Chapter 1: Understanding Anorexia Nervosa
* Definition and symptoms of anorexia nervosa
* Prevalence, risk factors, and consequences
* Importance of seeking professional help
Example: A client presents with extreme weight loss, amenorrhea, and distorted body image. They express a fear of gaining weight and a compulsive need to restrict food intake.
Chapter 2: Cognitive Framework of Anorexia Nervosa
* Cognitive distortions (e.g., overvaluing thinness, underestimating body size)
* Dysfunctional beliefs (e.g., "I am only valuable if I am thin")
* Negative core beliefs (e.g., "I am unlovable and worthless")
Example: The client believes that their worth as a person is solely determined by their weight and appearance. They avoid social situations to prevent others from judging their body.
Chapter 3: Interpersonal Framework of Anorexia Nervosa
* Interpersonal difficulties (e.g., difficulty with intimacy, perfectionism)
* Dysfunctional family dynamics (e.g., enmeshment, overcontrol)
* Role of social media and cultural pressures
Example: The client's family is highly critical of their body and places a strong emphasis on thinness. This has contributed to their distorted body image and feelings of inadequacy.
Chapter 4: Challenging Cognitive Distortions
* Identifying and evaluating distorted thoughts
* Using reality testing and cognitive restructuring techniques
* Developing more balanced and realistic beliefs
Example: The client learns to question their thoughts that their body is too big. They gather evidence to support a more realistic body size perception, such as measuring their measurements against average population data.
Chapter 5: Changing Dysfunctional Beliefs
* Exploring the origins of dysfunctional beliefs
* Identifying the evidence for and against these beliefs
* Developing alternative, more adaptive beliefs
Example: The client challenges their belief that they are unlovable if they gain weight. They consider examples of people who love them unconditionally, regardless of their size.
Chapter 6: Improving Interpersonal Functioning
* Identifying and addressing interpersonal difficulties
* Developing assertive communication skills
* Building healthy relationships
Example: The client practices expressing their needs and boundaries with family members. They join a support group to connect with others who have experienced similar struggles.
Chapter 7: Maintaining Recovery
* Relapse prevention strategies
* Developing coping mechanisms for managing triggers
* Importance of ongoing support and monitoring
Example: The client creates a relapse prevention plan that includes strategies for managing cravings, reducing body image concerns, and maintaining a healthy weight. They establish regular appointments with their therapist for ongoing support.
