Eating Disorders: Time For Change: Plans, Strategies, and Worksheets

by Villapiano,Mona

• ISBN13: 9781583910573
• ISBN10: 1583910573
• eBook ISBN(s): 9781135057695
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2001-01-25
• Publisher: Routledge
• More Book Details

Summary

This collection for therapists and clients presents practical, how-to information, for the treatment of eating disorders. The authors have kept the needs of the therapist in mind by considering managed care as well as specific therapeutic issues. Prochaska's stages of change theory is successfully applied to the treatment of eating disorders. This resource will maximize the efficient use of time and resources for the therapist and increase the efficacy of work with clients with eating disorders. Clients will find the tools to be helpful resources and a critical extension of individual therapy.

Table of Contents

Acknowledgments	xi
Preface	xiii
Introduction	1	(6)
The Stages of Change	2	(2)
Summary	4	(3)
Therapist Issues	7	(10)
The Therapist's Waiting Room	7	(1)
The Therapist's Dress	8	(1)
The Therapist's Relationship with Food	9	(1)
The Therapist's Use of Food and Drink	9	(1)
Cultural and Religious Practices and Attitudes	10	(1)
Vegetarianism	10	(1)
The Sex of the Therapist	11	(1)
The Pregnant Therapist	11	(1)
Therapist/Client ``Fit'' and the Use of Language	12	(1)
The Abused Client	12	(1)
Time	13	(1)
The Treatment Team	13	(1)
The Therapeutic Contract	13	(1)
Case Load	14	(1)
Intakes	14	(1)
Summary	15	(2)
The Initial Assessment	17	(24)
The Initial Greeting	17	(1)
The Structure and Frame of the Session	17	(1)
The Four-Part Assessment	18	(3)
Early Stages of Change	21	(1)
Ending the Initial Evaluation Session	21	(1)
The Consultation	22	(1)
Summary	22	(1)
Worksheets	23	(18)
Understanding Hunger	41	(8)
Hunger and the Stages of Change	44	(1)
Summary	45	(1)
Worksheets	46	(3)
Food: Fear and Restriction	49	(12)
History of Food Fears and Restrictions	49	(4)
A Plan for Change	53	(1)
Summary	54	(1)
Worksheets	55	(6)
Binge Eating and Purging	61	(12)
Case Illustrations	61	(6)
Summary	67	(1)
Worksheets	68	(5)
Body Image and Weight	73	(8)
Weight and the Stages of Change	75	(2)
Summary	77	(1)
Exercise: ``My Body...My Self''	78	(3)
The Athlete	81	(10)
Athletes in the Stages of Change	82	(2)
Team Treatment Approach to Athletes with Eating Disorders	84	(1)
Summary	84	(1)
Worksheets	85	(6)
Substance Abuse and Eating Disorders	91	(8)
Addiction	92	(2)
Two Case Illustrations	94	(4)
Summary	98	(1)
Sexual Abuse and Eating Disorders	99	(12)
Addressing Issues of Sexual Abuse in Each Stage of Change	100	(7)
Tracking Worksheet for Clients with Multiple Self-destructive Behaviors	107	(4)
Nutritional Counseling	111	(22)
The History of the Food Pyramid	111	(2)
The History of Nutritional Counseling	113	(1)
The Therapist's Nutrition Assessment	114	(1)
Nutritional Issues Across the Stages of Change	115	(2)
Summary	117	(2)
Worksheets	119	(14)
Medical Care	133	(26)
Introduction and Overview	133	(1)
Usual Division of Roles	134	(1)
Office Preparation for the Primary Care Clinician	134	(1)
Initial Visit with the Primary Care Clinician for a Patient Known to Have an Eating Disorder	135	(1)
Making an Initial Diagnosis of an Eating Disorder	136	(3)
Medical Guidelines for Outpatient Management	139	(1)
Prochaska's Stages of Change Theory for the Medical Provider	139	(3)
Guidelines for Hospitalization and Follow-up	142	(2)
A Few Other Issues	144	(1)
Glossary of Medical Terminology for Non-medically-trained Clinicians	145	(2)
Summary	147	(1)
Initial Assessment Form and Worksheets	148	(11)
Psychopharmacological Issues and Management	159	(10)
Medication Indications	159	(2)
Comorbid Conditions	161	(1)
Medication Side Effects	161	(1)
Issues in Medication Management	162	(1)
Medication Efficacy	163	(1)
The Role of the Non-medical Clinician in Medication Management	164	(1)
The Stages of Change and Medication	165	(2)
Conclusion	167	(2)
References	169	(2)
Recommended Reading	171	(2)
Index	173