You did the surgery. But what about your marriage, your mental health, and the patterns you brought with you?

In Part 2, licensed therapist and bariatric patient Danielle Palermo, LMSW joins Jatoyia Armour to get real about the work that makes bariatric surgery actually stick — accountability, support systems, GLP-1 as a tool, marriage after surgery, addiction transfer, depression after weight loss, and why the mental health piece is the one nobody prepares you for.

This episode covers: how to stop self-sabotage, what real accountability looks like post-op, why your support network matters more than any coping skill, GLP-1 after bariatric surgery, the real reason bariatric divorce rates are high, and why insurance is failing bariatric patients on mental health coverage.

If you've ever felt like you're doing everything right but still falling apart — this episode is for you.

Connect with Danielle: Instagram @daniellepalermo.lmsw Subscribe to the Podcast: https://pod.link/1797899095 Join the Community: https://www.facebook.com/groups/595270663220246 Visit the Website: https://www.BariatricPaths.com

00:00 How to get unstuck after bariatric surgery

01:14 Identity — are you doing this for you or for others?

03:12 Acceptance, self-awareness, and breaking old patterns

04:01 What real accountability looks like post-op

05:22 Coping tools that actually work long-term

06:20 Why your support network matters more than coping skills

08:09 Bringing your family and partner into your new routine

09:24 Working out with an accountability partner (real talk)

10:25 GLP-1 after bariatric surgery — it's just another tool

11:21 Why the mental work matters even more on GLP-1

12:36 Why mental health is deprioritized in bariatric programs

13:02 The psych eval that doesn't actually prepare you

14:06 What should change in bariatric pre-op and post-op care

15:39 Insurance gaps — mental health and GLP-1 coverage

16:30 How bariatric surgery can trigger depression

17:08 Bariatric surgery and divorce — the real conversation

19:06 How to recalibrate your marriage after massive weight loss

20:20 Starting therapy and marriage counseling at the same time

21:37 Embracing your new body — loose skin, crop tops, and confidence

22:16 Why weight can't be your only measure of success

23:59 How to find and work with Danielle Palermo

24:24 My Journey, My Business: Danielle's moment of truth