I have become accustomed to a certain type of patient and visit. The 9-13 year old girl who is overweight. It breaks my heart because I see alot of myself in this population. I weighted more in the fifth grade then I do now. I was chubby due to the fact that my family valued school and academics more than exercise or playing sports.
It is so hard for me to watch these encounters because the girls are so self conscious and shy about their weight. I need advise: how do you broach the topic of increased exercise and being overweight with a preteen or teenager without making them feel worse about themselves.