Table I.

Outline of Primary and Secondary Control Enhancement Training for Adolescents with POCS

Session	Weigh-ins; 45–60 min of manualized treatment; 20 min of physical activity
1	Psychoeducation about comorbid depression and physical illness, CBT, and problem-solving approaches; incorporation of lifestyle change determined by adolescent; and difference between dieting and lifestyle change
2	Constructing physical illness narrative; applying the problem-solving approach to illness coping and lifestyle barriers, assess impact of sleep disturbances; logging food and physical activity; reading food labels; and avoiding food traps
3	Choosing enjoyable solo activities (physical activity); planning social activities; developing social problem-solving skills; resetting lifestyle goals (nutrition and exercise); avoiding sneak eating; and psychological vs. physiological hunger
4	Relaxation techniques; choosing 2–3 behaviorally activating events; planning ahead for healthy meals, special occasions, and eating out
5	Showing positive self; developing talents; body image development; re-assess lifestyle goals; staying motivated; increasing physical activity; everyday lifestyle movement; and decreasing sedentary behavior
6	Identifying negative cognitive distortions; review body image diary; review sleep; and developing a health body image and self-esteem
7	Modifying negative cognitive distortions and attributions regarding health, emotions, and physical self; coping with barriers (teasing, bullying, and moodiness)
8	Practicing positive reframing using thoughts, distracting activities, and social support; review of skills; staying on track; avoiding making lapses turn into relapses; and discussing booster session schedule