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DAA Part 2 Melbourne Workshop
1. Part Two:
Why did I eat that when I
know it’s not good for me?
Wendy Shah, RD & Colleen Cannon, PhD,RPsych
Dietitians Association of Australia
National Conference
May 20, 2016 Melbourne, VIC
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4. CBT Model Explained
• A model for understanding human behaviour
• Examines the link between how we think, how
we feel and how we behave.
• Effective in helping people who face a wide
variety of challenges, including problematic
eating, alleviate their distress and move
forward.
• Next slides demonstrate a CBT example
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6. What THOUGHTS might you have in this situation?
15 minutes
early
• I love this song
• I don’t want to go to this
meeting, but I need to
• I should grab some groceries
on the way home
• Traffic is heavy, I’m glad I
have some extra time
• That guy’s a bad driver – I
should give him some space!
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10. What are your driving behaviours in this situation?
• Following the speed limit
• Letting other cars merge
• Stopping at a yellow light
• No tail gating
• Enjoying surroundings
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11. Situation: Driving to a meeting - 15 minutes LATE
THOUGHTS > >
• I hate that venue
• Get. Out. Of. My. Way.
• Why didn’t I just leave 10
minutes earlier???
• There’s no way I can walk in
there late
• I’m an idiot!
• This outfit needs pressing
• No time for a coffee!
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14. Why CBT?
The cognitive-behavioral model has well-
established support for:
Disordered eating
Group and individual work
Short-term interventions
Cognitive-behavioural interventions have been
recommended in Clinical Practice Guidelines for
various conditions around the world.
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17. Stepped Care Model of Delivery
“Start with the simplest, least intrusive, and least
costly treatment.”
Wilson, Vitousek, & Loeb, 2000
Stepped Care Treatment for Eating Disorders
J Consult Clin Psychol 2000:68 (4): 564-72
A significant proportion of eating disordered
patients get better with a minimal intervention,
others can be referred on
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18. Stepped Care Delivery
• You do not have to be a trained therapist to
use CBT techniques.
• Dietitians can use basic CBT interventions with
clients who struggle with their eating.
• Referrals to psychosocial professionals may be
necessary, but not mandatory.
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19. Iceberg Analogy – Skim Under Surface
Help clients become aware of the thoughts
and feelings underlying their behaviours.
Refer the deeper issues to the therapists.
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