Book contents
- Frontmatter
- Dedication
- Contents
- List of tables, boxes, figures and case examples
- Foreword
- Preface
- Structure of the book
- List of abbreviations
- 1 Introduction
- 2 Assessment
- 3 Rules of reinforcement and practical examples
- 4 Social skills training
- 5 Relationship, communication and sexual skills training
- 6 Phobic and social anxiety
- 7 Treatment of obsessive–compulsive disorders
- 8 Depression
- 9 Generalised anxiety disorder and panic
- 10 Body dysmorphic disorder and the somatic symptom and related disorders
- 11 Eating disorders
- 12 Addictive behaviour
- 13 Schizophrenia and the psychoses
- 14 Personality disorder
- 15 CBT in combination with other therapy
- Glossary
- Index
11 - Eating disorders
Published online by Cambridge University Press: 01 January 2018
- Frontmatter
- Dedication
- Contents
- List of tables, boxes, figures and case examples
- Foreword
- Preface
- Structure of the book
- List of abbreviations
- 1 Introduction
- 2 Assessment
- 3 Rules of reinforcement and practical examples
- 4 Social skills training
- 5 Relationship, communication and sexual skills training
- 6 Phobic and social anxiety
- 7 Treatment of obsessive–compulsive disorders
- 8 Depression
- 9 Generalised anxiety disorder and panic
- 10 Body dysmorphic disorder and the somatic symptom and related disorders
- 11 Eating disorders
- 12 Addictive behaviour
- 13 Schizophrenia and the psychoses
- 14 Personality disorder
- 15 CBT in combination with other therapy
- Glossary
- Index
Summary
Overview
This chapter will explore the whole range of eating disorders, starting with the most widespread problem of obesity and possible treatment approaches for this serious and costly condition. Patients with psychiatric disorders tend to die earlier and have greater physical health morbidity than the general population. Many of the drugs routinely prescribed in mental health practice contribute to obesity, yet the problem of obesity has often been ignored by mental health providers. However, we are now beginning to realise the health implications of this. Behavioural and cognitive treatments for all types of eating disorders will be examined. Case examples of treatments for obesity, bulimia and anorexia nervosa will be presented. These will include clinical cases which encourage examination of addictive and obsessive personality traits in these disorders.
Eating disorders are a major problem in industrialised societies. These range from obesity, with its effects on mortality and morbidity and a huge cost to the NHS, to anorexia and bulimia, which appear to be on the increase and in the case of anorexia is starting in increasingly younger children, particularly girls.
Obesity
Obesity has been called the scourge of industrialised society. An abundance of plentiful cheap food and a sedentary lifestyle has meant that the number of obese and overweight people is increasing every year. Indeed, the prevalence of obesity in England has more than tripled in the past 25 years and the 2010 Health Survey for England (Office for National Statistics, 2011) found that:
• 63% of adults (aged 16 or over) were overweight or obese
• 30% of children (aged 2–15 years) were overweight or obese
• 26% of all adults and 16% of all children were obese.
The most common way to judge whether an individual is overweight or not is to use the BMI which is obtained by dividing the weight (in kilograms) by height (in meters squared (kg/m2)). This method has some limitations as athletes and people who engage in many hours of sports a week can have a high BMI despite having normal fat composition. Also some ethnic groups have slightly different BMI values for health. However, in general the classification in Table 11.1 is accurate.
- Type
- Chapter
- Information
- CBT for AdultsA Practical Guide for Clinicians, pp. 171 - 187Publisher: Royal College of PsychiatristsPrint publication year: 2014