Amber has been obese since primary school. This is not something that she developed a few year back. Now, with the YT money, she can eat as much as she wants. In the past, she was restricted by a lack of fund and other restrictions, which is why she lost 89 lbs. It is clear that the only way she can lose weight is through both psychological and nutritional counseling. You are right that she will never subject herself to such counseling because she does not believe that there is anything wrong with her. This is also why she is not getting health insurance because she does not think that there is anything wrong with her physically. She thinks that all her present illness are just run-of-the-mill ones that if only doctors could listen to her, they could be easily resolved. She thinks that she is as healthy as any other 30 yo.