There is usual mental issues with these persons, and/or sexual abuse issues.
Yep.
People usually don’t get that far off the res because of personal choice.
I've watched this show "My 600 lb life." Every.single.one. of the people featured has the same totally powerless, out-of-control, sad-sack, woe-is-me view of existence. Classic anxiety / depression.
Obese people who ‘emotionally eat’ generally do so to build ‘a wall of flesh’ to keep people away from hurting them.