By Debra L. Safer, Christy F. Telch, Eunice Y. Chen

This groundbreaking ebook provides clinicians a brand new set of instruments for supporting humans triumph over binge-eating affliction and bulimia. It provides an variation of dialectical habit remedy (DBT) built expressly for this inhabitants. The therapy is exclusive in imminent disordered consuming as an issue of emotional dysregulation.

Featuring bright case examples and 32 reproducibles, the ebook indicates the best way to placed an finish to binge consuming and purging by way of instructing consumers extra adaptive how one can deal with painful feelings. step by step guidance are supplied for enforcing DBT abilities education in mindfulness, emotion legislation, and misery tolerance, together with a especially adapted ability, conscious eating.

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Additional resources for Dialectical Behavior Therapy for Binge Eating and Bulimia

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23), in which clients who miss 4 weeks of scheduled skills training sessions in a row are dropped from treatment. The Pretreatment Stage 33 Asking about the Client’s Prior Treatment Experience We recommend inquiring about the client’s prior therapy experiences. The therapist might say, “I am going to give you a general idea of the treatment, but first I’d like to learn more about you. Have you been in a group before? Have you been in one like this? If yes, what did you like or did not like? ” In our experience, it was not unusual for clients to have obtained support for their eating concerns through such groups as Overeaters Anonymous, Weight Watchers support groups, and/or therapist-led groups.

Can you describe in as much detail as possible what was going on for you at the time? What circumstances preceded the binge [and purge]? 1) and uses particulars from what the client has revealed to describe the flow of events. During the discussion, the therapist looks for opportunities to make the following points: •• “This model assumes that emotions are reactions to internal or external events. ” •• “Emotions, whether they are negative emotions such as sadness or anger or positive emotions like happiness or joy, can be uncomfortable.

The therapist balances pushing the client toward change in order to have a better life and holding the client with an acceptance of how the client is in the moment. In this context, the therapist must be acutely aware of the client’s tendency toward imbalance in either leaning too far toward pushing for change or not changing despite change being needed. It is the job of the therapist to provide the balance. The aim is to help clients become comfortable with change and to accept change as part of reality.

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