As governments and health care systems direct more attention and resources to treating the rising rates of obesity worldwide, one thing has become very clear: obesity is best treated as a chronic condition. The most effective approach to care is often a behavioral one, in which health care providers and patients rely on teamwork, respect, and conversation to motivate lifestyle change. This collaborative model is essential because decisions about care ultimately rest with the patient. Working together, care providers and patients can help patients learn to make healthy choices throughout t.
This book describes a novel therapy for obesity that associates the traditional procedures of weight-loss lifestyle modification with specific, individualized cognitive behavioral procedures to address some obstacles that have been indicated by recent research to influence weight loss and maintenance. The Cognitive Behavioral Therapy for Obesity (CBT-OB) can be used to treat all classes of obesity, including patients with severe comorbidities and disability associated with obesity, who are not usually included in traditional weight-loss lifestyle modification treatments. The book describes the treatment program in detail, and with numerous clinical vignettes. It also discusses involving significant others in the change process and adapting the CBT-OB for patients with severe obesity, binge-eating disorder, medical and psychiatric comorbidity, and treated with weight-loss drugs or bariatric surgery. Lastly, a chapter is dedicated to the use of digital technology with CBT-OB in order to help patients monitor their food intake and physical activity and to addressing obstacles in real time. Thanks to the description of how to apply the latest, evidence-based CBT-OB to real world settings, this volume is a valuable useful tool for all specialists - endocrinologists, nutritionists, dietitians, psychologists, psychiatrists - who deal with obesity and eating disorders.
The first cognitive-behavioral treatment manual for obesity, this volume presents an innovative therapeutic model currently being evaluated in controlled research at Oxford University. From leading clinical researchers, the approach is specifically designed to overcome a major weakness of existing therapies: posttreatment weight regain. The book details powerful ways to help patients not only to achieve weight loss, but also to modify the problematic cognitions that undermine long-term weight control. Drawing on strategies proven effective with such problems as binge eating, the manual contains everything needed to implement the treatment: intervention guidelines, case examples, and reproducible handouts and forms.
This volume presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. Discusses information necessary to make wise program choices and evaluations; examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect these programs.
As governments and health care systems direct more attention and resources to treating the rising rates of obesity worldwide, one thing has become very clear: obesity is best treated as a chronic condition. The most effective approach to care is often a behavioral one, in which health care providers and patients rely on teamwork, respect, and conversation to motivate lifestyle change. This collaborative model is essential because decisions about care ultimately rest with the patient. Working together, care providers and patients can help patients learn to make healthy choices throughout their lives. An effective and detailed guide for health care providers, Behavioral Approaches to Treating Obesity embraces this understanding about treating obesity and explains how to help patients direct their own lifestyle change. With this self-directed approach to clinical care, patients assume more responsibility for their treatment plans, whereas care providers learn to take on the role of guide or counselor. In this book, readers will find strategies for encouraging patients and equipping them for lifestyle change. There is practical advice on many issues and helpful guides for any of a number of difficult scenarios. Some of the features of this guide include: arranging the physical environment of a clinic to accommodate obese patientsbuilding a program to meet the needs of patients in a chronic-care treatment plancase studies to illuminate key issues in behavior changecharts and tables to help implement behavioral approaches in treatmentstep-by-step instructions on helping patients begin lifestyle changedescriptions of how to design and organize an obesity treatment programuseful methods of building a collaborative health care team Readers will start at the beginning, learning to understand the problems of obesity and risks it poses to the people who suffer from the condition. Then the methods of treatment for obesity are presented, along with analysis of these methods and their effectiveness. In the end, the authors conclude that a new paradigm of care is needed to successfully treat obesity. The next section spends some time redefining the roles of health care providers in providing a collaborative care model of behavioral change therapy. The authors describe the new roles for health care providers and how to cope with those changes, how to build their team, how to create a supportive environment, and then how to structure the care process. The third and final section provides health care providers with the tools they need to introduce behavioral self-care in the clinical environment. This is a step-by-step process, and each step is further explained using case studies from the authors' experiences. The book is completed with an extensive resources section and an updated reference list to promote further research.
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
The contemporary successor to the editors' earlier Obesity: Theory and Therapy, this comprehensive handbook guides mental health, medical, and allied health professionals through the process of planning and delivering individualized treatment services for those seeking help for obesity. Concise, extensively referenced chapters present foundational knowledge and review the full range of widely used interventions, including self-help, behavioral, and cognitive-behavioral approaches; pharmacotherapy; and surgery. Provided are state-of-the-art guidelines for assessing obese individuals for health risks and for mood and eating disorders; treatment algorithms for tailoring interventions to the severity of the client's problem; details on adjunctive interventions for improving body image and self-esteem; recommendations for working with child clients; and much more.
The Roundtable on Obesity Solutions of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, on April 6, 2017, titled The Challenge of Treating Obesity and Overweight: A Workshop. The discussions covered treatments for obesity, overweight, and severe obesity in adults and children; emerging treatment opportunities; the development of a workforce for obesity treatments; payment and policy considerations; and promising paths to move forward. This publication summarizes the presentations and discussions from the workshop.
The obesity epidemic is one of the most serious public health threats confronting the nation and the world. The majority of overweight individuals want to lose weight, but the overall success of self-administered diets and commercial weight loss programs is very poor. Scientific findings suggest that the problem boils down to adherence. The dietary and physical activity recommendations that weight loss programs promote are effective; however, people have difficulty initiating and maintaining changes. Effective Weight Loss presents 25 detailed sessions of an empirically supported, cognitive-behavioral treatment package called Acceptance-Based Behavioral Treatment (ABT). The foundation of this approach is comprised of the nutritional, physical activity, and behavioral components of the most successful, gold-standard behavioral weight loss programs. These components are synthesized with acceptance, willingness, behavioral commitment, motivation, and relapse prevention strategies drawn from a range of therapies. ABT is based on the idea that specialized self-control skills are necessary for weight control, given our innate desire to consume delicious foods and to conserve energy by avoiding physical activity. These self-control skills revolve around a willingness to choose behaviors that may be perceived as uncomfortable, for the sake of a more valuable objective. The Clinician Guide is geared towards helping administer treatment, and the companion Workbook provides summaries of session content, exercises, worksheets, handouts, and assignments for patients and clients receiving the treatment. The books will appeal to psychologists, primary care physicians, nutritionists, dieticians, and other clinicians who counsel the overweight.
Abstract: The current state of knowledge on obesity is reviewed in a text written for clinicians who care for the obese. The first part of the text considers basic research on the etiological mechanisms of obesity. Topics include feeding and weight regulations; genetics and body weight; fat cells and body weight; acquired behaviors regulating food intake and energy output; set-points controlling body weight; and pharmacological and psychological aspects of eating and obesity. Part 2 explores these treatment methods: dietary management, drug therapy, behavior modification, physical activity, self-help groups, psychoanalysis, psychotherapy and surgery for massive obesity. Three final chapters discuss obesity in childhood and pregnancy and the social consequences of obesity.
