124.14-16.Counseling.stud - Nutrition Counseling Herrin...

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Nutrition Counseling Outline 0. Basic 0. Developing plan of care 1. Theories 2. Active listening 3. A session 1. Advanced 4. Nuances 5. Areas of expertise, referrals Plan of Care 0. Based on: 0. Outcome of assessment 1. Dx 1. Should contain: 2. 3. Information to be covered 4. Counseling strategies to be utilized 0. Evidence-based treatment 6. Based on models and definitions 7. In combination with medical monitoring and treatment 1. Psychodynamic Therapy 2. Cognitive Behavioral Therapy 3. Interpersonal Therapy 4. Dialectical Behavioral Therapy 5. Addiction or 12 Step Model 6. Transtheoretical Model 7. Behavior Modification 8. Health Belief Model Psychodynamic Therapy 9. Goal: help client understand the connections between past, personality & personal relationships and how they relate to their EDO. 10. Emphasis: Behavior caused by internal conflict and unconscious forces 11. Symptoms are seen as expressions of a struggling inner self that uses the DO behaviors as a way of expressing underlying issues. 12. If underlying causes of ED behaviors are not addressed & resolved, behaviors will always resurface 13. Behavior modification to gain weight works in short term but need to address causes of ED behavior for long-term success 14. Full recovery involves understanding and treating the cause, adaptive function and purpose of the EDO.
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Cognitive Behavioral Therapy (CBT) 2. Most well-known and studied 8. Best approach for BN and BED. Research lacking for AN. 3. Originally designed to treat depression 4. Essence: behaviors are created by cognitions, thus 9. Help clients learn to recognize cognitive distortions 10. Choose not to act 11. Or to replace behaviors with more realistic and positive ways of thinking and behaving 5. Use journals, homework and monitoring. 6. Includes education about dieting, purging, medical complications, etc. CBT - cognitive distortions 7. Common cognitive distortions: 12. disturbed body image 13. paranoia about food being fattening 14. binges based on belief that one cookie has already destroyed a perfect day of dieting 8. Behaviors provide a sense of safety and control 9. Behaviors reinforce the EDO as a part of the individual’s identity 10. They have replaced Reality with a system that supports their behaviors 11. Distortion helps provide an explanation or justification of behaviors to others Cognitive Distortions Your job 2. Need to challenge their distortions w/ empathy and education to prevent power struggle 3. Need to know behaviors are their own choice but they are making choices based on false, incorrect and misleading info Interpersonal Therapy 12. Focuses on the links between EDO behaviors and underlying relationship issues 13. Although etiology is multifactorial in nature, most have many 14. Target: 15. Role disputes 16. Role transition 17. Grief 18. Interpersonal deficits in intimate relationships
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124.14-16.Counseling.stud - Nutrition Counseling Herrin...

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