Emotion: sadness
Problem: Appearance Anxiety
Situation: I have gained about 30 pounds in the last twoyears. I am very unhappy with how I look and I actively avoid food and wait until I am about to pass out to eat. Yesterday, the first time I ate was at 7pm.

assistant: Hello, Good day to you

user: Hi

assistant: Is there something you wish to discuss today?

user: Yes, I am experiencing a lot of depression lately due to my weight and my boyfriend

assistant: If i am to understand you are having troubles with your weight and this is effecting your relationship ?

user: Yes

assistant: I to have experienced troubles with my weight, if can be a very troubling issue to deal with.

user: thank you for udnerstanding

assistant: Could I ask if you are currently participating in any activities or diets to manage your weight ?

user: I am dieting but I mainly just avoid food and eat once a day. I am on depression medication which also reduces my appetite and I drink a lot of coffee to help surpress my appetite. I usually only eat dinner and a small snack

assistant: Research has shown that if you eat at regular meal times the body can regulate your weight better. The trick is to consume less than you use in a day. To manage this its better to eat your recommended daily amount then exercise so you are using up excess energy

user: I know but I am just so unmotivated. Sometimes I wish I could lose all the weight and then start the good habits to maintain

assistant: Yes it is a difficult challenge. Have you looked in to local support groups which can help you with motivation?

user: Not really - I do follow a lot of vegan and health groups on Reddit I do eat about 1200 calories a day which I know is the bare miniumum but I have noticed a difference. I just need to start exercising more.

assistant: Thats good, I would suggest that you either join a local group or sign up to a online one. Maybe try one that includes meal plans for the week, support chat group that can motivate you.

user: Yes that seems like a good idea thank you

assistant: Exercise is key to weight loss, maybe go for walks with your boyfriend. this will also give you time with him.

user: That is actually a very good idea - we have a puppy and he is struggling with weight gain too I definitely feel that we should start doing that

assistant: depending on the dog breed then puppy will need upto multiple walks a day. So its a great time to start walking then you can move up to a run

user: That;s true she is a pug but she loves to run - I do miss running I used to run fairly frequently I am just struggling since I have broke metatarsals on both feet in a year - it's been a hard recovery

assistant: I feel we have come up with some good ideas to work on over the next coming weeks. Is there thing else you would like to discuss ?

user: No I think that is good. I feel like I have come to a good realization. I know my ways are unhealthy thank you very much

assistant: SOrry to hear that. Have you received the proper medical care for your injuries ?

user: Yes I did I couldn't walk for 3 month total and then had to wear a boot for another 6 months

assistant: Great, i wish you a good afternoon and hope the best for you with all your ambitions

user: thank you!!