By Glenn Waller, Helen Cordery, Emma Corstorphine, Hendrik Hinrichsen, Rachel Lawson, Victoria Mountford, Katie Russell
This publication describes the appliance of cognitive behavioural rules to sufferers with a variety of consuming issues - it covers people with ordinary difficulties and people with extra complicated stipulations or co-morbid states. The ebook takes a hugely pragmatic view. it's in keeping with the broadcast facts, yet stresses the significance of individualized, principle-based medical paintings. It describes the thoughts in the widest medical context, to be used around the age variety and from referral to discharge. through the textual content, the hyperlinks among thought and perform are highlighted for you to tension the significance of the versatile software of abilities to every new state of affairs. Case experiences and pattern dialogs are hired to illustrate the rules in motion and the publication concludes with a collection of worthwhile handouts for sufferers and different instruments. This publication might be crucial studying for all these operating with eating-disordered sufferers together with psychologists, psychiatrists, nurses, counsellors, dieticians, and occupational therapists.
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Extra resources for Cognitive Behavioral Therapy for Eating Disorders: A Comprehensive Treatment Guide
The frequent use of purging (vomiting, laxatives, diuretics) greatly increases physical risk, especially if the patient is underweight. In addition, the following features indicate an elevated medical risk, which needs to be closely monitored: • excessive exercising at a low weight (due to cardiac risk) • blood in vomit (which may be due to serious esophageal or gastric tears) • inadequate fluid intake in combination with poor eating, including purging (due to the risks related to dehydration) • rapid weight loss, especially if the patient is underweight (BMI < 20) (see below for further details) • factors that disrupt ritualized eating habits (since the patient will be very unlikely to be able to replace the foods lost, leading to a deterioration in physical condition).
3 Format of treatment such as bingeing and weight gain/stabilization. In cases where the central target is bulimic pathology, we focus on the patient gaining control over most of the bulimic behaviors over the first 10À15 sessions. However, other behaviors may take longer, and we aim for a sustained reduction in these behaviors posttreatment, during the follow-up stage. Where weight gain is a key target, the aim is to establish weight change slowly and continuously over approximately 30 sessions, although sometimes we will support a period of stabilization part way through, to enable patients to feel confident about their ability to stop weight gain when they have reached their final target.
Rather, this book is based on the need to apply principles flexibly and appropriately. 1 Broad stages in CBT for the eating disorders To summarize, while useful protocols can be written for CBT for the eating disorders, they are often insuﬃcient for the delivery of treatment for the individual patient. There are broad stages of treatment, but they do not form a clear sequence. , in revising the formulation). It is easier to see the stages as themes, whose beginning is more identifiable than the ending.