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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
www.cravingchange.ca/welcome
Part 2
Change Thinking Habits
to Change Eating Habits
www.cravingchange.ca/welcome
Behaviours Thoughts
Emotions
Cognitive-Behavioural (CBT) Model
www.cravingchange.ca/welcome
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
www.cravingchange.ca/welcome
Behaviours Thoughts
Emotions
Situation: Driving to a meeting - 15 minutes EARLY
www.cravingchange.ca/welcome
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!
www.cravingchange.ca/welcome
Thoughts
Emotions
Could these thoughts influence your EMOTIONS?
www.cravingchange.ca/welcome
How might you FEEL in this situation?
15 minutes
early
• Calm
• Positive
• Curious
• Self-confident
• Compassionate
www.cravingchange.ca/welcome
Behaviours Thoughts
Emotions
How would these thoughts and emotions
influence your driving BEHAVIOUR?
www.cravingchange.ca/welcome
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
www.cravingchange.ca/welcome
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!
www.cravingchange.ca/welcome
Thoughts
Emotions
How would these thoughts affect your emotions?
www.cravingchange.ca/welcome
Behaviour Thoughts
Emotions
How would your driving behaviour be different?
www.cravingchange.ca/welcome
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.
www.cravingchange.ca/welcome
www.cravingchange.ca/welcome
www.cravingchange.ca/welcome
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
www.cravingchange.ca/welcome
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.
www.cravingchange.ca/welcome
Iceberg Analogy – Skim Under Surface
Help clients become aware of the thoughts
and feelings underlying their behaviours.
Refer the deeper issues to the therapists.
www.cravingchange.ca/welcome

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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 www.cravingchange.ca/welcome
  • 2. Part 2 Change Thinking Habits to Change Eating Habits www.cravingchange.ca/welcome
  • 3. Behaviours Thoughts Emotions Cognitive-Behavioural (CBT) Model www.cravingchange.ca/welcome
  • 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 www.cravingchange.ca/welcome
  • 5. Behaviours Thoughts Emotions Situation: Driving to a meeting - 15 minutes EARLY www.cravingchange.ca/welcome
  • 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! www.cravingchange.ca/welcome
  • 7. Thoughts Emotions Could these thoughts influence your EMOTIONS? www.cravingchange.ca/welcome
  • 8. How might you FEEL in this situation? 15 minutes early • Calm • Positive • Curious • Self-confident • Compassionate www.cravingchange.ca/welcome
  • 9. Behaviours Thoughts Emotions How would these thoughts and emotions influence your driving BEHAVIOUR? www.cravingchange.ca/welcome
  • 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 www.cravingchange.ca/welcome
  • 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! www.cravingchange.ca/welcome
  • 12. Thoughts Emotions How would these thoughts affect your emotions? www.cravingchange.ca/welcome
  • 13. Behaviour Thoughts Emotions How would your driving behaviour be different? www.cravingchange.ca/welcome
  • 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. www.cravingchange.ca/welcome
  • 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 www.cravingchange.ca/welcome
  • 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. www.cravingchange.ca/welcome
  • 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. www.cravingchange.ca/welcome