Letter from a Reader: “My beautiful 15 year old girl who just poured her heart out to me about how fat she thinks she is and how she doesn’t think anyone will ever love her.”

This is the heartbreaking gist of a mother’s seeking help that won’t hurt her daughter’s self-esteem.

For the purposes of this reply, let’s call them Mom and Annie. Further, I believe this question is based on a Psychology Today blog I wrote seven years ago about how to work with your teen who is overweight. Thanks, Mom, for delving so deeply into my past work!