disturbance in the way in which body weight or shape is experienced with undue influence of body weight on self- evaluation, or denial of seriousness of current low body weight Restricting type - no bingeing or purging during last 3 months Binge - eating / purging type - regular bingeing or purging during last 3 months Diagnostic criteria Anorexia nervosa was named in 1868 by the English physician William Gull. intense fear of gaining weight, or becoming fat, even though underweight C. Significantly low weight is defined as a weight that is less than minimally normal, or for children and adolescents, less than minimally expected. Restriction of energy intake relative to requirements leading to a significant low body weight in the context of age, sex, developmental trajectory and physical health. Not arbitrary, but with good justification 4. Clearly defined from the outset – no surprises 2. Clearly defined from the outset – no surprises 2ġ.
Is it any good? Benefits Staff, team and ClientsĨ 1. How and why did we develop our current model of working?Ħ Motivational Work Listen Step back Learn Be curious Invest less Introduction to STEPs Motivational Work Eating Disorders Questions Lydia Pym - Occupational Therapist Alysun Jones – Clinical Psychologist STEPs Eating Disorder ServiceĪdult Service offering specialist service interventions and consulting to a wide geographical area Commissioned to work with people with a diagnosis of Anorexia, Bulimia and EDNOS, excluding Binge Eating Disorder 10 Bed In-patient unit, 8 place Day Therapy programme* Out-patient and Community services Primary Care Service- First Step Multidisciplinary Team Variety of treatments Supporting Carersģ Treatments Offered Compassion Focused Therapy – Dr Paul Gilbert 2006Ĭognitive Behavioural Therapy – Dr Christopher Fairburn Motivational work – Dr Josie Geller LEAP group, Cooking sessions, Dietitian, Physio community group Other specialist therapy (EMDR, CAT)ĬBT-E 20 Sessions for BN 40 for AN Developing regular eating plan, diary, weight charts, body image work, understanding and challenging beliefs about food and weight.ĥ Prochaska & DiClemente’s Six Stages of Change
1 Care Forum South Glos -Eating Disorders
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