The Slaton Sisters / Amy Slaton & Tammy Slaton - The 1000 Pound Sisters

Then that shrink should have her license revoked. You don’t traumatize and antagonize a new patient over some session cap. It’s like a surgeon removing multiple organs because insurance won’t pay him for the time it takes to figure out which one is cancerous. Fucking stupid.

I don’t buy for a second that this is why that session went down the way it did.
I hear you. However, with the fuss and obvious, toddler-like, entitled behavior Tammy was displaying JUST getting in the door.... the therapist could see the writing on the wall. Tammy is a narcissist. She has no respect for boundaries, professional courtesy, or herself...and she display zero respect for anyone else. Sometimes, the best way to handle someone with that behavior is to draw very clear lines (as you saw the therapist doing regarding closing the door). Letting a manipulative patient control you, as a provider or a therapist, is a recipe for disaster and it rarely results in a healthy dynamic. Tammy wants things done her way. How has that worked for her in her life, thus far? It hasn't. A good therapist or psychiatrist will challenge you to grow. A good therapist will listen and support, this is true, but the reality of the situation is that Tammy really doesn't have time for anyone else to mollycoddle her or pity her. While I agree that insurance shouldn't be a limiting factor (we should be beyond that as a first world nation, by now); the reality is that it is a limiting factor. If Tammy isn't going to get down to business and is going to waste time, then it's better to know that so that that doctor can move on and spend that time with a patient who will actually participate in the therapy. Tammy is on public assistance for her health insurance. There are, maybe, four therapists in her area that are/were seeing people during the pandemic, who take that insurance. Limited resources are what they are. Sucks. But, tough love is necessary when someone's life is on the line. I guess the other piece of this is that Tammy has had this insurance since childhood, was in several treatment/recovery facilities, and I can't imagine- given her in-patient stays- that this was her first visit with a therapist. Can't blame the therapist for that.
 
is true, but the reality of the situation is that Tammy really doesn't have time for anyone else to mollycoddle her or pity her.
Establishing trust is not mollycoddling or pitying. Not going to PL and sperg further about this, but it’s basic psychotherapy 101 shit that you don’t pull stunts like this during an introduction to a new patient. That therapist was willing to do it, either to get on TV and/or because she’s a terrible practitioner. Either way, and unlike with the home health aide, Tammy was 100 percent correct (for once) to stonewall and give the silent treatment.

The sad thing is, the therapist will now advertise herself with “AS SEEN ON TLC!” and draw in desperate people who don’t know shitty therapeutic practice when they see it.
 
I just assume all TLC therapists are fake or at least really bad and desperate for work, because a half decent therapist wouldn't work with a client on camera for cable TV. Therapy is supposed to be an unironic safe space for clients to talk about shit that's shameful to talk about in public.

That said, Tammy is in a spot where she needs to start helping herself. If she can't be bothered to get herself a real therapist then I'm not going to cry for her when she refuses to cooperate with the shitty TLC-provided therapist.
 
Establishing trust is not mollycoddling or pitying. Not going to PL and sperg further about this, but it’s basic psychotherapy 101 shit that you don’t pull stunts like this during an introduction to a new patient. That therapist was willing to do it, either to get on TV and/or because she’s a terrible practitioner. Either way, and unlike with the home health aide, Tammy was 100 percent correct (for once) to stonewall and give the silent treatment.

The sad thing is, the therapist will now advertise herself with “AS SEEN ON TLC!” and draw in desperate people who don’t know shitty therapeutic practice when they see it.
Establishing trust is also something that shouldn't happen on national television. Trust is earned through mutual respect and a therapeutic relationship involves respect to get to trust. A manipulator, like Tammy, doesn't respect anyone. It's also a true statement to say that Tammy doesn't trust anyone. Both are true. Both a valid. I would agree that doing this on TV is ridiculous. But, Tammy agreed to do this on television, too. She stonewalled, not because of principle or moral certainty,...after all, Tammy agreed to go as a condition of surgery and she is getting paid by TLC. She could've said, "You know...I don't think it's right and I'd rather do private therapy."
How do you know what that therapist will do? As of right now, she's not advertising or monetizing her participation.
 
I am usually too grossed out to actually watch this show but I watched several of the more recent clips tonight and I was surprised to find myself annoyed on Tammy’s behalf. She’s a brat, no doubt, but here’s what’s fucked up:

Her family does gang up on her, which I’m sure has always been their family dynamic. Has it literally ever worked or helped Tammy? No. They do it because it’s familiar (and in Amy and her brother’s cases, makes them feel better about themselves).

But this confrontational approach is part of the problem.

Of course in the face of being outnumbered, Amy withdraws and gets defensive. Duh. Nothing is more predictable. Yet they deserve their share of responsibility for continuing to engage in this broken approach to communica

Based on earlier interactions between the siblings, it seems like the “united front” strategy is new. Normally we’ve just seen Amy visit Tammy, or just Misty, or just Chris and his wife, etc., and she flames out and shuts down one on one too.

There was a telling interaction, I think, last season when Chris was first introduced. He came onscreen making a big deal over how now that he’s involved, he’s going to hold Tammy accountable in ways Amy and her other enablers never did because he’s Tough and Will Make Her Accountable. Several weeks later, he’s driving Tammy somewhere and is baffled and frustrated that she has gained more weight despite his frequent check-ins and support. Tammy says it’s not her fault, Amy (who is still her daily caretaker) is forcing her to eat restricted foods. Chris immediately calls up Amy and yells at her, and Amy cries and says “yes I buy all her groceries, I buy mostly healthy, but if I don’t buy what Tammy wants too she blows up & threatens to call the cops for stealing her money” and Chris hangs up and is kind of quiet for a minute, realizing, probably, that this is more work than he thought.

The thing with Tammy is that any friendly relationship she has inevitably dies when they try to set boundaries with her; she becomes both agressive and defensive in response to ANY guidance, no matter how kindly given, and she is always calling up / gossiping with some third party about how much X Sucks and Is Making Me Fat (or, if they aren’t enabling her, how they Make Her Cry instead). This happened with Amy/Chris, Amy/Tisa, Tisa/Amy, Misty/Amy, [any sibling]/[her boyfriend of the month], etc.

The siblings may have finally caught on and realized that they need to both have each other’s backs in managing Tammy — or that they can’t believe what Tammy is saying so all want to be there in person when she’s talking so she can’t spin the event in the retelling to be something it’s not.

Or strategy is too generous a word and TLC just wants to film a white trash clown car and tells them all to show up at once now, who knows.
 
You guys know reality TV is severely edited, right? We don't actually know how that therapy appointment went. We know a few spliced moments of what was seen as the juiciest parts, which were still really bland and nothing. Most of that appointment was probably a lot of awkward small-talk, like most first therapy appointments are. For all we know the footage we saw wasn't even from the first session.

Tammy is a childish fatass who stonewalls everyone. That nurse they hired has worked with her a fair amount of time and Tammy still shuts down like a (vastly) overgrown toddler when challenged on anything by her.

She doesn't need more people to tip-toe around her either. People have been doing that for years and she's almost 700 pounds and close to her death bed.
 
Tammy is a childish fatass who stonewalls everyone. That nurse they hired has worked with her a fair amount of time and Tammy still shuts down like a (vastly) overgrown toddler when challenged on anything by her.

She doesn't need more people to tip-toe around her either. People have been doing that for years and she's almost 700 pounds and close to her death bed.
I would bet anything that on top of having a difficult personality, Tammy is also intellectually disabled and has some diagnosable cluster B disorder(s) that seriously limit her ability to control her emotions and accept changes. Trying to meet a client at their level to inspire and encourage self-care is the ideal, but for some there is no amount of patience, logic, trust-building, etc. will ever convince them to behave in a way that they don’t actually want to. They are not capable of it.

It’s like trying to give a stubborn dog a pill. You know it doesn’t understand why it needs to swallow something gross, so you try hiding it in cheese, or peanut butter, or a commercial pill pocket. But if the dog is clever enough to eat the good stuff and keep spitting out the pill, you only have two options left -- give up and let it suffer from whatever the pill would have cured, or tip its head back, stick the pill on the back of its tongue, and start stroking its neck so it swallows despite itself.

The difference here is that legally you can’t force a pill (or lifestyle change) on an adult even if they will die if they don’t take it. You have to watch them passively kill themself, or you have to have them legally declared incompetant and have them put in a program that will physically restrict their access to harmful things. This can be an expensive and difficult legal battle, they will probably hate you for it, and the rest of the family might too if they take the side of the person whose rights you are trying to rescind (because they believe she’s not that bad, or that you haven‘t tried hard enough to fix her the Kind way, or that ethically freedom is more important than safety, or that You’re Just A Bitch). It’s exhausting and thankless and entirely unpleasant so you’ll find yourself thinking, well, I’ll just try a different kind of cheese this time, maybe she won’t spit this one out….

It sounds like the Slaton/Combs siblings have been in this fight for all of Tammy’s adult life. I hate to suggest that TLC has done any good by any of the obviously damaged people they’re exploiting — but I can’t help but think that the siblings at least realized that even with access to unthinkable amounts of money, support, guidance, etc., Tammy refuses to change. She will not take the pill no matter what it’s wrapped in, she is abusive to people trying to help, wrangling her (and failing) is hurting the relationships of the whole family… so if they really can’t bear to see her die like this, they have to have her involuntarily committed somewhere. Rumor has it that’s what they’ve done, and good for them.
 
Tammy Slaton is an adult. She is an adult that has all the resources in the world available to her and she chooses to eat massive amounts of food. Regardless of all the other factors swirling around which can be debated until the cow comes home and drops dead, she is fully aware that she is eating far too much. She has succeeded in gaining massive amounts of attention and controlling those around her to get whatever she wants. She has made (and will continue to make) her own choices. She doesn't care how she affects those around her.

Let the big hawg eat. Come back when it's over.
 
happy 2022 y'all.
Screen Shot 2021-12-30 at 11.30.12 AM.png
 
Back