1. Disordered Eating Therapy Group Session Outline Mike Bryant Student Counsellor LSE Student Counselling Service 2013

2. The Disordered Eating Therapy Group … provides participants an opportunity to develop new behaviours and more helpful thoughts affecting their eating habits. …. is part experiential, part psycho-educational … is suitable for bulimic, bingeing, restrictive or compulsive eaters. … is not suitable for people with life-threatening eating disorders.

3. Session components Introductions Understanding emotions Challenging Mindsets Body image Relationships Coping strategies Seeking further help

4. Introductions Personal goals for the group Work in pairs: what has / hasn’t worked in the past Change: why now? Stages of change readiness

5. Understanding emotions Identifying and accepting emotions “Mad / bad / sad / glad” Shame

6. Emotions: a crash course

7. Emotions: dissociation Understanding dissociation How do we choose to not be present Dissociation and self-harming Becoming vigilant

8. Mindsets Review: how did last week feel? How the disordered mindset is maintained Thoughts  feelings

9. Mindsets: Distorted Automatic Thoughts

10. Mindsets: Labelling the Distorted Automatic Thoughts

11. Challenging the Mindsets “ Payoffs” of your distorted thoughts beliefs Body checking and avoidance / “feeling fat” “Rules” in maintaining disordered eating

12. Body image Self concept and body image Beliefs about eating, weight and body shape Beliefs about dieting Beliefs about exercise

13. Triggers Identifying moods and stressors Common triggers: anger / anxiety / relationships Other triggers

14. Relationships Relationship patterns Food as a substitute relationship partner Mothers and daughters Men and disordered eating Food as a reponse to crises

15. Coping Strategies What works / doesn’t work for you Coping with too much spare time “Urge Surfing” strategies Self-soothing strategies Identifying barriers to change Inner child work Sub personalities (e.g., dieter, binger, critic) Relaxation methods

16. Relapse Prevention Cycle of addictions Maintaining achieved goals Plans for preventing relapse

17. Seeking further help LSE Student counselling service Long-term therapy Medical support