Objectives To increase participants ability to: Identify anorexia nervosa when it is present or developing Determine appropriate actions and referrals Assess identified patientís family Involve the patientís family in treatment Develop and implement strategies for the coordination of the outpatient treatment team Understand self-harm Complete a differential diagnosis Understand and manage therapist discomfort with patient symptoms Understand sub-groups of cutters Treat self-harming patients Work with schools, parents, emergency room doctors and other physicians involved with the patient Understand medications used with eating disorders and selfmutilators Map a road to recovery Topics Covered ANOREXIA NERVOSA I Confirming Diagnosis of Anorexia Nervosa Initial consultation -- Establishing therapeutic rapport -- Reviewing medical and psychological history -- Obtaining family history II The Co-Therapy Model Overview of family dynamics -- Supportive counseling for parents -- Anxiety, depression, and related family issues -- Getting parents on the treatment team III Treating Anorexia Nervosa Presentation of Case Study -- Nurturant-Authoritative (N-A) approach in therapy -- Relating the N-A approach to the case study -- The role of medication IV Skills and Techniques for the Therapist Becoming believable to the anorexic patient -- Understanding the value of anorexia Competing with anorexic thoughts -- Social re-integration of the isolated anorexic -- Overcoming road-blocks to recovery SELF-MUTILATION V Cutting (Self-Mutilation) the Disorder The ritual of cutting -- Cutting as a world wide phenomena - Differential diagnoses - is the behavior disordered or socially driven? VI Treating Self-Mutilation The act of cutting and other self-mutilating behaviors in isolation - a gratifying behavior creating relief -- Case study to illustrate theory and treatment -- Sub-groups - different types of cutters -- The role of medication in treatment VII Parental Bonding versus Cutting Parent-child dynamic when the patient is a cutter -- Case study of mother-daughter dependency problems; origins of dysfunctional family -- Therapy and symptom abatement as trust develops VIII Cutting as the Tip of the Iceberg Predisposing personality deficits prevalent in our society -- Discussing issues of trust, dependency and attachment -- Selfhatred, self-esteem, and alienation -- Identity and femininity
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