Q: I am 15 and weigh probably almost 300 pounds. Since I was a little girl, I have tended to gain a lot of weight. I don't like to go to the gym, but I do like to play basketball when I have nothing else to do. School is a disaster; all I hear is "Shut up, fatty." When I'm in PE, it feels like an embarrassment because I don't regularly run, so I look stupid and I get tired quickly. I have to do something. To me, it's not all about prom and parties and all that other stuff. It's just that I would like to look good for myself, but I don't know how to do it!

A: The teenage years come with built-in insecurities, but for those who are overweight, everything is compounded. Simple childhood pleasures like trying to play sports are anything but enjoyable when you fear that all eyes are on you. But you said the most important words: "I want to look good for myself."

Your first step is to see your family doctor. If you don't have one, find a clinic with a pediatrician on staff. Before you start any type of weight program, your doctor needs to make sure about your health. After that, ask your doctor where to go next. He or she might suggest a registered dietitian, a weight-loss program like Weight Watchers or even a bariatric doctor, one who specializes in weight control.

Although genes strongly influence body type and size, environment also plays a role. People today may be gaining weight because of unhealthy food

Do you turn to food for emotional reasons, such as when you feel upset, sad or stressed-out? Getting healthy emotionally will help you get healthy physically. Consider attending an Overeaters Anonymous meeting to work on the emotional aspects of eating. If your parents aren't supportive, find others who will be. Start with a plan. Ask your doctor for help. Cut back on sugary beverages, watch your food proportions and get more exercise, even if it's just 10 minutes a day at first. Stick to your plan and stay the course. You deserve to do this for yourself.

Kelly Richardson is a licensed therapist in Folsom who specializes in working with teenagers. Send questions to krichardson@sacbee.com.