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Many obese children and adolescents will be monitored and identified by their primary care provider before reaching tertiary care centers or mental health specialists. The primary care provider should screen for the medical and psychiatric conditions discussed above and then refer to necessary specialists for additional treatment. The Expert Committee recommends that all children and adolescents be screened through calculation of BMI (Barlow and Expert Committee 2007). If indicated, it is then recommended that practitioners assess parental obesity, review family medical history, screen for obesity-related medical comorbidities, and review systems including sleep, respiratory, gastrointestinal, endocrine, nervous system, cardiovascular, psychiatric, orthopedic, skin, genetic, and lab testing. Behavioral assessment of parent and patient goals, dietary behaviors, and physical activity participation should also be conducted. Please refer to Barlow and Expert Committee (2007) for full Expert Committee recommendations regarding medical assessment.

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Table Reference Number
TABLE 25–3. Sample psychiatric evaluation for overweight or obese youth

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