Psychological studies conducted in recent years have found that a quarter (25%) of obese people, also suffer severe emotional feelings about their appearance.

Difficult emotions can cause them to avoid the social activities, where they may hear derogatory about their excess fat. Thus adversely affecting their quality of life significantly.
Why is obesity accompanied by such bad emotional feelings? Reasons are directly related to the negative stereotypes that exist about obesity, along with the ideal of fitness and being thin among women and muscular men, get more and more dominant in the media.
Those who are obese are exposed to much prejudice, stigma and negative attitude to the dimensions of their bodies. So that many of them develop a negative body image.

Surprising finding from the research is that the volume and shape of the waist in women, is much more important to them than their overall obesity rates. Women with large waist circumference, the research revealed, were generally more frustrated by their appearance, compared to their companions who were weighing more than them but had a more slender waist.
However, waist circumference is only one of the factors that affect the self-confidence of a man or woman suffering from obesity. Another important factor is the reactions an obese person is getting from its significant relationship groups.
Those who suffer from being overweight and hear from their significant others statements like “learn to accept yourself as you are” and “overweight is beautiful ” will probably develop a high and stable level of self confidence than obese people who are having to deal with offensive jokes on their account and discriminatory continually.

Many see weight loss as the ultimate solution for poor body image and low self confidence. But in many cases, even after losing weight, the former obesity reported the stability of poor image. Many times you can hear them say things like, “even though I had a dramatic weight loss, I am still lean body of an obese person.”

In such a case could help them greatly cognitive therapy - behavioural  which can change permanent the thoughts word repetitiveness of extra fat in their bodies which can even lead to eating disorders. Therapy can also take the place of or in addition to diet, and to contribute to its success.