All language subtitles for My 600-lb Life S10E12

[Dolly] The only thing
powerful enough

to distract me from darker
thoughts is food.

[voice breaking] Somewhere,
there is this little glimmer of hope.

I just wanna be a normal person.

[panting]

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

[woman] If I don't
make a change now,

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

[groaning] It hurts!

[woman 2] I refuse
to stop fighting.

I have to do this
for my children.

I just drove five hours

to tell you how I feel.

And I will not take her back.

[Dolly] When I wake up...

Carrying around this much
weight hurts more than

anyone can ever imagine.

My whole body hurts.

My calves, my knees,

and my feet, and my lower back

and my head.

I can't even get out of bed
anymore, without needing help.

Chey-Chey.

I live with my mother
but my best friend Cheyanne

helps me when she
is here sometimes.

Good morning.

[Dolly whimpering]

[Cheyanne] I met Dolly
over the internet.

We grew up
not too far from each other.

We didn't know each other.

But the moment I met her,

there was just, like, a spark, like
I have known her my whole life.

So we spend a lot
of time with each other.

[Dolly speaking]

So when I do move around,

I move really slowly.

And I have to be very cautious
of each movement.

And I have to wear this
nasal cannula all the time.

24 hours a day.

My weight has affected my lungs.

I can hardly go
to the bathroom on my own.

I can't even help myself
in the shower.

Somedays I skip it.

And on the days that I do shower

I need Cheyanne and my mom
to come wash me.

Because I struggle to stand.

I can only bear the pain
from standing for ten minutes,

before it becomes excruciating.

Okay, hard part.

Oh, God.

Oh, God. Okay.

[Dolly] There's a lot to do.

I've had a lymphedema mass around
my stomach for four years now. So...

Dolly needs care.

Physical care,

that is hard on me, as a mother.

There's times when I bathe her

that I just can't stop crying

because she's so miserable.

And that hurts me to the core.

[groans] Okay.

We put cornstarch in my folds.

I'll come here,
I'll help give her a shower.

If she needs anything else,
I'll go and do it.

I just love her like a sister.

Like, um... I mean, I haven't
known her my whole life.

But I feel like I did know her.

And she's worth it. [chuckles]

[Dolly] The only thing
powerful enough

to distract me
from darker thoughts is food.

Food is my go-to drug
that takes my pain away.

And I love cooking for Cheyanne.

Because Cheyanne loves
my eggs and bacon.

All right, Cheyanne,
I'm gonna go start breakfast.

I guess I'll just sit here.

Okay.

Food is more than just a
pleasure. It's my reason for existing.

[Cheyanne]
What was that? Like...

15 eggs?

[Dolly] Yeah.

I can't wait for
the first bite of something.

That will make me forget
about all the misery of my life.

- Don't be afraid with the cheese.
- No, never.

Food has caused all the
things I hate about my life.

But it's the only thing I've
ever had to help me feel good.

And I don't know where to
even begin to change that.

Ever since I can remember, food
was just a coping thing, I guess.

It just, like, made me happy.
It still does.

Food just makes me happy.

Growing up, all I know
was, I was chunky.

My mom was a massage therapist

and a hospice caregiver.

And she divorced my father
when I was, like, two years old.

Because my dad
was a drug addict.

And my mom, she gave
my father the ultimatum,

"It's me and the child
or the drugs."

And he chose
the streets and the drugs,

so that's what it is.

- Can you give me a little bit more eggs, please?
- Yeah.

- Is that good or more? Okay.
- No, that's good.

So, my mom raised me and
she did as good as she could.

I was left alone a lot.

And that's how it started.

My relationship with food.

It was just there, so I ate it.

Dolly has always been a bit
different than other children.

And other kids
are harsh and cruel.

So, I've always been
the overprotective mother.

But being singled out
as the fat girl

is quite uncomfortable.

Her whole life
has been that way.

But she really loved her daddy.

She was a lot like him.

Lots of freckles, both of them.

[Dolly] Whenever I would think
about my dad, I would turn to food.

And I liked the feeling I had
when I was eating.

My mom would find the wrappers
and get mad at me.

But there's nothing
she could do, really.

I know that I am
a little Special Ed

because I have mental issues.

But teachers made me feel like I
was more Special Ed than I am.

It just made me wanna eat more.

And by the time I was seven,
I was 120 pounds.

A few years after my dad left,

my mom decided
she was a lesbian.

My mom is someone that
says that she is a lesbian

but I swear to you
that she is bisexual.

[chuckles]

Whatever her orientation is,

my mom being a lesbian,
was traumatic

because kids would make
fun of me and call me a lesbian.

Saying, "Well, Dolly,
if your mom's that,

you're just a fat,
awkward lesbian."

And that made me wanna eat more.

[Cheyanne] During that time,
in the late 2000s,

bullying was an issue
but never really talked about

until it was, like, 2010.

If you were just a little
different or spoke different

or... just anything,
they would pick on you.

[Dolly] I just steadily...
Just kept getting bigger.

And I know that when I
was about 15 or 16 years old,

I was approximately 300 lbs.

But I felt like there was
nothing that I could do about it.

But I was, like, giving up hope.

And I just started
eating junk food

and not giving a care

about anything
and I just ate whatever.

At that point,
I didn't care anymore.

I'd had enough of high school,
and so, I dropped out.

I pulled her out
of regular high school

because the bullying
got so intense.

Thinking that JobCore

would do good things
for her self-esteem.

But of course,
doesn't matter where you go,

people are gonna be cruel.

[Dolly] My mom had
told me about JobCore.

I said, "Okay, sign me up."

I figured things could be
different if I started earning.

My weight did
stabilize for a while.

And when I got
my High School diploma

I was maintaining my weight

at 250 lbs.

She was doing well.

But still had issues.

Dolly is not really good
at bathing herself.

She got in trouble for this
in JobCore.

For not keeping her body
clean and odor-free.

[Dolly] After I completed
my certificate,

I worked for a restaurant
as a prep cook.

Where you pretty much
have to stand for hours,

working around a restaurant.

I was only able to stand up
for, like, 20-30 minutes.

So that only lasted
maybe three or four days.

I'm done, Cheyanne.

- Thank you.
- You're welcome.

After that, I tried working jobs
where I can sit down all day.

I worked at
three different call centers,

but none of those jobs
lasted very long.

'Cause of my asthma, my oxygen.

My heart failure.

All I knew how to do was eat.

And so, my focus
returned to food,

and how to get more of it.

So I was at this crossroads

trying to figure out
what to do next.

And my father took his own life.

His father had just passed
away a week before he did it.

And he took it really hard.

And so he did a whole
heap of methamphetamines,

on purpose, to end his life.

He was sad, he was depressed.

He wasn't a good dad.

He wasn't even a good person

but he was the only
father that I had.

I was in a really bad
depressed mood for a while.

And when I get depressed,
how I deal with that is that I eat.

She didn't have him
a lot, growing up.

So, in the latter years,
before he passed,

she was really proud of that fact
that they were getting really close.

And when she's sad,
she eats those emotions.

[Dolly] I had just turned 21,
and I was 400 lbs.

But I didn't have much income
and I didn't have no place to live.

And that's when I met Ricky,
the man that I married,

on a social media chat thread.

Turned out we had
something in common.

Because Ricky didn't have
anywhere to go either.

Ricky lived close to me,
so we met in person.

And not long after that,

he invited me
to come stay with him

in his bedroom at his mom's.

Because that's where
he was living at the time.

Then I was like, "Okay,
I'm gonna move in with you."

After a few months
living with Ricky,

Ricky would always
say mean things to me.

And then there would be times
when he was abusive.

But then I got pregnant,
so we got married.

And by the time
February rolled around,

I had a baby girl named Trinity.

She's the most
precious thing you never--

She's a beautiful child.

Beautiful spirit. She's just
full of life, full of energy.

I certainly didn't know
three years ago,

I was gonna be a mama,

basically again.

I was given this child by CPS

when she was six days old.

A year later, we went to court

and she and her husband,
at the time,

both proved to the judge

very incompetent.

So I've had custody of
this child, from the word go.

[Dolly] Giving birth to my sweet baby
daughter was the best day of my life.

But there were complications
because of my weight

and because of
all my mental health issues.

My mom ended up
getting custody of Trinity.

Which turned out
to be a blessing.

Ricky was being abusive

and I was really sick

and I told my mom,
"I can't handle this anymore."

And so my mom
took me to the hospital

and I was there for 11 days.

And while I was there,
I had time to think.

[Staci] Ricky took
complete advantage of her.

And he's done so much

to change her life outcome.

He killed her soul.
He killed her spirit.

And he kept making these
comments to my wife and I that--

All I wanted to do
was just feed her fried foods

and watch her get bigger.

[Dolly] Like, whenever I got out of the
hospital, I went home with my mother.

I've been separated
from him ever since.

[Staci] Let's do this!

[Dolly] Me and Cheyanne, we
both have similar health issues.

So when we first met, there
was, like, this immediate bond.

[Cheyanne] I believe we
became best friends really quickly

because we're so much alike.

That it got to the point where we
could finish each other's sentences

and we have the same humor
and everything.

[panting heavily, mumbling]

It's hard to relate
to a skinnier person.

'Cause they don't understand
the struggles we go through.

We get told on a daily,
"Oh, you're big."

I know that I'm big,
you don't have to say it.

It gets to a point where you
don't even look in the mirror

and no-one else
does want that, you know.

- Try the chewy macadamia nut.
- Also my favorite.

- It is? Go figure.
- Yeah.

Um...

I'm gonna put this in the cart.

[Staci] Oh, my God, Dolly.

I'll take one
Italian Cream one, too.

[Staci] Can't believe
she had to have that [bleep].

[Dolly] My mom
tries to make me get

more fruits and vegetables
or even meat.

So, I have a sugary,
salty craving.

I like grains
and breads and pastries.

It's hard for me to get
things for myself usually

because I have to
have my mom's approval.

Dolly's food addiction is sad,
if you really think about it.

Because that's been like a
best friend most of her life.

It doesn't talk back,
all it does is soothe her.

But then she's mad at herself
after she's eaten way too much.

Or she gets--
Makes herself get sick...

Then she's mad.
She's upset with herself.

Mom...

- What?
- What about...

The whole chicken for $18?

[Staci] Yeah, I guess.

[Dolly] I prefer
to go to larger stores

because they're more supportive
for someone in my condition.

Cheyanne's a bigger girl too.
We both get tired easily.

[Staci] Dolly.

It's okay, Dolly.
What do you want?

- [Dolly] Let me get in front.
- Just-- Just do it.

- I know. I wanna just do it but I can't get there.
- Okay. Oh-- Stop.

Don't.

No, don't.

- Oh, God.
- Just do what I asked you to do.

[Dolly] At this point in
my life, I know that I am

killing myself with food.

And I know
that it's an addiction.

I have a pretty serious illness
so if I don't change my ways

and the way I eat, I could,
potentially, not be here anymore.

And I have a three year old
to be here for.

This is not the end for me.

My worst fear is, that I die
and my daughter lives long

and she wonders what life
could have been like with Mom.

That scares me. I will not let
that happen to my daughter.

I need to do
something about it now.

[Staci] Bet she ends up in
the ER before the night's over.

- Huh?
- Bet you end up in the ER before the night's over.

[Dolly] 'Cause I really feel
like I'm gonna pass out.

[grunts]

Hey, good morning.

[Dolly mumbles]

Not so fast.

- Okay, your leg first?
- Yeah.

You wanna move your leg first.

How are you feeling today?

Okay.

Today, I am traveling to Houston

to see Dr. Now.

To try to get help losing weight

and getting a more normal life.

Mm... Yeah.

[grunts]

Part of me is excited
because I want to change.

But part of me is just scared.

Because this is going to be
a very long drive...

around six hours, and I
am already in a lot of pain.

Because I have
a really bad rash.

And I am worried about how
bad it can get on the road.

And how painful it might be
for me to drive all that way.

[grunts]

I'm having shortness of breath.

[exhales]

Should have had it on
in the first place.

I'm having
a hard time breathing.

Hi.

Meow.

Yeah-- meow.

Okay, Trinity.
You're such a showoff.

I forgot to-- Right.

- You wanna spray?
- Yeah, cool.

And then put it
in my bag, please.

Okay.

[grunts]

It's time to load up.

- Do not let her out.
- Move.

[Dolly] Thankfully,
I'll have my mom and Cheyanne

to take care of me on the road.

So it's gonna be
pretty full in the car.

And I can already tell
that we're gonna need to stop

for something to eat.

Just for me
to get myself through it.

Put my oxygen on
when I get in here, Mom.

- Huh?
- Pull yourself up.

[Dolly] I really hope that
Dr. Now says that he can help me.

Because I know I need
his help if I want to live.

[Dolly groans]

I wanted to pee
before I left the house.

- We haven't even gotten out of Fort Worth yet.
- I know this.

Not my fault.
It's the water pills' fault.

[Staci] I have to stop every
five minutes to [bleep] what?

[Dolly] I'm in a lot of pain.

And I can't be done
with this ride soon enough.

Every time I move,
I feel this excruciating pain

in my stomach area where
my rashes are beneath me.

It stings.

It's frustrating because I try to
keep it clean and dry all the time.

But it's like,
there's nothing that I can do.

So I'm just trying to hang on
as best as I can and get there.

A little nervous. Dr. Now is
not gonna sugarcoat anything.

We made it to Houston
in time for my appointment.

How am I gonna get through this?

But the pain I'm in from this
rash has only been getting worse.

And the trip has been
really hard on my body.

It's almost time
for me to step on the scale,

and meet Dr. Now.

And I'm nervous because
so much is riding on this.

Dolly?

[Dolly] I don't know
what Dr. Now is gonna say.

Or if he is going to find
anything wrong with me

that I don't already know about.

If you'll step up
on the scale, please.

I just hope it's not anything
that he can't help me with.

Because if Dr. Now
can't help me,

then no one can.

[Dolly] I'm here
at Dr. Now's in Houston.

To meet with Dr. Now.

And to get my weight checked.

I don't think I'd be
much more than 550.

[nurse] Step down.

We're gonna be going
to room Five.

[Dolly] How did that happen?

It's actually a lot more than
I thought I was going to see.

[Dolly panting heavily]

There's no way
I gained that much.

So that makes no sense.

That's impossible, unless my
scale at home must be wrong then...

- I feel hot...
- [knocking on door]

Hello, how you all doing?

- Doing good, sir.
- We're good.

Good. Well,
you must be Dolly, huh?

[Dolly] Yes, sir.

And who is with you today?

- My mom.
- All right.

- Well, good to meet you both.
- Thank you.

All right, Dolly,
what brought you here?

Well, my weight
and my health brought me here.

- So you're looking to lose weight?
- Mmm-hmm.

All right, so you are
593 pounds and you're 5'2".

- Yes, sir.
- So your BMI is 103.

So that's very high BMI and your body
is under a lot of strain because of that.

So I'm glad to hear you want to
change that and improve your health.

You know what the normal
weight for your height is?

- No.
- 120 pounds.

So you have just over
450 pounds you need to lose.

- And you're 25?
- Yes, sir, I am.

Okay. Well, at what age did you
notice that you were overweight?

Mom, any help from you?

She's had weight issues
most of her life.

You don't have a weight
problem yourself, huh?

- I have had.
- You did?

Just in the last
couple of years,

- I've dropped over 200 pounds myself.
- Okay.

What was your highest weight?

I have been up over 400 myself.

Now I sit at 155.

Well, that's good.

But it sounds like you had
a dysfunctional dynamic

when she was younger, where
you showed her how to overeat,

and then you improved
your health and lost weight.

But you're still enabling her to
be overweight and helping feed her

No, sir. That's not the case.

It's not me.

No, it was... It was mainly
my ex, my husband.

I called my ex,
but we're not exes yet.

I'm married, legally married.

And I was living
with my husband.

He was the one that
was feeding me too much.

- So he was your enabler.
- He was my enabler.

My mom's not
feeding me too much.

Who bring your food?
Does she get it herself?

I cook it and
she comes to the table.

So if that's how she gets her
food, why don't you make less?

I put a regular portion,
the same that I would eat.

I can't help what
she eats between meals.

So, Dolly, what you
eat between meals?

I snack a little too much.

- On what?
- Cookies, brownies. Chips.

Okay, who buys cookies, who
buys brownies, who buys the chips?

Um, so, sometimes
Mom and I buy them.

Sometimes, we get it
from food pantries.

So, Mom,
if I put it all together,

I don't think you're
helping Dolly to lose weight

Because you provide the food.

So I'm gonna change that.

Just don't bring in the house.

So can we agree not to have any cookies
and brownies and chips in the house?

Absolutely.

All right. She's 25
and congestive heart failure

that she's suffering from is in people
when they're seventies or eighties,

so her body is
very close to its limit.

And if anything happened

where she pushes her body over
the limit, she's not going to make it.

So this is very serious,

and I'm going to give you some
instruction I want you both follow.

I'm also going to give you some
instruction to do some exercise.

How much you can walk
before you get out of stamina?

From that parking lot to here.

Her legs are probably going to be bloody
nubs by the time we get to the hotel.

- My...
- You have any swelling in your feet?

Yes.

That's why she can't wear
anything but house shoes.

And this big apron of fat that
you got hanging in your stomach

how long have you had that?

- A few years.
- Okay, all right.

It's not just this
in between my legs.

- It's...
- [mom] What do they call it?

A fupa?

I guess they call it
a fupa nowadays.

I don't know
if you've heard that term.

Well, you know,
that's where your body is

trying to store
some fat here and there.

Ran out of other places, it's
gonna store it over there, too.

Dolly, it's very important
for you to start losing weight

and you're struggling
to even breathe.

If you lose 100 pounds, you
probably won't need that oxygen.

Okay? So this is gonna
be something

that we're gonna have to try a
real way to lose some weight, okay?

Dolly, do you feel like you're
motivated to change your life?

Yes, I have to do
something about my life,

or it's not gonna be very long.

You're very right about that.

So the time to change is now.

So I'm going to bring you
some stuff we are gonna go over.

And if you follow all the
instructions I give you,

you should be able to lose is
at least 80 pounds in a month.

If you stick
with your diet, okay?

But I'm going to give you two
months to lose at least 60 pounds

to show me
you're serious about this.

That's going to be
very easy going for you.

All right, Dolly, I'm gonna go bring
some stuff for you and your mom.

- Okay?
- [Dolly] All right, sir.

- Thank you.
- [Dr. Nowzaradan] Mmm-hmm.

He's not as mean
as everybody says he is.

- Well, just wait.
- [indistinct]

If you come back and you
haven't done what you've been told,

then you're gonna find
the other side of him.

I am gonna do
what I've been told.

Oh, yeah, you're going to
do what you've been told.

You're not gonna keep
that [bleep] in the house.

I'm not gonna
have it in the house,

and I'm gonna stay on you
like white on rice.

There ain't gonna be
none of that, either. No rice.

[Dr. Nowzaradan] I have a
lot of concerns about Dolly.

My biggest concern right now is

whether Dolly is willing
to start to grow up

and take responsibility
for her life,

or if she's still where she
wants to continue justifying

her unhealthy choices
by finding an environment

that supports that for her.

All right.

Well, this is what I want you
to read every day.

The big question is if Dolly's
mom gets rid of the junk food

and starts to make
the home environment

a more positive
and supportive situation,

how is Dolly
going to eventually react?

To being where she can't justify
the same behavior anymore.

Now I'm going to give you this book
near the chapter about exercise, okay?

Is she going to rebel
against it and continue

to seek out dysfunctional scenarios
that give her what she wants?

Or is she going to grow up and
start taking responsibility for her life?

All right.

All right. I'm gonna give you
two months to lose 60 pounds.

- Okay?
- Sure.

So this is gonna
be a goal for you.

So this is gonna
be very important.

No stacking and stick
with healthy eating habit.

Do your exercises.

And if you need anything,
give me a call.

- Okay?
- Yes, sir.

All right.
Nice to meet you guys.

And I'm sure your mom is going
to help you to stay healthy.

All right. See you all later.

All right.
Nice to meet you. Thank you.

[Dr. Nowzaradan]
Nice to meet you.

[Dolly] My first meeting with
Dr. Now went okay, I guess.

Right now, I'm encouraged
because I think he can help me.

And he is a nice man.

But it's a lot of weight
to lose.

When Dr. Now said that
I wouldn't live long,

if I continue on this path, it
upset me and made me sad.

I just gotta hunker down.

Is it gonna be easy?

Probably not. Probably gonna be
one of the hardest things I've ever done.

Mom will have to ease me into it

instead of just getting rid
of everything all at once.

It'll be a little hard.

Doing this weight loss
journey with my mom.

Because me and my mom,
our attitudes clash and we argue.

But I need to do this.

I'm not saying I can't do it
because I know I can

so to put my mind up to it.

All right. [panting]

Hey, Dolly,
You wanna go work out?

Yeah, let's go.

Yeah.

- Okay.
- Why don't you go first?

[Dolly] It's been a couple of
weeks since I first saw Dr. Now.

And since then, I've been
really trying to stick with the diet,

and also do all the exercises
that he talks about in his book.

So far, it's been going okay.

Cheyanne has been helping
me a lot with my exercises,

and I'm grateful for that

because I don't know if I could do
as good of a job without her help.

Okay, so... It's like this.

There's upper body that I
have to do and lower body, too.

And I'm supposed to
do them twice a day.

So Cheyanne has been there a
lot, and she's kind of like my trainer.

You do this for 20 times.

And then you do it
the same way backwards.

Once you do 20,
do it the other way.

[Cheyanne laughing]

Oh, my goodness.

I'm the only...
Come on.

All right, you don't have to do...
Exceed yourself every single time.

Just work up to what you can do.

- All right?
- Yeah.

She can wait.
Go sit on the couch for now.

[Cheyanne] Okay.

[Dolly]
One thing that is not cool

is that my mom got rid
of all the junk food

right from when we got back
from seeing the doctor.

Are you girls ready
for something to eat?

-[Dolly] Yeah.
-[Cheyanne] Yeah, I'll take something.

[Dolly] And so that was kind of a
shock to my system that she did it so fast.

I know I needed
those things gone,

but I thought I'd be able
to ease my way out with them

and that was actually
really hard for me.

I wish my mom would have
talked to me about it

or given me some say so.

But I still want the surgery.

So I'm trying
to do the best I can.

Looks good.

us.

[Dolly] I'm doing what Dr. Now
says and what my mom says,

and I'm working to get
approved for surgery.

I don't feel like these are changes
that I can make for the rest of my life.

But I do feel like I can do it
for the short term.

If it's just to get approved.

That's a big goal of mine,
and I'm working towards that.

- Okay, Mom, I'm done.
- Okay.

Thank you for lunch.

- You're welcome, kiddo.
- It was really good.

Thank you.

Glad you liked it.

[Dolly] And when I go back to see
Dr. Now for my next appointment,

I really hope I get approved
for weight loss surgery.

So I don't have to do this
first part for too long.

- [Staci] Need help?
- Uh... Yeah.

Because I'm not super happy.

I am excited about
seeing Dr. Now today.

I'm nervous so well... I feel
like I have made some progress.

I haven't. been eating
quite as much as I had.

We'll see if I had some
weight loss change

and see how
Dr. Now feels about it.

Hopefully, I get an approval

for surgery.

- The scale don't line.
- Well, we're here.

[Dolly] I'm back
in here soon to see Dr. Now.

And I'm about to find out
if I met my weight loss goal.

I really hope I did,
because I basically have had

really anything to eat
since my last appointment.

Sure, I've been having cravings,

but my mom has put
the house on lockdown.

So that's most of the time
there's nothing around.

It just feels unfair
'cause it's too strict.

And if I was doing it for myself,
I would take it more slower,

so it was less shock
to my system.

But Mom doesn't listen.

Dolly?

[Dolly breathing heavily]

Okay, you can go ahead
and step on the scale.

Okay.

- You can go to room five.
- Okay.

[Dolly] I don't understand
what happened.

It doesn't make any sense.
I worked so hard.

I just don't know how
to do more than that

because
my mental status is sucky.

And I feel like I can't do it.

It's too stressful at home.

I was more focused on
being depressed

and...

and other stuff.

And like, I mean,
I tried to do it.

But the temptations
started to get a hold of me,

and I let that win.

[knock on door]

Hello. How are you all doing?

- Good, sir.
- Thank you. How are you?

Good. Well, Dolly,
what's going on with you?

Well, it looks like I've lost
17 pounds since I've seen you.

Well, that's a good start but

you have to do a little bit
better than that.

So what happened this time?

I...

I'm having a hard time
with my portion control.

Essentially, you made
what changes to...

Um, I stopped,
stopped with the bread

and the pastas and rice
and all the sugary stuff.

- Okay.
- No sodas, no juices.

Mom, how is she doing
with her eating habits?

It's just portion control.

I'll put a portion on her plate.

And then later on,
she'll go back for more.

Does she go back
and eat more later on?

That's what I'm saying.
Yes, sir.

I had a craving,
and I let it override me.

So, do you have, like,
something that I could go to

instead of going home?

That could help me with
my temptations and all this

and to help me lose more weight.

Well, why do you need
somebody else to do that?

You have to start taking
responsibility for yourself

and do some stuff for yourself.

Not to depend on people
to do everything for you,

and that is the issue
that you need to work on.

Okay? Do you think
you can do that?

Yes, I'm... I'm trying.

Your life is gonna be
what you wanna make it to be.

So it's going to be all up to you
if you want to be comfortable...

And the life that is going to
be more productive for you.

You're gonna have to
do your part.

It's not going to be up to your
mom or me or rehab people

or some environment
to take care of you.

Essentially, you're going to
have to take care of yourself.

So, you know, you start
doing things for yourselves.

Start making proper decision.

If you have a solution
that you need, ask us.

Ask your mom.

And, oh, we're gonna
tell you what to do

but start doing things
for yourself, okay?

Yes, sir.

So how is your breathing
coming along?

- My breathing?
- Yeah.

It seems like it's getting
a little bit better, easier.

Um, it felt like
it was a lot easier

for me to walk from your
waiting room to here today.

Okay, so 17 pounds made
a little bit of difference...

A little bit
of difference, right.

So what happens
if you lose 50 pounds?

It'll feel a whole lot better.

I know that.

We've got to get you
off of that oxygen.

- Yes, sir.
- And we've got to get you in better shape.

So this is in a situation

that you need to work hard
to change your life

and get yourself
in better shape.

- Yes, sir.
- Okay?

So let's start working harder.

- And if you need anything, give me a call.
- Yes, sir.

Okay?

Dolly seems to have
a lot of challenges

and this is a very difficult
situation to work with her.

She wants everybody
to do everything for her,

and Dolly is not progressing
at this point.

I try to help her out to get
some of the situation addressed.

But Dolly seems to have issues
with the reality and talking things

that may not be factually
correct.

At this point, everything is going
to require a lot of social working

with her and her mom.

I am expecting Dolly
to stick to her diet

and lose 50 pounds.

And we will find out
how she does with that.

[Dolly] That was hard, but
it wasn't as bad as I thought.

I just have to take
the progress I've made

and grow on that.

Yes, it's hard
to imagine doing more

than I already did
this last month.

But you know what?

It's starting to pay off.

It's just going to be hard to
keep doing what I've been doing.

[grunts]

[groans]

[Dolly panting]

Hey, guys. Y'all hungry?

[Staci] Yeah.

Are you going to cook?

Yeah, mommy's about to cook.

[Dolly] Since my last
appointment with Dr. Now,

two weeks ago,

[Dolly] it's just been really hard
being at the house with my mom.

How many pieces
of ham would y'all like?

Just one for me.

Cheyanne.

[Cheyanne] One or two,
it doesn't matter.

[Dolly] She's stressing me out
every day

over how much I'm eating.

And it's making it harder
for me to do well.

Because it makes me irritated,

and it takes my focus off of
where it's supposed to be.

So I've been trying to stick
with the diet and exercise.

But no matter how hard I work,

I just feel like my mom
is never satisfied with me.

Softer than [indistinct]

She treats me like another
three year old toddler.

And it's not right.

The orange plate is mine.

[Staci] She likes it a lot.

Hang on me, baby.

Okay, [indistinct]

My spot.

Move!

[Dolly] In fact, recently,
it's gotten so bad

that I have to do something

just to get away
from the house sometimes.

Like I'll make up a lie about
going somewhere just to get out.

[toddler indistinct shouting]

Do you mind dropping me off
at the park?

[Staci] Sure, I was about
ready to walk out anyway.

[Dolly] Okay.

[wind blowing, leaves rustling]

[smacks lips, grunts]

[panting]

[grunts]

[Staci] Hey, kiddo, I'm gonna
have to just drop you off

and let you do your thing,
all right?

'Cause I've got
a few little errands

and I'll come back and get you.

[out of breath] Okay.

I'll be back in a little bit.

- Okay, love you.
- Love you, too.

[ducks quacking]

[Dolly] I say that I'm going
to go get some exercise,

but then, I don't really
exercise.

Because I'm too tired usually.

So instead, I like to feed
the birds or the ducks.

Sometimes I wish
I was one of them

because they just eat whatever
as much as they can.

And their moms help them eat.

And it feels unfair
that I have this problem,

but I don't blame the ducks.

I just feel trapped with my mom.

So recently, my ex-husband has
been asking me to come back

and live with him again.

And I started to consider it
as a possibility.

I know that he was
abusive and toxic,

but I can't help but feeling
that my mom is

pretty unhealthy for me
right now, too.

And my ex is asking
for something different.

This time, that might
actually be better.

Because he has a wife already.

And he wants to be kind of,
like his sister wife.

So maybe, that would be better.

Because the other girl
would be like more of a buffer

to deal with him
when he's being mean.

I just feel like
that way at least,

I would have
a little bit of freedom,

whereas I have no freedom
with my mom now,

where I'm treated like a kid.

She's just stressing me out
and making me eat more.

So I don't know
what I'm going to do.

I don't wanna be with my mom,

and I don't wanna be
with my ex either.

But I feel like
I need to do something

if I'm going to get the surgery.

[dog barking]

[Dolly] It's been a week since
I moved out to my mom's house.

I'm feeling great.

It was my choice, not hers.

I decided to do it on my own.

The biggest thing is...

You know, now--
It's my husband, now.

Me and my mom had an argument.

And I decided I wasn't
gonna go home,

and instead I went to
a homeless shelter overnight.

The next day.

Sister wife got a hold of me.

And she said to get
a hold of him, so I did.

I video-chatted with him and I
saw his face again and his smile.

I fell in love with him
again all over again,

just from seeing him
on video and--

On the phone and hearing
his voice and his laugh.

So I just came home with him.

Where do you wanna
start off with?

I'm just trying to...

Put your arms like this.

I mean, stretch, stretch your
arms like this, forward.

[Dolly] And then he came
and picked me up,

and from there I moved in
with him that night.

So, I've been eating less.

Less portions.

Like I should.

I've been doing my exercises.

They're not easy,
but I'm doing them.

They're getting a little bit
easier at a time.

But my mom doesn't
like my husband.

So therefore, she is entirely
fed up and...

Pissed off and hurt
and all the other things

that she can be
right now with me.

And I understand to a point,
but I am 25 years old

and I am an adult,
and we, as an adults,

we have boundaries that need
to be set with our parents.

[Ricky] Do you wanna
take a little walk?

Walk this way,
start from this end?

Come on. I'll help you.

All right.

- See, Mom didn't do none of this with me.
- All right.

All right, come on.

[Dolly] But...

I'm fine.

It's life. It goes on.

Having my husband there
to exercise with me

makes me feel good.

Makes me feel like...

I'm special. I'm worth it.

Come on. You can do it.

[Dolly] I just need my mom,
her attitude to get better.

Since she's always got one.

[Ricky] There you go.

You got it.

[Dolly] I wanna sit down.

[Ricky] Yeah.
Yeah, sit down here.

Break. Okay.

There you go.

[panting]

Okay.

[Ricky whispers]
There you go, babe.

You know, my mom didn't ever
try to exercise with me.

It's okay.

I'll help you.

- Okay?
- Appreciate you, baby.

- No problem.
- I love you.

I love you too, baby.

How long are we staying?

I gotta figure out.

[Dolly] So I met someone
a couple of weeks ago.

And his name is Philip.

And he is just about
the sweetest guy

you're ever gonna meet.

And I started dating him,
and one thing led to another.

And now, we moved in together.

We still got seven days.

Okay.

So are you ready for breakfast?

Definitely.

[Dolly] I thought that
being back with my ex

would be a good idea.

And I thought that that whole
situation with him had gotten better.

But I wasn't there but a
few days when, sure enough,

where he was back to his
old and controlling ways.

Being crazy and mean.

And even with Sadie there,

it didn't even make
a difference.

So he was being a jerk,
and the final straw was

when he wouldn't drive me to
my appointment with Dr. Now.

So I wound up missing it.

And luckily, I was able
to reschedule

for a few weeks from now.

And when that happened,
I had flashbacks to the time

that my dad died when Ricky
wouldn't drive me there.

And I just realized
he's still the same old jerk.

And he is never gonna
change his ways.

He is always gonna be a jerk,

and he's no real support
so I left.

And that's when I
moved in with Philip.

Thanks, babe.

And Philip has been like
a godsend who rescued me

because he took me to Houston.

We're living in a hotel now.

Philip is mostly deaf.

But he does have a device
that he can hear with

through his phone.

And he's on disability
so he is using that

to pay for the hotel
so we can be together,

and I can be near Dr. Now.

What's on your mind, baby?

My appointment tomorrow...

With Dr. Now.

And my grandma
and my best friend.

We've got to go...

Yep.

We also got to go see my Mimi.

Mm-hmm.

[Dolly] Philip is more
supportive of me

than anyone else
in my life, ever.

He's like my angel.

He's the love of my life
that I've been waiting for,

and I know the support
is the kind of support

that I finally need.

Babe.

- [Dolly] Yeah.
- The ride's here.

[Philip] Let's go.

Oh, yeah.

Oh, you got the key card
for the room?

I've got it.

Okay.

I have the key card.

Let's take the elevator.

[Dolly] The last month
has been really good.

I don't need oxygen as much,

and I feel like I've made
a lot of progress.

And a big part of that is because
Philip has been such a good support.

I got you, baby.

[Dolly] And I've been feeling
extra encouraged because...

Philip proposed to me
to get married and I said yes.

We haven't set a date yet

because we want my surgery
to come first.

And we want our wedding to be
the start of our new life.

[Dolly grunting]

So I'm really hoping today
that I get approved,

because all of that
is waiting for me.

And I am impatient
to get it all started.

Ow!

- [door opens]
- Dolly?

[Dolly] At my last appointment
I was 576 pounds.

I know this thing weighs more.

As you're ready, go ahead
and step on the scale.

[Dolly] And Dr. Now told me to
lose 60 pounds in two months.

That was more than
two months ago,

but if I lost sixty pounds,

that would put me
down to 516 pounds.

That's weird. I thought
I lost more than that.

We're gonna go over
to Room five.

Okay.

[whispers] Right.
Come on, honey.

[Dolly] But anyways,
I'm still excited

because I've lost
almost 30 pounds now,

and that's almost halfway to
Dr. Now's goal if you add it up.

So I hope he sees the total
of everything that I've done.

And how hard I've been working

even with all this other stuff,

going around all around me.

And the fact that I've been able

to do that much is pretty good.

So maybe he'll approve me for
my weight-loss surgery anyway,

because he knows
I'm really ready for it.

[door thuds]

- Hello. How are y'all doing?
- Good.

How are you doing
today, Dr. Now?

I'm doing well. Thank you.

Dolly, where's your mom?

I moved out of my mom's.

- We got into an argument.
- She moved out.

So where are you living now?

Right now, we're living--
Me and my fiance, Philip.

We're living in a hotel
here in Houston.

- So you're living together?
- Yes, sir.

- Yes.
- Okay.

- So this is I assume your fiance you just mentioned?
- Yes.

Okay. Do you work?

He gets disability.

Well, you moved out
of your mom's place

and now you're living in a hotel

with your new fiance,

who has no job
and you have no job.

So how you're managing with
you carry on everything in your life?

Uh, we just use his
disability check for...

The hotel.

For a place to stay,
and then we have...

Food stamps.

So we use food stamps
for food and...

How long do you know each other?

For like, six weeks
or something like that.

Okay, Dolly,
you have a child right?

Yes, and she lives with my mom.

My mom's got
full custody of her.

Well, there's at least
some good news

that your daughter
has some stability,

but this doesn't seem like
a healthy situation with you,

and your lack of progress
shows that,

because you only lost
ten pounds in three months.

So that means you have
only been losing

three to four pounds a month.

You're still eating around
5000 calories a day,

so I'm worried about that
and your overall situation

and a lot of things.

Have you ever seen
any psychiatrists or--

No, sir.

So I'm gonna set you up
to go to psych,

and I wanted to go do that
with your mother, okay?

Okay. It has to be in Houston
'cause this is where I am.

Yes, that is in Houston, okay?

So does this mean that you're
saying "Yes" to my surgery?

I just have to get approval
from a psych?

No, this means that I'm
concerned about your behavior,

and I think it is important
that you start psychotherapy

to see if they can help you,

and I want your mom
to go with you for that.

Okay.

And also, I want you
to come back with your mom

for your next appointment
because I trust

she wants to support you
to get healthy.

I don't live there anymore so
I'm not really seeing her right now.

Dolly, if you want to show me

that you're able and willing
to make the changes you need,

you need to show me you have
some stability in your life.

And you need to
at least lose 50 pounds

over the next two months, okay?

Okay.

So, Dolly, we got
a lot of issues

- that you need to address.
- Yes, sir.

And at this point, you need to
stick with your diet, okay?

- Yes, sir.
- All right.

If you need anything,
give me a call.

All right, I will do.

All right, nice to meet you
and I'll see you all later.

-All right. Thank you
-Nice meeting you, Dr. Now.

- Okay. Bye now.
- [Dolly] Bye.

Right now, I'm very
concerned about Dolly.

I'm glad she's losing
some weight,

but at this rate, it is not
making much of a difference.

I gave her a slightly
easier goal last time

to try to encourage her,
to keep going, and do better

but that didn't happen.

Instead, she lost
even less weight

over a longer period of time,

and she seemed to be pursuing more
self-destructive situations for herself.

Living with her mom
was providing her

with some positive support,
and my concern was

that she seems to have
a pattern of rebelling,

against stable environments.

And seeking out
dysfunctional relationships

that helped her justify
an unhealthy lifestyle,

that involves her overeating.

And that looks
to be the case now.

With her finding
someone to live with

and getting engaged to
in less than two months.

So this isn't a stable
situation with her

where she can successfully
turn her life around.

So I want her to go to
psychotherapy

so we can see
if there is any way

to break through to her.

[Dolly] You know,
I actually had my hopes up

that Dr. Now was gonna
approve me for surgery today.

So, I'm disappointed
and frustrated

because I feel like I've been
doing everything right.

And it feels like with all
the support that I've had,

and with how hard
I've been working,

the scale should've
said something better.

And it feels like Dr. Now is being
prejudiced about me not being with my mom.

Like if I had been
with her today,

he would have approved me.

Even after the same weight.

But Dr. Now doesn't get it.

How my mom is to me right now.

But whatever I have to do,

I gotta do it now.

Because I can't take
much more of this,

and my life is depending
on getting the surgery.

[door closes]

[Dolly out of breath] Okay.

Me and my mom are headed
to see the therapist

that Dr. Now is sending us to.

And I'm a little bit nervous

about what we're gonna
have to talk about.

[panting]

Maybe it would be fun
if it was just me going.

But with my mom
there, it's kinda stressful.

Okay.

Are you Dolly?

Hi, Dolly. I'm Dr Paradise.
Come on in.

Have a seat right over there.

[pants]

- Comfortable? Okay.
- Yeah.

I'm glad you're here.

Nice to see you.

Tell me a little bit
about yourself.

So...

I grew up in Fort Worth.

- Who are you with?
- [Dolly] Me and my mother.

You and your mother, okay.

Where is your biological father?

He passed away in 2018.

Did you see your dad
when you were a little kid?

Yeah. He would come into
my life every now and then.

- Or try to.
- Okay.

He was in and out of prison...

- Doing drugs, dealing things.
- Okay, okay.

What was your relationship
like with him?

Uh, at first,
nothing at all really.

You're kind of flat when you
talk about this stuff.

This is kind of
emotional things.

- It's sort of flat.
- I just kind of feel done with everything.

Dolly, one of the consequences
of having an unreliable dad

is it can make a kid
feel worthless.

- I do feel worthless.
- Right.

I have no self-worth.

'Cause kids interpret
mistreatment by parents

as being about their worth.

And I'm worried that you have--

And I'm hitting on something,
aren't I?

Your sense of worth is,
like, this big, right?

We gotta find something
to make you feel worthwhile.

And it could be something
small, Dolly.

What are you good at?

Failing.

Okay, well, we can
do better than that.

Are you okay with me
checking in with your mom?

Bringing her in?

Maybe she can tell us
some of your successes.

- Yeah, that's fine.
- Okay, I'm gonna go get her.

- Are you Stacy?
- Yeah.

Hi, Stacy. I'm Dr. Paradise.
Come on in.

You can have a seat
right over there.

Thanks for coming.
Welcome.

You know what-- the thing
we've been talking about is,

um... Dolly's self-worth is
like this. [chuckles]

- She has like no self-worth.
- It didn't used to be.

Tell me about that.

What's brought her
down to this level...

- The relationship.
- is picking men who are abusive

and make her feel
a lot less than what she is.

So why do you think
she does that?

She doesn't like being alone.

She never been alone.

When are you--
Are you ever alone?

Like, really just by yourself.

No, I can't be.

- Do you see her face?
- [Stacy] Yeah. She's scared.

I don't wanna leave her.

Where do you think this constant
need for backup comes from?

'Cause I've always had
backup all my life.

My mom's always
been there for me.

And that's generally
a good thing,

but I worry that
you didn't grow out of it.

Are you tired of--
Of parenting her?

No disrespect to you, but yes.

I need my own life.

What I see in your mom
is somebody who's, uh,

really committed to you
and who also needs a break.

You just rely on her in ways
that are like a little girl.

How do we get you to grow up?

I just feel stuck.

A healthy person, when they're
confronted with stuff they need to change,

gets motivated to change it.

And I think you can be
a healthy person, Dolly.

I really think you can.

So, Dolly, I see your homework
as at least two things.

The first thing is to start
spending some time by yourself.

I mean, really spending
time with just you.

And the second is to start
taking on some of these life skills

that you've been having other
people around to do for you.

So you could find
a place to live,

interview the landlord,

maybe go visit somewhere
and take a look at the apartment.

Does that sound like
something you could do?

- [meekly] Yeah.
- I think you're gonna do amazing things.

Good to see you guys.
Take care.

[grunts]

-Take care, Dolly. Have a good night.
-All right.

You're dragging your dress.
Be careful you don't fall.

[grunts]

[grunts]
Oh, gosh.

All right.

All right. So...

-[Cheyanne] Don't start it yet.
-I know.

Ever since therapy with
Dr. Paradise,

I've been coming up with a plan
to start doing more for myself.

And I'm going to start by
doing my own laundry.

And I think that's going to be
a big step for me.

Yeah, um,
let me help put some in.

I'm a little bit worried about not
having the energy to do it all yet.

- [groans]
- You wanna do it right there?

- All right.
- [panting] Yeah.

I'm short.
I can't reach things.

But, thankfully,
I have Cheyanne here with me

to make sure everything
is all good.

[exhales] Okay.

Hard part over.

Cheyanne is my rock.

And I'm really excited because,

for a little while now,
we've been talking

about having her
move down to Houston.

And it's starting to sound
like she's really gonna do it.

With both Cheyanne
and Phillip helping me,

and with my mom at
a safe distance,

I know I'm gonna do it and succeed
and get the surgery next time.

If I can just get more
independent like Dr. Paradise said,

and then if we could
find a home to live in,

the I'll be all set.

So those are my big goals.

And that's what I'm going to do.

Ain't no stopping till
I get to my goal

and get that dang surgery.

Okay.

[grunting] Oh, God.

Well, me and Phillip finally
found a house to move in to,

it took a lot longer to find
an option we could afford

than I thought it would.

But we finally found one,

which means I can go back
and see Dr. Now.

I was putting off my appointment
with him until we found a place,

because I knew he was
gonna give me a hard time

if I didn't have a
more consistent home,

based on what he said last time,

so I knew that was important.

Ah!

Babe, this isn't gonna work.

Um, they said there was another
entrance around the... side of the house.

- You wanna go through it?
- Yeah.

- Come back this way.
- Um, the floor's too...

uh, creaky,

so it won't hold my weight.

So...

[grunts]

[panting]

Okay.

It's gonna be slippery
over here, baby.

[Dolly] Um...

- well...
- Walk this way.

Any way's gonna be slippery.

Um...

[panting]

- I can't walk through there.
- Well, that's...

Sink down here.

- It's more stable--
- What about through here?

No. 'Cause you'll
sink right there.

Come on.

I've been working with
Cheyanne to do more on my own,

but I've had to balance
Phillip with that.

Because he gets kind of jealous
and insecure when he's not needed.

And then he gets upset that I'm
doing too much stuff by myself.

But I haven't let that stop
me from doing what I need.

And so, we found this place
online and what it is,

it's like a bunch of people
all living there

but everybody has
their own room.

- Okay.
- [Phillip] Ready?

[grunts]

And it's cheap.

And all we had to do was
pay the first month to get in.

And it comes with a bed,
and stuff like that.

So it's perfect for us.

So I'm excited because

I'm checking the boxes
Dr. Now needs me to check.

So I think when I get there,
I'm where I need to be

for Dr. Now to approve me
for weight-loss surgery.

My rescheduled appointment
is for next month,

so I'm gonna go in there
and tell him,

and he'll see the progress
that I've made

from following his instructions,

and then I'm gonna get approved.

I just know it.

[Dolly] Me, my mom and Cheyanne

are on the way to see Dr. Now
for another appointment.

I thought having Cheyanne
here would be a good buffer

for my mom
to make her be less intense.

We've been arguing a lot lately,

almost every time we talk.

And I wanted
to have Cheyanne here

because I know she would have
my back if necessary.

Phillip isn't here, obviously,

because he knows my mom
doesn't support our relationship

and is not very cool about him.

So we decided it was best
that he didn't come.

But I'm hoping
for some good news today,

because I feel like I've
been doing everything right

with getting more independent
like doing my laundry

and making some of my own meals.

I was hoping to tell Dr. Now
that I was in a home already,

but we got kicked out
the day after we moved in

because the people tried
to raise the rent.

So we had to go back
to the hotel.

And that was
depressing and hard.

But we're still looking
for another place.

I wanted to have that
sorted out before I saw him,

but he wouldn't let me push
my appointment back any further.

So, it is what it is.

Dolly?

[Dolly] At my last appointment four
months ago, I weighed 566 pounds

and Dr. Now wanted me to lose
60 pounds in two months.

So if I did that I'd be
506 pounds today.

[nurse] Whenever you're ready
go ahead and step on the scale.

[Dolly] That was actually
four months ago,

so that means I would have had to
lose 120 pounds to stay on target.

And I'm pretty sure
I didn't do that.

But I'm hoping I got to the
original goal of 60 pounds,

which would put me down
around 500 today.

[Dolly] All right. Well, now I've
lost a total of about 40 pounds.

That's pretty good.
That's almost 60.

- Okay, we're gonna go to room five.
- Okay.

[Dolly] That's more than
I've ever lost before.

So I'm hoping that should be
enough for Dr. Now

to approve me for surgery.

[knocking on door]

Hello, how you all doing?

- Hello.
- Hi, how are you doing?

I'm doing well.

[Dr. Now] All right, Dolly.

I'm glad to see you
back with Mom today.

And I see you lost some
weight, which is positive.

Yes, sir.

But it's still not as much
as you should have lost,

especially after another
four months.

So, what is going on with you?

Where are you staying now
and where's your boyfriend?

Last time you had a new
boyfriend that you just met.

Yeah. Right now he's
at the hotel,

since you told me you wanted
me to come back with my mom.

But I also wanted my best
friend Cheyanne to be here.

- So that's your best friend?
- Yes.

Okay. How long have you known
your best friend?

[Dolly] Um, for maybe a year.

It feels like we've known
each other forever though.

[Dr. Now] Well, that's
not reality.

Reality is that you're
choosing this support system

with the people
you don't really know,

after you rejected the support
system you needed with your mom.

So, Mom, what happened
that she left home?

I was told
that I'm too controlling.

I've encouraged her
since she moved in with me

to not overeat

and to not eat
what she shouldn't

and to focus on herself
emotionally, physically,

all aspects of herself.

- And she promised that she would do so.
- It's what I should have done.

And she did not.

She has moved in
and out of my home,

in and out on her
3-and-a-half-year-old daughter,

which is not good
for the child...

several times.

And I told her no uncertain
that if she did this again, that's it.

And I am not going
to take her back in.

I was cooking for her

and doing every fricking thing
for her.

I'm pissed off!

I'm hurt.

And I will not take her back.

I have her 3-and-a-half-year-old
child that I've had custody of

since she was six days old

because Dolly does not take
life serious enough.

She doesn't even have to take
care of her. Just be with her.

Instead, she slipped out
to go be with her ex.

Then to be
with this homeless individual.

I'm sorry if I'm being...

ugly.

[Dr. Now] Well, you're
just telling me the truth.

I just drove five hours
to tell you how I feel.

- I understand.
- [Staci] I do love my daughter,

but I will not tolerate
the way she's been living.

So, obviously, I'm not who
needs to be taking care of you.

And I certainly don't think
it's that homeless young man.

[Dr. Now] So, what is
your plan now?

So, it seems like you cannot
take responsibility for yourself

and you'd like everybody else
to do everything for you

and you don't have to make any
decision or be responsible for anything.

But, you know, you cannot
mistreat everybody around you, too,

and expect them
to be there for you, okay?

So, this is something that you're
gonna have to figure out with a therapist

because so far you have shown us
you're not willing to do what you need.

And we can't wake you up
to do that.

So, this is going to be
a long process for you.

So, we're gonna work with you
for next year

as long as you go to therapy
and keep losing some weight.

And hopefully we get to some point
that you have some stability in your life

and you can take
responsibility for yourself.

Then weight loss surgery may
be an option later.

- [Dr. Now] Okay?
- All right.

So, at this point...

I think you ought to listen
to the guidance from your mom

because she's the only one
that has the best interest for you.

And she's not only
taking care of you,

she's also taking care
of your daughter.

I haven't disowned you.

I just want you to grow
the hell up.

And take responsibility
for your own actions.

I know. I should have listened
to you to begin with.

Okay, Dolly, you have a lot
to figure out in your life,

but we are going to set up an
appointment with psychotherapy

for at least once a month.

- [Dr. Now] Make sure you go to that, okay?
- Yes, sir.

Well, Mom, I know how you feel.

Hopefully, with some
psychotherapy, we can get to the point

that she's gonna be more
responsible and do her own part.

But until then,
don't give up on her.

Oh, I'm not.

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

Now is the time to work hard
if you want to do this.

And the next time I see you, I
want to see more weight loss.

- And I hope you'll have some better news for me...
- [Dolly] Yes, sir.

- regarding your living situation...
- [Dolly] I'll try harder.

and what you're doing.

All right, Dolly. I'll see
you around, okay?

- All right.
- [Dr. Now] All right.

Ouch. [inhales sharply]

At this point, I think
that it is very clear

that Dolly currently has
no intention

to take responsibility for
herself and get her life together

because at the end of the day she
doesn't want to do what she should.

So until Dolly chooses
to grow up and mature,

we are not moving
ahead with her.

But because she at least made some
progress each time she has come in,

we will continue
to work with her

and provide her
with psychotherapy.

But everyday her health is
in this state,

she's rolling the dice on her
body getting to a breaking point.

And at some point if she
doesn't turn her life around,

she's gonna run out of time.

[Dolly] Well, I'm not going
to sugarcoat it.

I'm upset. I'm really upset.

And I'm disappointed because I
can't believe I've gone through all of this

and weight loss surgery is
still far off.

I don't feel like it's fair
and I'm upset

because I didn't get
the chance to tell Dr. Now

all the progress I've made
with doing laundry and stuff.

He might have given me a
better chance if he knew that stuff,

but I already know I've made
a world of a difference.

And I lost 40 pounds,
so that's pretty good.

So, I'm going to work pretty
hard to show him I can do this

and that I can be ready
sooner than a year.

Because I don't think
I need to wait that long.

I think I can do it before then.