I tried to keep up with Live Chat last night and something must have gone off. It's like it got stuck and then the updates stopped....maybe, my phone. ?
I had a feeling early in the episode that things were not going to end well and I hadn't even read the preview. It was like Sean was checked out and not really even processing what was said to him nor what he said. Just a numb kind of robotic personality, as in Depersonalization Disorder. I read a little about it. It's like the young man was not really inside his body. When he admitted that he couldn't do what he needed to do, I really think he meant it. He was not capable, so, all of the resources, information, tools, etc. would not aid him. I don't know what the answer is for people like that. Sadly, we may not have anything available.
I think this case brings to the forefront an issue that is encountered on this show most every episode. And, that is can the patient take control and control their food intake? Obviously, some do and they have success, but, others don't and they fail for varying reasons. At times, it appears that they just don't try and that is frustrating, but, I think that it's probably much more complex than that. And, while I do respect and admire Dr. Now, I think that his "get with the program," "use the tools that we provide you" approach may not really serve some people well. For those patients, that program is really not suitable.