DAA Part 2 Melbourne Workshop

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

Behaviours Thoughts
Emotions
Cognitive-Behavioural (CBT) Model

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

Behaviours Thoughts
Emotions
Situation: Driving to a meeting - 15 minutes EARLY

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!

Thoughts
Emotions
Could these thoughts influence your EMOTIONS?

How might you FEEL in this situation?
15 minutes
early
• Calm
• Positive
• Curious
• Self-confident
• Compassionate

Behaviours Thoughts
Emotions
How would these thoughts and emotions
influence your driving BEHAVIOUR?

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

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!

Thoughts
Emotions
How would these thoughts affect your emotions?

Behaviour Thoughts
Emotions
How would your driving behaviour be different?

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.

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

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.

Iceberg Analogy – Skim Under Surface
Help clients become aware of the thoughts
and feelings underlying their behaviours.
Refer the deeper issues to the therapists.

DAA Part 2 Melbourne Workshop

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