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Unformatted text preview: Acceptance and Commitment Therapy for Diabetes Self-Management Therapist Manual Jennifer Gregg San Jose State University Steven C. Hayes, Ph.D. University of Nevada, Reno Glenn M. Callaghan, Ph.D. San Jose State University Diabetes ACT Manual – Therapist 2 Overview of Treatment Background Many diabetics are given information about how to manage their diabetes, and are sent off to take care of their diabetes on their own. This strategy disregards the large number of research studies demonstrating that simply providing individuals with diabetes with education is a necessary, but not sufficient, component of their ability to manage their diabetes successfully. Obviously not every diabetic needs more than education in order to successfully manage their diabetes, but this manual is designed for the vast majority of individuals with diabetes, who do. This manual has two purposes. The first is to lay out a treatment approach that integrates education and acceptance of thoughts, feelings, and bodily states to make a distinction between areas of living that are within an individual with diabetes’ ability to control and those that are not. The second purpose of this manual is to describe how to deliver this treatment in multiple different modalities, in order to fit the treatment to the needs and requirements of a given health care clinic or system. This treatment Many individuals with diabetes wish that they did not have diabetes. Often they have first- or second-degree relatives who have had complications or died from diabetes-related illnesses. For these people, and many others, the diagnosis of diabetes can be overwhelming. In addition, individuals who are diagnosed with diabetes have many things they need to do, keep track of, and worry about that they never had to address previously. Some examples of lifestyle changes required by diabetes are: 1) Carefully watch one’s diet in order to eat meals low in calories, sugar, carbohydrates, fat, sodium, cholesterol, and low in protein if kidney disease has developed 2) Daily monitor blood glucose levels in order to determine effects of food, exercise, and other daily activities. 3) Exercise regularly in order to continuously stimulate the body’s ability to produce and utilize insulin. These changes can be difficult to make, particularly for individuals with type 2 diabetes, who often developed diabetes due to obesity, eating too much sugar, and being relatively sedentary. Making the lifestyle changes required for good adherence to medical recommendations in diabetes is difficult to do. It is difficult for individuals without diabetes to eat low-calorie, low-fat, and low-carbohydrate meals and exercise consistently. Another dimension of difficulty is added for many patients when not engaging in these behaviors has dire health consequences that can include death. Many diabetes patients report that they would rather think about anything else than think about having diabetes, what that means about them in terms of their health, their weight, and the changes that are required for them to live a long, healthful life. Diabetes ACT Manual – Therapist...
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This note was uploaded on 09/08/2010 for the course PSYC 243 at San Jose State.