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EDB - Eating Disorders: CBT Techniques for Treating Binging & Purging Clients Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

1.1 How does Peter Cooper describe the binging purging cycle?
1.2 What are two ways a client may use their binging in regards to sex?
2.1 What is the percentage of bulimic clients reporting feelings of worthlessness as a manifestation of their depression?
2.2 What are the steps in “Exploding with Exaggeration” technique?
3.1 What is the driving force behind the guilt and shame of overeating?
3.2 What other disorder is similar to bulimic clients who obsess over their weight and appearance?
4.1 What is the “Trigger Talk” technique?
4.2 What are five of the negative emotions that trigger bulimic clients to binge?
5.1 What technique may be helpful for clients to become more honest about their eating disorders with people they trust?
5.2 Many clients who have been diagnosed with bulimia share what common personality trait?
6.1 Which type of bulimic clients are at a much higher risk for overeating?
6.2 What may be a helpful exercise for bulimic clients cope with their fears and anxieties that result to catastrophizing and binge eating?
7.1 What does the “Ego vs. Action” technique strive to accomplish?
8.1 Unlike anxiety or anger, which are characterized by strong physiological arousal, what is boredom usually associated with?
8.2 In the “Becoming Friendlier” technique, what are four of the strategies a therapist may advice his/her clients to become more open to strangers?
9.1 What is the objective of the “Beauty is the Beholder” exercise?
10.1 What is the “Food Log” technique?
10.2 What do clients, in the final stages of food abuse, begin to experience?
11.1 Stomach hunger is connected to the physiological need to refuel. What is “mouth hunger” related to?
12.1 What technique may seem strange and counterproductive but may work much with binging and purging clients than any diet could?
13.1 What is one of the main motivators in diets?
14.1 What must clients do in order to fully release themselves from the constraints of diets?
Answers:

A. Clients may tell their partners that they are too “stuffed to have sex”, and the client may use binging to compensate for a disappointing sexual encounter
B. “The powerful and intractable urges to overeat followed by attempts to avoid the ‘fattening’ effects of food by inducing vomiting, abusing purgatives, or both”
C. The therapist should ask the clients of their worse-case scenario regarding their weight, and then ask them to exaggerate their fears to such proportions that the idea of the worry becomes ridiculous
D. About 74%
E. Obsessive Compulsive Disorder (OCD)
F. Extreme overestimation of a client’s size
G. Depression, loneliness, isolation, anxiety, or irritability
H. This technique involves asking the clients to think of phrases and words that could help them make it through an anticipated binging episode without overeating
I. Being a “people pleaser”
J. The Three Screen Comparison and Acceptance Technique
K. The “Distractions” exercise
L. Clients who experience anxiety but are unable to identify the source
M. Little or no physiological arousal
N. Decrease the likelihood of getting angry and increase the likelihood of making effective changes
O. To replace such automatic thoughts as “I am fat” or “I need to be skinny” with a more general and affirming automatic thought
P. Finding common ground; giving compliments; giving advice; and making small talk
Q. Memory lapses and loss of their ability to diet for any length of time
R. This technique helps the client learn the caloric count of each food, notice and record the serving size and realize how many calories does the client consume in a day
S. “Going with the Binge” technique
T. The psychological need to feel satisfied
U. The clients must resolve themselves to a lifetime of unregulated food intake
V. The need to self-criticize

Course Content Manual Questions The answer to Question 23 is found in Section 23 of the Course Content. The Answer to Question 24 is found in Section 24 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.

Questions:

15.1 Under what conditions should anorexic behavior in vegetarians be suspected?
16.1 What problems, when combined, result in “female athlete triad?”
17.1 What is the percentage of patients with bulimia who also abuse alcohol, drugs, or both?
19.1 In bulimia nervorsa, what is an important aspect of the therapeutic change?
19.2 According to Ellis, what two arguments are useful in helping the bulimic client to give up the dichotomous thinking about rejection?
20.1 When using Cognitive Behavioral Therapy, what are four themes to concentrate on concerning the patient’s personal relationships?
22.1 According to Le Grange et al., what should be the focus of Phase I of treatment for a bulimic client?
22.2 According to Le Grange et al., what is the central theme of Phase III of treatment for a bulimic client?
23.1 What are three examples of Behavioral Techniques that therapists might advise clients with eating disorders?
24.1 According to the American Psychiatric Association, what are some co-morbid mental disorders that may provide warning signs for adolescent males who at risk for the development of an eating disorder?
26.1 According to Ellis, what does the Rational Emotive Behavior Therapy consist of?
26.2 According to Corey, what do A,B,C,D,E, and F stand for in the diagram, to show how this form of cognitive behavioral therapy works for a client?
Answers:

A. Eating disorders, amenorrhea, and osteoporosis
B. If the person has stopped eating meat only to avoid fat rather than from other motives, such as love of animals, if vegetarian diet coincides with rapid weight loss, if the person is avoiding certain foods, such as tofu, nuts, and dairy products, that contain oils or fats.
C. Working on the client's perfectionism and approval seeking behavior
D. Estimated 30% to 70%
E. Loss, disputes, life transitions, and isolation or loneliness
F. Rational and pragmatic arguments
G. The establishment of a healthy adolescent or young adult relationship with the parents in which the illness does not constitute the basis of interaction
H. On the eating disorder in an attempt to mobilize the parents to help the adolescent regulate eating and prevent purging
I. Mood Disorders, Substance Abuse and Dependence, and Personality Disorders
J. Simply not buying trigger foods, avoiding certain shops, building up new habits to replace existing ones
K. A= activating event, B=belief, C=emotional and behavioral consequence, D=disputing intervention, E=effect, and F=new feeling
L. Confronting a client's faulty belief through a disputing intervention, replacing the faulty belief with a new belief, and creating a new feeling in the client

 
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