"Because I eat too much. I overeat," Jim answers.
"You're a bright guy, but yet you continue to do it, so something has compromised your reason beyond control. I'm just curious what you think it is," Dr. Phil continues. "You've got to wonder why you let yourself get in this shape. You look at yourself getting out of the shower. You look in the mirror and see your gut hanging down. You've got to look at that and say, 'Why am I doing this to myself?'"
"I very seldom ask myself that question," Jim says. "I try not to look in the mirror. I love to deny the fact that I'm fat."
Dr. Phil continues, "I don't want to change what the scale says. I want to change Jim. And it means you've got to deal with the why, the denial, the emotions, all of the aspects of your behavior." With Jim's sex life inactive and his health in jeopardy, Dr. Phil asks, "Do you realize what you're missing?"
Asked if he thinks Dr. Phil's program will work for him, Jim says, "I want it to, but I don't know. I've been down so many paths before."
"What is it you know about yourself that makes you doubt that this is going to work for you?"
"That I've failed every other time I've tried. I know I've failed because I'm here in this chair at 347 pounds."