Inclusion Criteria for Adolescent:  Ages 12 to < 18 years Body mass index (BMI) >/= 95th percentile  Exclusion Criteria for Adolescent:  Score over 20 on the Eating Attitudes Test (EAT-26) Any unhealthy weight control behaviors Severe anxiety or depression Participation in another Pediatric Weight Management Clinic study Developmental delay Significant co-morbidity that might cause weight fluctuations in weight Current participation in a weight loss research study  Inclusion Criteria for Parent:  Parent or legal guardian of the child participant Parent aged > 18 years