Obesity/Weight Loss o Accept the role of psychological or behavioral factors in development of medical condition and focus on resolution of these factors. o Accept emotional care from those who care, without pushing them away in anger. o Medically stabilize physical condition (s) that may contribute to obesity. o Alter factors associated with obesity, including eating behaviors, physical activity, and cognitions. Increase awareness by self-monitoring behaviors associated with weight management. Assign the patient to record food intake daily/weekly using journal, diary, or food log. Assign the patient to record physical activity daily/weekly. Assign the patient to record body weight daily/weekly. Utilize stimulus control techniques to alter the antecedents to eating and lack of physical activity. Assign the patient to keep problem foods out of the house. Assign the patient to limit the time and place of eating. Assist the patient in learning alternate responses to conditioned stimuli for eating, such as watching television or a movie while eating. Use contingency management techniques to reward actions that aid weight control (i.e., engaging in physical activity, not overeating) Provide verbal encouragement/praise. Assign the patient to utilize tangible rewards such as money or clothing. Use cognitive restructuring to identify, challenge, and replace the negative thoughts that contribute to obesity. Assign patient to identify negative selfstatements through self-monitoring and then assist patient in challenging these with rational alternatives. Investigate prescriptions medications prescribed to see if they cause weight gain as a side-effect. Conduct a thorough review of history to assess for life events, past history of weight-loss attempts, and psychological factors associated with obesity. o Increase social support network (i.e., partner, peer, friend, clinician) to facilitate weight loss. Assign patient to join a support group using a commercial weight-loss program (joining with friends or family members will result in greater weight loss and compliance in short term). Assign patient to join a local walking groups.