Sally is a 41 year old female with a history of unsuccessful weight loss attempts. In the past, Sally has tried "almost every diet known to man" and now wants to lose "at least fifty pounds" and "stop fighting with myself". Sally lives alone, and works as an accountant. Her hobbies include reading, spending time with her cat, and shopping. She describes her life as "pretty isolated" and rates her happiness at a 4 out of 10. She explains that when trying to change her behavior, she usually "falls off the bandwagon after a few days", and describes herself as "stuck". She has no history of injuries or preclusions to exercise and has recently had a clean physical exam, with the exception of needing to lose weight. Describe what approach you would take with Sally to help her change her behavior?

the approach has been described below

Explanation:

I will have to use motivation as a way of enhancing change in the life of Sally. From this question, she seems to be a lonely lady, with low self-esteem and no physical activity. The first thing I would do is to help to get her out of monotony by motivating her.

Once motivated, I would help plan her diet and add combinations of physical activities. These activities may include walking and running. With time an expert would take over her physical training.

She has to make time for other activities such as yoga or community work. The purpose for this is so she can meet and connect with other people, this would give her a sense of belonging. And would help boost her self image.

In conclusion, Sally needs a combination of physical and emotional therapy in order to change her lifestyle.