Case Study – Health Compromising Behaviors -20 points
Marjorie is a 52-year-old woman with obesity and a 9year history of type 2 diabetes. She is referred to you, a Health Psychologist because she presents with complaints of fatigue, difficulty losing weight, and no motivation. She notes a marked decrease in her energy level, particularly in the afternoons. She is tearful and states that she was diagnosed with depression and prescribed an antidepressant that she chose not to take.
She is presently at the highest weight she has ever been. She states that every time she tries to cut down on her eating she has symptoms of shakiness and increased hunger. She does not follow any specific diet and she often eats extra snacks.
Her health care practitioners have repeatedly advised weight loss and exercise to improve her health status. She complains that the pain in her knees and ankles makes it difficult to do any exercise.
1. Identify the possible barriers to modifying Marjorie’s poor health behaviors, then
Use The Transtheoretical model of behavior change (the 5 Stages of Change Model- Ch 3) as a framework to describe the predictable series of stages Marjorie will go through to rebalance her lifestyle.
2. Use the Health Belief Model and the Self Efficacy model (Ch 3) and apply it to Marjorie’s health behavior.
3. Formulate the Theory of planned behavior and the Self-Determination Theory (SDT) applied to Marjorie adopting a healthy diet (Ch 3)
4. Apply the Cognitive-Behavioral Model of the relapse process ( Ch 3) to this case.
5. What would be your approach in treating Marjorie? What tools and intervention strategies would you
likely use? (Be specific, i.e if CBT, detail which interventions).
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