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Eating Disorders Counselor Certificate Training Part 8


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Part of a 12 part series of courses at 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.

Published in: Health & Medicine
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Eating Disorders Counselor Certificate Training Part 8

  1. 1. Dr. Dawn-Elise Snipes PhD, LPC, LMHC, CRC, NCC Clinical Director, Unlimited CEUs $99 per year Copyright
  2. 2. <ul><li>APA Guidelines Eating Disorders 2005 </li></ul>Unlimited CEUs $99 per year Copyright
  3. 3. <ul><li>Amelioration of the most disabling symptoms </li></ul><ul><li>Re-establishment of previous emotional equilibrium </li></ul><ul><li>Development of the patient’s understanding of the current disturbance </li></ul><ul><li>Development of better coping skills in the future </li></ul>Unlimited CEUs $99 per year Copyright
  4. 4. <ul><li>Brief </li></ul><ul><li>More active and Directive </li></ul><ul><li>Focus of treatment is negotiated </li></ul><ul><li>Little interpretation of underlying issues. Focus is on understanding what the behavior is a solution for. </li></ul><ul><li>Traditional Therapy </li></ul><ul><li>More passive </li></ul><ul><li>Treatment focus is often dictated by the therapist </li></ul><ul><li>Much interpretation of underlying “issues” </li></ul>Unlimited CEUs $99 per year Copyright
  5. 5. <ul><li>Focuses on: </li></ul><ul><ul><li>Strengths </li></ul></ul><ul><ul><li>Resources </li></ul></ul><ul><ul><li>Competencies </li></ul></ul><ul><li>In what ways does interpretation play a part in brief therapy? </li></ul><ul><li>What is the purpose of understanding the “underlying issues” if that is not a focus of brief therapy? </li></ul><ul><li>Do you need to address the underlying issues? </li></ul><ul><ul><li>If yes, how within this framework? </li></ul></ul><ul><ul><li>If no, Why not? </li></ul></ul>Unlimited CEUs $99 per year Copyright
  6. 6. <ul><li>What does being “hungry” mean? What is it a solution too? </li></ul><ul><li>What does being “fat” mean? What is it a solution too? </li></ul>Unlimited CEUs $99 per year Copyright
  7. 7. <ul><li>When we talk about addictions and eating disorders, we often speak of “disease” </li></ul><ul><li>How can you transform the way you look at these disorders from a “disease” to a solution? </li></ul><ul><li>With the high relapse rate, how can we get away from the “disease” concept? (Hint: think strength of reinforcer) </li></ul>Unlimited CEUs $99 per year Copyright
  8. 8. <ul><li>What place does nutrition counseling have with ED </li></ul><ul><ul><li>Not invalidating the client’s concern about food and weight too soon </li></ul></ul><ul><ul><li>Helping clients understand the function of food in their lives </li></ul></ul><ul><ul><li>Helping clients increase their awareness of food choices and rate of consumption </li></ul></ul>Unlimited CEUs $99 per year Copyright
  9. 9. <ul><li>The focus of therapy is </li></ul><ul><ul><li>Generating exceptions </li></ul></ul><ul><ul><li>Picturing a new life [with] the client </li></ul></ul><ul><ul><li>Validating that change toward that end is becoming a reality </li></ul></ul><ul><li>Three simple rules </li></ul><ul><ul><li>If it ain’t broke, don’t fix it </li></ul></ul><ul><ul><li>Do more of what works </li></ul></ul><ul><ul><li>Do not keep doing what does not work </li></ul></ul>Unlimited CEUs $99 per year Copyright
  10. 10. <ul><li>Typically </li></ul><ul><ul><li>Have significant cognitive distortions </li></ul></ul><ul><ul><li>Focus on their inabilities </li></ul></ul><ul><ul><li>Perceive the world dichotomously </li></ul></ul><ul><li>Improving ED client’s sense of self-efficacy is one goal of the process </li></ul><ul><li>Another is assessing whether clients have the necessary resources and competencies to solve their own problems </li></ul><ul><ul><li>When you are not binging, what are you doing? </li></ul></ul><ul><ul><li>Has there ever been a time you got upset and you didn’t binge? What did you do? </li></ul></ul><ul><ul><li>What have you tried to control your bingeing? </li></ul></ul>Unlimited CEUs $99 per year Copyright
  11. 11. <ul><li>After eliciting competencies, strengths and resources, the therapist can use these to individualize the solution to assist the client in achieving her goal. </li></ul><ul><ul><li>Enhance exceptions </li></ul></ul><ul><ul><li>Highlight strengths </li></ul></ul><ul><ul><li>Mobilize resources </li></ul></ul><ul><li>The client and therapist work together cooperatively with the client functioning as “expert” in her treatment and defining the goals of therapy </li></ul><ul><li>Change is viewed as inevitable and constant and one small change in any area produces reciprocal changes </li></ul>Unlimited CEUs $99 per year Copyright
  12. 12. <ul><li>Treatment focuses on what is changeable and possible </li></ul><ul><li>The therapist is an active participant whose goal is to identify, reinforce and amplify change </li></ul><ul><li>Conversely her role is also to ignore, fail to reinforce and reduce negative behaviors </li></ul><ul><li>Ways to increase treatment compliance </li></ul><ul><ul><li>3x5 cards </li></ul></ul><ul><ul><li>Coin Toss </li></ul></ul><ul><ul><li>Leverage </li></ul></ul>Unlimited CEUs $99 per year Copyright
  13. 13. <ul><li>Try to work with the client to agree upon mutually acceptable goals even if that means negative reinforcement such as avoiding hospitalization </li></ul>Unlimited CEUs $99 per year Copyright
  14. 14. <ul><li>Focusing on other parts of the client besides her “bulimia” or “anorexia” brings to light that the client is multi-faceted and forces her to acknowledge that there are other parts to herself---she is not JUST a bulimic </li></ul>Unlimited CEUs $99 per year Copyright
  15. 15. <ul><li>Goals—what you ultimately want to achieve in 6 months or less </li></ul><ul><li>Objectives---mini goals that must be accomplished to get to the larger goal </li></ul><ul><li>Interventions---how you are going to accomplish the larger goal </li></ul><ul><li>Motivations (Decisional balance exercises) </li></ul><ul><ul><li>Reasons for and against change </li></ul></ul><ul><ul><li>Reasons for and against staying the same </li></ul></ul>Unlimited CEUs $99 per year Copyright
  16. 16. <ul><li>Brief Therapy seeks to help clients identify the motivations for their behaviors and desires for change </li></ul><ul><li>Helping the client identify their current strengths and resources helps them feel more self-confident </li></ul><ul><li>The focus is on the purpose of the behaviors in the present </li></ul>Unlimited CEUs $99 per year Copyright