Revealing Essential Goals for Eating Disorder Treatment
Channel: Doc Snipes
Date: 2018-01-19

Revealing Essential Goals for Eating Disorder Treatment 

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor.  She received her PhD in Mental Health Counseling from the University of Florida in 2002.  In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com A direct link to the CEU course is https://www.allceus.com/member/cart/index/product/id/56/c/

AllCEUs provides #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education.
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Nurses, addiction and #mentalhealth #counselors, #socialworkers and marriage and family#therapists can earn #CEUs for this and other presentations at AllCEUs.com

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This was recorded as part of a live #webinar

0:00 Introduction
0:39 Objectives Review the prevalence of eating disorders Identify assessment areas Identify risk and protective factors Explore complications Explore potential guidelines for treatment
9:24 Treat associated psychiatric conditions, including deficits in mood and impulse regulation and self-esteem and behavioral problems Enlist family support and provide family counseling and therapy where appropriate Prevent relapse.
26:01 Attempts to conduct formal psychotherapy with starving patients who are often negativistic, obsessional, or mildly cognitively impaired may be ineffective. For children and adolescents, the evidence indicates that family interventions should help the families become actively involved in a blame-free atmosphere, in helping patients eat more and resist compulsive exercising and
34:08 Bulimia and Binge Eating Disorder Bulimia Diagnostic Criteria Recurrent episodes of binge eating Recurrent inappropriate compensatory behaviors (such as self- induced vomiting, misuse of laxatives, fasting, or excessive exercise) in order to prevent weight gain The binge eating and inappropriate compensatory behaviors both occur, on average, at least 1x/week for 3 months. Self-evaluation is unduly influenced by body shape and
43:18 Antidepressants are effective as one component of an initial treatment program for most bulimia nervosa patients SSRI treatment having the most evidence for efficacy and the fewest difficulties with adverse effects. To date, fluoxetine is the best studied. Sertraline is the only other SSRI that has been shown to be effective
47:28 Getting started Exploration of motivation to change through readiness rulers, imagining a future with or without AN, casting one's mind backward to life before AN, identification of pro-AN beliefs and the function of AN in the person's life, use of externalization, and exploration of personal values and how AN has changed these Module 2: Working with support Identifying potential support persons, taking the perspective of others, identifying helpful and unhelpful interactions with others, planning for involving others
53:47 Goals and experiments Identifying areas of concern or difficulty and aspirations, how to set realistic, tangible , using behavioral experiments to achieve goals Module 6: Exploring thinking styles Thinking about thinking: Am I overly focused on detail at the Switch between different thoughts, rules, tasks, and perspectives?
56:55 Identity Anorexia and my identity, my best possible self, qualities, values, struggles, and coping skills of others, who I admire, developing a new identity beyond AN, who will allow me to develop? Practicing living a new identity Module 9: Moving forward Reflection on how to maintain gains, what else needs doing, what could get in the way, tool kit for keeping well, managing difficult thoughts, feelings, and behaviors during the recovery process, developing mottos for a bigger life
58:10 Summary Medical stability and nutritional balance are necessary for effective treatment Once the patient is renourished, even before weight gain, often cognitive abilities will improve and obsessions and mood issues will improve. Psychotherapeutics have not been found to be helpful with anorexia, but sertraline and fluoxetine have been found to be helpful in persons with bulimia MANTRA and cognitive behavioral interventions have been found to be most helpful with this population.