Anxiety problems? Mental, physical?

Ill make this short and simple. I have always been overweight. At 16 I was at 245 pounds. Imagine how that feels. I was always the kid being made fun of at school, church with friends, public. When I turned 18 I got really serious and lost 95 pounds. So I was at about 152 and I am a 5"9 male. At the time I had a Job at a nursing home (they never saw me overweight). When i was 20 I remember I went from 152 to about 165 and everyone at work & church bothered me about it. It bothered me so much that I stopped working out and now I am 21 and currently weigh 275 pounds. For a while I stopped socializing with all my friends. I still have my same GF of 2 years believe it or not lol. I don't attend church anymore because I am so afraid of the criticism. People are just really mean sometimes and the comments really affect me. Well after all of this I get a lot of mood swings. I can be happy and feel like I am going to overcome this and move on & then when I see my reflection on a car or when someone says something about it I would get really down and feel like trash. I have also become very defensive and my GF says that I look really mean when I get upset. I am not violent or anything like that but I do argue a lot with my family now. I currently have a new job which I started recently in a company that my friend opened and everything has been ok. My friend doesn't bother me about my weight because I spoke to him and he really respects me but today one of the lady's asked me what happened to me. Her words exactly " what happened to you? You need to get on a diet. Last time I saw you you were so slim and looked so good" her words killed my mood and my day.

What do you think it is? What should i do when I face difficult situations like this one?

** btw I have an appointment for a bypass surgery in November so I am hoping that I get approved lol :)

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