The document discusses several topics related to health behaviors including exercise, accidents, cancer screening, diet, and the science of eating. It provides information on the benefits of exercise, determinants of lack of exercise, characteristics that influence regular exercise, and interventions to increase exercise. It also discusses reducing different types of accidents through multi-factorial approaches. The document examines breast cancer screening through breast self-examination and resistance to adopting healthy eating behaviors. Finally, it touches on how taste and hormones influence food intake and the science of eating.

1. http://gnosticgirl.files.wordpress.com/2011/01/helping_hand.jpg
Specific Health-Related Behaviours
School of Health Sciences
Taylor, S. E. (2009). Health Psychology
(7th Edn). Pages 81 - 114.
Singapore: Mcgraw-Hill International.
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2. Exercise
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3. Exercise

4. Exercise
Benefits:

5. Exercise
Benefits:
• 30 minute of exercise can decrease the risk of chronic disease
inluding breast cancer.Yet, ...

6. Determinants of Regular Exercise

7. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:

8. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking

9. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight

10. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight
•lack of time

11. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight
•lack of time
•school, work, family or other social commitments

12. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight
•lack of time
•school, work, family or other social commitments
•stress, depression and other psychological factors

13. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight
•lack of time
•school, work, family or other social commitments
•stress, depression and other psychological factors
Regular exercise is a recognised form of “stress-
buster” yet in the above list,

14. Determinants of Regular Exercise
For most who are not school athletes, these
are factors influencing their lack of exercise:
•smoking
•overweight
•lack of time
•school, work, family or other social commitments
•stress, depression and other psychological factors
Regular exercise is a recognised form of “stress-
buster” yet in the above list,
stress is the main reason why people DON’T
exercise.

15. Characteristics Influencing
Regular Exercise

16. Characteristics Influencing
Regular Exercise
Convenient and Easy Access

17. Characteristics Influencing
Regular Exercise
Convenient and Easy Access
•people are more likely to work out if the exercise takes
place near home.

18. Characteristics Influencing
Regular Exercise
Convenient and Easy Access
•people are more likely to work out if the exercise takes
place near home.
Regular exercise breeds more regular exercise

19. Characteristics Influencing
Regular Exercise
Convenient and Easy Access
•people are more likely to work out if the exercise takes
place near home.
Regular exercise breeds more regular exercise
•people usually drop out within 6 months of a regular
exercise regime. Beyond 6 months, most continued with
routine.

20. Characteristics Influencing
Regular Exercise
Convenient and Easy Access
•people are more likely to work out if the exercise takes
place near home.
Regular exercise breeds more regular exercise
•people usually drop out within 6 months of a regular
exercise regime. Beyond 6 months, most continued with
routine.
Strong will-power needed

21. Characteristics Influencing
Regular Exercise
Convenient and Easy Access
•people are more likely to work out if the exercise takes
place near home.
Regular exercise breeds more regular exercise
•people usually drop out within 6 months of a regular
exercise regime. Beyond 6 months, most continued with
routine.
Strong will-power needed
•exercise is not easy and will-power is needed to sustain
individual for the first 6 months and beyond.

22. Intervention

23. Intervention
Theory of Planned Behaviour

24. Intervention
Theory of Planned Behaviour
•I think I can do it, I want to do it, I will do it.

25. Intervention
Theory of Planned Behaviour
•I think I can do it, I want to do it, I will do it.
•continency contracting, self-reinforcing and goal setting are
important

26. Intervention
Theory of Planned Behaviour
•I think I can do it, I want to do it, I will do it.
•continency contracting, self-reinforcing and goal setting are
important
Spiral model of the Stages of Change Theory

27. Intervention
Theory of Planned Behaviour
•I think I can do it, I want to do it, I will do it.
•continency contracting, self-reinforcing and goal setting are
important
Spiral model of the Stages of Change Theory
•pre-contemplative and contemplative may envelope people
with self-doubt about their ability to exercise.

28. Intervention
Theory of Planned Behaviour
•I think I can do it, I want to do it, I will do it.
•continency contracting, self-reinforcing and goal setting are
important
Spiral model of the Stages of Change Theory
•pre-contemplative and contemplative may envelope people
with self-doubt about their ability to exercise.
•removing these real or perceive obstacles will push the
individual towards action stage.

29. Accident Prevention
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30. Home Accidents

31. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:

32. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:
•falls and accidental poisoning.

33. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:
•falls and accidental poisoning.
•Ages 0-4 are the most accident-prone

34. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:
•falls and accidental poisoning.
•Ages 0-4 are the most accident-prone
In Singapore, accidents in the home is becoming a main
concern for the elderlies:

35. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:
•falls and accidental poisoning.
•Ages 0-4 are the most accident-prone
In Singapore, accidents in the home is becoming a main
concern for the elderlies:
•In Changi General Hosital, those aged 65 and above - make up
about 70 per cent of the home-accident cases handled by its
accident and emergency (A&E) (MyPaper, 2010)

36. Home Accidents
In the US, accidents in the home are one of the leading
causes of deaths for children under 5 through:
•falls and accidental poisoning.
•Ages 0-4 are the most accident-prone
In Singapore, accidents in the home is becoming a main
concern for the elderlies:
•In Changi General Hosital, those aged 65 and above - make up
about 70 per cent of the home-accident cases handled by its
accident and emergency (A&E) (MyPaper, 2010)
•In the US, over $20billion was spent as a result of falls-related
injuries and over 12 000 elderlies die from the same cause.

37. Workplace Accidents

38. Occupational Diseases
What is
conspicuously
missing
in this list?

39. Traffic Accidents

40. Traffic Accidents

41. Traffic Accidents

42. Traffic Accidents

43. Reducing Accidents

44. Reducing Accidents
Reduction of Risky Health Behaviours must
be multi-factorials.

45. Reducing Accidents
Reduction of Risky Health Behaviours must
be multi-factorials.
•inthe case of workplace and traffic accidents, the
government employs operant conditioning. fines for
safety violations, rewards for zero accidents.

46. Reducing Accidents
Reduction of Risky Health Behaviours must
be multi-factorials.
•inthe case of workplace and traffic accidents, the
government employs operant conditioning. fines for
safety violations, rewards for zero accidents.
•inthe case of childhood accidents, theory of
planned behaviour may explained why parents are
now better equipped to implement child safety at
home.

47. Reducing Accidents
Reduction of Risky Health Behaviours must
be multi-factorials.
•inthe case of workplace and traffic accidents, the
government employs operant conditioning. fines for
safety violations, rewards for zero accidents.
•inthe case of childhood accidents, theory of
planned behaviour may explained why parents are
now better equipped to implement child safety at
home.
•in
the case of elderly casualties at home, both social
engineering and cognitive re-adjustment may go
hand in hand.

48. Cancer-Related Health Behaviours
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49. Some Numbers About Cancers
The top killers of men and women in Singapore are
Colorectal and Breast cancers respectively.

50. Self-Examination - A Case Study

51. Self-Examination - A Case Study
Breast Self-Examination (BSE)

52. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women

53. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.

54. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.
• Despite this, few women practice BSE.

55. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.
• Despite this, few women practice BSE.
• Perhaps, it is because it is hard to find
lumps.

56. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.
• Despite this, few women practice BSE.
• Perhaps, it is because it is hard to find
lumps.
• Women with a family history of breast
cancer is more likely to practice BSE

57. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.
• Despite this, few women practice BSE.
• Perhaps, it is because it is hard to find
lumps.
• Women with a family history of breast
cancer is more likely to practice BSE
• Fear may act as a deterent to BSE

58. Self-Examination - A Case Study
Breast Self-Examination (BSE)
• Breast
cancer is affecting younger and
younger women
• 90%of all breast cancers are detected
through self-examination.
• Despite this, few women practice BSE.
• Perhaps, it is because it is hard to find
lumps.
• Women with a family history of breast
cancer is more likely to practice BSE
• Fear may act as a deterent to BSE
• Other
forms of screening such as
mammogram might be an alternative.

59. Developing a Healthy Diet
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60. The Case for Healthy Eating

61. The Case for Healthy Eating
•American health researchers
estimated that unhealthy eating claims
300,000 lives annually in the US

62. The Case for Healthy Eating
•American health researchers
estimated that unhealthy eating claims
300,000 lives annually in the US
•Dietary change is critical for people
with chronic diseases such as
diabetes, hypertension and cancer
(colon, stomach, pancreas, and
breast)etc.

63. The Case for Healthy Eating
•American health researchers
estimated that unhealthy eating claims
300,000 lives annually in the US
•Dietary change is critical for people
with chronic diseases such as
diabetes, hypertension and cancer
(colon, stomach, pancreas, and
breast)etc.
•Change to a healthy diet increases
health.

64. Healthy Eating

65. Resistance to Healthy Eating

66. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits

67. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.

68. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.
•Not easy to maintain change.

69. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.
•Not easy to maintain change.
•Family and social supported may not always be
there.

70. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.
•Not easy to maintain change.
•Family and social supported may not always be
there.
•Dietary change may be too extreme.

71. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.
•Not easy to maintain change.
•Family and social supported may not always be
there.
•Dietary change may be too extreme.
•Daily life is stressful leading to indulgence.

72. Resistance to Healthy Eating
•Difficult to get people to modify their eating
habits
•Dietary switch if done is often no tfor health
but for looks.
•Not easy to maintain change.
•Family and social supported may not always be
there.
•Dietary change may be too extreme.
•Daily life is stressful leading to indulgence.
•Not knowing which diet to follow.

73. A Psychological Warfare -
Why is it called a Happy Meal?

74. The Science of Eating

75. The Science of Eating
•Taste is the chemical gatekeeper of eating.

76. The Science of Eating
•Tasteis the chemical gatekeeper of eating.
•we crave three taste: sugar, salts, & fats

77. The Science of Eating
•Taste is the chemical gatekeeper of eating.
•we crave three taste: sugar, salts, & fats
•Hormones help to control food intake,
specifically:

78. The Science of Eating
•Taste is the chemical gatekeeper of eating.
•we crave three taste: sugar, salts, & fats
•Hormones help to control food intake,
specifically:
•Insulin: regulate sugar level

79. The Science of Eating
•Taste is the chemical gatekeeper of eating.
•we crave three taste: sugar, salts, & fats
•Hormones help to control food intake,
specifically:
•Insulin: regulate sugar level
•Leptin: Signal to our brains whether or not
we have sufficient fat reserves. Inhibits
appetite.

80. The Science of Eating
•Taste is the chemical gatekeeper of eating.
•we crave three taste: sugar, salts, & fats
•Hormones help to control food intake,
specifically:
•Insulin: regulate sugar level
•Leptin: Signal to our brains whether or not
we have sufficient fat reserves. Inhibits
appetite.
•Ghrelin: Secreted by specialised cells in the
stomach. Makes us feel hungry.

81. Weight Control & Obesity
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82. Risks of Obesity
Cholestrol
Chronic
Blood
Obesity
Disability
Cancers
Diseases
Pressure
Level

83. Risks of Obesity
Blood
Pressure
Cholestrol
Chronic
Obesity
Disability
Cancers
Diseases
Level

84. Risks of Obesity
Blood
Pressure
Chronic
Obesity
Disability
Cancers
Diseases
Cholestrol
Level

85. Risks of Obesity
Blood
Cancers
Pressure
Chronic
Obesity
Disability
Diseases
Cholestrol
Level

86. Risks of Obesity
Blood
Cancers
Pressure
Chronic
Obesity
Diseases
Cholestrol
Disability
Level

87. Risks of Obesity
Blood
Cancers
Pressure
Chronic
Obesity Diseases
Cholestrol
Disability
Level

88. Consequences of Obesity

89. Consequences of Obesity
•If
I am fat at 40, I am more likely to die 3 years
younger than someone who is thin.

90. Consequences of Obesity
•If
I am fat at 40, I am more likely to die 3 years
younger than someone who is thin.
•Thefatter I am, the more difficult it is for me to
exercise.

91. Consequences of Obesity
•If
I am fat at 40, I am more likely to die 3 years
younger than someone who is thin.
•Thefatter I am, the more difficult it is for me to
exercise.
•I
am more likely to encounter problems in
surgery, anaesthesia and childbearing.

92. Consequences of Obesity
•If
I am fat at 40, I am more likely to die 3 years
younger than someone who is thin.
•Thefatter I am, the more difficult it is for me to
exercise.
•I
am more likely to encounter problems in
surgery, anaesthesia and childbearing.
•InUSA, obesity accounts for 14% of all deaths
from cancer for men, and 20% for women.

93. Childhood Obesity
Obese
Video
Internet
Genes
Diet
TV
Games
Child

94. Childhood Obesity
Genes
Obese
Video
Internet
Diet
TV
Games
Child

95. Childhood Obesity
Genes
Obese
Internet
Diet
TV
Video
Games Child

96. Childhood Obesity
Genes
Obese
Internet
Diet
Video
Games Child
TV

97. Childhood Obesity
Genes
Obese
Diet
Video
Games Child
TV Internet

98. Childhood Obesity
Genes
Obese
Video
Games Child Diet
TV Internet

99. Childhood Obesity
Genes Some Points
to Ponder
Obese
Video
Games Child Diet
TV Internet

100. Childhood Obesity
Genes Some Points
to Ponder
USA
- 37%
Obese
Video
Games Child Diet
TV Internet

101. Childhood Obesity
Genes Some Points
to Ponder
USA
- 37%
Obese Singapore
Video -12%
Games Child Diet
TV Internet

102. Childhood Obesity
Genes Some Points
to Ponder
USA
- 37%
Obese Singapore
Video -12%
Games Child Diet
China
-10%
TV Internet

103. Childhood Obesity
Genes Some Points
to Ponder
USA
- 37%
Obese Singapore
Video -12%
Games Child Diet
China
-10%
Overeating babies
more likely to
become obese
adults.
TV Internet

104. Factors Associated with Obesity
Set Point
Family
Obesity
Stress
Obesity
Culture
Dieting
Wealth
Theory of
History
Weight

105. Factors Associated with Obesity
Not just genes. 44%
of dogs belonging
to obese owners
Family becomes obese.
History
Set Point
Obesity
Stress
Obesity
Culture
Dieting
Wealth
Theory of
Weight

106. Factors Associated with Obesity
Family
History
Set Point
Wealth Obesity
Stress
Obesity
Culture
Dieting
Theory of
Weight
Healthy food
can be
expensive.

107. Factors Associated with Obesity
Family
History
Set Point
Wealth Obesity
Stress
Obesity
Dieting
Theory of
Weight
Type of
Culture diet. Feeding
habits

108. Factors Associated with Obesity
Family
History
Set Point
Wealth Obesity
Stress
Dieting
Theory of
Weight
Higher basal
insulin levels
that induces
Culture Obesity hunger

109. Factors Associated with Obesity
“YoYo” dieting
reduces metabolic
Family rate. Off diet
weight gained
History occurs even when
eating less foodd
Set Point
Wealth Obesity
Stress
Theory of
Weight Dieting
Culture Obesity

110. Factors Associated with Obesity
We all have an
Set Point ideal weigh.
Theory of This set-point
Family Weight is like a
History thermostat
Wealth Obesity
Stress
Dieting
Culture Obesity

111. Factors Associated with Obesity
Stress causes
more intake of
Set Point
food or Less.
Theory of Affects normal
Family Weight balance
History Stress
Wealth Obesity
Dieting
Culture Obesity

112. Treatment of Obesity

113. Treatment of Obesity
Dieting

114. Treatment of Obesity
Dieting
Surgery

115. Treatment of Obesity
Appetite
Suppressing
Drugs
Dieting
Surgery

116. Treatment of Obesity
The Multi-
Appetite
Suppressing Modal Approach
Drugs
Dieting
Surgery

117. The Multimodal Approach

118. The Multimodal Approach

119. The Multimodal Approach
Screening

120. The Multimodal Approach
Screening
Self-
Monitoring

121. The Multimodal Approach
Screening Adding
Exercise
Self-
Monitoring

122. The Multimodal Approach
Screening Adding
Exercise
Self-
Monitoring
Controlling
Eating

123. The Multimodal Approach
Screening Adding
Exercise
Controlling Self-
Self-Talk
Monitoring
Controlling
Eating

124. The Multimodal Approach
Screening Adding
Exercise
Controlling Self-
Self-Talk
Monitoring
Social Controlling
Support Eating

125. The Multimodal Approach
Screening Adding
Exercise
Preventing Controlling Self-
Relapse
Self-Talk
Monitoring
Social Controlling
Support Eating

126. Weight Management Tips
A cognitive-behavioural approach

127. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness

128. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.

129. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.

130. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.

131. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating

132. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly

133. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.

134. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.

135. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.

136. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.

137. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food

138. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.

139. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.

140. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

141. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat.
•Keep track of your weight.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

142. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and
why.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

143. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
While You’re Eating
•Pace yourself - Eat slowly
•Pay attention to your eating
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

144. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are.
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

145. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

146. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

147. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the
meal.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

148. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

149. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips.
•Limit number of pre-prepared
items.
•Don’t shop when you are hungry.

150. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items.
•Don’t shop when you are hungry.

151. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

152. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more
•Keep track of your weight. available than unhealthy ones.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

153. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether
why. dining in or out.
•Think about limitations and
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

154. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your
•Pace yourself - Eat slowly eating routine before dining out
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

155. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process.
•Pay attention to how full you are. Exercise
•Eat at the same place and at the
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

156. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing.
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

157. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

158. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your •Be informed.
meal. daily routine.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

159. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your •Be informed.
meal. daily routine. •Know your recommended daily
calories, vitamins and minerals.
Shopping for Food Working with Others
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

160. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your •Be informed.
meal. daily routine. •Know your recommended daily
calories, vitamins and minerals.
Shopping for Food Working with Others •Know your food.
•Plan your shopping trips. •Incorporate friends & families
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

161. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your •Be informed.
meal. daily routine. •Know your recommended daily
calories, vitamins and minerals.
Shopping for Food Working with Others •Know your food.
•Plan your shopping trips. •Incorporate friends & families •Eat a balanced diet.
•Limit number of pre-prepared into your goals.
items. •Tell them how they can help you
•Don’t shop when you are hungry. achieve your goals.

162. Weight Management Tips
A cognitive-behavioural approach
Increasing Awareness Eating Environment Attitudes
•Keep track of what you eat. •Make healthy foods more •Think about your weight loss
•Keep track of your weight. available than unhealthy ones. goals - be realistic.
•Write down what you eat and •Stick to eating routine whether •Progress is good but not
why. dining in or out. reaching your goal does not
•Think about limitations and mean you failed.
While You’re Eating possible adjustments to your •Think about your desire for
•Pace yourself - Eat slowly eating routine before dining out food.
•Pay attention to your eating or eating with other people.
process. •Manage your food. Work
•Pay attention to how full you are. through your cravings.
•Eat at the same place and at the Exercise
same time. •Track your exercise.
•Eat one portion, and serve •Look for what you enjoy doing. Nutrition
yourself before beginning the •Incorporate exercise into your •Be informed.
meal. daily routine. •Know your recommended daily
calories, vitamins and minerals.
Shopping for Food Working with Others •Know your food.
•Plan your shopping trips. •Incorporate friends & families •Eat a balanced diet.
•Limit number of pre-prepared into your goals. •Prepare food that are both
items. •Tell them how they can help you healthy and taste good.
•Don’t shop when you are hungry. achieve your goals.

163. Stigma of Obesity

164. Stigma of Obesity
Criticisms
from love ones

165. Stigma of Obesity
Wrong tactics by
parents out of concern
such as shaming and
withdrawing of love
Criticisms
from love ones

166. Stigma of Obesity
Wrong tactics by
Targets of parents out of concern
insensitive such as shaming and
comments withdrawing of love
Criticisms
from love ones

167. Stigma of Obesity
Wrong tactics by
Targets of parents out of concern
insensitive such as shaming and
comments withdrawing of love
Perceived lack
of acceptance Criticisms
from their from love ones
social circle

168. Stigma of Obesity
Wrong tactics by
Targets of parents out of concern
insensitive such as shaming and
comments withdrawing of love
Perceived lack
of acceptance Criticisms
from their from love ones
social circle
Feelings of
social isolation
and alienation

169. Stigma of Obesity
Wrong tactics by
Targets of parents out of concern
insensitive such as shaming and
comments withdrawing of love
Perceived lack
of acceptance Criticisms
from their from love ones
social circle
“Blaming the victim” - the public
may unfairly blame the obese
Feelings of individuals problems on him or her.
social isolation This is evident from advice such as
and alienation “Why don’t you lose some weight?”

170. Eating Disorders
http://creoflick.net/images/Anorexia-4071.jpg

171. What You See Isn’t What You Want

172. Is What We Want Achievable?
or
Is Barbie Human?

173. Is What We Want Achievable?
or
Is Barbie Human?
Here’s what I have to add or subtract
to be like Barbie:

174. Is What We Want Achievable?
or
Is Barbie Human?
Here’s what I have to add or subtract
to be like Barbie:
• Add 13 cm to your chest.

175. Is What We Want Achievable?
or
Is Barbie Human?
Here’s what I have to add or subtract
to be like Barbie:
• Add 13 cm to your chest.
• Make your neck longer by 8 cm.

176. Is What We Want Achievable?
or
Is Barbie Human?
Here’s what I have to add or subtract
to be like Barbie:
• Add 13 cm to your chest.
• Make your neck longer by 8 cm.
• Be taller by 60 cm.

177. Is What We Want Achievable?
or
Is Barbie Human?
Here’s what I have to add or subtract
to be like Barbie:
• Add 13 cm to your chest.
• Make your neck longer by 8 cm.
• Be taller by 60 cm.
• Reduce your waist by 15 cm

178. Prevalence
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

179. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

180. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
• Ofthe girls, 63% are on diet. 16% of the
boys are on diet.
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

181. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
• Ofthe girls, 63% are on diet. 16% of the
boys are on diet.
• In Singapore, what are the figures?
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

182. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
• Ofthe girls, 63% are on diet. 16% of the
boys are on diet.
• In Singapore, what are the figures?
• According to the 2005 study on the right,
there is a total of 126. Has the situation
improved or worsen?
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

183. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
• Ofthe girls, 63% are on diet. 16% of the
boys are on diet.
• In Singapore, what are the figures?
• According to the 2005 study on the right,
there is a total of 126. Has the situation
improved or worsen?
• Existence
of “Pro-Ana” (Pro Anorexia) sites
in Facebook, Tumblr or Twitter a worrying
trend?
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

184. Prevalence
• In the US, weight control among teenagers
is judged to reached epidemic proportions
• Ofthe girls, 63% are on diet. 16% of the
boys are on diet.
• In Singapore, what are the figures?
• According to the 2005 study on the right,
there is a total of 126. Has the situation
improved or worsen?
• Existence
of “Pro-Ana” (Pro Anorexia) sites
in Facebook, Tumblr or Twitter a worrying
trend?
• How many people do you know have a mild
to severe eating disorder (binge diet etc)?
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore:
an eight­year retrospective study. Singapore Medical Journal , 46 (6), 276.

185. Another Look at Numbers
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore: an
eight­year retrospective study. Singapore Medical Journal , 46 (6), 277.

186. Not Just a Question of Wanting to Look Good.
Lee, H. Y., Lee, E. L., P, P., & Chan, Y. H. (2005). Anorexia Nervosa in Singapore: an
eight­year retrospective study. Singapore Medical Journal , 46 (6), 278.

187. Treatment of Anorexia
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

188. Treatment of Anorexia
Chief Objective
Bring Weight Up to Safe Level
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

189. Treatment of Anorexia
Chief Objective
Bring Weight Up to Safe Level
Motivate
Get buy-in from patient
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

190. Treatment of Anorexia
Chief Objective
Bring Weight Up to Safe Level
Motivate
Get buy-in from patient
Encourage
Active & collaborative approach
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

191. Treatment of Anorexia
Chief Objective
Bring Weight Up to Safe Level
Motivate
Get buy-in from patient
Encourage
Active & collaborative approach
Perservere
Treatment takes a long time of
1-2 years
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

192. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

193. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Stress
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

194. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Stress
Low Self-Esteem
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

195. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Familial Pressure
Stress
Low Self-Esteem
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

196. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Familial Pressure
Stress
Constant
Food
Cravings
Low Self-Esteem
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

197. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Familial Pressure
Stress
Constant
Food
Cravings
Low Self-Esteem Control
Issues
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

198. Developing Bulimia
Bulimics are typically of normal to overweight especially
at the hips.
Familial Pressure
Stress
Feelings of Constant
being Food
unattractive Cravings
Low Self-Esteem Control
Issues
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199. Treatment of Bulimia
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200. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
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201. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

202. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
Control
Keeping diary of eating habits
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203. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
Control
Keeping diary of eating habits
Modify
Increasing regularity of meals
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204. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
Control
Keeping diary of eating habits
Modify
Increasing regularity of meals
Re-Programme
Eating favourite foods in new settings not
previously associated with bingeing
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

205. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
Control
Keeping diary of eating habits
Modify
Encourage
Increasing regularity of meals Perceptions of self-efficacy
Re-Programme
Eating favourite foods in new settings not
previously associated with bingeing
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

206. Treatment of Bulimia
Convince
Bulimic behaviour is unsafe.
Persuade
Help is available.
Control
Keeping diary of eating habits
Modify
Encourage
Increasing regularity of meals Perceptions of self-efficacy
Re-Programme Re-Habilitate
Eating favourite foods in new settings not Place in treatment facility if behaviour
previously associated with bingeing becomes too compulsive to break.
http://1.bp.blogspot.com/_Ysx4W5IJ5AY/TPRNe5WbA4I/AAAAAAAAAHI/BPJ0oYGj10I/s1600/woman%2Blooking%2Bat%2Bfood%2Bplate%2Bwith%2Blittle%2Bfood.jpg

207. Sleep
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208. What is Sleep?
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

209. NREM 4 Stages
What is Sleep?
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

210. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

211. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

212. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

213. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

214. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

215. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

216. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
http://www.ideachampions.com/weblogs/dare-to-dream.jpg

217. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

218. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
& earliest stage of
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

219. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

220. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

221. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
3.Dream vividly.
temperature drops.
3.Deep sleep
4.Deep sleep.
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

222. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
3.Dream vividly.
temperature drops.
3.Deep sleep The REM stage is
4.Deep sleep. believed to bemost
important for:
Stages 3 & 4 are
believed to bemost
important for::
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

223. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
3.Dream vividly.
temperature drops.
3.Deep sleep The REM stage is
4.Deep sleep. believed to bemost
important for:
Stages 3 & 4 are
believed to bemost • Consolidating
important for:: problems.
• Restoring energy.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

224. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
3.Dream vividly.
temperature drops.
3.Deep sleep The REM stage is
4.Deep sleep. believed to bemost
important for:
Stages 3 & 4 are
believed to bemost • Consolidating
important for:: problems.
• Restoring energy. • Solving problems
from previous day.
• Strengthening
Immune system.
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg
release growth
hormone.

225. NREM 4 Stages
What is Sleep?
1.Surrounding sounds
tuned out. Lightest
REM
1.Eyes dart back and
& earliest stage of
forth.
sleep. Easily awaken.
2.Breathing & heart
2.Breathing & heart
rates flutter.
rates even out, boy
3.Dream vividly.
temperature drops.
3.Deep sleep The REM stage is
4.Deep sleep. believed to bemost
important for:
Stages 3 & 4 are
believed to bemost • Consolidating
important for:: problems.
• Restoring energy. • Solving problems
from previous day.
• Strengthening • Turning knowledge
Immune system.
into long term
• Prompting body to http://www.ideachampions.com/weblogs/dare-to-dream.jpg memories.
release growth
hormone.

226. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing.
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227. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing.
39% sleep
less than 7
hours/night
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228. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing.
39% sleep
less than 7
hours/night
and mood.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

229. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing. Chronic insomnia affects
the ability to secrete and
respond to diabetes
39% sleep
less than 7
hours/night
and mood.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

230. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing. Chronic insomnia affects
the ability to secrete and
respond to diabetes
39% sleep
less than 7
hours/night Shift workers who
suffered
disordered sleep
have high rate of
respiratory tract
infection
and mood.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

231. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing. Chronic insomnia affects
the ability to secrete and
respond to diabetes
39% sleep
less than 7
hours/night Shift workers who
suffered
disordered sleep
have high rate of
respiratory tract
infection
and mood. Stress affects
sleep and lack of
sleep creates
further stress
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

232. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing. Chronic insomnia affects
the ability to secrete and
respond to diabetes
39% sleep
less than 7
hours/night Shift workers who
suffered
disordered sleep
have high rate of
Affects respiratory tract
cognitive infection
functioning
and mood. Stress affects
sleep and lack of
sleep creates
further stress
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

233. Sleep and Health
Sleep is a health practice that we constantly abuse
without knowing. Chronic insomnia affects
the ability to secrete and
respond to diabetes
39% sleep
less than 7
hours/night Shift workers who
suffered
disordered sleep
have high rate of
Affects respiratory tract
cognitive infection
functioning
Long sleepers may
and mood. Stress affects have certain
psychopathology
sleep and lack of such as chronic
sleep creates worrying
further stress
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

234. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

235. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked.
Apnea
disrupts sleep
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236. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked.
Apnea
disrupts sleep
Daytime sleepiness
have been linked to
insulin resistance.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

237. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked. Treatment in severe
cases may involve cutting
of excessive tissues at
Apnea the back of the throat.
disrupts sleep
Daytime sleepiness
have been linked to
insulin resistance.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

238. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked. Treatment in severe
cases may involve cutting
of excessive tissues at
Apnea the back of the throat.
disrupts sleep
Other
treatment
involves
relaxation
therapies
Daytime sleepiness
have been linked to
insulin resistance.
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

239. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked. Treatment in severe
cases may involve cutting
of excessive tissues at
Apnea the back of the throat.
disrupts sleep
Other
treatment
involves
relaxation
therapies
Daytime sleepiness Treatment includes
have been linked to using machine to
insulin resistance.
force mouth open
and air into body
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

240. Sleep Apnea
Sleep Apnea is the condition where the airways are
blocked. Treatment in severe
cases may involve cutting
of excessive tissues at
Apnea the back of the throat.
disrupts sleep
Other
Sleeper sometimes
stops breathing for up treatment
to 3 minutes and might
have triggered involves
nighttime deaths. relaxation
therapies
Daytime sleepiness Treatment includes
have been linked to using machine to
insulin resistance.
force mouth open
and air into body
http://farm1.static.flickr.com/153/424345063_965408137b_o.jpg

241. Rest, Renewal, Savouring
http://letmebeme1.files.wordpress.com/2011/02/hand-holding-seedling.jpg

242. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring

243. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise

244. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise
at least 3 times
a week

245. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise
at least 3 times
a week
Keep Your
Bedroom
Cool

246. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise
at least 3 times
a week
Keep Your
Bedroom
Cool
Sleep in a comfortable
bed that’s big enough for
you.

247. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular
at least 3 times schedule of going to
a week bed and waking up.
Keep Your
Bedroom
Cool
Sleep in a comfortable
bed that’s big enough for
you.

248. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular
at least 3 times schedule of going to
a week bed and waking up.
Develop nightly
Keep Your rituals before
bed such as
Bedroom taking a shower.
Cool
Sleep in a comfortable
bed that’s big enough for
you.

249. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular
at least 3 times schedule of going to
a week bed and waking up.
Develop nightly
Keep Your rituals before
bed such as
Bedroom taking a shower.
Cool Use fan or noise
generator to mask
Sleep in a comfortable
background sound.
bed that’s big enough for
you.

250. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up.
Develop nightly
Keep Your rituals before
bed such as
Bedroom taking a shower.
Cool Use fan or noise
generator to mask
Sleep in a comfortable
background sound.
bed that’s big enough for
you.

251. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up. Too much aroma
therapy can be bad.
Develop nightly
Keep Your rituals before
bed such as
Bedroom taking a shower.
Cool Use fan or noise
generator to mask
Sleep in a comfortable
background sound.
bed that’s big enough for
you.

252. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up. Too much aroma
therapy can be bad.
Develop nightly
Keep Your rituals before
bed such as
Bedroom taking a shower.
Cool Use fan or noise
generator to mask
Sleep in a comfortable
background sound.
bed that’s big enough for Don’t eat too much
you. or too little

253. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up. Too much aroma
therapy can be bad.
Develop nightly
Keep Your rituals before Don’t nap
bed such as
Bedroom taking a shower.
after 3pm!
Cool Use fan or noise
generator to mask
Sleep in a comfortable
background sound.
bed that’s big enough for Don’t eat too much
you. or too little

254. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up. Too much aroma
therapy can be bad.
Develop nightly
Keep Your rituals before Don’t nap
bed such as
Bedroom taking a shower.
after 3pm!
Cool Use fan or noise
Cut back on that
afternoon or evening
generator to mask
caffeinated cuppa,
Sleep in a comfortable
background sound.
bed that’s big enough for Don’t eat too much
you. or too little

255. Guide to a Good Night’s Sleep
The first step to Rest, Renewal, Savoring
Get Regular Exercise Cultivate regular Don’t smoke or drink
at least 3 times schedule of going to too much.
a week bed and waking up. Too much aroma
therapy can be bad.
Develop nightly
Keep Your rituals before Don’t nap
bed such as
Bedroom taking a shower.
after 3pm!
Cool Use fan or noise
Cut back on that
afternoon or evening
generator to mask
caffeinated cuppa,
Sleep in a comfortable
background sound.
If sleepless, read in another
bed that’s big enough for Don’t eat too much corner so that your bed or
you. or too little
bedroom won’t be associated
with sleeplessness.

256. Learn to Take Time Outs!
Appreciate a sunset
or Mother Nature’s
offerings

257. Learn to Take Time Outs!
at rip.
Go on
the
B reak y.
mon oton
Appreciate a sunset
or Mother Nature’s
offerings

258. Learn to Take Time Outs!
at rip. Chill out
Go on after the
the
reak y.
exams o
r
B
oton
a
mon
stressful
day!
Appreciate a sunset
or Mother Nature’s
offerings