Dramatherapy for Psychological and Social Well-Being in Obesity and Bariatric Care

Inclusion Criteria: * Age 18 years or older. * Body mass index (BMI) ≥ 40 kg/m², or BMI ≥ 35 kg/m² with obesity-related comorbidities, or BMI ≥ 30 kg/m² with associated eating disorders or problematic eating behaviors. * Enrollment in a medical or bariatric care pathway at the Institut de l'Obésité, Clinique ELSAN Saint-Omer, including a therapeutic education program with adapted physical activity. * Availability and willingness to complete the planned study procedures and follow-up assessments. * Written informed consent provided after complete information about the study. * Affiliation to a social security system. Exclusion Criteria: * Major medical contraindications to adapted physical activity or group sessions, including unstable cardiovascular disease or severe non-compensable locomotor limitations. * Severe psychiatric disorders or severe unstable eating disorders contraindicating bariatric surgery or preventing adequate participation in group sessions. * Major cognitive impairment or neuropsychological disorders preventing understanding of instructions or completion of assessments. * Unstable medical treatment or recent therapeutic modification likely to significantly affect body weight, fatigability, or mental health. * Inability to complete the full study protocol, including prolonged unavailability or planned relocation outside the region. * Refusal or inability to provide informed consent. * Major logistical barriers preventing access to the intervention site without feasible alternative arrangements. * Participation in a structured adapted physical activity program within the 3 months preceding inclusion.