Lifestyle 360 Program
Cognitive behavioural therapy & Medically Supervised Weight Control
Research shows that regular interaction with a health professional and monitoring of weight (approximately once a week), is linked to greater weight loss and maintenance.
ABOUT THE PROGRAM
This program is offered by DR. SANDY VAN, a WEIGHT MANAGEMENT Physician who helps patients achieve their best weight using self monitoring, dietary assessment, and cognitive strategies to support behavioral change.
Dr. Sandy Van MD
This program will be covered by OHIP for individuals who:
are over the age of 18
have a Body Mass Index (BMI) of 30 or more OR
have a BMI of 27 to 30 and a weight related medical condition such as diabetes, high blood pressure, high cholestrol, sleep apnea, etc.
Note that eligible patients require stable mental health and demonstrate motivation and commitment for change.
Components of the PROGRAM
Health is a journey, not a destination. As such, there are multiple aspects of your life that we will involve in your health pursuit. These skills in themselves are meant to be sustainable throughout your lifetime, and will promote longevity, optimal function, and prevention of disease. As a byproduct of these, you will achieve better control of your weight.
**Please click on each component below to expand. **
> COGNITIVE RESTRUCTURING
A main focus of this program targets times of the day that you are at risk of excess calorie consumption. Your GP psychotherapist will help you target these “High Risk Times”, which might include times of high emotion, stress, and boredom. We use thought mapping techniques to identify triggers, neurological impulses (ie. cravings), and various cognitive strategies to effectively stand up to these impulses. Employment of these skills is imperative to building new habits that favour weight control, and making old habits seem foreign in your day-to-day life.
> DIETARY EVALUATION
Awareness of nutrition and calorie intake is a fundamental building block for weight management. This program will help you customize your very own dietary plan - one that you will enjoy, and not simply tolerate. Using your MyFitnessPal diary, your physician will uniquely evaluate your daily intake of total calories, macronutrients, and patterns of dietary behaviour that can promote optimal weight control. The Dietitian may also be used to aid in meal planning and ideas should further guidance be required.
> BEHAVIOURAL MODIFICATION
Your tasks and responsibilities between sessions are imperative to your weight control success. This includes daily tracking on My Fitness Pal, thought journaling, pursuing goals for physical activity, assigned readings, and practice of behavioural skills taught in session. A major goal of this program is to help you develop new habits that align with your health goals, and to make old habits foreign.
> MEDICAL OPTIMIZATION
Living with excess weight can put you at risk of developing medical conditions such as diabetes, high blood pressure, high cholesterol, amongst many others. Our medical internist will work with you to manage these conditions and optimize your medical health.
Our program acknowledges obesity as a chronic, progressive, real medical condition that is influenced by many factors including family history, genetics, hormonal disruptions, and environment. As such, effective treatments include medications and bariatric surgery. Your MDs will discuss with you at length on your interest and suitability for pursuing these routes. These are not a requirement for joining the program.
> MAINTENANCE PHASE
We know that weight management is a lifelong endeavour. This is why we have a commitment to welcoming you on an as needed basis to continue using the skills learned in this program and preventing weight regain.
The duration of program is up to 12 months long
- Once weekly for first month
- Biweekly for two months
- Monthly for up to one year.
Each Session with your MD will range between 40-70 minutes and is dependent on your progress. In this time we will review the progress of your goals, provide dietary assessment, cognitive exercises, education on specific topics, and build new goals for subsequent sessions. We uniquely allow sufficient time for each individual to ensure that concepts are grasped and questions are clarified.