Original subtitles

it seems like I lose more mobility every day.

Somewhere in me is this little glimmer of hope.

I just wanna be a normal person.

You can't do it, and then I just get mad.

If I don't make a change now,

I'm scared it's gonna be too late.

No! It hurts!

I refuse to stop fighting.

I have to do this for my children.

Oh!

Dr. Now, I have lost 100 pounds.

Are you telling me that's not enough?

I have insomnia really badly so I don't sleep very well.

Because of my size,

I never really know

if when I go to bed,

if that's gonna be the last time.

So it's very hard to sleep when I have

the different thoughts racing through my head.

I worry about the what-if scenarios I create in my head

that haven't even happened, never have happened,

so it just kind of feels like

I'm living in a nightmare that I've created.

When I'm waking up and getting out of bed,

everything hurts.

You know, just walking a few feet to the bathroom,

my lower back is screaming at me.

When I lift my leg it feels like it's being weighed down

by one other person,

and then I feel dizzy, like I'm gonna fall.

You just gotta learn to deal with it.

Taking a shower is extremely difficult,

because to get there I have to walk up 16 stairs.

Some days I can't get all the way up the steps

and then I have to do my plan B,

which is taking a sponge bath

using a basin in my room.

You know, it doesn't get the job done

as well as a shower does.

I live with my children.

I have a son and a daughter, twins.

My kids are everything to me.

It's humiliating for me

having to ask my daughter to help.

Amber?

Hey, can you get the shower?

Mmm-hmm.

Put my shower chair in there as well.

My mother, if she needs something

but she can't reach it

and doesn't feel like getting up, she'll call me

to help get it for her,

which she apologizes but I don't really mind,

because I'd rather her ask

than do things on her own

and get herself hurt

or in a bad situation.

When showering, it's harder to clean myself

because of my edema.

The swelling of my legs makes it hard to get into, like,

all the areas I need to reach.

I do have a shower chair that I can use

if my back starts to hurt.

I just take showers as quickly as I can.

I just get in to do what needs to be done and get right out.

I am asthmatic, so I do feel short of breath

a lot during the day.

Like, I'll feel like I can't breathe

or my chest is tight.

The fact that I'm winded just walking from my bedroom

to the bathroom is not good.

I'm supposed to take medicine for anxiety,

but I haven't been to, um, an appointment in a while,

so I'm on no medications right now.

It's hard to be compliant on medications

when you don't go to your doctors' appointments.

As of now, I am housebound

and cut off from the world.

Amber, you want some breakfast?

Uh, you want me to make it, or...

Yeah, um, and just go ahead and get that going,

and, um, I'll be in in just a minute, okay?

Mmm-hmm.

My mother, she is a stress eater.

I do think she uses food as a source of comfort,

but it's just never occurred to me

to have a problem with it

because when you're anxious,

of course you want your favorite snack, you know?

It cheers you up.

How many eggs are you making?

Six.

Uh, make 12.

Go ahead and do 12.

Best way I can describe

food addiction is just

food is constantly on my mind.

How good it's gonna taste, the flavors.

The timeframe in between your last meal

and when you can eat again.

My meals contain mostly really high-calorie,

high-fat things.

Go ahead and take those

over to the table for me

and, um, I'll be in in just a second.

It's painful when you're feeling full

and you eat anyway.

It's like you feel like your stomach is gonna explode.

Eating put me the size body that I'm in

that keeps me prisoner in my home.

Oh, man, everything looks so good.

And the only thing that makes me feel better

is when I eat, so I'm eating more,

even though food is what caused me

to be in prison to begin with.

When I look back between my childhood and now,

I do see where the first time I used food

as a security blanket.

It was at an age where I was given an assignment.

I didn't understand it,

and the person who was in charge

of helping me with my homework,

they beat me, like, really bad.

Actually I was only in kindergarten

when that happened. But it was pretty bad.

I still have a lot of disdain for this person to this day.

I'll just never forget that feeling, and wondering why.

Because I guess they thought I was just being defiant.

But, you know, I didn't know

what they wanted to do with me.

It just made me feel like, you know,

I didn't matter, and that

what I was feeling wasn't real.

I was so young, I thought it was my fault.

So I never told my mom.

There wasn't time for my feelings.

It was just easier to eat.

It's really good, Amber.

-Thank you. -Mmm-hmm.

I like cooking.

I know, and you do it really well.

I appreciate it.

My grandma and my mom

had to work long hours at the hospital together.

My grandma worked from the morning shift

to the afternoon shift

and then my mom worked nights.

So a majority of the family responsibilities

just fell on me 'cause I was the mature one.

Picked my brothers up from the daycare,

I'd cook for them, you know, do their homework,

stuff like that, and just take care of them,

put them to bed, get their stuff ready

for school the next day.

And it was a lot of responsibility,

but, you know, what was the alternative?

Are the cinnamon rolls good?

Yeah. You're really missing out.

Trying to make me jealous.

I'm not trying to,

but they're soft and sweet.

-They're really good. -Mmm-hmm.

Whenever my anxiety was triggered,

I would eat large portions of food.

Ice cream or, you know, pizza,

or both, or, you know, chips.

Gradually started to put on more and more weight.

I was sitting in my 7th grade class

the first time I experienced a panic attack.

It was a sensation as if I was fainting

'cause everything was going black,

but my eyes were wide open.

Feel like you're being sucked into a tornado.

You can't get your bearings, and that you're just dropped

and it just stops.

I actually thought I was having a heart attack.

Especially because I thought, you know,

being overweight automatically meant

heart attack when you had chest pains.

So I never told anyone what I was feeling.

I just assumed, you know,

"Well, that's what you get for being fat.

You're about to have a heart attack,

so now you gotta deal with it."

I had to be the overweight kid,

the fat kid.

Teased relentlessly.

And around the age of 15 or 16,

I desperately wanted to be accepted,

so I allowed myself to be taken advantage by guys.

Whether that was with kissing,

or with anything else that they wanted to do.

But then afterwards it's like,

you just feel even worse about yourself.

So that's why I always tell people,

if you don't wanna do something, then just say no

and be done with it. Don't just say yes

or not say anything, because not saying anything

is just like saying yes.

It made me feel like nothing, like no one.

Like being isolated and alone, feeling shame was just

feelings I didn't wanna talk to anybody else about.

It became a downward spiral.

I started self-harming,

binging and then throwing up.

I remember the first time I did it, it was by accident

that I did it, and then I realized

it was something that...

helped, so I just kept doing it.

I was suffering really badly with depression

and really bad with the sadness

that I felt, was, like, so overwhelming.

And then the more it came on,

the less I felt worthy,

and that's how it was for a while.

These eggs are really good, too.

-Thank you. -Mmm-hmm.

Just before I turned 18,

they put me in a mental hospital

for about seven months.

Then after I got out of the hospital,

I moved to North Carolina with my mom.

Um, coming from being in mental hospitals,

it was hard for me to get my footing.

I didn't have, like, a career focus.

So I went through the steps to pursue being

a certified counsellor.

I knew that I could do it

and I would be good at doing it.

Right now, I really, really love working.

I love what I do.

Any job that I'm in a position

where I can help somebody be whole,

that just... that's where I gravitate.

Ryan?

All right. I'll drive.

Even though I kept it hidden,

I was still struggling with my own depression and anxiety.

And then during one of our staff meetings,

I had a panic attack. It was a really big one.

I had palpitations. The ambulance was called.

But then after that happened,

I just knew it had come to the point where

I needed to work from home.

So I did work from home,

and being at home was less stressful.

I would eat and eat.

I just started to put on more and more weight.

And by the age of 23,

I was nearly 400 pounds.

I wanted to lose weight,

and I found this program I started going to daily

for my depression and anxiety.

And my counsellor thought it would be good for me

to use social media to meet new people.

And one of the first people that I met

was this man who was much older than me.

He was 27 years older than me,

but he was really nice.

And he asked me out to lunch.

He was kind and he was nice,

and that was just something I wasn't used to.

Then I ended up getting pregnant and he was excited.

And then I found that

I was pregnant with twins, and he left.

I was about seven months into the pregnancy.

It was hard for me when the relationship ended,

because I did not wanna be a single mom,

and it was scary. I took it really hard.

But it was all worth it, because the only thing

that I can say I've ever been proud of

in my entire life is giving birth to my babies.

All right, you can go ahead.

-Bring your phone. -All right.

Now that I'm the highest weight that I've ever been,

even though I don't know what that is, I can just feel it,

because my mobility is bad.

Seems like I lose more mobility every day.

Hello.

Hey. Um, can you hear me good?

Yeah.

All right. Let me see. Um... We'll go down the aisle.

All right.

The worse my anxiety gets,

the more I eat.

I eat until it physically hurts.

And now my doctor says I have become agoraphobic.

I can honestly tell you this was the first time

I've gone to a grocery store since 2019.

Get some blueberry Pop-Tarts.

All right.

Okay, so what about the potato chip aisle?

I hide a lot of stuff from my children,

because making sure my kids think I'm okay

has always been important to me.

And so I try to be open with them and honest,

but they don't realize how bad it is.

You know, with my weight getting out of control,

it's harder to move. It hurts.

I can't, um, go anywhere comfortably

and I don't wanna, you know,

embarrass my children,

even though they would never say that.

That's how I think, and I just...

I just wanna protect them.

So I just decide to stay to myself

so I'm not inconveniencing anyone.

So I just stay in my little bubble.

Ooh, ice cream.

It's my favorite aisle. Um, let's see.

Oh, I can't even choose. Oh, my God, I love it. Um...

Get the French vanilla.

This enough ice cream?

Yeah.

You know, actually,

when you were down the, um,

cereal aisle, should have had you get some cereal.

All right.

All right, grab that.

You want your fruit juice?

Yeah, fruit juice. Perfect.

Um, get the apple

and the orange, peach, mango.

All right.

I'm running out of places to put it.

That's okay. You can put stuff on top.

The car can handle it.

Also, you know what? I forgot to have you

get me some chocolate milk.

'Cause I have those cookies.

I need chocolate milk to go with it.

My children,

they do try to make things easier for me.

Good job, Ryan. Thank you so much.

Yeah, I got you.

I know you always got me. I appreciate you.

When I started growing up

and I really looked at her more as a person

instead of just like my mom,

I could see she had some self-esteem issues

and I try to, like, you know, just be there for her.

I promised them that I wanted

to be there for their graduation.

I wanna make the changes that I need to make.

They're seniors, so they'll be graduating next year.

So I have a year to get myself to a point where

I could be healthy enough to participate.

Oh. Oh, my goodness.

My family doesn't talk about my size

and how the cycle of eating keeps me where I am.

It's kind of like an unspoken secret.

We don't talk about it.

But I think it's just because

they're blinded by their love for me.

And the fact that, you know, I still do things,

they don't realize how bad it is.

-Thank you, honey. -You're welcome.

I have nothing but good to say about my mom, man.

Growing up with her, she's, like, really all I had.

She's the most kindest person I've ever met.

Considerate, giving, all of that.

I think that is really why we're close the way we are,

'cause I don't feel like I'm walking on eggshells

when I'm talking to her.

Amber?

Something to eat, honey.

I don't think my mom has a food addiction,

she just eats more than average.

Here, hold this.

I would like to see her in a better state,

less anxious. But I never saw a problem with her weight.

You went to the store with Ryan, right?

-Mmm-hmm. -Did you stay in the car

or did you go in?

No, I stayed in the car.

Ryan asked, but I already knew.

That drive there was nerve-wracking.

There was no way I was going to be able to go in.

Mmm.

Her mental health doesn't really

directly affect me.

But it's like, sometimes I do worry about her.

My main anxiety is being bedridden

and not being able to move at all.

Like, losing the little bit of mobility that I have left.

Having to be 100% dependent

on my kids for everything.

Oh, man, that was so good.

I have to lose this weight

before I eat myself to death.

It has to change.

I am supposed to see Dr. Now to get help,

and I'm very nervous about leaving the house to do that.

But I'm gonna do it.

All right.

Now I'm gonna get these dishes and everything put away,

just straighten up so I can get ready for

my appointment with Dr. Now

-a little bit. -Are you...

Are you doing it in here or in your room, the dining room?

No, I'm gonna have it right over here.

That's why I wanna straighten up

-so I can make the area clear. -Oh, okay.

I'm gonna get it all ready for when it's time.

I'm gonna go and bother Granny.

All right.

-So... -Have fun.

I'll see you in a little bit.

I desperately wanted to go see Dr. Now,

so I called his clinic and I set that up.

But a couple of days before going to Houston,

I started to have panic attacks

and told them I couldn't come.

So today I'm doing a video call with Dr. Now.

I need his help to start,

and I'm really hoping I can get that.

-Hi, Karen. -Hi, Dr. Now.

It's good to meet you. How you doing today?

-I'm okay, how are you? -I'm good.

So, you were supposed to come down

and see us. So what happened?

I don't actually... I don't even know what it is.

I just know I couldn't do it.

Like, I became agoraphobic, like, a couple years ago.

I started going out less and less.

And then it got to the point where I just

stopped going out at all.

Me just having, like, panic attacks when I would go out.

Even now, it's to the point where it's too much

and I can't go anywhere.

Like, when I was thinking about going

to see you,

I got dizzy.

I felt like I couldn't breathe.

With just thinking about leaving to travel.

So that's that happened.

Then... I was like, "Oh, my God, I can't do this."

All right, you know how much you weigh?

Um, not really.

Um... the last time I got on the scale,

um... I was 620.

But it's been a while,

so it's probably more than that.

So you're thinking

you're in north of 620, huh?

Right.

At what age you noticed you had weight problem?

I've always had weight problems.

Like, when I was in...

um... nineth grade,

I was, like, 300 pounds.

So...

Um, I don't...

I don't have, like, a goal weight in mind.

I just wanna be...

healthy.

My short-term goal is to be able to go

to my children's graduation.

'Cause they're seniors this year.

So...

Um, I just want to be able to be comfortable

and no worry about whether I'm gonna be able to fit in the seats

to see them graduate.

So just as long as I can get down to...

small enough so that happens.

So your base issue

not being out of house is

because people judge your size

and you worry about that?

I don't... I don't...

Actually, I don't even know what it is.

I just know, like, I just feel like I'm...

just a hassle for people.

I'm inconveniencing them.

I make things harder than it should be.

Anybody in your house has a weight problem just like you?

Yeah, my daughter.

She has the weight issue.

How old is she, your daughter?

She's 17.

Okay, so, um...

You all eat together or eat separately?

We don't really sit down as one and eat together.

For lunch, I'll either order something out.

And then, like, dinner, I'll cook.

Or on weekends,

typically after work, I'll actually order out dinner too.

So there's times when I order out for lunch and dinner.

Before I got to bed,

that's when I do, like, a lot of snacking.

What do you snack on?

Whatever I have in house.

Like whether it's chips

or, like, cupcakes.

Chips and cupcakes, things like that.

Well, chips, cupcakes and things like that will do it.

So who buys the chips and cupcakes?

I do, because that I order it.

'Cause I'm the one that order the groceries for delivery.

You understand your weight is related to what you eat.

-Right, right. -And if you wanna lose weight, you eat less.

Right.

If you don't know what to eat and what not to eat,

at least you understand that eating less is gonna make you lose weight.

So what do you think the solution is?

You wanna stay at home and keep eating and

magically lose weight?

That's never gonna happen.

Right, I know.

This is going to be something that you gonna have to change.

And if you don't do that,

your weight is gonna go up and up

then you're gonna be bedbound

then everybody got to bring you food

until your body cannot take it anymore.

We can give you the instruction and roadmap of

what to do what not to do.

But this is all gonna be up to you

-to make those changes... -Right.

...and stick with healthy eating habits.

Because I want you to lose 50 pounds over the next two months

to show me that you're serious.

-Okay. -And I'm gonna send you

some instructions about the

-healthy eating habits. -Okay.

-Okay. -The diet will be 1200-calorie diet

with no carbs, high protein.

So you gonna have to figure out what's wrong with

every aspect of these three issues

and work on those

and make the changes that you need

to turn the situation around.

Okay.

And that is not going to be easy.

But you can do it

and change your life.

Yes.

Okay.

Okay?

Who drives? Do you drive or somebody have to drive you?

I can drive, I just don't.

But, um... my son also drives.

Okay... so...

We can set up a clinic

at your neighborhood

to go to and check your weight.

So we can monitor your progress and see where we are.

Because if you don't do that,

moving, too soon is gonna be a problem for you.

Weight loss surgery cannot become an option.

Okay.

So you think you can do that?

Yes, I know I can.

-Okay? -Okay.

All right, Karen, it is nice to meet you.

You too. Thank you Dr. Now.

You welcome.

If you need anything, you may call.

Okay.

-Bye now. -Bye.

I'm terrified about going out of my house.

But I know this is something I have to figure out and do.

Because I can't get the help that I need if I don't.

I can't keep staying where I'm at

and expecting a different result.

It seems like,

over time, she has created

a bubble for herself.

Because things are gonna get worse

the longer she stays like that.

I'm hoping she's as serious as she said

about making healthy choices she needs.

And that therapy will be able to help her,

start to deal with the fear she has

going out in the public.

So it is very important

she starts to turn things around now

before things get much worse for her and her family.

Oh, hey, girl. How you doing?

I'm good.

Uh, good morning.

Good morning, you want something?

Peanut butter toast?

No.

That's like...

That's a death sentence.

Well, I thought I'd ask.

Oops.

Dry on dry is like asking to be choked.

It's been four days since I talked to Dr. Now.

I got his book in the mail and the papers.

And went over them with him.

They're really strict, but I've been starting them.

Okay.

So what do you have plan to do today?

I might read all day.

Yeah, so...

Just drink water.

How are you doing that?

Mm.

It is pretty dry, but...

I'm not in denial.

It's okay, it's okay.

Mm-mm.

Now, I don't know how you do it.

I'm, uh...

just being more mindful

of what I eat, how many calories.

Oh.

Not being able to eat all the foods that I'm used to eating,

is harder than I expected.

But I'm serious about doing this.

So I'm hoping I'll get used to the foods

that I'm allowed to eat.

Because right now,

they don't really taste all that good.

Here you go, baby.

Wanna follow me?

I'm gonna stop procrastinating,

so I can get the book and see what's in it.

Is it like...

-I'm not sure exactly-- -...a guide to losing weight 101?

Yeah.

It has his face all over it?

Oh, my God.

It's his book, Amber.

Oh, he wrote a book?

-Yeah. -That's a large font, you'll be fine.

Um, shoulder exercise,

up and down.

And then arms at the side and put it...

All right, let me get comfortable.

And then... let's see, okay.

See, I can't do this with you just sitting here.

Okay, okay.

Okay, I'm out.

I'll leave.

I'll just...

-Okay. -I'll watch from a distance.

Yeah, you can watch from a distance or just read.

Oh, man. All right, I'll do the arms.

One, two, three...

Try to do the standing one.

That's gonna be interesting, okay.

See, touch my toes.

Not quite.

But...

it's close.

I did the physical exercises for the first time.

They weren't so bad.

Some of these exercises, they're simple, but...

I mean, I already started sweating,

so I'm just gonna do these couple times a day.

And just follow Dr. Now's plan.

All right.

Okay...

Jeez...

Get the...

nutrition.

Oh, that's a diagram of a stomach.

Yeah, it goes into the procedure of having, like...

-the different things... -Oh.

...whether you're having, like, the bypass or...

You're not doing that, are you?

...the sleeve.

Um, uh...

I don't know, this is the point of me doing all of this is to...

-um... -I mean, yeah, but it's dangerous.

Every big thing is a dangerous thing.

My size is dangerous, so...

you just have to pick your danger.

I'd rather you stay that size,

'cause then it's... it's...

Oh, that's...

not really gonna help me though, Amber.

So...

I'm just saying, surgery's dangerous.

I know what you're saying.

And I hear you. Believe me, I do.

I'm having my first telemedicine call with a therapist tomorrow.

So I'm gonna take it easy for the rest of the day.

And go to bed early tonight.

So that I could be better rested for that.

Because it's all been a lot for me to take in.

I'm still tired from yesterday.

And I'm really nervous about talking to the therapist.

Because I'm embarrassed about my relationship with food.

But I'm hoping it's going to help me

start to work up the courage

to go out and do what I need to get healthy.

Hi, Karen.

Hi, Dr. Paradise.

Good to see you today. How you doing?

Doing okay, it's good to see you too.

All right, tell me a little bit about yourself.

What were you like as a kid?

I mean, I was the responsible one.

So even though, like, I had two older sisters,

I was like...

-you know, the mom when my mom was working. -Okay.

Even as a young kid,

you were already taking on that caretaking role?

Oh, yeah, I mean, 'cause my mom, she had to work.

So...

That, you know...

Everybody still needed to eat.

Things needed to be cleaned.

-You know-- -Are you that kind of person?

You tend to be the one taking care of other people?

I mean, it's what I do for a living

and what going to school for.

Because I do like to, you know, take care of others, yeah.

Okay.

Okay, so we're onto something that's a theme.

What was your eating like as you were taking care of the house?

Were you cooking food and eating it at the same time?

Yeah, I cooked and then I ate.

But I did, like, a lot of eating in private.

-So... you know, that's what I would do. -Secret eating?

Yeah.

Okay.

Karen, you seem pretty bright, were you good at school?

Well, I barely made it through high school.

I almost didn't graduate.

I ended up in a...

I ended up going to the hospital, um...

How did you end up in the hospital?

Um...

I just... I don't know,

I was just... I was going through, like...

a lot, like, mentally.

Like, I really...

Always had really bad anxiety

and depression too, for sure.

Did you get put in the hospital

'cause you were thinking of hurting yourself?

I tried to.

-So, yeah... -Okay.

So you made an attempt on your life?

Oh, yeah.

You know, I'm also noticing

um, you're talking about some pretty heavy stuff

with...

you know, pretty intellectual, even-tempered.

And I can't figure out if it's that you processed it well already

or whether you just...

I have to talk about it like that,

-so I can get though this. -So you don't get...

-you don't get too emotional. -Right.

Okay.

Did you ever finish up school?

I'm currently in school now.

-Um, and... -Good for you.

I am actually maintaining 4.0 GPA.

What's you major?

Social work.

That degree is gonna put you in a position to help people.

So, Karen, what's going on with you now?

How can therapy be helpful to you?

I don't know. I, uh...

I stopped going into stores.

'Cause the last time I had gone into the grocery store,

I don't even know what happened,

but I had a like a really big panic attack.

And I just left everything in the store

and I left and I haven't been back inside one ever since.

So we're gonna try to desensitize you

to that fear.

Your brain is a little bit like an overly sensitive smoke detector.

So it's going off when you're cooking food.

It's... and it's not...

But there's no fire.

-Right. -So...

one of our big goals

is to help you understand that

even when your brain is yelling "Fire,"

there's really not a fire.

So behaviorally, now we have to

figure out some homework for you

that's gonna help test that.

So in my house, for instance, I have, like...

you know, blackout curtains.

So it's like constantly dark a lot.

And, and...

Karen, that's one of the worst things you can do

for your mental health.

Well, I also have a light.

Like, I don't sleep in the dark.

So I sleep with my light on.

My light stays on, like, 24/7.

So...

-Okay, so you're doing the opposite. -Right, right.

Opposite of what's healthy.

Meaning that your, your...

um, getting light at night,

when it should be dark.

And during the day, when you should be getting light,

you're living behind blackout curtains

with artificial light.

So, um...

I'm gonna give you a homework you're gonna hate.

-You ready for it? -Oh, God. No.

Okay.

But I think you could do it.

Oh, no.

I need you to open the curtains.

Oh, thought you were... I was afraid you were gonna say that.

And every morning.

Because your brain thinks you live in a cave.

-And caves don't make people mentally healthy.

And the nice thing about this assignment,

it's not really that hard to open a curtain.

Let that light shine on you.

Your sleep will improve.

Are you having trouble sleeping right now?

Yeah, I get about three, four hours.

Okay.

Start there.

I wish you could start yesterday,

-But start tomorrow. -Okay.

Though I...

Karen, I saw a little dog running in the background.

Yeah, that's my baby.

Take that dog for a walk.

Oh, God. Okay.

Oh.

You know, taking a dog on a walk is almost like him to the movies.

Right.

There's all kinds of smells and interesting things out there.

I mean, that's as much for your dog as you.

That dog deserves a walk around the block.

Even if it's a short go,

you know, just to the end of the street and back.

Don't retreat when your anxiety jacks up.

'Cause we're gonna test you a little bit.

I'm super optimistic for you.

-Thank you. -Like, your pull of the curtains,

sitting outside in the backyard,

and a couple of walks for the dog,

whole world's opening up to you.

Okay, thank you so much, Dr. Paradise.

I appreciate it.

Take care, Karen, it was great to see you.

-Bye-bye. -You too, thanks, bye.

So I'm willing to try the things that Dr. Paradise suggested.

Even taking my dog for a walk when I can get to that point.

But for now, I'm just focusing on the first step.

Tomorrow, I'm gonna try pulling my curtains a little when I wake up.

I'm just hopeful that it will work.

I'm not sure.

Because all of it, just a thought of it, making me anxious.

So I guess we'll just see.

Hopefully, it will help me.

Bye, baby.

Hey, baby.

Hold on,

let me open up the window.

I'm working on little changes to get to the point

where I can be out of the house more.

So Dr. Paradise asked me to

open my curtains and makes sure that I go outside

and that walk the dog.

Having my curtains open,

opening the windows and, um...

it was hard because I don't like so much exposure.

But that's something that I can probably implement daily.

But it's still difficult to do.

Bismo, you wanna go outside?

I'm coming, I know, I'm coming.

The other part of the homework that I had

was taking my dog out for walks.

I'm hoping to implement that.

I'm afraid of doing too much and then...

getting to a point where I shut down again, so...

You ready to come back in, Bismo?

I don't know if I can do that

right now.

Bismo... eat the blueberry.

You giving him food again?

Watch, you could see what he did with it.

What do you have planned now?

Well, I am going to...

try to take Bismo for a walk.

See how that works out.

Want me to go with you?

Um, I think, I'm gonna do it by myself first

just to see

how it goes.

All right.

Actually,

I'll go for a walk.

Well, good luck.

Thank you, honey.

Let me put this up and we'll go.

All right.

It's just around the block, no big deal.

I can do this.

I can do it.

Oh, boy. I can do this.

Hold on, Bismo. Sit right here.

I don't know.

Come on.

I'm sorry, Bismo, I can't.

Bismo, come on, honey.

Come on, baby. I'm so sorry. I can't do this. Come on.

When I first tried to go out, I just... It was overwhelming

and I couldn't do it. I just...

I knew I wasn't gonna be able to go and do it.

Come on, boy. Come on, let's go.

It just was not a good experience.

So it was hard.

I came back pretty quick.

Oh, my gosh.

Feeling very anxious and I just wanted

to get back home.

Oh, that was terrible.

Oh, man.

Sorry.

That was quick.

I know. It was terrible. I tried. I was...

You weren't gone that long, though.

I know. So I literally came right back.

-Well, you still got out. -I know.

I have an appointment in a few days

to go to the clinic for a weight check-in.

I don't know how I'm gonna do that and make that drive

when I couldn't even really go around the block.

You're pretty well-known

to, like, persevere through things, so I...

have faith that you could get through it.

You wanna go through it?

So you mean like a dry run?

Yeah, you know how, like, practicing for an interview?

-Right. -Pretty much the same thing.

-Yeah, so... -Come here, Bismo.

Yeah, we could do that. Yeah, that's actually a good idea.

All right. You know I don't mind.

I'll keep going out and trying,

but, um, it's just not gonna be easy,

so I just need to

just keep at it and keep doing it,

and hopefully it gets easier

as time goes on and the more I do it.

I don't know how I'm gonna make that drive,

'cause that was terrible.

Oh, God. Just have to hurry up

and get this over with. I feel sick.

Amber?

-Coming. -Okay.

Close the door behind you, honey.

Yup, yup.

Amazes me how wide this door can open.

Tonight I'm preparing to go out to the car...

Fireflies!

...and practice the dry run for my visit

to the health clinic tomorrow.

-Dang, it's dark. -I know.

It's all right. The fireflies will light the way.

It's not the fireflies I'm worried about.

It'll be fine.

If it was only fireflies it'd be better.

This is really big for me,

and it's gonna be much further

than I'm used to going from my home.

Oh, boy. Okay. Jesus.

All right. You ready?

Mmm-hmm.

Oh, God. Okay, here we go.

And I'm not feeling very confident

that I can do it right now.

I'm feeling nauseous.

Oh, Lord. No.

Just relax. I'm not gonna vomit,

but I'm just feeling queasy.

Oh, thank God.

-I mean, I don't... -I know, it's okay.

Man, I already have butterflies in my stomach

and we just pulled out the driveway.

Fortunately this neighborhood's pretty quiet,

'cause the roads aren't that busy right now.

But I'm just wondering what it's gonna be like tomorrow

when I actually have to go to my appointment.

Well, shouldn't expect too much traffic.

I hope so.

Because this is already nerve-wracking as it is, so...

You're doing fine.

I'm trying, that's for sure.

I said I would try, and that's all I can do.

Let the North Star guide you.

I don't know where it is.

Okay.

Oh, when did they put this car wash over here?

I didn't even know that was over here. Jeez.

Everything just looks so different. Oh, my gosh.

But, yeah, I'm just... I'm more concerned with...

you know, going to a new place

and trying to figure out,

you know, how many people there,

and just having to navigate that

and just thinking about it

just makes me just nervous and anxious.

And I'm hoping by doing this,

this will kind of calm my anxiousness,

so by tomorrow I'll be okay.

It's like being the new student

at a school that's already halfway through the semester.

It's pretty much that feeling.

Like, that's what it feels like. Just being the new--

-All attention's on you. -Right.

When in reality, these people don't care.

And I know that. Like, logically, I know that

probably no one is thinking about me

or even paying attention to the fact that I'm there.

But there's nothing logical about anxiety.

-So it's just... -Ain't that the truth.

We're coming up on a highway soon

and I'm getting more and more nervous.

I don't know if I can do it.

I can't even see well at night

to drive the highway.

I don't know if I'm gonna be able to do that.

There's a light up here,

I'm supposed to turn and go on a highway,

but I can't do it, Amber.

Like, I really feel like I'm gonna be sick.

-Oh, my gosh. -Uh, turn back, turn back.

Yeah, I gotta go back home.

Look at my hand, Amber. It's, like, literally shaking.

I don't know how I'm gonna

make the trip to see the doctor.

And that's something I really, really wanna do.

But trying to navigate that with my anxiety,

I don't know how I'm gonna do this.

I thought I would be able to do it.

But just even driving along regular city streets

makes me anxious. I don't know how

I'm gonna be able to do the highway.

You'll figure it out.

I know. I have to.

Do what you gotta do.

I know. I'm just gonna...

turn around in here and...

So I'm just trying to

go back home, because...

I need to make sure I get you home safe so...

And not have a full-blown panic attack when I'm driving.

-Oh, please don't. -No, I won't.

In through your nose, out through your mouth.

That's how it works.

Oh, that's good enough.

I missed the appointment.

It was too much for me,

and I kind of shut down. I couldn't do it.

And I know I've been avoiding Dr. Now

for the past few weeks,

because he was trying to get a hold of me.

But I wanted some time to work on his diet

and exercise,

to make some progress to show him

I do wanna change my life now.

I just can't go out right now.

I think I'll have the courage once I lose more weight.

But I feel like I already lost a big amount,

even in just a month.

Hi. Thank you.

Have a good one.

I told Dr. Now's clinic

I was okay with getting on a video call with him again,

and I'm hoping he can see some of my progress,

and that it's enough for him to keep working with me.

Even though I don't think I can go to a clinic

and get my weight or a check-up right now,

I just hope Dr. Now understands

and sees how committed I am.

Hi, Karen. How you doing?

Hi, Dr. Now. Um, I'm okay.

Just struggling a little bit.

I don't know, I just couldn't do it.

Couldn't do what?

I couldn't go and make it to the appointment.

I tried to go down

and drive down to the clinic,

and just so I can have, you know,

a practice run to help with my anxiety

and getting there, but, you know, I didn't sleep well

the night before, and I panicked.

I just shut down.

I wasn't able to do it.

Not right now, but I think

once I lose some more weight,

I might have the courage to do it soon.

So how much weight you think you need to lose

to be able to go to a clinic?

I'm not sure. Um, I know I'm working on it.

I've been, um, following the plan,

the eating plan, and I've been exercising every day.

So I'm just hoping that by continuing to do that,

um, I'll have the courage

to, um, go and see you.

So how much weight do you think you have lost?

Um, I think I've lost maybe 100 pounds.

Sometimes people lose 6, 7 pounds,

they convince themselves they've lost a lot of weight.

But I don't think you've lost 100 pounds.

Dr. Now, I promise

I'm doing everything you told me to do

and I'm losing a lot of weight.

I'm committed to doing what it takes to change my life.

I just need a little bit more time to, um,

be able to go out in public again.

Yes, Dr. Now. I'm gonna continue to do

everything that you are giving for me to do,

as long as you keep working with me

and helping me, um, get to the point where

I am comfortable leaving the house again.

Do you understand if you want weight loss surgery,

you're gonna have to move down to Houston?

I do, and I'm gonna get to a point where I can do that,

because I am committed to turning my life around.

Okay. In the meantime...

Are you going to be able to do that?

Yes. Yes, Dr. Now, I'll be able to do that.

Okay. We'll set that up for you.

So in the meantime if you need anything, give us a call.

I will, Dr. Now. Um, thank you so much.

Don't give up on me. I'm gonna do it.

As long as you keep working on what you need,

we'll see what options we got for you, okay?

All right, thank you so much, Dr. Now.

-You're welcome. -All right, bye-bye.

Bye now.

I initially worried that he wouldn't continue working with me.

But I wish he'd see how much weight I lost,

because I know it's a lot at this point.

Yes, Bismo. It's lunch time.

But maybe if I'm able to get my weight,

it'll show him how much I've lost.

The doctor mentioned about having someone come here

to check my weight and my vitals,

and I think that would be helpful

so I can know exactly where I am,

and we can go from there.

I know, Bismo. I got it.

Dr. Now worked out someone coming here

with a scale and to do some tests.

I'm nervous about having a stranger in my house.

-Hi. -Hi, is it Karen?

-I'm Dr. Staten. -Hi.

I'm here to get your weight checked.

All right, you come on in. Come here, Bismo.

-Hey. -I'm sorry. He's...

It's all right.

All right.

Let's go ahead and do this now.

Yeah, you can just... Yeah.

All right.

-And I'm just gonna put my bag here. -Bag, yeah.

-Hi. -Bismo.

And so we'll do the...

We'll go ahead and do the weight first, okay?

-Okay. You wanna... -Do the blood pressure later.

-Okay. -So give me a second. I'm gonna turn that on.

Okay, and, right. Go ahead and stand up.

I'm really nervous about getting on the scale...

Wonder if I should take my shoes off for it.

-You can if you want to. -Any little bit helps.

Yeah, let's do that.

...and hope the number is really low

to show Dr. Now I've made a lot of progress.

Stand real still for me.

But I'm scared 'cause I'm not really sure

what it's going to say.

I know that I was up to at least 640,

and I think I'm gonna be down to at least 540.

All right. So, um... 604.

-Yeah. -All right?

Oh, man.

Thought it was gonna be less than that.

Yeah.

Well, just be encouraged. Keep working hard at it.

-Okay? Yeah? -Yeah, all right.

I'm a little disappointed.

But I'm glad I clearly lost some.

-Hello. -Hi, Dr. Now.

Hi, Karen. Well, what is your weight?

Um, it was 604.

When I first started I think I was in a high 600s,

so, um, I might have still probably lost

close to 100 pounds.

Yes. Think I'm gonna lose more than that.

Okay...

With the weight that I know I can lose by then,

I think I'll get up the nerve to do that.

Okay, we'll set that up for you.

In the meantime if you need anything, give me a call.

I will. Thank you so much, Dr. Now.

-Bye now. -Bye.

Gonna get your blood pressure checked.

Oh, boy. Okay.

-Calm down a little bit. -I know.

I wish I would have gotten a little bit

more credit for the hard work that I put in.

Um, I didn't really have my starting weight,

I just feel that it was... I think it was in high 600s,

even maybe close to 700, so...

'Cause I do feel I lost

at least almost 100 pounds,

because I can definitely feel the difference in my body.

Um, but I'm gonna continue to just, um,

work with the program and follow

Dr. Now's diet and exercise

so I can prove myself to him and show him

that I'm gonna be able to do this.

Amber, can you come get the groceries, babe?

Coming.

Would you be able to get it?

Yeah, it's not much.

I've been working hard over the past few weeks.

I've been sticking to the diet and exercises...

I'm coming, Bismo. I'm sorry.

...and even driving around the block every day,

and I feel like I'm making progress.

Oh, jeez.

Come on, Bismo.

Let's sit and wait for Amber to bring groceries in.

Up. Come on. Up. Up.

Hold on.

All right, the hairdresser is on her way.

I can relax for seven minutes.

-Thanks for your help. -Mmm-hmm.

-Bismo. Come here. -Bismo.

Don't call him, he'll go to you.

I'm... I did not mean to squeeze it. I did not.

-I just meant to move it. -Go.

I'm still nowhere close to being able to go out into public.

Okay. Oh, actually, I don't think I wanna touch that.

But since someone came into my home,

I've been a little more willing to let others in

and I've been letting people come over.

What you doing?

Oh, that's her, Amber. Can you go get the door for me?

Yeah. Oh, Bismo, chill out. Calm down.

Bismo, chill out.

You got the dog?

Oh, yeah.

-How you doing? -I'm sure he recognizes you by now.

I know. He don't bark no more.

-Hey. -Hey.

-How are you? -Hanging in there.

Hanging in there.

You can, um, just... Well, let me just move this

-out of the way. -Okay.

-Oh, my gosh, look at you. -Yeah.

Oh, man.

I'm like, "What in the world?"

When are you due again? I'm sorry.

It'll be, like, July 12th.

-Oh, July. Oh, my gosh. -Mmm-hmm.

Like, so you're, like, due-due.

-Right. -Like, soon.

Brianna used to be my hairdresser,

and she said she can do house calls.

I know it's been a while, so I appreciate you

-being able to do this for me. -No problem.

No problem at all.

And I just wanna do, like, two braids

and, like, a little bit of the leave out.

-Like, in the front zone. Yeah. -In the front.

-With the ends, too? -Oh, yeah.

-If you don't mind. -All right, I got you.

Thank you.

So that's been exciting for me,

because we have fun conversations,

so I look forward to her coming over.

I know!

I appreciate it, and it's funny,

'cause that's why when I reached out I was kinda nervous,

'cause I know it's been a couple years.

So I was like, "Oh, man."

So, but I'm so excited

I don't have to worry about my hair for a little bit now.

-This is the best part. -Yes.

I mean, in summer months I usually just, you know,

-do, like, a wash and go. -Mmm-hmm.

-And I'll just, you know, leave it. -You want it curly.

-Yeah, I just wear it naturally, yeah. -Girl!

But it's annoying, 'cause I don't like

my hair touching, like, my face.

You're the same as my sister.

-Right. -She's saying the same thing.

Yeah, I can't stand it, so...

Look at that tail. Just look at it.

You excited. Oh, you excited. Good boy.

You're mama's baby, huh?

Are you mama's baby?

-He looking at you. -I know.

Oh, my goodness.

-Oh, Lord. -Those are...

-Oh, my God. -I don't know what's wrong with me.

That was funny.

All right, Miss Karen.

All right, I'm gonna take...

Put my glasses on, second look.

-Okay. -It's been so long.

-Oh, my gosh. -Right?

Can't wait to see what it looks like.

Okay. Oh, my gosh. Um...

And I hate looking in the mirror but I'mma do it.

Oh, my God, you made me look so pretty!

You like it?

Girl, I love it. Thank you.

Man, you are a frickin' miracle worker.

Thank you!

I look like a brand-new person.

Oh, my God.

-I'm glad you love it. -Yes.

You have everything? Oh, man.

-Yes, ma'am. -My leg fell asleep.

Okay, I got you here.

-Thank you. -No problem, babe.

-Good seeing you. -You too. Thank you.

And I think after losing my next 100 pounds

I'll be ready to leave the house

and be in the public eye again.

It's the day of my appointment to go to the clinic,

and I feel like I made great progress

with my weight loss and stamina.

And I hope that translates into me having the courage to go today.

But Dr. Now told me

I'm supposed to lose at least 50 pounds.

I'm terrified.

-Hey. -Oh, hey.

-You're still getting ready? -Yeah.

I'm just nervous about this appointment, so...

I know it's been a while since I've been anywhere,

so I'm gonna...

try put on some makeup today.

Oh, neat.

-Pulling out the makeup. -Yeah.

My mother managed to lose a lot of weight

even without leaving the house, which is impressive.

I'm proud of her.

I mean, I've been doing everything that

Dr. Paradise told me to do.

I've been opening up the windows

and looking outside and I went outside,

but I just don't know if I'm ready to.

I don't know if I can do it but I'm going to try.

I'm not going to give up.

I mean, driving during the day

is better than driving during the night.

I know. We'll see.

You did that not that long ago.

Bismo, are you watching me?

He is staring hard.

I know.

Oh, Lord.

-Do we have eyeliner? -Yeah.

I don't know how you managed that.

Yeah.

Well, it's going to have to do but it's not perfect.

Nice.

10:45 and my appointment is at 11.30

so it's time to get going.

We can leave out together

but I just want to grab my stuff.

Oh, pull your shirt down in the back.

Okay.

All right, come on Amber.

You know, I'm still feeling really nervous about this drive,

so, thanks for riding with me, Amber.

Mmm-hmm.

We're coming up to the part

where I turned around the other day

so, actually it's kind of hard to focus right now.

Well, just speed past it. Won't have to worry.

Oh, now, there comes the knots.

My stomach is in knots.

We're almost there, aren't we?

I know. That's the problem.

Oh, we're almost there.

Oh, my mouth just got really dry too.

We don't have anything to drink.

I know. It's okay. We're going to get there.

Uh, I don't think I can do it.

I know there's going to be people in there

I don't know and...

I'm not going to be able to do this, Amber.

I'm just going to go back home.

What are you even scared of?

Building's not that low.

What's the worst that can happen?

A lot of people?

I don't know. That's the problem.

I don't know what the worst that can happen is

and I'm not ready to go find out either.

I'm definitely not trying to give up here

but I'm just scared to go into a new place.

I'm just not ready yet.

The doctor for my mother, uh she,

I wouldn't say freaked out but she definitely

was a bit shaky, anxious, nervous.

It felt off.

I'm not used to seeing her act like that.

You can call, can't you?

I don't know. I'm just going to have to go back home

and I'll just call when I get home.

I don't know what this means.

I was hoping I was going to be ready for this, but I'm not.

And I don't know when I will be.

I just know it's not now.

And I'm scared.

Because I don't know what that's gonna mean for my future.

It's been about a week

since I was supposed to have my appointment at the clinic.

This time I didn't want to avoid Dr. Now.

He agreed to send the scale to me

to see if I made progress.

I told him he'd be really happy with how much I lost.

And I'm hoping that convinces him how hard I'm working.

Calm down. Calm down, Bismo.

He said whether any of this continues

would come down to whether I made

any real progress or not.

And I'm looking forward to being able to show him that I have.

Hi. Come here, Bismo. Come here.

Hey, Karen, how are you?

Good. How are you? Come on in, Bismo.

-Oh, well. -Bismo, get in.

We're going to be coming this way, yeah.

-Oops. I'm sorry. I'm trying to close the door on you. -It's okay.

All right.

Weighing in today?

-Uh, yeah. -Ready?

No, but we can do it.

Last time I was at 604 pounds.

And I was supposed to lose at least 50 pounds.

I should've gone to the bathroom.

And I think I lost somewhere close to 200 pounds.

And so I think I'm going to be in the 400s today.

Okay. 583.

Are you sure? Is that the right...

Is that scale working properly?

Yes, I'm pretty sure. We just zeroed it out.

So we can make sure that it was clear.

Um, it's on a level surface. So...

Okay.

I don't understand it.

Because I know I lost a whole lot more than that.

I don't want to have to call a doctor now with that number.

Because I know it's wrong.

But I know I can't avoid it.

You're okay.

Hi, Doctor Now.

Hi, Karen. How are you doing?

I'm kind of frustrated right now

because I weighed myself this morning.

The scale is not going down to the number

that I think it should be at.

Because I know, you know, I've lost 100 pounds

since starting the program.

And it's just not showing that. So...

And I know you're not going to be happy with the number.

So I'm just kind of frustrated and processing in that.

Well, what does the scale say?

It says 583, but that's only about 20 pounds

less than last time.

So I know that can't be accurate.

So I think the scale is off.

Yeah, she's still here.

-Can I talk to her? -Yes.

Hi, Doctor Now.

Okay, yeah, I can do that.

I'll go ahead and move it over here, okay?

Okay, 585.

It said 585 this time.

That's not right, Doctor Now,

because it's higher than before,

and that's not right.

No, I am, Doctor Now, because I can feel it.

Well, if you think you have lost

and you feel it,

why doesn't it show on you

that you lost that much weight?

Everyone can tell how much I lost.

People have told me how much.

You don't go out, so by everyone telling you,

that means your family?

Yes, but they can see it.

Okay, I'm not going to argue with you,

but the scale is a tool that measures your weight

and your progress.

And it shows that you only lost

half of what you need to lose

to show me that you're willing to do this.

And on top of that,

you're still not leaving the house.

So you haven't shown me

that you're going to be able to come to Houston

even if we approve you for weight loss surgery.

So at this point, what you are willing to do?

I want to change my life, Doctor Now, and I am.

Give me one last chance, Doctor Now.

Okay, Karen, if I give you another chance,

what is the plan?

I'm going to lose more weight

and be at the goal that you want,

and I'm going to go to the local clinic.

So if I give you a few more months...

Yes, Doctor Now.

If we give you another chance

and set you up with the therapy,

are you willing to keep that appointment?

Oh, yes, Doctor. I've been doing everything

and I'll keep doing it because I want to turn my life around.

That means that you have to realize that you have to do

much more than you have done so far,

and you have to improve your eating habit

and try to lose 50 pounds in two months,

And overcome the fear of going out of the house.

Okay?

So those are the things that you need to do

to change your life. You think you can do that?

I guess.

All right, Karen. That means I'll see you in two months.

If you need anything before then, give me a call.

Okay, thank you, Doctor Now.

You're welcome, and bye now.

Bye.

All right, well, I'll see you later.

All right, yeah, thank you so much for coming again.

You're welcome.

Well, today I came to see Karen, um,

to get her weight for Doctor Now's appointment.

She felt that the scale wasn't correct.

It's highly unlikely that the scale

is going to be inaccurate,

and maybe about a pound or two difference,

but it shouldn't be too off.

It's just frustrating...

...because I know I'm doing really well.

I feel that the scale wasn't accurate

because, um, the nurse had

a hard time zeroing out the weights.

I just want to prove to Doctor Now

that I'm going to lose the goal that he gave me to lose

so I can show him that I'm serious about it.

I am glad that Karen is making progress,

but the reality is she's not making

nearly as much progress as she should.

And nowhere near the level she thinks she is.

Unless she wakes up and sees that and works hard,

then not much is going to be different in two months.

Amber, can you get me the ingredients?

I worked hard these past two months.

And I know I've made more progress.

You can go ahead and open up the packs for me.

But I've decided I'm not going to put myself

through everything it takes to try to go out again.

If I'm just going to be told, it's not enough.

So I called Doctor Now to ask

if the scale could be brought to me again.

And if not, then I understand.

But I won't be pursuing his program anymore

if that's the case.

He called and told me he'd send the scale.

But only to see if I made it to my goal.

If I did, then he'd keep working with me.

If not, then he says we're done.

Don't burn yourself, please.

And set a timer for three hours on the stove.

Oh, can you go grab the door for me?

Hi, how are you?

-Hey, Karen. How's it going? -Hi.

Good, how are you?

I'm doing well, thank you.

Good.

So, weighing today?

-Yeah. -All right.

Let me go ahead and zero the scale this time, make sure.

-Okay. -Okay?

Bismo, leave her alone.

Okay, let's see.

Alright, ready?

Yeah.

Okay, gotta step up.

I was 583 last time,

and I was supposed to lose at least 50 pounds.

So that means I have to be below 533 today.

Let it lock in.

Okay, we got 572.

How's that?

Is that right? Was that zeroed out?

Yes, we did. Just zeroed it out.

Well, there's no point in calling Dr. Now

because he's not going to believe me when I tell him

that there's something wrong with the scale, so...

I'm feeling frustrated

because I've been working as hard as I ever have

to follow Dr. Now's plans for me to the T,

but I'm being let down by the same lady

with the same scale.

I have mixed feelings about what's happening

between me and Dr. Now

because I'm grateful to him and his program

for giving me the motivation to start making the changes

that I need to lose weight.

But I am not happy with the way he and his staff are treating me.

Now that I have a plan,

I'm going to be happier doing it on my own.

Hello?

Hey, Karen.

Hi, Dr. Now.

It's because I'm working my hardest, Dr. Now,

and I don't feel like what the scale is saying is accurate.

And I don't feel like there's any point in talking to you about it.

You're not going to believe me anyway.

Dr. Now, I've worked the hardest and I ever worked

in my life to make the changes for these last past six months,

and I have lost 100 pounds since September.

You're telling me that's not enough?

Okay, Karen.

And the other issue is that

you still won't go out in the public,

and, uh, that issue, we need to keep working on it

because we can't provide you the tools for long term

if you're not able to do that.

So at this point, there is not much more

we can do for you, Karen.

You and I agree on that, Dr. Now.

Thank you for the help that you've given me up to this point,

but I think I got it from here.

Okay, Karen, wish you well and the best.

And if you want to still keep working with Dr. Paradise

uh, on your agoraphobia, we can continue with that.

I appreciate that, but thank you.

I have my own therapist

I'm going to continue to work with.

Okay, well, I hope you do.

Okay, thank you, Dr. Now. Bye.

Bye-bye.

I know I'm doing incredible.

I lost so much and can handle so much more than I could

before I started this journey.

I have Dr. Now's plan, so I know what to do.

And I don't want to keep getting on the scale

or seeing anyone about this.

I'm just going to do it on my own.

And I know I'm going to succeed.

Hi, buddy.

Come on up.

But my concern is that she's not

seeing her situation objectively.

And unless something happened and open her eyes

to the fact that she has not made

as much progress as she thinks...

If she starts to wake up at any point,

we will see what we can do to help her.

But until then, I wish her the best.

Awesome. Thank you.

You want to come over this way,

or you gonna sit on the--

Hey, let me move so you can come to this side.

All right. You ready to lose?

You didn't even know how to set it up.

I've been feeling great.

I continue to lose weight, and I'm going to continue

to lose more weight.

Okay.

I think Dr. Now's program did help get me started,

so now that I have the tools,

I'm confident I can do it on my own from this point.

But I don't need it to keep going to succeed

because I'm going to make it to my goal.

Oh, no.

Oh, I hate you. Oh, my God.

I've been waiting.

Oh, my gosh. How did I miss that?

Oh, you got it. Okay.

I'm actually full. I'll eat more of the salad later.

All right. Oops, there it goes. All right.

It's getting late, so...

I should do a weight check.

See how much I weigh now. What do you think?

Go for it. You want to go in my room?

-Sure. -All right.

I got my own scale. I ordered it.

I know I'm doing incredible because I lost so much

that my clothes are starting to hang looser.

I know that I've lost over 100 pounds,

and I'm just going to continue to lose more.

All right, Amber, I'm going to get on.

You tell me how much it says.

552.

Oh, my gosh.

All right. Give me high five.

-I won't look-- -No, you high fived my arm.

Oh, my gosh. I'm so excited.

That means I've lost a lot of weight. That's awesome.

Awesome. I know. I'm so excited.

My mother has made a lot of progress.

She's eating less. She's been moving more.

Dr. Now may have helped my mother

begin her weight loss journey,

but I'm sure she can get to her goal on her own.

-Soon you'll be under 500. -I know. I can't wait.

I think there's something with the setup at home

that makes the scale read funny

because I think I've lost even more than it shows.

I'm going to share this with Ryan.

I know he's excited to hear it.

My son's graduation is in a month.

I was really hoping to be there,

but that's going to be too fast and too much for me.

But I found a local therapist to talk to,

and I know I'm going to be confident

to go out into the world soon.

I'm building up the courage to do that.

I'm going to put that salad away so I can eat it later.

Oh yeah, you didn't finish it.