Note: page numbers in italic refer to illustrations or examples. The letter ‘t’ after a page number refers to a table. Where more than one page number is listed against a heading, page numbers in bold indicate significant treatment of a subject.
action plans 132–3
adolescents 12, 45–6, 72, 77–8
agoraphobia 51
alcohol 143
amenorrhea 11, 29, 32, 54, 95, 121, 143
Anorexia Nervosa
common myths 13–15
definition 11–19
pros and cons of 125–6, 127t, 128
anti-psychotics 107
anxiety disorder 50–1, 142, 148, 201, 204, 227
self-help 205–8
symptoms 202, 203
aromatherapy 229–30
art therapists 99
assertiveness 109, 185–6, 187, 194, 195, 197, 198–9
self-help 188, 189, 190–2, 196, 197, 200
assessing the problem 117–26, 127, 128–36
automatic thoughts 145, 146, 151, 152–3, 230
distortions 147, 148
recording 154–5
understanding 149–50
back pain 27
backsliding 235
basic assertion 194
behavioral effects 32–9, 55, 111, 112, 145, 146, 147
behavioral refeeding 104
binge-eating disorder 12, 41–2, 54, 87
biological factors 73–4, 91, 146
‘black-and-white thinking’ 38
bodily responses to starvation 146, 162, 164, 165, 166
body-builders 65–6
body image distortion 11, 91, 171, 172, 173, 234
self-help 175–6, 177–80, 182–3
body mass index charts 245, 246t, 247t, 248t
‘body’s history’ 175–7
bone-thinning (osteoporosis) 21, 25, 27, 55, 162
borderline personality disorder 42
brain shrinkage 27
Bulimia Nervosa 12, 33–4, 41–3, 58, 71, 87, 121, 148
cardiomyopathy (failure of heart muscle) 28
carotenaenia (carotene in blood) 26
case studies 5–7, 82, 115, 129, 172
anxiety 201
assertiveness 197–8
body image distortion 172
bulimia nervosa 42–3
crisis moments 221–2
obsessive–compulsive disorder 47–50
relationships 135–6, 211, 212, 213
change
motivation for 125–6, 127, 128
cholecystokinin (CCK) 74
‘clinical anorexia nervosa’ 119
clinical psychologists 97
cognitive behavioral therapy (CBT) 110–12, 147, 148–9, 154, 221
commitment, lack of 122–3
confrontative assertion 195–6
control, fear of losing 78, 123, 217
coping strategies 221–37
counsellors 98
crisis moments 221–4
cultural pressures 64–5, 72, 79–80, 87
death and grieving 86–8
deception 60
depression 34, 44–7, 86, 95, 101, 120, 121, 142, 146, 148, 227, 236–7
childhood/adolescent 54, 55, 61
diaries 98, 117–18, 123, 137–8, 139, 140, 153, 159, 177, 225
dietary therapy 108–9
dieting 15–17, 60, 87, 88, 118, 181
metabolism and 161, 162t, 163, 164, 165, 166
eating
anxiety and 205
monitoring 137–44
normal 140–1
patterns of 100–1, 140–1, 146, 161–70
elderly 66–8
emotional abuse 76
emotional pain 86
empathic assertion 194–5
energy levels 30, 163, 164, 165–6
epileptic fits 24
errors in thinking 157–8t, 159–60, 172, 173
escalating assertion 195
exercise 32–3, 60, 102, 142, 180, 235
men and 64
families
anorexia nervosa as a weapon against 33–4
autonomy and 81–2
children with anorexia nervosa and 56–7
coping with 129–31
genetic predisposition 73
mealtimes and 132
relationship of anorexia nervosa and 130–1
self-esteem and 83–4
structure of 74–6
family therapy 62, 109–10, 133
feeding difficulties, early 71–2
Food Avoidance Emotional Disorder (FAED) 57
food diaries 98, 117–18, 123, 137–8, 139, 140, 144, 153, 159, 177, 225
food, preoccupation with 36–7, 61, 204
fungal infections 29
gastro-intestinal system 28–9
general practitioners (GP) 95–6, 239
genetic predisposition 73
Great Ormond Street Hospital for Children 59
group therapy 108–10
heartburn 30
high-achieving parents 76
hyperventilation (over-breathing) 202
hypothermia 29
I-language assertion 196
immature thinking 38
immune system 29
individuality 75
inpatient treatment 101–5
interpersonal maps 209–11, 212, 213–19
involuntary treatment 105
isolation 124
isolation (hospital) 102
lanugo (downy hair) 26
late-onset anorexia nervosa 66–7
laxative abuse 31, 33, 42, 54, 64
‘lazy bowel syndrome’ 31
letter-writing 128–9
lifestyle changes 237
liver enzymes 26
magnesium deficiency 25
maintenance factors 70, 89–91, 118–19
mealtimes 132
media pressure 79–80, 87, 176–7
meditation 230–1
menstruation 11, 23, 29–30, 95, 121, 143
dieting and 161, 162t, 163, 164, 165, 166
mineral deficiency 25–6
miscarriage 30
monitoring eating 137–44
motivation for change 125–6, 127, 128
muscle tremors (tetany) 25
muscle wasting/weakness (myopathy) 26–7
myths 13–15
negative automatic thoughts 150, 151, 152–3, 230
non-assertion 187, 188, 189, 198–9
nurse therapists 96
obesity 71
observation, continual 102
obsessional disorders 38–9, 47–50, 61, 64, 74, 101, 120, 142
case studies 47–50
obstacles to recovery 122–5
occupational therapists 99
oestrogen levels 26
osteoporosis (bone-thinning) 21, 25, 27, 55, 162
outpatient treatment 95, 105–6
parenting 56, 71, 72, 75–6, 78, 85
pediatricians 99
percutaneous endoscopic gastroscopy (refeeding) 104
personality type 88
Pervasive Refusal Syndrome 58
physical abuse 76
physical effects 21–2, 23–4t, 25–32
physicians 96
portion system 63, 161, 166–8, 169
‘pre-anorexia nervosa’ 119
pregnancy 71
professional help 94–9, 121–2, 124
psychiatrists 97
psychoeducational therapy 108
psychological effects 34–5, 100
psychotherapists 97
‘punch-drunk’ appearance 35
purging 25, 30–1, 33, 42, 54, 64, 101
regressive behaviors 55
relapses 221–4
relationships 37, 72, 124, 134–6, 147
relaxation 205, 206, 207, 208, 228–9, 231–5
reproductive system 29–30
‘reverse’ anorexia nervosa 65–6
ritualization 36, 38–9, 47–50, 120
schooling 56–7
‘selective eating’ 58
self-abuse/punishment 42, 85, 101
self-defeating mechanisms 124–5, 230
self-esteem (low) 34, 56, 83–4, 87–8
self-help
anxiety 205–8
assertiveness 188, 189, 190–2, 196, 197, 200
body image 175–6, 177–80, 182–3
crisis moments 221–4
food diaries 98, 117–18, 123, 137–40, 144, 153, 159
letter-writing 128–9
monitoring eating 137–44
obstacles to recovery 122–5
portion system 166–70
relationships 209–11, 212, 213–19
relaxation techniques 205, 206, 207, 208
tactics 141–4
thinking errors 159–60
separation and loss 86–8
serotonin 74
sexual problems 134
skin 26
social distribution 12
social occasions 36–7
social pressures 64–5, 72, 79–80, 87
social skills 109
sodium (salt) deficiency 25–6
sore throat 30
specialist treatment services 94–9
speech, slurred 35
starvation
biological factors and 73–4, 146
bodily responses and 146, 162, 164, 165, 166
bulimia nervosa and 12
children and 55
emotional pain and 86
psychological effects of 34–9, 100
stereotypical thinking/behavior 39
stomach ulcers 31
suicide 101
support groups 124
symptoms 22, 23–4t, 25, 34–5, 46
tapes, relaxation 231–4
temperature regulation 29
tetany (muscle tremors) 25
thinking
anxiety and 203
behaviors and 35, 111, 112, 145, 146, 147
challenging 123, 145–55, 157–60, 236
errors in 157–8t, 159–60, 172, 173
immature 38
stereotypical 39
thoughts, automatic 145, 146, 151, 152–3
distorted 147, 148
recording 154–5
understanding 149–50
total parenteral hyperaliment-ation 104–5
tranquillizers 106–7
treatment 93–112
triggers 64, 67, 70, 71–89, 90, 119, 142
twins 73
veganism/vegetarianism 36
vicious circles 111, 112, 145, 146, 154
vulnerability factors 69, 70, 71–91
weight fluctuations 161, 162t, 163, 164
weight-loss behavior 32–4
yoga 234