Eating Disorders and Addictions

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  • เผยแพร่เมื่อ 3 ก.ค. 2024
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    Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.
    #eatingdisorders #strengthsbased #counselingskills
    Eating Disorders and Addictions have significant overlap in risk factors and interventions. Additionally, when one cannot be accessed, people may resort to the other. There is a high rate of co-occurrence of eating disorders in people with addictions.
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    Therapy with Eating Disorders and Addictions
    Dr. Dawn-Elise Snipes PhD, LPC, LMHC
    Clinical Director, AllCEUs.com
    Objectives
    Based in Part on Brief Therapy with Eating Disorders by Barbara McFarland, and the Overcoming Disordered Eating Protocol by the Centre for Clinical Intervention
    - Shifting paradigms to one of resourcefulness vs. sickness
    - Identifying key interviewing questions to develop a strengths-based alliance
    Prevalence of Eating Disorders
    - 20% of women struggle with disordered eating
    - 10-15% of people with eating disorders are male
    - 40% of male football players were found to engage in disordered eating
    - Muscle dysmorphia and body fat preoccupation is seen in a majority of bodybuilders and wrestlers
    - 90% of people with eating disorders become symptomatic between 12 and 25
    Risk Factors
    - Psychological Risk Factors
    - Low self-worth and low-self esteem /Feelings of inadequacy
    - Obsessive behaviors regarding food and diets and may often also display obsessive-compulsive personality traits in other parts of their life.
    - A strong, even extreme drive for perfectionism.
    - They have unrealistic expectations of themselves and others
    - In spite of their many achievements, they feel inadequate.
    - They see the world dichotomously
    - Negative affect: depression, anxiety, anger, stress or loneliness
    - A sense of lack of control in life
    - Wanting to take control and fix things in an unhappy life, but not really knowing how, and under the influence of a culture that equates success and happiness with thinness, the person tackles her/his body instead of the problem at hand.
    Risk Factors
    - Interpersonal
    - Troubled personal relationships
    - Difficulty expressing emotions and feelings (including alexthymia)
    - History of being teased or ridiculed based on size or weight (negative inner critic)
    - History of physical or sexual abuse.
    - Some people with eating disorders use the behaviors to avoid sexuality.
    - Others use them to try to take control of themselves and their lives by creating and winning the power struggles inside
    Risk Factors
    - Interpersonal
    - Inside they still they feel weak, powerless, victimized, defeated, and resentful.
    - People with eating disorders often lack a sense of identity and try to define themselves by manufacturing an admired exterior.
    - Often they desperately want healthy connections to others but fear criticism and rejection
    Risk Factors
    - Family Risk Factors
    - Family history of an eating disorder
    - Familial attitudes toward weight, dieting and eating
    - Overvaluing appearance
    - Making jokes about appearance
    - Deficit in emotional support and secure attachment
    - Overly enmeshed or detached family dynamics: Smothered in overprotective families, or abandoned, misunderstood, and alone
    - These families tend to be overprotective, rigid, and ineffective at resolving conflict.
    The Therapeutic Relationship
    - Determines clients
    - Willingness to openly discuss and explore behavior patterns
    - Willingness to consider altering eating behavior
    - Willingness to disclose accurate information
    Motivation Determinants
    - The clients sense of safety/alliance with the therapist
    - Sense of self-efficacy and empowerment
    - Client and therapist have similar goals for treatment
    - The cost/benefit of the current behaviors
    - Fear of fat vs. desire to be healthy
    - Social pressures vs. desire to change
    Motivation Dimensions
    - Physical
    - Affective
    - Cognitive
    - Environmental
    - Relational
    AllCEUs provides multimedia counselor education and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
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ความคิดเห็น • 14

  • @DocSnipes
    @DocSnipes  9 หลายเดือนก่อน

    👌More videos can be found on this topic at
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  • @nishasankaran
    @nishasankaran 2 ปีที่แล้ว +2

    Went to rehab for substance abuse (primarily alcohol) nearly 10 years ago and have weight fluctuated all my life, starting earnestly at 14 years old when I highly restricted food and over- exercised for just a year… but have fluctuated up and down 150lbs all my life, and I’m now 45 years old, back at nearly 300lbs, after over - exercising and restricting for a few years until 2020.
    I’m exhausted. Over all of it. And I’m glad doc snipes is looking at process and behavioral addictions and not arguing whether a substance is the cause. For me, it was being over fed as a child, coping mechanisms, home life, my own nature etc. It’s all of it.

    • @DocSnipes
      @DocSnipes  2 ปีที่แล้ว +1

      Thanks for watching. Wishing you peace, health, and happiness.

  • @TeaLaRee
    @TeaLaRee 2 ปีที่แล้ว +3

    I worked night shifts for 3 years, suffered severe narcissistic abuse & sexual trauma right before this pandemic. Least to say I'm not surprised I gained 40 lbs. over the last 2 years trying to heal and gain some semblance of control in my life. Your video is so relatable and much appreciated. Thank you. 💜 btw, I am speaking with and doing cbt with a therapist right now about my "sleep binge eating."

    • @DocSnipes
      @DocSnipes  2 ปีที่แล้ว

      Thanks for sharing. Wishing you peace, health, and happiness.

  • @nishasankaran
    @nishasankaran 2 ปีที่แล้ว +2

    Because I’ve run the gamut of being really thing to obese throughout my life, the word ‘healthy’ is such a trigger. Mostly because the word’s been so mis-used, moralized, and what most think is’healthy’, isn’t. So many ppl I know have a great routine of working out and eating ‘well’ and wear nice athleisure. … then have a couple beers or some wine and rip into their kids or others with verbal assaults and never take responsibility for their words, are enormously stressed and clearly don’t want to do the actual inner work.
    And they all look ‘healthy’ and eat ‘healthy’ and have ‘good’ jobs etc.

  • @elizabethseiden9938
    @elizabethseiden9938 ปีที่แล้ว +1

    When I had my Lilly we work out together and jog outside!

  • @elizabethseiden9938
    @elizabethseiden9938 ปีที่แล้ว

    My grandfather, my mom and dad usually made negative comments to me about my weight!

  • @corneliuswyche6158
    @corneliuswyche6158 2 ปีที่แล้ว +3

    This is a great topic. I really enjoy listening.

    • @DocSnipes
      @DocSnipes  2 ปีที่แล้ว

      Glad you enjoyed it!

  • @pauladuncanadams1750
    @pauladuncanadams1750 3 ปีที่แล้ว +3

    Why isn't not eating, or eating and vomiting, because of anxiety and depression considered an eating disorder?

    • @christiealmanza
      @christiealmanza 2 ปีที่แล้ว +3

      Eating disorder behaviors are side effects to having anxiety or depression but in this instance theyre nothing more than that.

    • @pauladuncanadams1750
      @pauladuncanadams1750 2 ปีที่แล้ว

      @@christiealmanza Thank you for your explanation.