Eating Disorders Counselor Certificate Training Part 6

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Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.

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Eating Disorders Counselor Certificate Training Part 6

  1. 1. Dr. Dawn-Elise Snipes PhD, LPC, LMHC, CRC, NCC Clinical Director, AllCEUs.com Unlimited CEUs $99 per year. Copyright AllCEUs.com
  2. 2. <ul><li>In this modern age we find ourselves asking whether or not food has more than symbolic meanings. </li></ul><ul><li>Recent research has practical implications for everyday life. </li></ul><ul><li>Meals low in carbohydrates alter neurotransmitters and affect moods </li></ul><ul><li>Lack of some large neutral amino acids that occurs when fasting increases serotonin uptake increasing depression. </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  3. 3. <ul><li>Eating carbohydrate rich foods raises tryptophan levels reducing carbohydrate craving </li></ul><ul><li>Tryptophan is converted to serotonin. </li></ul><ul><li>In addition to the biochemical components, carbohydrate snacks are craved because they soothe. </li></ul><ul><li>Bulimic individuals may binge on carbohydrates to make up for serotonin deficits and for comfort </li></ul><ul><li>Some antidepressants (Selective Serotonin Reuptake Inhibitors: SSRIs)have been shown to be helpful in decreasing binge episodes . </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  4. 4. <ul><li>Carbohydrates should comprise about 50 to 60% of the food we eat </li></ul><ul><li>When deprived of them we quickly become carbohydrate depleted and a crave them </li></ul><ul><li>When a person has enough intake of carbohydrates and serotonin, carbohydrate craving stops. </li></ul><ul><ul><li>How can we help that persons with eating disorders identify the difference between a true carbohydrate craving versus and emotional craving? </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  5. 5. <ul><li>Persons with eating disorders have a love-hate relationship with water </li></ul><ul><li>It fills them up / Makes them feel bloated </li></ul><ul><li>Dehydration leads to </li></ul><ul><ul><li>Cravings for salt, sugar </li></ul></ul><ul><ul><li>Constipation </li></ul></ul><ul><ul><li>Lethargy which can be misinterpreted as laziness by the overly self-critical ED patient </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  6. 6. <ul><li>Most, if not all, eating-disordered patients will vehemently resist any attempts to get them to eat 60% carbohydrates. </li></ul><ul><ul><li>How can you approach this in solution focused therapy? </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  7. 7. <ul><li>Disturbances of serotonin systems have been postulated to occur in anorexia and bulimia. </li></ul><ul><li>Elevated levels of certain serotonin metabolites in renourished anorexic patients indicates increased serotonin activity predisposing the person to anxiety of obsessiveness and inhibitions. </li></ul><ul><li>Starvation to decrease serotonin may be a “solution” to reduce obsessiveness, or anxiousness. </li></ul><ul><li>Bulimics do not have enough serotonin which leads to increased meal size, longer meal duration, increase carbohydrate consumption and reduced satiety . </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  8. 8. <ul><li>Food restriction has been shown to produce psychological deterioration for many women including anxiety, depression, irritability, and moodiness. </li></ul><ul><li>Therefore, the emotional and physiological disturbances associated with Eating Disorders may be brought about by the actual dieting and purging </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  9. 9. <ul><li>Developing sound eating habits empowers individual to take as much control of her life as she can. </li></ul><ul><li>Patients cannot change a brain based difficulty, but they can exercise and eat foods that correct neurochemical imbalances and help regulate body weight. </li></ul><ul><li>Research suggests eating three balanced meals every four to five hours with snacks as needed is the best approach </li></ul><ul><li>One main point to emphasize is that all food groups can and should be part of a healthy diet. </li></ul><ul><li>To lose weight, it is better to cut down on the portion size than to eliminate a food group altogether. </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  10. 10. <ul><li>Since most patients with eating disorders fear carbohydrates they will need to be supported as they increase intake </li></ul><ul><li>It should be emphasized that increasing these foods should not begin until the later stages of treatment. </li></ul><ul><li>Assisting the client to increase her overall carbohydrate intake while maintaining a low &quot;net carb&quot; intake will </li></ul><ul><ul><li>help reduce some of the superstitious anxiety surrounding carbohydrates and gaining weight </li></ul></ul><ul><ul><li>raise serotonin levels without encountering extreme resistance </li></ul></ul><ul><ul><li>empower the client still maintain controls over that which she most fears. </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  11. 11. <ul><li>Caffeine </li></ul><ul><ul><li>It is recommended to abstain from caffeinated beverages. </li></ul></ul><ul><ul><li>This runs contrary to the suggestion that no food group should be eliminated. </li></ul></ul><ul><ul><li>Encourage the patient to reduce her amount of caffeine </li></ul></ul><ul><ul><li>In no way should you take control over a patient’s eating or order her to stop drinking caffeine. </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  12. 12. <ul><li>Help the client identify </li></ul><ul><ul><li>triggers for a binge </li></ul></ul><ul><ul><li>cues that elicit mindless eating </li></ul></ul><ul><ul><li>help the patient identify ways to feel less powerless over food. </li></ul></ul><ul><li>Help the client devise: </li></ul><ul><ul><li>Ways to avoid triggers </li></ul></ul><ul><ul><li>Ways to break the automatic “knee-jerk” response to binge </li></ul></ul><ul><ul><li>alternatives to eating to cope with stress </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  13. 13. <ul><li>Most patients with eating disorders are well aware of the fat, carbohydrate, protein and calorie content of foods. </li></ul><ul><li>Often they lack an awareness of why some foods, lead them to feel “fat” </li></ul><ul><ul><li>Prior conditioning and associations </li></ul></ul><ul><ul><li>Disinhibition </li></ul></ul><ul><ul><li>Heaviness = Fatness </li></ul></ul><ul><li>Encouraging them to focus on what they're eating only encourages the obsessive behaviors </li></ul><ul><li>Instead, encourage them to focus on </li></ul><ul><ul><li>Why they are eating </li></ul></ul><ul><ul><li>The rate at which they are eating </li></ul></ul><ul><ul><li>What their body is craving </li></ul></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com
  14. 14. <ul><li>A balanced diet will ensure adequate supply of building blocks for neurotransmitters </li></ul><ul><li>If the client is not in medical jeopardy, let her set the pace for adjusting eating behaviors </li></ul><ul><li>Start re-introducing carbohydrate rich foods that are also high in fiber </li></ul><ul><li>Most ED clients will never accept a diet with 60% carbs, aim for 40% high quality carbs, 30% fat, 30% protein </li></ul><ul><li>Clients may use food and binges as a distraction to “throw focus” from treatment or “blame” you if her behaviors exacerbate. </li></ul>Unlimited CEUs $99 per year. Copyright AllCEUs.com

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