It's true for me, especially the "doesn't understand the new image in the mirror" issue. I go through this all the time. We have no full-length mirrors in my house. It's just never been a thing I wanted/needed, so we don't own a single one. Except that it's de rigeur for a bathroom, there wouldn't be any as I can do my makeup without a mirror. So when I see my reflection, I pause. For a split second, I'm confused as to who that is. My own skinny shadow sometimes startles me, because I think there's a slim person walking very close behind me. I just don't see a new me at all. I see differences, but I can't put them into a cohesive picture in my head that has "me" as a caption.

I knew this might be an issue, as it's addressed pretty well by the bariatric psychologist and I'm a former psych geek, so I studied it even more. But yes, I have a hard time buying clothing. I've been practicing, which is what I did all day today. I shopped and didn't look at sizes. I picked up what looked like the right size. I was always at least 3 sizes off, sometimes as many as 6. I see a size 24-26, not a 12, and it's going to take time to get used to the new me.

So I just tell my mind to shut up, trust that a 12 will be close to fitting, try it on and see if I'm close. Except for 1 Jones NY piece and 1 Calvin Klein piece, a 12 (14 if it's fitted to accommodate the girls) fits just fine. So I'm back to "trust the process" except I'm telling myself that now. The process is to accept that the number is the number with some variation for manufacturers and to STFU about it!

Thank you for posting this article. It was weird the other day when I realized that my collar bone was showing a bit. I tapped it so often with my fingers that I actually bruised. I just kept checking to make sure that i didn't imagine it. When I went to buy holiday clothes after 100lb weight loss, I was way off on size. My friends have to tell me what size to wear. I have NO IDEA how I'm going to handle this after another 100lbs. I'm glad that I have all of you to ask for advice! Exciting but scary!!!!

Interesting article. I have already focused on some of the loose skin I have, especially on my neck. We are are our worst critics. On a positive note I was shopping yesterday and walked past a full length mirror stopped and walked back to look again. I thought wow is that really me! I still have a long way to go but it did make me feel good! Maybe I'll buy a full length mirror for the house now. lol

I was told to expect this during my pre-surgery psych sessions. It was suggested that I take a lot of pictures because it might be easier for my brain to accept this transition if there are progression photos to view.

The interesting part is that I seem to be having the exact opposite experience. I've lost 115 lbs and I feel like I'm physically becoming the person I always thought I was in my head. That person who weighed 344 lbs wasn't the real me, apparently. Though I still have to lose 60 lbs to reach an acceptably healthy weight, I'm having a lot of fun buying smaller clothes (from 28 down to 16) -- but I do look at size 16 pants and think "these are too small", so I'm surprised when they fit.

I can easily see the change when I look in the mirror, but the funny thing is that it is more difficult to see the difference in the photos I was advised to take.