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Part1
Eating disorders are defined as persistent eating behaviors that negatively impact the person health and ability to function. Eating disorder can strike anyone; both males and females are at risk to suffer from this disorder and it usually starting at early age. People have intense fear of gaining weight. Eating disorder cause many health problems and can harm vital organs and the body can start to shut down. The most common types of eating disorder are anorexia nervosa (starvation to keep body weight), bulimia nervosa (consumption of large amounts then get rid of it through vomiting, laxative abuse, or excessive exercising), and binge eating (consumption of large amounts of food in secret). Medication and therapy could control the symptoms and restore the body functions and organs.
As a coach, to come up with a comprehensive goal-setting program, one must first try to bring back the indiviual to a healthy weight. This phase is known as weight restoration. Weight restoration is where "patients are expected to gain 1/3 of the weight to be gained (the usual goal is BMI 20)" (C. G. Long et al., 2012, p. 4).
After weight restoration is obtained through counseling and monitoring of the patients caloric intake, one should begin the phase of normalizing their eating habits. This can be done by setting goals weekly to encourage patients to set targets of small concrete goals that focus on body-image, self esteem and personal relationships. (C. G. Long et al., 2012) After the normalization of eating habits, there should be modification of weight control.Anorexia nervosa and Bulimia are two very different disorders that should be normalized differently, however, the normalization of eating habits can overlap with both disorders with the use of physical activity. Patients can be helped by being engaged at the advised activity level according to their physical health status (Beumont, Arthur, Russell, & Touyz, 1994).
Long, C. G., Fitzgerald, K., & Hollin, C. R. (2011). Treatment of chronic anorexia nervosa: a 4-year follow-up of adult patients treated in an acute inpatient setting. Clinical Psychology & Psychotherapy, 19(1), 1-13. doi:10.1002/cpp.738
Beumont, P.J.V., Arthur, B., Russell, J.D., & Touyz, S.W. (1994). Excessive physical activity in dieting disorder patients: Proposals for a supervised exercise programme. International Journal of Eating Disorders, 15, 21–36.
Part 2
Hi class,
The disorder I chose is Bulimia."Bulimia is a psychological and severe life-threatening eating disorder described by the ingestion of an abnormally large amount of food in short time period, followed by an attempt to avoid gaining weight by purging what was consumed. The exact cause of bulimia is currently unknown; though it is thought that multiple factors contribute to the development of this eating disorder, including genetic, environmental, psychological, and cultural influences."(NEDA)
In order to treat athletes with Bulimia you have to provide them with tools help them with trauma, depression, anxiety, emotions, social interactions, and other aspects to help them in their daily life. Using goal setting can help them overcome this horrible eating disease.
Short-Term Goals 1. I will have the athlete honestly tell their eating pattern including types, amounts, and frequency of food consumed. 2. I would then ask the athlete if they have had any unhealthy weight control behaviors and the time frame they noticed it. 3. Verbalize an accurate understanding of how eating disorders develop by a specific date as evidence. 4. Then have the athlete keep a journal of food consumption for a specific time frame. 5. Along with the journal I would set regular eating patterns by eating portions during the day for the athlete to follow. Such as foods,calories,etc... 6. Then create a list of high-risk situations for unhealthy eating or weight loss practices to use as motivation for the athlete. 7. Having the athlete learn and implement skills for managing urges to engage in unhealthy eating or weight loss. By participating in exercises in life skills group to build skills in managing urges to use weight control practices. So the familiarity with be there. 8. Then identify, challenge, and replace self-talk and beliefs that promote the bulimia by bringing important people in the past and present and describe the good and poor qualities of those relationships. 9. I would then implement relapse prevention strategies for managing possible future anxiety symptoms by a specific date. Long-Term Goals: 1. Restore normal eating patterns, healthy weight maintenance, and a realistic appraisal of body size. 2. Terminate the pattern of binge eating and purging behavior with a return to eating normal amounts of nutritious foods. 3. Develop healthy cognitive patterns and beliefs about self that lead to positive identity and prevent a relapse of the eating disorder. 4. Develop healthy interpersonal relationships that lead to alleviation and help prevent relapse of the eating disorders. 5. Develop coping strategies (e.g. feeling identification, problem-solving, assertiveness) to address emotional issues that could lead to relapse of the eating disorder.
References
NEDA.(n.d.) About Bulimia: Symptoms, Signs, Causes & Articles For Treatment Help. Retrieved March 14, 2018, from https://www.eatingdisorderhope.com/information/bulimia