Re:
Quote:
Originally Posted by January Snow
RE: My mother and the hoarding
That does sound like it's a tough situation for everybody. I hope that you guys can find a solution.
Quote:
Originally Posted by January Snow
RE: The kid's weight
I really want to still some motivation and confidence in their ability to make changes now because this will be so much more difficult as morbidly obese adults. And that's the direction they're heading. I don't think they're too young. I first realized I had a problem in the eight grade when a forced in-school weigh-in revealed that I weighed 135lbs and had a horrifying 40% body fat (at less than 5'2"). My freshman year I lost over 35lbs and got down to 13.5% body fat. Although I'm not in the greatest shape now, my body fat has never been that high, nor my waist that big since. I was raised in the same environment and faced many of the same challenges. I'm not expecting miracles here. I want to get all three of them to consciously acknowledge that their weight is a serious problem and start taking some steps to do something about it.
1. You cannot
make them be motivated to lose weight or give them confidence in their ability to lose weight. You can talk to them about your concerns, act as a cheerleader and sounding board, encourage them to make healthy choices, praise them for the things they do well, and help them learn how to think through and solve the problems that confront them in life. But unless you've got some massive emotional hooks in them or a sophisticated propaganda system, you can't make them feel something just because that's what you think they should feel.
2. They're not you.
You were freaked out by your weight/body fat % stats in 8th grade and did something about it. It sounds like you expect them to be the same way. But since they're
not you, have their own lives and concerns, may have different priorities than you did when you were their ages, may be at different levels of emotional and mental maturity than you were at those ages, and may be more physiologically different from you than age and gender alone would dictate, why should they have the same reaction that you did?
3. It sounds like your family has a number of "serious problems" that they aren't able/willing to deal with/fix. Why do you think weight loss will be any different? You can try to influence their behavior in a variety of ways, but you can't make them do anything.
On a side note, I found losing weight easier once I reached adulthood. I was able to find the care I needed, cook food I wanted to eat, and arrange my life in a way that worked reasonably well for me.
Quote:
Originally Posted by January Snow
They have a gym membership that occassionally gets used. My sister is still active in sports. When I'm around I take her to the gym and coach her. Excercise alone isn't going to do it for them, although it's part of the picture. They need to make dietary changes ASAP. My brother's doctor has finally got around to broaching the topic, but it didn't make much of a difference. On some level they recognize that there's a problem. I'm just not sure the kids understand the seriousness of the issue. I don't think they see morbidly obese people and think that that could them in a few years. My brother, particularly, doesn't let on that he cares. He's sort of built a persona on being big.
So talk with them about nutrition and eating healthy. Also, ask them about what they think about their weight and how it affects and will affect their lives. Even if they don't realize how detrimental this could be to their lives in the long run, well, why should they? Their mother hasn't pushed it, their physicians haven't really been dealing with it, and adolescents are not generally noted for their ability to make rational predictions about the future or understand that they're not invincible or immune from the effects of time. Why would it be at the forefront of their consciousness?
Good for you for taking your sister to the gym and coaching her.
Quote:
Originally Posted by January Snow
I think I'm going to have to try talking to them individually. My husband might be able to help. (He majored in a related field.) We might not be the best ones to have this conversation with them though. Neither of us has ever been (BMI definition) obese. My husband has never been over-weight or even anything other than slender. Right now I'm working on losing what could largely be considered vanity weight (or preventive weight), and it's not public knowledge.
I think that if you stay focused on their health and are not overbearing, overwhelmingly negative, condescending, or judgmental and you listen to what they need and think, you'll probably be okay. Losing a lot of weight does require a lot of effort, so perhaps reading up on the thoughts and struggles of people who have lost a lot of weight (especially younger people) might be helpful.

And remember - if they're not ready or open to accepting your help, then they're just not. You can't force them.
Quote:
Originally Posted by January Snow
I guess I'm looking for advice on how to have that conversation. How do you cover a topic that big with young people? (In case it got lost in the big, long narrative, they're in the 7th and 10th grades.) How can I kindle any motivation they might have and use it towards positive ends? Again, I understand they don't have 100% control of the situation. I'm not expecting some big turnaround. Even if they stopped gaining that would be a huge improvement.
Well, it would be a huge improvement in your opinion.

What would they consider a good outcome? What are their health goals?
In case it got lost in my own lengthy post, here's my advice on talking to them:
Quote:
Originally Posted by theox
I don't think your siblings need to be pushed "to develop a real desire to lose weight." They almost undoubtedly know they're much heavier than is healthy for them, and chances are that they would probably like to be thinner but don't have the knowledge, resources, and support they need to make it happen because their lives are in such disarray. Frankly, I think it's unrealistic (and downright ridiculous, actually) to expect any child (especially one as young as 12) to lose a substantial amount of weight healthily and safely and keep it off in what sounds like a severely dysfunctional and unsupportive environment.
You are clearly very concerned about their welfare. However, telling them that they "should" do something about a problem that they're almost certainly already aware of and that they've probably both been criticized or otherwise made to feel badly about by others isn't likely to help them. That is information that they almost certainly already have. What they probably don't have (judging from your post) is the support they need to attain and maintain a healthy weight.
I grew up overweight in a stable, functional, generally supportive family. My parents didn't do a great job of teaching me healthy eating habits or portion control, but my diet wasn't horrible. My major problem was having a misdiagnosed (and therefore improperly treated) mental issue from which comorbid conditions evolved (which were diagnosed but that nobody bothered to teach me how to effectively manage). I knew I was fat. I even had a vague idea of what I should do about it. However, I didn't have healthy eating habits in place already and I was exhausting myself trying to stay functional and out of trouble - I didn't have the mental energy to deal with my weight. Plenty of people, from family members to complete strangers, felt that it was appropriate to tell me that I was fat, that I just needed to use some willpower, that I was lazy, or that I just didn't want it bad enough. These comments tended to make me very angry, since I was already trying my heart out just to do everything else that was expected of me. They didn't make angry in an "oh - now I want it bad enough" sort of way, they made me angry in an "I'd like to humiliate, torture and/or kill you" sort of way. They also made me feel hopeless, because I felt like I was expending heroic amounts of energy jumping through all the other hoops people wanted me to jump through and putting up with everybody else's bull**** - and then people said crap like that and it made me feel like all my effort and all my other accomplishments were worthless in their eyes. I didn't need to be told I was fat. I needed help. I needed the correct diagnosis, appropriate therapies, better meals at home, and a lot of nutritional education and support. My parents tried - we did WW once or twice while I was in high school and my parents supported my athletic endeavors, such as they were, but they didn't provide the comprehensive nutritional education and support I needed and couldn't provide for myself.
What support - emotional, educational, financial, etc. - are you able and willing to give them to help them lose weight?
What support are they able to accept from you? Are they strong-willed and ready enough to focus on their weight that they can succeed in that with the support you can give them? Are they preoccupied with other issues in their lives? Are they in denial? Have they bought into your mother's dysfunctions and excuses?
Try to determine where they're at mentally before you go in telling them what they need to do or what you want to do for them. Their priorities may not be yours, and their mental maturity and the environment they live in may mean that other attitudes and habits need to be addressed before they can work on getting to a healthy weight.
I'm definitely not an expert at talking to kids, but I think that if you do talk to them about this you should do it when they're calm, in a chatty mood, and away from your mother and other relatives (and probably each other, esp. if they're sensitive or would pick at each other). Make the conversation about your love for them, your concern for their health and well-being, and your desire to help them help themselves. Don't be judgmental, don't tell them that they just need to make themselves want weight loss bad enough (although if it's appropriate to the conversation you could totally talk about the rewards of hard work and perseverance in your own weight loss journey), and don't harp more than is necessary on the potential negative effects of obesity. If the 16yo is reasonably mature and intelligent and is open to discussing the topic, you might, after broaching the subject and expressing your concern, ask him what he thinks he needs (he might not know), and offer what you think is appropriate and you're able to give. If what he needs/you can give and what he wants don't coincide, do offer him some sort of explanation for the discrepancy so he doesn't think you're just screwing with him. With the 12yo (and the 16yo if he's really immature), you might do better just to tell her what you want to do to help her (and make it sound interesting/fun) and try to get her on board like that. Don't despair if they blow you off or temporarily block you out (or agree to accept your help but then flake out or don't follow through). Whether they're open to help or not at that particular point in time, reiterate that you love them, that you're there for them, and that you're willing to help them be the best they can be. If they accept your offer, you've got to follow through. If they blow you off, keep the lines of communication open, continue being a healthy role model for them, and broach the subject again at some opportune moment. At least, that's probably what I would do, but what do I know.
Of course, if your conversation with them turned up any red flags, such as thoughts and behaviors indicative of an incipient eating disorder, other evidence of disordered thinking (more than one would expect in any teen
), substance abuse, etc. it would be diligent and loving of you to try to get those issues identified and taken care of as well.