Eating disorders belong to the leading causes of lost life years in young adult women. Current behavioral treatments are efficacious but reach only part of the affected women. The treatment presented in this book differs from many prior treatment approaches in that it assumes that disturbed eating behavior is a consequence of difficulties in emotion regulation. It focuses on imparting skills that improve self-management, foster mindful and healthy eating behavior, emotion regulation, social skills and distress tolerance.
"Treatment of Eating Disorders by Emotion Regulation" has a modular structure and is designed for use as the basis for inpatient and outpatient treatment and besides that has a self-help manual. It contains a plenty of psychoeducational materials, work sheets, case vignettes and background information for therapists.
Ulrich Schweiger is the Deputy Director of the Department of Psychiatry and Psychotherapy at the Lübeck University Medical Center and associate professor at the Lübeck University Medical School.
Valerija Sipos is the senior psychologist at the department of psychiatry and psychotherapy of the Lübeck university medical center. She is a board certified psychotherapist and family therapist.
- Table of contents
- Handling of the manual
- Part 1
- 1 Symptoms of the eating disorder module
- 1.1 Who is this manual for?
- 1.2 Symptoms of an eating disorder
- 2 Self-management tools module
- 2.1 Why is this module important?
- 2.2 What does a dialectical approach imply?
- 2.3 What does changing yourself mean?
- 2.4 Values and goals
- 2.5 Learning to plan
- 2.6 Learn how to deal with dialectical dilemmas
- 2.7 Learning Theory
- 2.8 Commitment
- 2.9 Keep a food diary
- 2.10 Learn chain analysis
- 2.11 Learn Behavioural Analysis
- 2.12 Application of the chain analysis and the behavioural analysis
- 3 Module for mindfulness and acceptance
- 3.1 How can mindfulness be practiced?
- 3.2 Learn mindfulness exercises
- 3.3 Steering mindfulness towards eating behaviour
- 3.4 Application of mindfulness within the "treatment of eating disorders by emotion regulation"
- 4 Module for healthy eating behaviour
- 4.1 Why is this module important?
- 4.2 Why healthy eating is important for emotional stability?
- 4.3 Nutritional knowledge
- 4.4 Normalisation of exercise behaviour
- 4.5 Elimination of interfering factors for healthy eating
- 5 Module dealing with emotions
- 5.1 Why this module is important?
- 5.2 What can you learn?
- 5.3 What we know about emotions?
- 5.4 Mindfulness of emotions
- 5.5 Influencing of emotions
- 5.6 Avoid emotions?
- 5.7 Accept emotions without changing them
- 5.8 Act with or opposite to your emotions?
- 5.9 Compassion
- 5.10 Things to know about major emotions
- 5.11 Reduce emotional lability
- 5.12 Application of the module "Dealing with emotions" in the treatment of eating disorders through emotion regulation
- 6 Interpersonal skills module
- 6.1 Why is this module important?
- 6.2 You can practice in the following areas and situations
- 6.3 What do we know about interpersonal skills?
- 6.4 How do interpersonal skills benefit you?
- 6.5 Planning of interpersonal situations
- 6.6 How can you practice interpersonal skills?
- 6.7 Insecure and aggressive behaviour
- 6.8 Damaging relationships
- 6.9 Conflict management strategies
- 6.10 Learning from problematic encounters
- 7 Module for stress tolerance
- 7.1 Principles underlying the application of stress tolerance skills
- 7.2 Psychological tension
- 7.3 Physical exercise for increasing stress tolerance
- 7.4 Thermal stimuli for increasing stress tolerance
- 7.5 Acoustic stimuli to increase stress tolerance
- 7.6 Taste and odour stimuli for increasing stress tolerance
- 7.7 Difficulties in the application of stress tolerance skills
- 7.8 Distract yourself from problem behaviour
- 7.9 Behavioural activation
- 7.10 List of activities
- 7.11 Imagination of a safe place
- 7.12 Contingency plan
- 7.13 Application of stress tolerance skills within the scope of treating eating disorders through emotion regulation
- 8 Implementation of the manual in different settings
- 8.1 Inpatient or intensive outpatient psychotherapeutic programme
- 8.2 Outpatient individual therapy
- Part 2 Characteristics of severely ill patients with eating disorders
- 1 Anorexia nervosa, borderline personality disorder and histrionic personality disorder
- 1.1 Anorexia nervosa with extreme underweight, major depression, obsessive compulsive disorder, post-traumatic stress disorder and borderline personality disorder
- 1.2 Bulimia nervosa, major depression, social phobia, borderline personality disorder and schizotypal personality disorder
- 1.3 Binge-eating disorder, borderline personality disorder and social phobia
- 1.4 Binge-eating disorder, borderline personality disorder, cannabis dependence and alcohol abuse
- 2 The rationale for choosing emotion regulation as a starting point for treating eating disorders
- 2.1 Emotion regulation and eating disorders: empirical findings
- 3 Theoretical foundations of treatment
- 3.1 Attitude of the therapist
- 3.2 Formulation of the framework of the therapy
- 3.3 Therapeutic Techniques
- 4 Information for therapists regarding the modules
- 4.1 Module for eating disorder symptoms
- 4.2 Module for self-management tools
- 4.3 Mindfulness and acceptance
- 4.4 Module for healthy eating behaviour
- 4.5 Module for emotion management
- 4.6 Module for interpersonal skills
- 4.7 Stress tolerance skills
- 5 Eating disorder - Basic knowledge for the therapist
- 5.1 The specific psychopathology of eating disorders
- 5.2 Non-specific signs of eating disorders
- 5.3 Screening for the presence of an eating disorder
- 5.4 The diagnostic process when an eating disorder is suspected
- 5.5 Medical diagnostics in patients with an eating disorder
- 6 Eating disorders and comorbidities
- 6.1 Epidemiology of comorbidities of eating disorders
- 6.2 Special aspects of the therapy of eating disorders with comorbidities
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