Health and weight

Rachael - Interview 17


Brief outline: Rachael is an A-level student and says she wants to lose weight for the right reasons which in her case are to prevent health problems. She has Polycystic Ovary Syndrome (PCOS) which, in turn makes it difficult to lose weight. She is also concern about diabetes and heart disease. Rachel is a size 20/22 and would like to drop to a 14/12. Ethnic background: White British.

Background: See 'brief outline'.

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Rachael says that she has always being big and that for the majority of the time it hasn't been that much of a problem for instance, she has never experienced serious bullying and can’t remember any occasion in which she was excluded from an activity because of her weight. Moreover, Rachael explained that when growing up she always kept physically active by doing swimming, dance classes, gymnastic and for about ten years she was a cheerleader. Rachael also feels that she has being very lucky with the friends she has and described them as understanding and supportive.
Rachael thinks that she has a healthy diet but that her portion control is her real problem. She says that when younger she used to snack but now she keeps herself busy and has little time to think about food. Rachael explained that there was one occasion in which she lost weight by skipping her school dinners but says that it is an unhealthier way of going about losing weight. Now she tries to eat less but admits that she still sometimes has an unhealthy relationship with food particularly when she feels left out due to her food allergies or when someone makes a nasty comment about her size. At those times she eats something sugary to cheer herself up.
Rachael used to see a dietician quite regularly when younger but after her 10th birthday she has only being contacted by them a total of five times. On her last appointment they advised her to eat five smaller meals a day rather than three larger ones. She hopes this regime will help her lose weight. Her main reasons for wanting to lose weight are her medical concerns. At the age of fourteen, Rachael was diagnosed with Polycystic Ovary Syndrome (PCOS) and she doesn’t know whether it is hereditary or whether it was caused by her weight but it makes it difficult to lose weight. Also Rachael knows that the bigger you are the worse the symptoms. She is also worried about diabetes and what excess weight does to your heart.
Currently Rachael is a size 20/22 and would like to drop to a 14/12 and is working towards getting the excess weight off through eating right and doing exercises. She also believes that it is not a good idea to force the body to be thinner than actually is able to be.
Rachel pointed out that one of the main disadvantages of being a bigger size is her inability to go shopping with her friends in fashionable places and of having to go and buy her clothes in shops geared to older, oversized ladies.


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