Parents are oftentimes concerned about how to approach the topic of weight with their children without causing additional stigmatization- without adding more psychological burden to their children. My feeling is that in our extraordinarily weight-conscious society, where on the one hand we have these media images of extreme thinness, especially of female beauty, and on the other, everybody, especially children, are getting heavier and heavier, that the overweight child knows that she is different. And she has probably been the subject of teasing and ridicule and is already developing a negative body self-image. So these issues are very much present in most children's minds. Bringing them up, in a sensitive and thoughtful fashion, I think, is not going to be a surprise to the child. It's actually going to be a relief to the child if she can talk about it to somebody who really cares and listens, and can be the first step on the road toward improving self-esteem. But it should be done in a way that really emphasizes that it's not the child's fault, perhaps pointing out how many forces are arrayed in society against us as we try to live a healthy lifestyle.