The goal of this clinical trial is to learn if an emotion regulation and self-monitoring intervention can help treat overweight and obesity in teens. The main question it aims to answer is: * Does emotion regulation and self-monitoring help reduce biases in teens with overweight and obesity? * Do changes in biases relate to changes in health functioning and health behavior? Researchers will compare the intervention to the provision of educational handouts about overweight and obesity to see if the intervention is more effective. Participants will: * Complete self-report questionnaires, an fMRI scan, and have their blood drawn * Received educational handouts or attend weekly telehealth group sessions weekly for four weeks and be asked to self-monitor their mood and behavior between sessions * Return to complete the same questionnaires, fMRI and blood draw procedures
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Percentage BOLD (Blood Oxygenation Level Dependent) signal change
Timeframe: From enrollment to the end of treatment at week 5
Glucose tolerance per blood samples
Timeframe: From enrollment to the end of treatment at week 5
Triglycerides per blood samples
Timeframe: From enrollment to the end of treatment at week 5
Cholesterol per blood samples
Timeframe: From enrollment to the end of treatment at week 5
C peptide per blood samples
Timeframe: From enrollment to the end of treatment at week 5
Emotion regulation per Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) and Positive Affect (DERS-PA) versions
Timeframe: From enrollment to the end of treatment at week 5
Self-report disordered eating cognitions and behaviors per Eating Disorder Examination-Questionnaire
Timeframe: From enrollment to the end of treatment at week 5
Self-report average daily minutes and intensity of physical activity per Patient-Reported Outcomes Measurement Information System (PROMIS) scale
Timeframe: From enrollment to the end of treatment at week 5
Self-report average daily minutes and intensity of physical activity per Physical Activity Questionnaire for Adolescents (PAQ-A)
Timeframe: From enrollment to the end of treatment at week 5
Self-report average daily minutes engaging in sedentary behavior per National Health and Nutrition Examination Survey (NHANES) items
Timeframe: From enrollment to the end of treatment at week 5
Self-report acceptability per face-valid questionnaire
Timeframe: From enrollment to the end of treatment at week 5
Percentage of sessions attended (by participant)
Timeframe: From enrollment to study completion, an average of 1 year
Number of participants enrolled
Timeframe: From enrollment to study completion, an average of 1 year
Rate of attrition
Timeframe: From enrollment to study completion, an average of 1 year