By Debra L. Safer, Christy F. Telch, Eunice Y. Chen
This groundbreaking ebook supplies clinicians a brand new set of instruments for assisting humans conquer binge-eating sickness and bulimia. It provides an variation of dialectical habit remedy (DBT) constructed expressly for this inhabitants. The remedy is exclusive in drawing close disordered consuming as an issue of emotional dysregulation.
Featuring vibrant case examples and 32 reproducibles, the ebook exhibits the best way to positioned an finish to binge consuming and purging by means of educating consumers extra adaptive how one can deal with painful feelings. step by step guidance are supplied for enforcing DBT abilities education in mindfulness, emotion rules, and misery tolerance, together with a especially adapted ability, aware eating.
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Extra resources for Dialectical Behavior Therapy for Binge Eating and Bulimia
Escaping a feared situation). Adaptive emotion regulation requires the ability to label, to monitor, and to modify emotional reactions, including the ability to accept and tolerate emotional experiences when emotions cannot, in the short run, be changed. The theoretical model on which this treatment is based proposes that the core problem for individuals with BED and BN is emotion regulation dysfunction. This dysfunction is a result of both emotion vulnerability and inadequate skills for adaptive emotion regulation.
If the client understands the skill, determine whether greater strengthening is needed through additional practice. If so, help the client to set realistic practice goals. If the problem is due to a lack of motivation, the commitment strategies described earlier and given in greater detail in Chapter 3 (and see also Linehan, 1993a) are utilized. For instance, the therapist may have the client review pros and cons of practicing skills, form a plan of action to practice skills, and commit to the plan to overcome obstacles to skills practice (including self-criticism for lack of practice) for the upcoming week.
7. Convey enthusiasm. , research assistant, study physician), the pretreatment interview may be the first opportunity for the therapist to actually meet the client. The most important goal of this meeting is for the therapist (or cotherapist when treatment is in a group format) to begin to develop a therapeutic alliance. The second goal of the pretreatment interview is to provide the therapist with an opportunity to gain a general picture of the client’s difficulties with eating. In the case of Sarah, age 36, in Chapter 8, her binge eating and purging tended to occur during evenings when her husband traveled and she had been particularly stressed supervising her two children’s homework and getting them ready for bed.