Welcome to the Home Study Course sponsored by the Healthcare Training Institute. This course is entitled, Eating Disorders Vol 2: Techniques for Treating Binging & Purging Clients. Our primary intent for this home study course is to provide quality education to foster your professional growth. The Institute has provided quality education since 1979. We appreciate that you have chosen us as a vehicle for you to earn your Continuing Education Credit.
The purpose of the course is to assist you in increasing your knowledge regarding how to treat patients, clients, etc. dealing with binging and purging. As each case study is given, if the concepts seem to be applicable to your situation, I encourage you to turn your CD player off and make a few notes regarding the application of the principle to your setting. However, these notes are for your purposes only and are not to be sent to the Institute. Also each track is very content dense. So feel free to replay the track to review the content either for your own purposes, or if you feel appropriate play the track in an individual or group session for client education. Also permission is granted to reproduce this CD. We encourage you to duplicate and give copies of this CD to colleagues, clients, etc. as you deem appropriate. We feel the information on our CD's is valuable. Thus, we have an interest in distributing CD's in as many ways as possible, to benefit the greatest number of people, who have a need and are receptive to this practical information.
The questions in your Answer Booklet are sequential and deal with the section of content that preceded it. For this reason, to facilitate the answering of each question, you might read the question from the Answer Booklet prior to listening to that CD track. By knowing what the question is ahead of time, you will then know the content to listen for that contains the answer. So just a hint, after you write down the answer to a question in your Answer Booklet, read on to the next question in order to give you a “heads up” to listen for the content that contains the answer to the next question.
Merely write the correct letter on the corresponding blank line in your answer booklet. Each answer is only used once. Keep in mind there is nothing tricky or hard about these questions. They are merely intended to verify the playing of this CD.
For the purpose of brevity, most generally, I will use the term “therapists” or “mental health professional.” However, don’t let these terms deter you from applying the concepts to your situations. When you hear the word “therapists,” if your job title is social worker, psychologist, marriage and family therapist, mental health counselor, professional counselor, resident director, program assistant, etc. merely substitute the appropriate term that is the most meaningful to you. In short, don’t let my use of the term “therapists” cognitively set you off track from hearing the content because your job title is school counselor, for example. I will also use the term “client” for the purposes of brevity. However, if you deal with patients, residents, students, consumers, etc., transpose “client” for the term that is the most meaningful to you in your work setting.
On this CD set we will discuss such topics as: binging motives; manifestations of depression; self-image distortion; binge triggers; interpersonal relationships; anxiety; anger; boredom and loneliness; restoring confidence; binging levels; redefining hunger; binge regression; the compulsive dieter; and releasing diets.
So, let’s get started...
As you are aware, many eating disordered clients become trapped in the binging and purging cycle. During a binge, the client may consume nearly twice his or her daily required intake of calories. Subsequent to one of these overeating sessions, the client will purge him or herself of the fattening foods. In his book, “Bulimia Nervosa and Binge-Eating: A Guide to Recovery”, Peter Cooper described the binging purging cycle as “the powerful and intractable urges to overeat followed by attempts to avoid the ‘fattening’ effects of food by inducing vomiting, abusing purgatives, or both.”
Most people associate the binge-purge cycle with the eating disorder bulimia nervosa, but in fact, clients who may not fall under the same criteria for bulimia may binge as well. Instead of using laxatives or purgatives, however, the client may not take such extreme measures to purge. Instead of fasting, they may go on a more restricted diet or not even technically purge at all. However, the feelings of guilt and shame are the same. The first half of this course will deal with bulimic clients, while the second half will address a more general population of bingers and purgers.