anonymous 2:53, good point. Usually people are obese beuscae there is another serious problem, usually psychiatric. (I put on 30 pounds during my last serious bout with chronic depression. Just as you mentioned, I comforted myself with food.)Part of it may be that the word "fat" is still shrouded in the language of moral judgement. Obesity is thought to be a sign of moral weakness, when in reality it's more likely the symptom of an underlying problem that doesn't go away even after the obesity is cured. Drug addiction is still viewed in a similar way-- people turn to drugs to compensate for a psychiatric ailment.Still, a patient is responsible for seeking proper treatment and sticking to that treatment. Part of doing this is letting a doctor or therapist know when the prescribed treatment isn't working-- or getting a second opinion.So, if I were a doctor, I would still say, "Yes, you are fat. Doesn't make you a bad person, but your weight will kill you if you keep this up."But if I were that obese patient, I'd have the right to respond, "Look, you're not telling me anything I don't already know. That's why I came here, so I could find out how not to be fat anymore. Can you suggest something for me?"