Photo of Kathryn Ann Stufflet, LCSW, CHT, CHC, AADP, Clinical Social Work/Therapist
Kathryn Ann Stufflet
Clinical Social Work/Therapist, LCSW, CHT, CHC, AADP
Verified Verified
Reading, PA 19607
True healing, spiritual growth, self awareness and creative potential lie beyond the four walls of a clinician's office. If you are looking for an integrative, innovative way to improve your connection to your Self, essence, innate wisdom and make deep connections, I can support and guide you with intuitive and authentic guidance. Whether this is your first time seeking support or you've had many years of experience, if you're ready for real personal evolvement, a refreshed approach and want to clear the ever present momentum and static that life offers and truly feel alignment - I am here to guide you.
True healing, spiritual growth, self awareness and creative potential lie beyond the four walls of a clinician's office. If you are looking for an integrative, innovative way to improve your connection to your Self, essence, innate wisdom and make deep connections, I can support and guide you with intuitive and authentic guidance. Whether this is your first time seeking support or you've had many years of experience, if you're ready for real personal evolvement, a refreshed approach and want to clear the ever present momentum and static that life offers and truly feel alignment - I am here to guide you.
(610) 285-7367 View (610) 285-7367
Photo of Elizabeth S Heffner, MEd, LPC, Licensed Professional Counselor
Elizabeth S Heffner
Licensed Professional Counselor, MEd, LPC
Verified Verified
3 Endorsed
Reading, PA 19605  (Online Only)
I have a passion for guiding others through some of their toughest times, and assisting in their recovery. I also have a strength based approach, which has assisted in the success of my clients. My office is a safe place for clients of any race, color, national origin, religion, sex, gender identity, gender expression, sexual orientation, age, marital status, and disability.
I have a passion for guiding others through some of their toughest times, and assisting in their recovery. I also have a strength based approach, which has assisted in the success of my clients. My office is a safe place for clients of any race, color, national origin, religion, sex, gender identity, gender expression, sexual orientation, age, marital status, and disability.
(484) 209-5156 View (484) 209-5156
Photo of John Driessnack, LCSW, Clinical Social Work/Therapist
John Driessnack
Clinical Social Work/Therapist, LCSW
Verified Verified
Reading, PA 19601  (Online Only)
I am a licensed clinical social worker and specialize in helping people to effectively manage anxiety, depression, and other mental health concerns using cognitive behavioral techniques. I have worked with a range of populations, nearly all ages, and also have experience with couple's counseling and addiction treatment. I work with people to develop insight into the source of their problems, how their core beliefs about the world might be hindering their progress, and focus on their natural strengths to overcome those barriers with practical skills that generate sustainable change.
I am a licensed clinical social worker and specialize in helping people to effectively manage anxiety, depression, and other mental health concerns using cognitive behavioral techniques. I have worked with a range of populations, nearly all ages, and also have experience with couple's counseling and addiction treatment. I work with people to develop insight into the source of their problems, how their core beliefs about the world might be hindering their progress, and focus on their natural strengths to overcome those barriers with practical skills that generate sustainable change.
(484) 290-1730 View (484) 290-1730
Photo of Leslie M. Chaundy - Mind Matters Counseling & Psychological Assocs, PsyD, LCSW, NCSP, ABSNP, Psychologist
Mind Matters Counseling & Psychological Assocs
Psychologist, PsyD, LCSW, NCSP, ABSNP
Verified Verified
Reading, PA 19609
Our vision at Mind Matters Coaching, Counseling & Psychological Associates, LLC is to help bring growth, healing, and peace of mind to people who struggle with matters of the mind. We have caring, compassionate, experienced, credentialed, and licensed professionals who are both doctoral level psychologists and master's level clinicians. We provide individual, family, and couples counseling, life coaching, child and adolescent therapy, EMDR, educational, psychological, and forensic testing and evaluations, career coaching, and consultation for both individuals and businesses.
Our vision at Mind Matters Coaching, Counseling & Psychological Associates, LLC is to help bring growth, healing, and peace of mind to people who struggle with matters of the mind. We have caring, compassionate, experienced, credentialed, and licensed professionals who are both doctoral level psychologists and master's level clinicians. We provide individual, family, and couples counseling, life coaching, child and adolescent therapy, EMDR, educational, psychological, and forensic testing and evaluations, career coaching, and consultation for both individuals and businesses.
(610) 816-6232 View (610) 816-6232
Photo of Leslie M Chaundy - Mind Matters , PsyD, LCSW, NCSP, ABSNP, Psychologist
Mind Matters
Psychologist, PsyD, LCSW, NCSP, ABSNP
Verified Verified
Reading, PA 19609
Our vision at Mind Matters Coaching, Counseling & Psychological Associates, LLC is to help bring growth, healing, and peace of mind to people who struggle with matters of the mind. We have caring, compassionate, experienced, credentialed, and licensed professionals who are both doctoral level psychologists and master's level clinicians. We provide individual, family, and couples counseling, life coaching, child and adolescent therapy, EMDR, educational, psychological, and forensic testing and evaluations, career coaching, and consultation for both individuals and businesses.
Our vision at Mind Matters Coaching, Counseling & Psychological Associates, LLC is to help bring growth, healing, and peace of mind to people who struggle with matters of the mind. We have caring, compassionate, experienced, credentialed, and licensed professionals who are both doctoral level psychologists and master's level clinicians. We provide individual, family, and couples counseling, life coaching, child and adolescent therapy, EMDR, educational, psychological, and forensic testing and evaluations, career coaching, and consultation for both individuals and businesses.
(610) 595-5762 View (610) 595-5762
Photo of A Sascha Baello, MEd, LPC, Licensed Professional Counselor
A Sascha Baello
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Reading, PA 19601  (Online Only)
Are you currently in a toxic relationship? Have you gotten out of a toxic relationship and don't know where to go from here? Do you feel isolated or like no one understands what you are going through? My passion centers around helping clients to find their inner strength to heal from these relationships, understand their experience, and empower them to move forward into a new, healthier life.
Are you currently in a toxic relationship? Have you gotten out of a toxic relationship and don't know where to go from here? Do you feel isolated or like no one understands what you are going through? My passion centers around helping clients to find their inner strength to heal from these relationships, understand their experience, and empower them to move forward into a new, healthier life.
(610) 998-3758 View (610) 998-3758
Dr. Katja M. Spradlin-McHugh, LLC
Psychologist, PhD
Verified Verified
1 Endorsed
Reading, PA 19607  (Online Only)
Not accepting new clients
HEAL. Heal by Embracing Abundance of Life. Life is glorious. Life can get hard. We do our best to be our best. That's a lot of pressure. When we focus on falling short of that lofty goal, we tend to feel guilt, shame, depression, anxiety. We are not alone in life. Reach out for a helping hand in regaining the gloriousness of life. I invite you to accept help and to embrace the abundance of life in healing your SELF. If you would like to reach out, email or call for a time to meet. I wish you peace.
HEAL. Heal by Embracing Abundance of Life. Life is glorious. Life can get hard. We do our best to be our best. That's a lot of pressure. When we focus on falling short of that lofty goal, we tend to feel guilt, shame, depression, anxiety. We are not alone in life. Reach out for a helping hand in regaining the gloriousness of life. I invite you to accept help and to embrace the abundance of life in healing your SELF. If you would like to reach out, email or call for a time to meet. I wish you peace.
(610) 756-0124 View (610) 756-0124

More Therapists Nearby

Photo of Colleen Annmarie Gensemer, MA, LPC, Licensed Professional Counselor
Colleen Annmarie Gensemer
Licensed Professional Counselor, MA, LPC
Verified Verified
Wyomissing, PA 19610
A practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.I blend conventional and alternatives approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals. I provide a safe environment, in which people can express themself openly.
A practical, interactive, solution-focused therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.I blend conventional and alternatives approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals. I provide a safe environment, in which people can express themself openly.
(610) 632-7163 View (610) 632-7163
Photo of Michele L. G. Christman, MA, LMFT, Marriage & Family Therapist
Michele L. G. Christman
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Wyomissing, PA 19610
Life is often difficult and relationships complicated but I believe that we all have the strength and resilience inside ourselves to grow and change, leading to fulfillment and happiness. In my work over the last 15 years as a strength-based, systemic, solution-focused therapist, I have demonstrated a personal ability in creating strong theraputic relationships with my clients. In sessions, we will work through difficult emotions in an environment of hopefulness, safety and trust. I will engage and challenge you to learn to be reflective and insightful in order to build constructive relationships with yourself and with others.
Life is often difficult and relationships complicated but I believe that we all have the strength and resilience inside ourselves to grow and change, leading to fulfillment and happiness. In my work over the last 15 years as a strength-based, systemic, solution-focused therapist, I have demonstrated a personal ability in creating strong theraputic relationships with my clients. In sessions, we will work through difficult emotions in an environment of hopefulness, safety and trust. I will engage and challenge you to learn to be reflective and insightful in order to build constructive relationships with yourself and with others.
(610) 285-7009 View (610) 285-7009
Photo of Cody L Minnich, MSW
Cody L Minnich
MSW
Verified Verified
1 Endorsed
Wyomissing, PA 19610
Are you in search of a holistic approach to mental health that embraces the mind-body connection and empowers growth? Entering therapy is difficult. Finding a therapist that you feel safe with and can trust is important. The opportunity for change is waiting to be unlocked inside of you. Love and Acceptance is the essence of being. Listening to your needs, motivating change, and creating mind-body focused plans for growth is the mission. Developing self-empowerment skills that are transferable into making you the best version of yourself is the goal. Now is the time that you allow yourself to be the best version of you.
Are you in search of a holistic approach to mental health that embraces the mind-body connection and empowers growth? Entering therapy is difficult. Finding a therapist that you feel safe with and can trust is important. The opportunity for change is waiting to be unlocked inside of you. Love and Acceptance is the essence of being. Listening to your needs, motivating change, and creating mind-body focused plans for growth is the mission. Developing self-empowerment skills that are transferable into making you the best version of yourself is the goal. Now is the time that you allow yourself to be the best version of you.
(610) 426-1853 x705 View (610) 426-1853 x705

Online Therapists

Photo of Dave Williams - Homestead Counseling Services, LCSW, Clinical Social Work/Therapist
Homestead Counseling Services
Clinical Social Work/Therapist, LCSW
Verified Verified
Perkiomenville, PA 18074  (Online Only)
I am a general counselor who does well with a variety of issues and difficulties. I see myself as down to earth, friendly and kind, with a good sense of humor. Over the years I have worked with individuals suffering from Anxiety, Depression, OCD, relationship issues, difficulties adjusting to retirement and aging, weight loss, chronic illness and pain, end of life issues, parenting, and addiction issues. I have been a couples counselor for 14 years and enjoy the energy that comes from helping couples.
I am a general counselor who does well with a variety of issues and difficulties. I see myself as down to earth, friendly and kind, with a good sense of humor. Over the years I have worked with individuals suffering from Anxiety, Depression, OCD, relationship issues, difficulties adjusting to retirement and aging, weight loss, chronic illness and pain, end of life issues, parenting, and addiction issues. I have been a couples counselor for 14 years and enjoy the energy that comes from helping couples.
(610) 871-5593 View (610) 871-5593
Photo of Lucy Faulconbridge, PhD, Psychologist
Lucy Faulconbridge
Psychologist, PhD
Verified Verified
1 Endorsed
Wayne, PA 19087
I specialize in the treatment of eating disorders, weight loss, body image concerns, and depression.
I specialize in the treatment of weight and eating disorders, depression and anxiety. provide cognitive-behavioral therapy, which focuses on helping the client to identify thoughts and emotions associated with certain behaviors, and I infuse mindfulness techniques. Through this journey, I help clients understand how and why they are responding to situations in the way that they do, enabling them to find inner peace and lead fuller, more enriched lives. I typically meet with clients on a one-on-one basis, but I am happy to schedule sessions with concerned partners, parents or other family members together with the client.
I specialize in the treatment of eating disorders, weight loss, body image concerns, and depression.
I specialize in the treatment of weight and eating disorders, depression and anxiety. provide cognitive-behavioral therapy, which focuses on helping the client to identify thoughts and emotions associated with certain behaviors, and I infuse mindfulness techniques. Through this journey, I help clients understand how and why they are responding to situations in the way that they do, enabling them to find inner peace and lead fuller, more enriched lives. I typically meet with clients on a one-on-one basis, but I am happy to schedule sessions with concerned partners, parents or other family members together with the client.
(610) 347-5240 View (610) 347-5240
Photo of Jessica Renee Blanding-Coleman, MS, LPC, Licensed Professional Counselor
Jessica Renee Blanding-Coleman
Licensed Professional Counselor, MS, LPC
Verified Verified
Philadelphia, PA 19123  (Online Only)
If only life were as easy as scrolling through counselor profiles. Let me help you bring healing and understanding to life's difficulties so you can move past them and into a better mind space. I am experienced in all areas of mental health, but I am highly effective in treating stress, anxiety, and depression. In addition to working with those experiencing difficult life transitions such as loss and divorce, I also enjoy working with women's issues such as infertility, postpartum conditions, parenting issues, and adjustments dealing with weight loss.
If only life were as easy as scrolling through counselor profiles. Let me help you bring healing and understanding to life's difficulties so you can move past them and into a better mind space. I am experienced in all areas of mental health, but I am highly effective in treating stress, anxiety, and depression. In addition to working with those experiencing difficult life transitions such as loss and divorce, I also enjoy working with women's issues such as infertility, postpartum conditions, parenting issues, and adjustments dealing with weight loss.
(215) 883-8263 View (215) 883-8263
Photo of Christine J. Markow, MS, PhD, CBTcert, Covid19, Pre-Licensed Professional
Christine J. Markow
Pre-Licensed Professional, MS, PhD, CBTcert, Covid19
Verified Verified
2 Endorsed
Newtown, PA 18940
With 23 years of clinical experience in pediatric and adult clinical medical psychology, I value addressing psychological wellness through a comprehensive systems approach. My therapeutic training is based in cognitive behavioral therapy (CBT).I believe each client plays an active role in their customized treatment to address their concerns, expand insight and achieve desired goals. I have specialized training in anxiety and depressive disorders, cyber bullying, chronic pain, stress, eating disorders, transitions associated with divorce, GI disorders & behavioral modification. For more information go to www.drchristinemarkow.com
With 23 years of clinical experience in pediatric and adult clinical medical psychology, I value addressing psychological wellness through a comprehensive systems approach. My therapeutic training is based in cognitive behavioral therapy (CBT).I believe each client plays an active role in their customized treatment to address their concerns, expand insight and achieve desired goals. I have specialized training in anxiety and depressive disorders, cyber bullying, chronic pain, stress, eating disorders, transitions associated with divorce, GI disorders & behavioral modification. For more information go to www.drchristinemarkow.com
(215) 867-8928 View (215) 867-8928
Photo of Matthew Weldon Gelber, MS
Matthew Weldon Gelber
MS
Verified Verified
Devon, PA 19333
As a certified Master’s Level psychotherapist with over 19 years experience and “face of therapy and counseling” 2024 Main Line Today Magazine, I’m able to offer experience and understanding that gets to the heart of the issue for my clients.Are you unhappy, stressed or depressed at home? At Work? At School? Do you find yourself yet again in another relationship doomed for failure? Is Intimacy or trust or sex lacking in your relationship? I am a compassionate therapist who helps individuals, couples and families achieve favorable outcomes in different areas of their lives. My focus is specific to your needs and your goals.
As a certified Master’s Level psychotherapist with over 19 years experience and “face of therapy and counseling” 2024 Main Line Today Magazine, I’m able to offer experience and understanding that gets to the heart of the issue for my clients.Are you unhappy, stressed or depressed at home? At Work? At School? Do you find yourself yet again in another relationship doomed for failure? Is Intimacy or trust or sex lacking in your relationship? I am a compassionate therapist who helps individuals, couples and families achieve favorable outcomes in different areas of their lives. My focus is specific to your needs and your goals.
(610) 915-8047 View (610) 915-8047
Photo of Nancy A. Vanore, MSN, APRN, BC, CISD, LLC
Nancy A. Vanore
MSN, APRN, BC, CISD, LLC
Verified Verified
Philadelphia, PA 19102
Areas of specialty include: developing communication strategies focused on improving relationships in step-families/blended families, and for individuals and couples. Additional areas of treatment include: counseling divorce/separation and break-up issues, infidelity, restructuring life following a loss, catastrophic event, managing cancer survivorship and developing coping strategies following life transitions (loss of job/graduating from college), supportive treatment for infertility struggles, as well as, treatment for anxiety, depression, and stress. My extensive nursing background, coupled with my Masters Degree therapy training and experience, have given me a deeper depth of empathy and understanding of life's challenges.
Areas of specialty include: developing communication strategies focused on improving relationships in step-families/blended families, and for individuals and couples. Additional areas of treatment include: counseling divorce/separation and break-up issues, infidelity, restructuring life following a loss, catastrophic event, managing cancer survivorship and developing coping strategies following life transitions (loss of job/graduating from college), supportive treatment for infertility struggles, as well as, treatment for anxiety, depression, and stress. My extensive nursing background, coupled with my Masters Degree therapy training and experience, have given me a deeper depth of empathy and understanding of life's challenges.
(610) 850-9542 View (610) 850-9542
Photo of Stacey Simpson, MS, LPC, CNLP, CHT, CYT200, Licensed Professional Counselor
Stacey Simpson
Licensed Professional Counselor, MS, LPC, CNLP, CHT, CYT200
Verified Verified
North Wales, PA 19454
I love being a counselor and a teacher. I like helping people figure out what they want from their life and how to make the changes and tap into the resources to make that happen. To learn how to create balance in every area. One of my favorite expressions is people don't care how much you know until they know how much you care. The reason I became a counselor is to help make a difference one person at a time.
I love being a counselor and a teacher. I like helping people figure out what they want from their life and how to make the changes and tap into the resources to make that happen. To learn how to create balance in every area. One of my favorite expressions is people don't care how much you know until they know how much you care. The reason I became a counselor is to help make a difference one person at a time.
(267) 915-2991 x808 View (267) 915-2991 x808
Photo of John Bearoff - Dr. John Bearoff, Psychologist | Hypnotherapist, Psychologist
Dr. John Bearoff, Psychologist | Hypnotherapist
Psychologist
Verified Verified
Norristown, PA 19401
I've been a clinical psychologist for 34 years, giving clients the support and strategies they need to deal with anxiety, depression, negative self-esteem, stress management, organizational skills, motivation, trauma and tragedy, and grief and loss. I have had the best results by using COGNITIVE-BEHAVIORAL THERAPY (CBT), and Mindfulness Meditation. I also use HYPNOSIS if and when appropriate. I also offer Live, Online VIDEO COUNSELING, which is more convenient for many clients, and very helpful to clients for whom distance and transportation are obstacles to getting the help they want and need.
I've been a clinical psychologist for 34 years, giving clients the support and strategies they need to deal with anxiety, depression, negative self-esteem, stress management, organizational skills, motivation, trauma and tragedy, and grief and loss. I have had the best results by using COGNITIVE-BEHAVIORAL THERAPY (CBT), and Mindfulness Meditation. I also use HYPNOSIS if and when appropriate. I also offer Live, Online VIDEO COUNSELING, which is more convenient for many clients, and very helpful to clients for whom distance and transportation are obstacles to getting the help they want and need.
(610) 467-2116 View (610) 467-2116
Photo of Marcy J. S. Johnson, LCSW, Clinical Social Work/Therapist
Marcy J. S. Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Coopersburg, PA 18036  (Online Only)
Hi there and welcome! I offer secure Teletherapy for a variety of mental health and addiction-related concerns. I am accepting new clients who live in Pennsylvania, Massachusetts and Florida. My areas of expertise are in supporting healthcare professionals, those with anxiety, depression, self-esteem/body-image concerns, relationship challenges, life transitions and addictions. I am passionate about supporting people who need thoughtful guidance in their life's next steps. Together, we can tackle your biggest challenges so that you can enjoy a more fulfilling and rewarding life. Really!
Hi there and welcome! I offer secure Teletherapy for a variety of mental health and addiction-related concerns. I am accepting new clients who live in Pennsylvania, Massachusetts and Florida. My areas of expertise are in supporting healthcare professionals, those with anxiety, depression, self-esteem/body-image concerns, relationship challenges, life transitions and addictions. I am passionate about supporting people who need thoughtful guidance in their life's next steps. Together, we can tackle your biggest challenges so that you can enjoy a more fulfilling and rewarding life. Really!
(610) 890-4244 View (610) 890-4244
Photo of Angela Reyer Gillespie, MA, LPC, TCP, Licensed Professional Counselor
Angela Reyer Gillespie
Licensed Professional Counselor, MA, LPC, TCP
Verified Verified
2 Endorsed
Chadds Ford, PA 19317
LIfe is hard but I love my job! I am passionate about providing empathetic and compassionate therapy for people struggling with a variety of issues such as anxiety, depression, communication struggles, & more. I specialize in processing and moving beyond trauma and believe that the root to many of our struggles can be found in past relationships and attachments. I utilize systems theories and relational framework as a foundation for clients to explore and connect how relationships and environment impact larger goals and sense of self. I want to help you understand yourself better and utilize your past as strength to move forward.
LIfe is hard but I love my job! I am passionate about providing empathetic and compassionate therapy for people struggling with a variety of issues such as anxiety, depression, communication struggles, & more. I specialize in processing and moving beyond trauma and believe that the root to many of our struggles can be found in past relationships and attachments. I utilize systems theories and relational framework as a foundation for clients to explore and connect how relationships and environment impact larger goals and sense of self. I want to help you understand yourself better and utilize your past as strength to move forward.
(484) 214-2854 View (484) 214-2854
Weight Loss Therapists

What is the relationship between weight management and mental health?

Mental health can be significantly influenced by one's physical health, so overall improvements in one's quality of life as a result of improved physical functioning from weight loss can have an overall positive impact on an individual's mental health and allow them to engage more readily in everyday activities. In addition, many strategies used to manage weight, such as exercise and maintaining a healthy diet, are also associated with reducing the symptoms of common mental health conditions, such as anxiety or depression. Individuals may also benefit from the improved self-esteem and self-efficacy that can come with successful weight management.

What is the psychological approach to losing weight?

While there are no specific therapy modalities specifically for weight loss, common psychological therapies can be highly effective in helping clients make lasting lifestyle changes. This may be called the "psychological approach" to weight loss because it does not rely on physical interventions, such as medication or weight loss surgery, to help clients lose weight. Weight loss counseling can be used in addition to or instead of such physical interventions. Some clients simply seek therapy to address the challenges that may accompany weight loss in general, including negative thoughts surrounding their body, disordered eating patterns, or difficulty completing daily tasks as a result of their weight challenges. In such cases, therapists will often utilize behavioral coaching or Cognitive Behavioral Therapy techniques to help clients understand how their thoughts may be influencing their diet and physical activity patterns.

What type of therapy is commonly used in weight loss counseling?

Weight loss counseling often involves a combination of therapy and psychoeducation. Common techniques used by weight loss counselors include journaling, thought diaries, and other Cognitive Behavioral Therapy strategies that encourage clients to consider how their feelings about their weight loss impact their mental health. Weight loss counselors may also teach clients mindfulness exercises, which can be used by clients during and after eating to be more aware of physical cues from their body surrounding eating. Some clients looking for weight loss therapy may also benefit from group therapy approaches, which utilize the power of social connection and accountability to help clients adhere to their weight loss plan.

Is therapy recommended for individuals undergoing bariatric surgery?

While therapy is not a requirement for individuals undergoing bariatric surgery, many individuals undergoing weight loss surgery may benefit from seeing a counselor. Prior to surgery, counselors can help clients decide whether surgical weight loss is a good fit for them and assist in surgery preparation. Post-surgery, counselors can assist clients with the psychological component of maintaining their weight loss, as well as help clients navigate any postoperative pain. Throughout the surgical process, therapists can help clients process body-image challenges that may come with dramatic changes in weight, as well as manage symptoms of anxiety or depression that may accompany the major life changes bariatric surgery can bring.