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Morbid obesity is a very difficult disorder to treat. It is not simple depression, though there is no doubt that they are, one and all, clinically depressed. Whether this is the cause or the result is difficult to disentangle. There are also some frankly psychotic elements to it, involving hallucinatory body image. I suspect it is another form of schizophrenia, though that is not a perfect description, by any meeans.
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