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From Steve, child's age 23

I hope you all will forgive me if I slip my daughter Megan in as a child even though she is 23. (Actually Megan is not 23 emotionally as she suffers from impulsivity, low initiative and poor self esteem.) Megan weighs 220 and is 5' 6". She started gaining weight about 8 years ago when her Grandmother, with whom she had a conflicted relationship, died. Megan still lives at home with us and is a good moral person with a great sense of humor. And as a family we eat a very healthy Mediterranean style diet with no sugar and low fat. So obviously she is bingeing offsite as she is exercising regularly with walking and an old Richard Simmons video. She has tried lots of diets with no real success. We live in a Third world country so our access to spas, etc. is limited. We have sent her to a psychiatrist but with no real success. I see Megan having more and more physical and emotional health problems due to her obesity and am more than willing to invest financially in her future. The problem is I don't know what to do. My questions: (Finally) 1. Are there other web sites or e-mail lists, perhaps monitored by professionals,that specifically address our situation profiled above that anyone could recommend? 2. Does anyone have a recommendation on a short term live-in spa-type facility that would help Megan? Or even an Internet based support group? While we are not "big rich" money is not an issue. 3. Do concrete rewards (bribes?) help children in losing weight? Megan has ALWAYS wanted to go to Florence, Italy. I have thought about offering to send her and her mom to Florence when she loses 25 punds and keeps them off for say three months. And she also really wants a car. I've thought about getting her a car at 50# and keepng it off for six months. But I also don't want to make the situation worse and I'm no psychiatrist. Your suggestions, please? My thanks in advance and my sympathies to the folks listed who have lost their children. Steve