Essay --

Based upon the assessment of these important aspects, therapist psycho-educate the family and adolescent about the important findings of the detailed interview and plan out the intervention. Case example of assessment findings in obese adolescent girl: The mother of a 12-year-old girl came for consultation for her daughter’s weight concerns and comments that the girl is concerned about her weight and is being teased about this at school and in the family. There is a family history of obesity in parents and grandparents. During the assessment it was found that the girl’s main interests are sedentary activities like watching T.V., internet use and playing video games. Physical activity is limited, ‘screen time’ is 4-5 hours a day and dietary habits put her at risk of weight gain (skipping breakfast, frequent snacking, consuming soft drinks, and high preference of junk food). The girl has not attained menarche and has a BMI above the 95th percentile on the US-CDC growth chart and normal lipid profile, liver function test, glucose and insulin levels. On psychosocial assessment, she was found to be anxious and depressed due to her increasing weight, body image concerns and previous failed attempts of weight lo ss. She lost her confidence and has low self esteem. She indulged in emotional eating as well to overcome her stress. She has fewer friends as most of the people tease her about her weight. So she prefers to stay alone Impression: Obese with high risk of further weight gain and psycho-social problems. Components & Structure of Cognitive Behaviour therapy There is enough evidence to support the effectiveness of comprehensive behavioural intervention program that include dietary modification and exercise routine as treatment of ... ...cific and realistic goals that can be easily measured (e.g. walking/ running for 40 minutes, five times per week). Give them rewards for achieving goals. 9. Don’t use food as reward. 10. Limit sedentary behaviour Limiting television/computer/video game time gradually from 3 hours/day to 2 hours/day, finally to 1 hours/day (most of the time the strategy of reducing children’s sedentary behaviour can be more effective than a strategy of promoting physical activity). 11. Teach self monitoring to the child Give responsibility to monitor his/ her eating behaviour and physical activity by maintain logbooks/ diaries. Verbally praise the child for taking responsibility. 12. Enhance open communication with the child Let the child be comfortable in sharing his/her feelings with you because many a times child would resort to food to overcome these negative emotions/feelings.