I agree that Lorna will have to make the ultimate decision to help herself. that said, she will need ongoing emotional and instructional help. Obese people are prone to lowering calories too severely, assuming this will bring quicker progress. Lorna's current body weight dictates that she maintain a specific caloric intake to prevent her body from going into a starvation mode, which would lower her metabolism and make it that much harder to lose weight. In addition, whatever physical activity, if any at this point, is implemented, will need to be done with care. Those are just a couple concerns.
Weight loss is completely achievable. I highly recommend that it be done naturally and by non-surgical measures. In addition, to prevent reoccurrence and to ensure a supportive environment in which to lose, core emotional issues need to be dealt with, which I'm sure Dr. Phil will address
Lorna - There is no option other than to lose weight and to put an end to the suffering you are experiencing. If you do not, you will develop an array of health problems and cut your life short. It is that simple. People that love you will lose you. They and YOU deserve so much more!Trust me, you can do this, one small step at a time. Above all and please remember this... Never, never, at any time, give up!