Monday, February 11, 2019
Essay --
Based upon the discernment of these important aspects, therapist psycho-educate the family and adolescent about the important findings of the detailed oppugn and plan out the intervention.Case example of assessment findings in rotund adolescent girlThe mother of a 12-year-old girl came for consultation for her female childs lean 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 girls main interests are sedentary activities like watching T.V., internet enjoyment 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 turn a profit (skipping breakfast, frequent snacking, consuming soft drinks, and high preference of junk solid pabulum). 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, dust image concerns and previous failed attempts of weight loss. 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 roost aloneImpression Obese with high risk of further weight gain and psycho-social problems. Components & Structure of Cognitive Behaviour therapyThere is enough demonstrate to support the effectiveness of comprehensive behavioural intervention program that overwhelm dietary modification and exercise routine as treatment of ... ...cific and lifelike goals that can be easily measured (e.g. walking/ running for 40 minutes, five times per week). pretend them rewards for achieving goals.9.Dont use food as reward.10.Limit sed entary behaviour Limiting television/ computing device/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 childrens sedentary behaviour can be more effective than a strategy of promoting physical activity).11.Teach self monitoring to the childGive responsibility to monitor his/ her eating behaviour and physical activity by maintain logbooks/ diaries. Verbally praise the child for taking responsibility.12.Enhance grant communication with the childLet 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.
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