How much physical activity is Celine engaged in daily? This question could be extended to finding out what kinds of activities, such as playing with friends outdoors or cycling. Sedentary living is one of the causes of obesity across all age groups (Abzug et al., 2016). Exercise increases metabolism and helps in maintaining a perfect BMI.
Has Celine been taking any medications for other health problems? Some medications have been associated with weight gain; hence those who take them regularly are likely to have a difficult time losing weight. They include amitriptyline, prednisone, and paroxetine (Paxil) among several others (Vash, 2015). In this case, alternative medication might be prescribed for Celine.
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What diets has Celine tried? It is possible that there are components in Celine’s diet that are high in calories hence negating the diet's intended effects. The diet should also be high in fruits and vegetables and low in saturated fats (Abzug et al., 2016). Moreover, the frequency of meals and snacks are also factors that should be considered in the diet.
Has Celine undergone any form of mental health assessment? A mental health assessment in this case needs to be conducted to determine whether Celine is facing undiagnosed mental health challenges. She already spends a significant amount of time moping around the house signifying possible stress and anxiety. She may need assessment to determine whether there are factors within her environment that have induced stress. Mental health challenges contribute to weight gain (Abzug et al., 2016).
How adherent is Celine to the prescribed diets, activities and other lifestyle factors? Celine’s unexplained weight gain may be as a result of non-adherence to her programs such as diet and exercise. For instance, it may be counterproductive to be on a prescribed diet but still have snacks with friends from school. Non-adherence may be a significant contributor to her inability to lose weight (Vash, 2015).
References
Abzug, M. J., Deterding, R. R., Hay, W. W., & Levin, M. J. (2016). Current diagnosis & treatment pediatrics. New York, N.Y: McGraw-Hill Education LLC.
Vash, P. (2015). The childhood obesity epidemic: Why are our children obese--and what can we do about it? Oakville, ON: Apple Academic Press.
