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  • Trauma-Informed Approaches to Eating Disorders Go to book: Trauma-Informed Approaches to Eating Disorders

    Trauma-Informed Approaches to Eating Disorders

    Book

    Trauma-Informed Approaches to Eating Disorders is clearly a much needed and long overdue book about treatment, written by a diverse group of clinicians and carefully edited to focus on the needs and strengths of clinicians. The complexities and challenges that undergird, surround, and even haunt the nature, diagnosis, treatment, management, and understanding of eating disorders (EDs)-in-relation-to-trauma are so great, even for veteran clinicians, that they can leave practitioners at any level of experience feeling helpless and exhausted. This book, in a way that would be appreciated by practitioners of acceptance and commitment therapy, accepts the reality of those feelings and is committed to improving treatment, understanding, and compassion. The book is designed to foster respect for complexity and link it to humility in the presence of tragedy, tribulations, and suffering, framed all too often by our own shortcomings as healers. EDs are dangerous, ubiquitous, usually chronic in nature, and difficult to treat. Anorexia nervosa (AN) has the highest fatality rate (4%) of any mental illness. Bulimia nervosa reveals a fatality rate of 3.9%. EDs offer an enormous challenge to therapists because of their complexity, which includes severe medical risk, co-occurring anxiety, depression and personality disorders, an addiction component, and body image distortion—all of this within a mediadriven culture of thinness in which starving and purging can for some become lifestyle choices. This complexity is further exacerbated by the presence of painful life experiences or trauma. The book elucidates the connection between trauma and EDs by offering a trauma-informed phase model, as well as chapters describing the ways in which various therapeutic models address each of those phases. It offers an in-depth exposition of a fourphase model of trauma treatment.

  • The Centrality of Presence and the Therapeutic Relationship in Eating DisordersGo to chapter: The Centrality of Presence and the Therapeutic Relationship in Eating Disorders

    The Centrality of Presence and the Therapeutic Relationship in Eating Disorders

    Chapter

    This chapter offers ways to be an effective therapist for clients who suffer from both an eating disorder and trauma (ED&T). It describes the importance of therapeutic presence and how to facilitate safety and healing through the therapeutic relationship. The information provided is equally applicable to all phases of treatment. Therapy for ED&T clients involves providing safety, education, insight, and a corrective emotional experience, thereby allowing the client to rectify faulty thought, emotional, and behavioral patterns. Therapists need to use their training and the therapeutic relationship for this to happen. The author’s experience treating ED&T clients corroborates the need for therapy training programs to increase their focus on training therapists how to achieve therapeutic presence, establish a positive alliance, and use the relationship to put the client’s symptoms out of a job.

    Source:
    Trauma-Informed Approaches to Eating Disorders
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