"I expect a part of you welcomes the thought of change and part of you might be concerned about it"
"Who will I be without my disorder?"
"How else will I cope with life?"
"If I stop purging I will gain weight"
"Part of me does not want to change eating disorder rules"
As your Counsellor and Therapist I will consider the whole of you and this will be reflected in the approach to the multifaceted aspects of your eating disorder. We will work together collaboratively and at your pace. I will however challenge and use the resistances, deflections and excuses of the eating disorder as they occur as part of your therapy.
The following is a brief outline of the work involved in the eating disorder therapy.
We will use motivational therapy to assess and encourage your Willingness and Motivation to engage in the therapy. You may not think you have a problem or you may be scared about what will happen if you do things differently. Change may seem very daunting and unsafe.
I am aware that there may be a huge amount of ambivalence to change. Your eating disorder may have been a significant part of your life. We will acknowledge and explore this Ambivalence and Resistance to Change by looking at the pros and cons of your eating disorder. In spite of the cons of the eating disorder there may be eating disorder Payoffs. We will explore the pros and cons of your eating disorder and the pros and cons of change.
Therapy at the beginning aims to attend to the Physical side of the Eating Disorder addressing your Relationship with Food; your food world and faulty food scripts, nutrition and dieting, weight conflict. Work will proceed towards the gentle establishment of Nutritional Rehabilitation
The Psychological aspects of the Eating Disorder will then be incorporated into the therapy focusing on the eating disorders mindset such as faulty thinking and perceptions and the emotional dysregulation and its management.
We will hope to explore:
the Precipitating and
the Perpetuating factors
This will involve exploring self-esteem, body image, habits and rituals, eating disorder mindset and rules, habits and rituals, perfectionism, relationships, assertiveness, lifestyle and stress, emotional resilience and regulation of the many emotions involved such as anxiety, guilt, shame and depression.
There will be a fair amount of Psycho-Education looking at blood glucose curves and the physiology of the body plus the de-mystifying and reframing of eating disorder myths. There will be homework tasks and on-going monitoring in the way of food diaries.
We will also undertake work on Relapse Prevention. The journey does not promise to be easy and encountering setbacks is part of the learning and recovery. Attention will be paid to self-care, mindfulness therapy and compassion therapy as you undergo the healing process.
Therapy will enable you to have autonomy and to free yourself from the Eating Disorder