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Originally Posted by Annepan
Diet is her big problem (of course!) She is seeing an RD who my client says is fat and is not connecting well w/ her. I gave her basic info (eating every 2.5 hours, small protein based meals, non processed foods,etc.) and she has been following my lead more than the RD. She knows her eating is psychological and has an appointment w/ a psychologist to address these issues. I am hoping the psych will have her log her food, and create a relapse plan for her. Yes - her short term goals are there...she is on the right track and very realistic.
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I'd pay attention to what the RD is telling her. On a diet board I hang out on I see some insane stuff coming from both doctors and RDs (or people purporting to be so). Encourage her to find a way of living that she can maintain after finishing her weight loss. This is something I've worked hard on - eating things I like, trying to learn what reasonable portion sizes are, etc. Experimenting with making things I enjoy more healthy, better for me.
Oh, and make sure her eating is psychological. I know it's a common thing with those overweight, however, it's not always the case. As someone who is down ~120 lbs with another ~160 to go I can see that some of my aborted attempts to lose weight (or eat healthier) failed in the past simply because I did not eat enough. Sounds stupid, but true. I was chronic 'skip breakfast', 'light lunch', 'reasonable dinner'.... however, this led to uncontrolled hunger at certain times of the day. This would lead to overeating of course. I never was the 'having a bad day so let's eat' kind of person. Sure, bad eating habits and such, but to my mind there are no deep emotional issues I need to deal with. (But hey, I could be wrong.
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On the exercise front, I'd say watch for tendencies to overdo it. I'm like that a little. When I finally got back to regular exercise in January I went at it 90mins cardio a day, 6 days a week. Although to be fair it was brutally cold out this winter and I was pretty much in the house all of the time. At this time of year I do more outside in the garden, however, I do 2 days of cardio (walking only, 60 mins total) and 3 days of weights (60-90 mins). This is less than I was doing 6 months ago, also eating more, and losing more consistently. Since she's approximately my age she may have a mindset that she has to work very hard and eat very little. You may need to overcome that as well.