It's my first year and achieved a maximum amount of weight loss. I didn't feel the need for help until my one year anniversary. Many emotions came into play such as who am I now? I look different and my mind didn't catch up to my body yet. I had "disconnect" issues with myself. I still had old thoughts in my new body, and wanted to be in "sync" with my mind, body, and spirit. I knew at this point it was essential and necessary to seek out professional help. I needed answers to my questions, and also validation that I'm okay and it's normal of how I'm feeling. It's a transition period for me, and with assistance, I believe everything will fall into place. In the past, prior to surgery, when I was obese and became thin, I used to sabotage my efforts and gained all my weight back and more. Now that I had my body changed internally, this time I have to make it right once and for all.