Eating disorders, addictions, and substance use disorders are each challenging in their own right, but they also commonly co-occur, causing major challenges for clinicians. This book presents cutting-edge research on the overlap of these complex disorders and reviews integrative assessment strategies and treatment approaches, including enhanced cognitive behavioral therapy, dialectical behavior therapy, abstinence approaches, motivational enhancement, mindfulness meditation, and pharmacotherapy. The issue of whether eating-disordered behaviors such as dieting, binge eating, and excessive exercise are merely other forms of addictive behavior is examined. The authors argue both for and against the concept of food addiction in research, clinical treatment, and public policy. The book will be of interest to psychiatrists, addiction medicine physicians, mental health/substance abuse clinicians, dieticians, researchers, and those affected by the disorders.
Over the past fifteen years, there has been a great increase in the knowledge of eating disorders in sport and effective means of treatment. In this book, the authors draw on their extensive clinical experience to discuss how to identify, manage, treat, and prevent eating disorders in sport participants. They begin by examining the clinical conditions related to eating problems, including descriptions of specific disorders and a review of the relevant literature. Special attention is given to the specific gender and sport-related factors that can negatively influence the eating habits of athletes. The second half of the book discusses identification of participants with disordered eating by reviewing symptoms and how they manifest in sport; management issues for sport personnel, coaches, athletic trainers, and healthcare professionals; treatment; and medical considerations, such as the use of psychotropic medications. A list of useful resources is included in an appendix, as well as a glossary of important terms.
Compulsive Eating Behavior and Food Addiction: Emerging Pathological Constructs is the first book of its kind to emphasize food addiction as an addictive disorder. This book focuses on the preclinical aspects of food addiction research, shifting the focus towards a more complex behavioral expression of pathological feeding and combining it with current research on neurobiological substrates. This book will become an invaluable reference for researchers in food addiction and compulsive eating constructs. Compulsive eating behavior is a pathological form of feeding that phenotypically and neurobiologically resembles the compulsive-like behaviors associated with both drug abuse and behavioral addictions. Compulsive eating behavior, including Binge Eating Disorder (BED), certain forms of obesity, and 'food addiction' affect an estimated 70 million individuals worldwide. - Synthesizes clinical and preclinical perspectives on addictive eating behavior - Identifies how food addiction is similar and/or different from other addictions - Focuses on the underlying neurobiological mechanisms - Provides information on therapeutic interventions for patients with food addiction
This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders as well as other compulsions and addictions, such as alcoholism and erotic attachments. The chapters help therapists think creatively about these types of patients, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues.
Clinical Handbook of Complex and Atypical Eating Disorders brings together into one comprehensive resource what is known about an array of complicating factors for patients with ED, serving as an accessible introduction to each of the comorbidities and symptom presentations highlighted in the volume.
Based on a decade of research and theory, Substance Use Disorders and Addictions examines co-occurring psychiatric disorders as the norm with substance use disorders and addictions. With more than 20 years of experience in the field as a clinician, a researcher, a program developer, and an instructor, Keith Morgen encourages a holistic approach to working with individuals, using a single case example throughout the text to encourage the sequential application of concepts to co-occurring disorders. With DSM-5 diagnostic criteria, the 2014 ACA code of ethics, and 2016 CACREP standards integrated throughout, readers will benefit from this applied and cutting-edge introduction to the field.
"Anorexia nervosa and bulimia have long perplexed clinicians, families, and the patients themselves. This book presents a novel approach to the understanding and treatment of these eating disorders and sheds light on a variety of other addictive behaviors as well." "Here anorexia nervosa and bulimia are identified as addictions to endorphins, hormones that are secreted by the body in response to self-starvation and purging and that, because of their reinforcing power, also perpetuate these behaviors. Following this line of thought, supported by both research and clinical experience, the book provides a parsimonious but rational and complete explanation for these enigmatic conditions." "Based on this understanding, the author develops a treatment model that involves learning about the addictive process, cognitive-behavioral strategies for withdrawing from endorphins stimulated by self-starvation or binge/purging, and psychotherapy for the underlying depression and anxiety. For both anorexia nervosa and bulimia, the implementation of this model is shown in numerous case examples." "The physical and psychological effects of endorphin addiction are evident in a wide variety of human behaviors motivated by the pursuit of endorphins. The author demonstrates the role of endorphin reward in other addictive behaviors, from obsessive exercise to religious fanaticism and cult involvement, which can be treated with similar methods." "Integrating mind and body, research and clinical experience, this book challenges all those who treat and are affected by eating disorders and other addictive behaviors to revise their thinking. Truly, Dr. Huebner has removed the "enigma" from these conditions."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
The CDC has reported that obesity is second only to tobacco as the leading cause of associative deaths in America. Can both be types of substance abuse? A decade ago, scientists hypothesized that loss of control over eating—which results in obesity—may be a form of addictive behavior. Using direct evidence gathered by the nation’s leading experts, Eating Disorders, Overeating, and Pathological Attachment to Food: Independent or Addictive Disorders? examines the relationship between overeating and addiction. In this text, you’ll find case studies, tables, figures, and analyses supporting the hypothesis that there are important similarities between highly desirable foods and the classic addictive substances. Researchers have only recently come to a consensus that obesity is a disease, but the debate continues as to whether it is related to depression, personality disorders, or addictions. In Eating Disorders, Overeating, and Pathological Attachment to Food, you will gain new insight on: the social and environmental factors related to eating disorders problem drinking and eating disorders from a gendered perspective in a college student population possible neural interconnections between eating messengers and targets for drugs of abuse neuroimaging studies on somatosensory cortex changes and hypothalamus reward responses weight gain following supervised abstinence from drugs and alcohol With overeating and obesity on the rise, Eating Disorders, Overeating, and Pathological Attachment to Food offers new hope in the quest to help patients and clients successfully conquer their eating disorders and/or substance addictions without substituting one for another. This book is a step forward for concerted research toward a better understanding of cravings, which can lead to new therapeutic options more suited toward eating disorders and drug addiction.
Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment provides a clinically detailed, evidence-based, and exhaustive examination of a topic rarely plumbed in psychiatry texts, despite the fact that co-occurring mental illness and substance use disorders are common. The authors argue for a more holistic and integrated approach, calling for clinicians to tactfully but persistently evaluate patients for a broad range of co-occurring disorders before determining appropriate treatment. Focusing on a substance use disorder in isolation, without determining whether another psychiatric disorder is co-occurring, can doom treatment efforts, and the reverse also is true. To help clinicians keep the big picture in mind, the book is organized around 18 cases, each of which addresses a particular diagnostic skill (e.g., assessment), group of disorders commonly comorbid with substance use disorders (e.g., PTSD, eating disorders), specific treatment (e.g., pharmacological interventions), or special population (e.g., adolescents). This case-based approach makes it easy for readers to understand strategies and master transferable techniques when dealing with their own patients. Because the initial face-to-face sessions are especially important with this patient population, the book includes chapters on the diagnostic assessment and the initial interview, as well as offering interviewing tips throughout to help the clinician develop the necessary care and skill in this arena. Also included is a chapter on integrating motivational interviewing into the treatment. Each of the 18 cases stands alone, allowing the reader flexibility in using the text. For example, the 18 cases and discussions can be read sequentially, or as needed, depending on the reader's special interest or current need. The book also features chapters on how to effectively work with patients whose disorders might be affecting other members of a patient's family, since the likelihood of a successful outcome is enhanced if an integrated treatment plan is developed for their co-occurring disorders. The questions that accompany each chapter can be used as an organizational tool prior to reading or to test knowledge and comprehension afterward. The text is completely up-to date and provides DSM-5 diagnostic information essential to each case. Co-occurring Mental Illness and Substance Use Disorders: A Guide to Diagnosis and Treatment offers a straightforward approach to people with complicated presentations, offering mental health clinicians the skills they require to effectively assess, diagnose, and treat these patients and their families.
