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Weight Loss and Control
with Ann Mary Kearney-Cooke, PhD
Part of the Behavioral Health and Health Counseling APA Psychotherapy Video Series

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LIST PRICE: $99.95
MEMBER/AFFILIATE PRICE: $69.95

ITEM #: 4310836
ISBN: 1-4338-0237-6
ISBN 13: 978-1-4338-0237-9
RUNNING TIME: Over 100 minutes
FORMAT: DVD [Closed Captioned]
Also available in: VHS

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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.

ABOUT THE APPROACH

The multiple demands facing individuals today make the treatment for weight loss and overcoming binge eating a challenging one for clients and therapists. In this video, the therapist takes the role of a "coach," predominantly using cognitive–behavioral techniques and interpersonal psychotherapy methods to help the client overcome overeating and lose weight. The initial focus is on methods to overcome binge eating. Once a client is no longer engaging in binge eating, methods to lose weight can be introduced.

Interpersonal Psychotherapy

Interpersonal psychotherapy focuses on the role that interpersonal problems in relationships play in overeating. The assumption is that there is an interaction between negative mood, interpersonal functioning, and eating problems. Listening skills, negotiation skills, assertiveness skills, and strategies to set appropriate boundaries with others are taught so that clients can learn how to meet their needs with people instead of food.

Example of Tool: Relationship Questionnaire

Clients are asked to fill out the relationship questionnaire to help identify interpersonal triggers that lead to negative mood and overeating. Questions include the following:

  • Who are the five people in your life you are closest to?
  • How frequent is your contact with each of them?
  • What is your eating like before, during, and after you see them?
  • What are two expectations you have for each of these people? When they are not fulfilled, what do you do?
  • What roles do you tend to play in relationships with others? Do certain roles leave you "hungrier" than others?
  • What are the satisfying and unsatisfying aspects of these relationships? How can you be deliberate about making your relationships more satisfying?

Cognitive–Behavioral Therapy

Cognitive–behavioral therapy focuses on changing thoughts and behavior patterns that contribute to disordered eating, as well as developing alternative coping strategies. The dietary restraint model demands versus resources model, and self-talk model are also taught to help clients decrease overeating and lose weight.

Example of Tool: Self-Monitoring Form

Clients are asked to fill out a self-monitoring form to clarify eating habits. They are asked to report the following information:

  • type and quantity of food and liquid consumed,
  • calories,
  • time of each eating episode,
  • place where food was consumed,
  • situation: events that influenced eating,
  • type and duration of exercise each day, and
  • each eating episode considered by client to be a binge (these should be underlined with a colored marker).

After reviewing self-monitoring sheets and identifying patterns to symptoms, therapists should encourage clients to

  • identify specific cues and consequences associated with binge eating episodes;
  • develop strategies for rearranging cues (avoiding stimuli, restructuring the stimulus field, strengthening cues for desired behavior);
  • change response to cues, including building in a pause (e.g., when you want to binge, look at watch, wait 20 minutes, then binge); all food you are going to binge on must be on table before you start to binge;
  • develop a list of alternative pleasurable activities to replace binge eating;
  • identify thoughts that trigger binge eating and challenge or test distorted thinking; and
  • develop a relapse prevention plan.

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