Sounds like laziness to me. However, what is causing this laziness? Is she depressed (because it sounds like she has several issues in her life that are bringing her down). However, these are her challenges and it is only she that can do something about it. The first thing that would help her is weight loss. This would help her arthritis and diabetes...not to mention, make her feel great about herself again and have a sense of accomplishment. Most of the overweight people in my life drink sodas all day long and eat fast food a little too often. If she can simply cut out sodas for an entire year (or caloric drinks), I can almost guarantee she will lose a significant amount of weight. If she's willing to go the extra mile and give up fast food, it will shed even faster. She is in a serious rut and needs to snap out of it for the sake of her kids, relationship and herself. If she's not willing to do anything about it, I think her husband needs to be frank with her. No, you are not "off" once your husband is home from work. At that point, you should be working half time. It is true, being a stay at home mom to very young children is extremely exhausting and hard (I'm living it too). However, what is she doing all day long? Being a stay at home mom includes challenging and entertaining your children, going to the store, preparing healthy meals, cleaning, laundry, and as most of you know, the list goes on and on! How close are you two? Are you close enough to tell her these things? Someone needs to encourage her in a positive way and her husband needs to say no. Although, he of course, is expected to help once he's home. He should encourage her to have a schedule and they should write it out and post it on the refrigerator. She needs a plan going forward. Just one step at a time, start with asking her to prepare a healthy meal every single night and removing all sugary drinks from the house. If she's at a loss where to start, they should sit down together, get on www.allrecipes.com and print out some easy recipes. As for the grocery, they can work that out and maybe one of them can go (w/o kids!) on the weekend. Then, after about 2 weeks to a month of this, add in something else. Maybe a cleaning schedule; only 15 minutes a day. All toilets one day, dusting the entire house the next, vacuuming the next, bathtubs, empty trash cans, wipe down all counter tops and mirrors the next, mopping....you get the picture. ...with a break on the weekends. If she can get this far, my guess is that she will start to feel so much better about herself. The issue is, how do you message this to the husband? Hopefully you are close. He's going to have to step up and be firm. Let her know he is not going to accept this behavior anymore but he will be supportive and help her get back on track. Lastly, she is only 44 years old. If she continues like this, she is going to be bed bound or in a wheel chair. It is her responsibility to stay healthy (emotionally and physically) for the sake of her family, so she will be around for many years to come. A lot of people want children so badly (I think many do it because it's the "thing to do"). Then, they aren't willing to do the work because raising children is extremely hard and exhausting. I know I wasn't quite prepared for all of this; but you just have to do it.