HomesteadSchools.com - Counseling for Eating Disorders

Learning Objectives

1.	Define an eating disorder.
2.	State Gerald Russell’s description of “bulimia nervosa.”
3.	Briefly describe the behavior of someone with an eating disorder.
4.	Indicate the normal range for the body mass index.
5.	Describe the person who is anxious.
6.	List the physical toll on the body of the person who is anorexic.
7.	Describe bulimia according to Gerald Russell.
8.	State the average age of the bulimia sufferer.
9.	State the percent of bulimics who are male, according to Carlat and Camargo.
10.	List the psychological disturbances that bulimics may have.
11.	State the medical professional who may be first to diagnose bulimia.
12.	Describe the person with a binge eating disorder according to Wilfley.
13.	Briefly list the 5 characteristics of binge eating according to DSM-IV.
14.	List the medical causes for overeating.
15.	Describe Arthur Crisp’s work of 1980.
16.	State the common idea of all psychosomatic theories.
17.	State the food group that reduces negative mood states.
18.	Describe the anorexic family according to Minuchin.
19.	Describe how a person with an eating disorder attempts to bring control to a chaotic life.
20.	Define the systems theory.
21.	Describe the role of antidepressants in the treatment of bulimia.
22.	State the percent of anorexics and bulimics who suffer from obsessive compulsive
23.	Describe why ballet dancers and athletes are more likely to become anorexic or bulimic.
24.	Briefly describe the “restrained eater,” and state who proposed this concept in 1975.
25.	Describe 4 important aspects of cognitive behavioral therapy.
26.	List the 3 stages for treating eating disorders.
27.	Define the “early maladaptive therapy.”
28.	Describe Zen psychology.
29.	Describe the perfect body as viewed by young people.
30.	State why the bulimic has puffy cheeks.
31.	State the most attractive feature of cognitive behavioral therapy.
32.	List the one chief aim of cognitive therapy approach.
33.	Describe the most effective way to assess a person with an eating disorder.
34.	Define dysmorphophobia.
35.	Describe the group of people whom questionnaires are least helpful.
36.	List and describe the 6 stages of change as outlined by Prochaska and Di Clemente.
37.	State why record keeping is unsuccessful.
38.	State the average number of calories needed per day for the average healthy woman.
39.	List the fat-soluble vitamins.
40.	State where glycogen is stored.
41.	State the number of meals and snacks that should be included in a day’s meal plan.
42.	Define resting energy expenditure and its readings in the anorexic patient.
43.	Describe why bloating occurs during refeeding.
44.	List an example of a target that needs to be set by the counselor.
45.	State why clients should purchase clothes at their current size.
46.	List the three negative thoughts of people with eating disorders.
47.	Define core beliefs
48.	Define deconstructive language.
49.	Describe a continuum.
50.	State if there is a connection between prior events and bingeing.
51.	Describe the reason for poor outcomes for the bulimic patient.
52.	List another method used concurrently with cognitive behavioral therapy for people
53.	State how long the usual course of treatment will continue for bulimics.
54.	List the reasons for diet slips and “lapses.”
55.	State the main reason for a lapse into old habits.
56.	State the critical disadvantage of group work.
57.	State the critical BMI for the anorexic patient that requires hospitalization.

Course Contents

1	What is an Eating Disorder?
		A note about psychiatric diagnosis
		Recognition of eating disorder
		The relationship between weight and eating disorder
		Anorexia nervosa
		Bulimia nervosa
		Atypical eating disorders
		Other cause of weight loss or gain or unusual eating behaviors
2	Causes of Eating Disorders
		Psychosomatic theories
		The family as a source of eating disorder
		Eating disorder and other psychiatric diagnoses
		Anorexia and bulimia nervosa as sociocultural phenomena
		Eating disorder as learned behavior
		Eating disorder as a corollary to dieting and food deprivation
		The restraint hypothesis
		Conclusions
3	A Cognitive Behavioral Approach to Eating Disorders
		What is cognitive behavior therapy?
		An outline of the characteristics of cognitive behavior therapy
		The nature of cognitive behavior therapy as applied to eating disorders
		A broad interpretation of cognitive therapy for eating disorders
		The theoretical basis of cognitive behavior therapy in relation to eating disorders
		The structure of cognitive therapy for eating disorders
		The acceptability of cognitive therapy for eating disorders
		How effective is cognitive behavior therapy for eating disorders?
		Conclusions
4	Beginning the Counseling Process
		The initial stages
		Some questions to ask when assessing the person with an eating disorder
		The use of questionnaires in the assessment of eating disorders
		Presenting the cognitive behavior view and formulating the problem
		Assessment of motivational stage in people with an eating disorder
		Self-monitoring by the client
		Setting the agenda for therapy
		Psychoeducation
5	Nutritional Aspects of Helping the Eating-Disordered Client
		Nutritional knowledge of eating-disordered clients
		Nutritional counseling
		The body’s need for good nutrition
		Knowledge about energy balance and weight regulation
		Information about the specific effects of bingeing and purging
		Information about the effects of food and eating on metabolism
		Establishing a normal eating pattern with obese binge eaters: to diet or not?
		Establishing weight gain with anorexics
6	Behavioral Techniques
		Self-monitoring
		Target setting
		Self-reward
		Scheduling pleasant events
		Behavioral techniques for controlling overeating (self-control)
		Taking exercise
		Practicing “normal” eating
		Exposure
		Assertiveness around food
		Relaxation and stress management
		Conclusion
7	Cognitive Techniques
		Identifying negative thoughts
		Answering negative thoughts
		Homework
		Identifying and dealing with dysfunctional assumptions and core beliefs
		Modifying assumptions and core beliefs
		Exploring the meaning of eating disorder symptoms
		Getting “stuck”
		Conclusion
8	Adapting to Complex Situations and Dealing with Endings
		Working with severe and complex cases
		The end of the counseling relationship
		Preventing relapse
		Involving family members in the counseling
		Working with groups
		Working in parallel with other treatments
		Conclusion
	Conclusion
	Appendix 1: Eating Disorders and Their Effects
	Appendix 2: Eating Problems: Resources for Clients
	Appendix 3: Guidelines for Normal Healthy Eating
	Appendix 4: The Effects of Strict Dieting and Starvation and of Giving Them Up
	Appendix 5: Medical and Physical Problems Caused by the Symptoms of Eating Disorders
	Appendix 6: Controlling What You Eat
	Appendix 7: Giving Up Vomiting as a Way to Control Your Weight or Deal with Stress
	Appendix 8: Learning to be Assertive about What You Eat: A Bill of Rights
	References

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