Question: Martha M. Was Recently Diagnosed With Type 2 Diabetes Mellitus. She Is 50 Years Old, 5’6″, And 180 Lbs. A Homemaker, She Is Married To An Electrician, And Their Only Child Is Away At College. She Is Finding It Increasingly Difficult To Motivate Herself To Get Involved In Outside Activities And Exercise Now That The House Is Empty. Martha Describes Her …

Martha M. was recently diagnosed with type 2 diabetes mellitus. She is 50 years old, 5’6″, and 180 lbs. A homemaker, she is married to an electrician, and their only child is away at college. She is finding it increasingly difficult to motivate herself to get involved in outside activities and exercise now that the house is empty. Martha describes her typical daily eating pattern as follows: She wakes in the morning at the same time as her husband, makes them both coffee, and prepares a warm breakfast for him before he leaves for work. She continues to drink her coffee but does not eat. She gathers her “to do” list and completes it around 11:00 am. Then she rewards herself after a busy morning with a pastry and makes another pot of coffee. For the rest of the afternoon, she will clean the house or work on crafts until about 5:30 PM. She does not engage in regular physical activity. She will then begin making dinner so that it will be prepared by about 7:00 PM, when her husband arrives home. Standard dinners may include sausage lasagna and a small side salad; or fried chicken, mashed potatoes and gravy, and canned corn; or spaghetti and meatballs with toasted garlic bread and milk. Usually, they will have dessert and share a bowl of ice cream or a brownie when they watch a movie at home. 1. In preparation for your initial counseling session with Martha, compile a list of initial behavioral modification ideas and strategies that may be appropriate. 2. What are Martha’s possible antecedents or cues to eating? Can you identify any response chains? 3. Identify two specific behavior changes that Martha may want to try. 4. What would be some eating changes or goals that might be created with Martha’s input? 5. What self-management and/or self-monitoring techniques might be successful for Martha?