKE
IF I HAVE TO DO THAT,

IT JUST MAKES IT WORSE FOR ME.

SO FOR NOW, HE SAYS
WE'LL FOCUS ON SMALL STEPS.

ONE OF THE OTHER THINGS
HE REMINDED ME OF

IS FOCUSING ON KEEPING A CLEAN
ENVIRONMENT THAT'S IN ORDER,

IF I WANT MY LIFE
TO BE IN ORDER.

SO I'VE BEEN DOING
A LOT OF CLEANING.

BUT I FEEL LIKE
A LOT OF TIMES DOING THAT,

I START TO WORRY ABOUT
STAYING DISTRACTED,

AND THEN I ALMOST
START TO PANIC.

AND THAT ALL MAKES ME STRUGGLE
AND WANT TO EAT EVEN MORE.

SO THIS ISN'T EASY,
BUT I'M TRYING REALLY HARD.

BUT I'M KEEPING DR. NOW'S DIET
WITH ME SO I DON'T LOSE IT...

...TO MAKE SURE I'M DOING WHAT
I CAN TO ONLY EAT WHAT'S ON IT.

I JUST NEED EVERYTHING
I'M DOING TO BE ENOUGH.

I'M AT DR. NOW'S OFFICE,
AND I'M REALLY NERVOUS,

BECAUSE WHAT HAPPENS TODAY
WILL BE BIG,

SINCE DR. NOW TOLD ME
I'M PRETTY MUCH OUT OF CHANCES.

SO I HAVE TO HIT MY GOAL TODAY
OR ELSE.

SEANA?

I WAS AT 636 LAST TIME,

AND MY GOAL
IS STILL TO LOSE 80 POUNDS.

I HAVE TO BE AT 556.

I THINK I FEEL NUMB.

I'M JUST IN SHOCK,
AND I DON'T KNOW WHAT TO THINK.

I KNOW I HAVEN'T BEEN
DOING A PERFECT JOB,

BUT I DON'T KNOW
HOW I DID WORSE THAN LAST TIME.

I DON'T KNOW WHAT THIS MEANS,
BUT I'M SCARED DR. NOW

IS GONNA TELL ME I'M DONE,
AND IT'S JUST OVER FOR ME.

HI, SEANA.
HI.

HOW ARE YOU?

I'M GOOD.
OKAY, GOOD.

WELL, IT LOOK
LIKE YOU GAINED

ALMOST DOUBLE THE WEIGHT
YOU GAINED LAST TIME.

SO, NOT ONLY ARE YOU STILL
HEADED IN THE WRONG DIRECTION,

YOU'RE GOING DOWN THE WRONG PATH
EVEN FASTER NOW.

YOU TELL ME, WHY DO YOU THINK
YOU'RE GAINING WEIGHT?

I REALLY DON'T KNOW.
I JUST REALLY DON'T KNOW.

WHAT DO YOU MEAN
YOU DON'T KNOW?

COULD IT BE THAT
YOU'RE OVEREATING?

PROBABLY.

SO, WHEN YOU GONNA CHANGE?

UM...

TODAY.

TODAY? SO WHAT HAPPENED
LAST MONTH,

WHAT HAPPENED
COUPLE MONTHS AGO,

WHAT HAPPENED LAST YEAR?

YOU KEEP SAYING
THE SAME THING,

BUT WE'RE NOT MAKING
ANY PROGRESS.

YEAH.

DID YOU SEE
DR. PARADISE AGAIN?

YEAH, YES, SIR.

DO YOU FEEL LIKE PSYCHOTHERAPY
IS HELPING YOU AT ALL?

YEAH, ACTUALLY, YEAH.

HOW?

I'M NOT SURE.

IF YOU'RE NOT SURE, THEN IT'S
NOT REALLY HELPING YOU YET,

SO THAT'S NOT GOOD.

AND AT THIS POINT,
YOU'RE NOT MAKING ANY PROGRESS,

YOU'RE GAINING
YOUR WEIGHT,

AND NOTHING WE DO
IS HELPING CHANGE THAT.

SO, WE'RE NOT MAKING
ANY IMPROVEMENT

WITH ANYTHING WE DO.

WITH YOUR BMI,
IT'S ALMOST 100,

AND THAT'S A VERY
DANGEROUS SITUATION YOU HAVE.

BUT, SEANA,
HERE'S THE SITUATION.

YOU JUST TURNED
23 YEARS OLD, RIGHT?

YOUR BMI 100,

AND YOU DON'T HAVE
ANY SUPPORT FROM YOUR FAMILY.

YOU'RE ALONE, AND YOU HAVE
DEPRESSION, ANXIETY,

AND MULTIPLE ISSUES
THAT YOU NEED TO TAKE CARE OF.

I KNOW IT'S VERY HARD
WHEN YOU ARE ALONE,

BUT YOU HAVE TO DECIDE

IF YOU WANT TO CHANGE
YOUR SITUATION AND LIVE,

OR IF YOU WANT TO CONTINUE
ON THIS PATH YOU ARE ON.

AND UNTIL YOU DECIDE TO START
MAKING THE CHANGES YOU NEED,

THEN THERE IS NO REASON
FOR US TO KEEP DOING THIS.

BUT WE'LL HELP YOU GET
SOME HOUSING

IF YOU WANT
SOME GROUP-HOME OPTIONS.

AND WE'LL ALSO KEEP PROVIDING
YOU WITH PSYCHOTHERAPY

IF YOU'LL COMMIT
TO KEEP GOING TO THAT.

AND IF YOU NEED ANYTHING,
YOU CAN CALL ME.

BUT OTHERWISE, NOTHING
WE'RE DOING IS WORKING,

AND WE ARE OUT OF OPTIONS
WITH NOWHERE TO GO WITH YOU.

BUT IF YOU START TAKING
THE INITIATIVE YOU NEED

AND START MAKING
THE RIGHT CHANGES

AND LOSE
AT LEAST 50 POUNDS,

THEN WE'LL PICK BACK UP
WITH YOU, OKAY?

OKAY.

ALRIGHT.
I HOPE TO SEE YOU

START TO TAKE
SOME INITIATIVE

AND DO THIS
AT SOME POINT.

BEFORE THEN, IF YOU NEED
ANYTHING, GIVE ME A CALL.

OKAY.
OKAY.

AT THIS POINT,
WE'VE GIVEN SEANA A YEAR

TO START DOING WHAT SHE NEEDS

AND SHOW ME SHE'S READY
TO TURN HER LIFE AROUND,

BUT SHE HASN'T DONE THAT.

AND THERE IS NO REASON FOR THAT,

OTHER THAN
SHE DOESN'T REALLY WANT TO

BECAUSE SHE ULTIMATELY HOPES
SOMEONE WILL COME DO IT FOR HER.

BUT WITH HOW FAST SHE'S GAINING

AND HOW HIGH HER WEIGHT
ALREADY IS,

WE HAVE A VERY SERIOUS
SITUATION WITH HER.

BECAUSE IF IT GETS TO A POINT
WHERE SHE LOSES HER MOBILITY,

HER LIFESPAN WILL START
TO DECLINE RAPIDLY.

SO WE'LL KEEP WORKING TO TRY
TO GET THROUGH TO HER.

AND I THINK THE BEST
AND ONLY THING TO DO RIGHT NOW

IS TO FOCUS ON PSYCHOTHERAPY,

AND WE'LL CONTINUE TO PROVIDE
THAT FOR HER

IN THE HOPE THAT
THEY'LL BE ABLE TO START

MAKING SOME PROGRESS WITH HER.

OTHER THAN THAT, THERE IS NOT
MUCH MORE WE CAN DO FOR HER.

AND WE WON'T BE MOVING AHEAD

OR CONSIDERING
ANY NEXT STEP WITH HER

UNTIL SHE START TO SHOW ME
SHE'S MAKING SOME REAL PROGRESS

WITH HER WEIGHT LOSS
LIKE SHE NEEDS.

BUT IF ANY POINT SHE'S READY
TO DO WHAT SHE NEEDS,

WE'LL BE HERE FOR HER,

WAITING TO HELP HER
AND SUPPORT HER HOWEVER WE CAN.

Seana:
I THINK I STILL FEEL NUMB.

AND IT'S LIKE MY BRAIN'S STILL
NOT REGISTERING ALL OF THIS.

I JUST NEED
SOME TIME TO THINK.

I'M JUST TRYING TO PROCESS THIS
AND FIGURE THIS OUT

AND WHAT I'M GONNA DO.

AT MY LAST APPOINTMENT, I WAS
PRETTY DISAPPOINTED IN MYSELF

AND HOW I MESSED UP.

BUT I'VE HAD SOME TIME
TO PROCESS,

AND I TALKED TO DR. NOW AGAIN,

AND I ASKED HIM IF THERE'S
ANYTHING ELSE I CAN DO

TO KEEP TRYING
TO DO HIS PROGRAM.

AND HE TOLD ME IF I COMMITTED
TO DOING THE PSYCHOTHERAPY

TWICE A MONTH FOR SIX MONTHS,
THEN I COULD TRY AGAIN.

I TOLD HIM
I'M WILLING TO DO THAT.

I WANT TO TRY AND FIGURE
THIS OUT,

BECAUSE I'M NOT GOING
TO LET MYSELF FAIL.

AND I PLAN TO DO EVERYTHING
I CAN TO KEEP MOVING FORWARD.

I'M TAKING A BIG STEP
TOWARDS THAT TODAY

BY GETTING SOME LONG-TERM
HOUSING HERE IN HOUSTON.

-HI.
-HI.

I'M GONNA TAKE YOU
OVER HERE WHERE WE CAN SIT DOWN,

YOU CAN START
FILLING IT OUT, OKAY?

OKAY.

I THOUGHT ABOUT THE GROUP-HOME
IDEA DR. NOW SAID,

BUT I THINK LIVING
ON MY OWN IS WHAT I NEED.

SO I FOUND A FINANCIALLY
ASSISTED PLACE

THAT I'LL BE ABLE TO AFFORD.

Ashley:
AND IF YOU HAVE ANY QUESTIONS,

WE'LL BE HERE TO HELP YOU.

THANK YOU. ALRIGHT.

OKAY.

I'M REALLY EXCITED ABOUT IT
BECAUSE IT FEELS LIKE

I'M GETTING A LITTLE BIT
MORE CONTROL OVER MY LIFE.

I ALSO ASKED DR. NOW

FOR SOME HELP
WITH EXERCISE PROGRAMS,

AND I TOLD HIM
HOW MUCH I LOVE POOLS.

SO, HE SET ME UP
TO START DOING POOL AEROBICS,

AND I'M SO EXCITED
ABOUT THAT.

WHAT DR. NOW TOLD ME
WAS A BIG WAKE-UP CALL.

LOSING THIS CHANCE
MEANS LOSING EVERYTHING.

AND I KNOW NO ONE IS GOING
TO COME HELP ME AND SAVE ME.

I HAVE TO DO IT AND MAKE
THE CHOICES THAT I NEED,

AND I'M READY TO START
DOING THAT NOW.

SO, I'M GONNA DO THE THERAPY
AND WORK HARD ON EVERYTHING

DR. PARADISE
TELLS ME TO WORK ON

AND KEEP DOING
THE EXERCISES AND DIET.

AND THEN, IN SIX MONTHS, MY HOPE
AND PLAN IS TO TELL DR. NOW,

"I THINK I'M READY TO SEE
WHERE I'M AT"

AND IF I MADE THE PROGRESS I
NEED TO BE BACK ON HIS PROGRAM,

BECAUSE I'M READY
TO HAVE MY LIFE.

NO MATTER HOW HARD IT GETS
OR HOW MUCH I STRUGGLE,

I'M NOT GONNA GIVE UP
AND LOSE THIS CHANCE.

IT TOOK A WHILE, BUT I FINALLY
FEEL LIKE I'M READY TO CHANGE

AND TAKE RESPONSIBILITY
FOR MY LIFE

AND GET WHAT I WANT.

I'M NOT LETTING ANYTHING
DISCOURAGE ME OR STOP ME