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RCP Medicine Podcast · Nov 25, 2025 · 57 min

Episode 96: Weight, Wellness and the Mind: Rethinking Clinical Conversations

In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary’s Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain, and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings. Resources RCP elearning - Obesity Binge eating disorder: https://www.beateatingdisorders.org.uk/ https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorder https://www.nationaleatingdisorders.org/feast-resources/ Weight stigma: https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma Explore our CPD portfolio by your career stage Education and professional development Leadership CPD Teach the teacher Educational supervisor Six-step programme RCP Social Media Instagram LinkedIn Facebook Bluesky Music Ep 50 onward - Bensound.com Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas Any adverts within this podcast may use computer generated voices

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transcript

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show notes

In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary’s Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain,  and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz  also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings.

Resources

RCP elearning - Obesity

Binge eating disorder: 

https://www.beateatingdisorders.org.uk/

https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorder

https://www.nationaleatingdisorders.org/feast-resources/

Weight stigma:

https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma

Explore our CPD portfolio by your career stage
Education and professional development

Leadership CPD

Teach the teacher

Educational supervisor

Six-step programme 

RCP Social Media
Instagram
LinkedIn
Facebook
Bluesky

Music
Ep 50 onward - Bensound.com  
Ep 1 - 49 'Impressive Deals' - Nicolai Heidlas 
Any adverts within this podcast may use computer generated voices

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