Bariatric Counselor and Bariatric Dietitian Services

Bariatric Psych evaluation and Dietitian services are now available at the THFM weight loss center the 1st and 3rd Mondays of each month.

“While many of the bariatric surgeons have a dietitian in office in their main office location, we are very excited to now offer these services at the Texas Health Flower Mound location. TRS-Counseling and Education has been offering mental health evaluations/support, bariatric dietitian education, and physical training for almost a decade.

Merrill Littleberry and her practice has been recognized on numerous occasions for work in the bariatric field. There are licensed mental health, Cooper Fitness Center certified trainers on staff and the practice also offers services for substance abuse/smoking cessation.

This is a great addition to what we already have to offer patients close to home.”

Bariatric Counseling and Psych Evaluations

Most individuals understand that part of the journey toward better health is physical. However, what many do not recognize is the impact psychological health plays in an individual’s long-term success with their weight loss journey.

Most surgeons and insurance companies recognize the importance of this piece of the puzzle and require a mental health evaluation to help potential patients identify any issues that could become obstacles for them after surgery.

By identifying potential pitfalls and working with individuals, patients are able to develop a plan of action. The team helps the patient understand the challenges, adjustments and opportunities of bariatric surgery and gives the patient honest feedback, and professional opinions concerning important issues.

Bariatric Dietitian Services

A significant component of weight loss is diet and lifestyle change. Bariatric Dietitians work with patients to help them get ready for treatment by modifying the patient’s diet and lifestyle approach. Post-treatment they are available to help guide patients through the maze of selecting healthy, yet tasty options while still staying on track.

After care and monitoring significantly impact the success of outcomes. A bariatric dietitian plays a very important part in this process. There are many complex emotions that are wrapped up in obesity and extreme weight loss. Our bariatric dietitian functions as a part of a team consisting of the weight loss doctor, the bariatric coordinator, a behavioral health specialist and an active lifestyle prescription.


Merrill Littleberry, Texas Health Flower Mound

Merrill Littleberry LCSW, LCDC, CCM, CI-CPT

Merrill received her Bachelor of Science degree in Social Work from the University of Texas at Arlington in 1994, followed by her Master of Science in Social Work a year later in 1995. Merrill Littleberry is a Licensed Chemical Dependency Counselor and a Certified Case Manager. She is licensed by the Texas State Board of Social Worker Examiners as a Licensed Clinical Social Worker. She is a member of the American Society of Metabolic and Bariatric Surgery and the National Association of Social Workers. Her most recent certification was received from the Cooper Institute as a Certified Personal Trainer.

Lisa Badolato RD, LD, CNSC

Lisa obtained her Bachelor of Science degree in Clinical Nutrition and Dietetics at the University of Texas Southwestern Medical Center in Dallas and is a Registered and Licensed Dietitian. She has worked in inpatient and outpatient settings providing nutritional education and counseling to pre and post op bariatric surgery patients since 2003. She continues to work as a clinical dietitian in hospitals providing medical nutrition therapy to patients with conditions such as diabetes, hypertension, hyperlipidemia, pulmonary and kidney disease. Lisa has a passion for wellness and enjoys motivating others to become healthier by making lifestyle changes that will make a positive impact on their health and well-being.

Advanced certifications include: Adult Weight Management and Certified Nutrition Support Clinician (CNSC).

Affiliated Associations: Academy of Nutrition and Dietetics, American Society of Enteral and Parenteral Nutrition (ASPEN) and American Society for Metabolic and Bariatric Surgery (ASMBS).

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