Cognitive Behavioral Therapy for Eating Disorders: A Comprehensive Treatment Guide
Glenn Waller, Helen Cordery, Emma Corstorphine, Rachel Lawson, Victoria Mountford
Language: English
Pages: 472
ISBN: B00AHTN4VQ
Format: PDF / Kindle (mobi) / ePub
This book describes the application of cognitive behavioural principles to patients with a wide range of eating disorders - it covers those with straightforward problems and those with more complex conditions or co-morbid states. The book takes a highly pragmatic view. It is based on the published evidence, but stresses the importance of individualized, principle-based clinical work. It describes the techniques within the widest clinical context, for use across the age range and from referral to discharge. Throughout the text, the links between theory and practice are highlighted in order to stress the importance of the flexible application of skills to each new situation. Case studies and sample dialogs are employed to demonstrate the principles in action and the book concludes with a set of useful handouts for patients and other tools. This book will be essential reading for all those working with eating-disordered patients including psychologists, psychiatrists, nurses, counsellors, dieticians, and occupational therapists.
(e.g., onset of suicidal ideas) can be dealt with within an environment and a plan that leave the patient feeling contained. Whilst multidisciplinary working is very important in providing the best care for the patient, it is vital that all professionals involved work from the same viewpoint about aspects of the patient’s care. If there are differences of opinion, then they must be kept separate from the team members’ work with the client. To ensure this separation, all those involved in a
useful when thinking about a person’s level or stage of motivation. Many readers may already be familiar with this, but a brief summary follows for those who are not. 6.1.4.1 Precontemplation (‘‘not ready’’) In this stage, patients are not ready to even contemplate a change in the foreseeable future (e.g., the next six months), possibly as a result of being unaware that their behaviors have negative consequences. In the case of those with eating disorders, they often perceive the eating
patient’s current experience is more likely to lead to a positive outcome. • Patients are likely to be at different stages of changes for each of their different eating disordered behaviors (e.g., they may be in the action stage of change with regards to changing their bingeing but in the precontemplative stage with regards to their restrictive eating). However, behaviors are usually linked in a cycle of maintenance (e.g., restriction triggers bingeing which in turns triggers restriction À see
11.4.1 Acollaborative stance 11.4.2 Supervision 11.4.3 Teamworking 11.4.4 Balancedworking 11.4.5 Takingcare of ourselves when personal matters may impact on us 11.4.6 Makingmistakes or letting the patient down unexpectedly 11.5 Summary 126 126 126 127 127 128 128 129 129 130 130 130 131 131 131 132 132 132 133 133 134 Setting and maintaining an agenda 12.1 General agenda of all CBT sessions 12.1.1 Monitoringmood and eating 12.1.2 ‘‘Standing’’agenda items 12.2 How to set the agenda 12.3 Some
for teas and coffees Breakfast Fruit juice or fruit 6 tablespoons of breakfast cereal (30 – 50g) * with milk/yoghurt 1-2 large slices of bread ** with butter/margarine and jam or similar Mid morning 1 portion fresh fruit / 2 plain biscuits (e.g. Rich Tea, Digestive), or similar Lunch 2-4 large slices of bread ** Meat/fish/cheese/pulses/beans/nuts/seeds or eggs Vegetables or salad Dessert – 1 carton of yoghurt (not diet) and a portion of fruit Mid afternoon 1 portion of fresh fruit / 2