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Disordered Eating Therapy Group
Session Outline
Mike BryantStudent Counsellor
LSE Student Counselling Service2013
The Disordered Eating Therapy Group
• … provides participants an opportunity to develop new behaviours and more helpful thoughts affecting their eating habits. • …. is part experiential, part psycho-educational• … is suitable for bulimic, bingeing, restrictive or compulsive eaters. • … is not suitable for people with life-threatening eating disorders.
Session components
• Introductions• Understanding emotions• Challenging Mindsets• Body image• Relationships• Coping strategies• Seeking further help
Introductions
•Personal goals for the group•Work in pairs: what has / hasn’t worked in the past•Change: why now? • Stages of change readiness
Understanding emotions
• Identifying and accepting emotions • “Mad / bad / sad / glad”• Shame
Emotions: a crash course
Emotions: dissociation
• Understanding dissociation• How do we choose to not be present• Dissociation and self-harming• Becoming vigilant
Mindsets
• Review: how did last week feel?• How the disordered mindset is maintained• Thoughts feelings
Mindsets: Distorted Automati
c Thoughts
Mindsets: Labelling
the Distorted Automati
c Thoughts
Challenging the Mindsets
• “Payoffs” of your distorted thoughts beliefs•Body checking and avoidance / “feeling fat”• “Rules” in maintaining disordered eating
Body image
• Self concept and body image•Beliefs about eating, weight and body shape•Beliefs about dieting•Beliefs about exercise
Triggers
• Identifying moods and stressors• Common triggers: anger / anxiety / relationships• Other triggers
Relationships
•Relationship patterns• Food as a substitute relationship partner•Mothers and daughters•Men and disordered eating• Food as a reponse to crises
Coping Strategies
•What works / doesn’t work for you• Coping with too much spare time• “Urge Surfing” strategies• Self-soothing strategies• Identifying barriers to change• Inner child work• Sub personalities (e.g., dieter, binger, critic)• Relaxation methods
Relapse Prevention
•Cycle of addictions•Maintaining achieved goals•Plans for preventing relapse
Seeking further help
• LSE Student counselling service• Long-term therapy•Medical support