What My 600-Lb Life Fans Have To Say About Bettie Jo's Husband

Sensitive subject matter ahead.

Along with meeting Dr. Now, the couple visits therapist Santhi Periasamy. Josh brings up his worries about what might happen when Bettie Jo loses weight given her progress. "I used to take care of her, used to be her caregiver," he says. "But now, she's able to move around and stuff and in a way, that really scares me because I don't want her to leave me." 

We then learn of Bettie Jo's traumatic past, where she was sexually assaulted. She finds sexual interactions to be uncomfortable and lacks intimacy with her husband as a result. When asked by Periasamy about the protective aspect of her weight, Bettie Jo mentions that she sees her size as a way to deter any form of sex, as she is never in the mood for it. At the mention of this, Josh storms out of the room in frustration. 

Thankfully, the couple would make progress. In their "Where Are They Now?" episode, it's revealed that Bettie Jo was down to 400 pounds. Despite dealing with depression and a mass growing on her spine, she and Josh gave birth to a healthy baby boy, Preston Elmore, in 2016 (via Instagram). But while Bettie Jo Elmore is certainly another great success story for the show, some fans aren't so positive about Josh's involvement.

If you or anyone you know has been a victim of sexual assault, help is available. Visit the Rape, Abuse & Incest National Network website or contact RAINN's National Helpline at 1-800-656-HOPE (4673).