Eating Disorders Narrative Therapy

Eating Disorders

Eating disorders comprise a range of attitudes and behaviors relating to food and body-image. The three main eating disorders are Anorexia Nervosa, Bulimia, and ED NOS (eating disorder not otherwise specified). These conditions manifest to different degrees in different people and can sometimes be mistakenly judged as poor eating habits, or a lack of willpower.

People with eating disorders don't eat in harmony with their bodies' needs, instead, people with Anorexia Nervosa eat much less than they need, while Bulimia sufferers binge and then induce vomiting. They may also do other things to compensate for overeating, including exercising or fasting. ED NOS combines any combination of the other two conditions.

Apart from the physical symptoms and behaviors above, someone with an eating disorder will generally also have poor self-esteem and obsessively research or talk about food, dieting or exercise. Poor body image will cause them to either wear clothes that cover up every inch of their bodies, or flaunt  in order to attract attention. They will find it hard to accept criticism and compliments.

Therapy for eating disorders depend on the patient. While some people respond well to short term outpatient treatment, others respond better to long-term inpatient treatment. Cognitive behavioral therapy and family therapy are long term treatments that have been proven to be effective, while group therapy, psychodynamic psychotherapies and feminist therapies work for people who will respond well to short term therapy.

Family therapy is often advised for children and adolescents who are experiencing eating disorders. Research has also shown dialectical behavioral therapy to be effective.

If you are looking for a counsellor or psychologist who addresses eating disorders, you may want to search the directory to find a professional whose approach will suit you best.

Narrative Therapy, Shame Counselling & Therapy

Narrative Therapy provides clients the opportunity to regain their ability to develop positive relationships by healing past wounds. It can be used in individual, family, adoption and couples contexts.

This type of therapy offers a respectful and non-blaming approach which acknowledges each person as the author of his or her own life. Narrative therapy assumes that people have a range of inner resources that help them deal with difficulties and problems in their lives.

Narrative therapy can be used with children, adults, in groups, couples and individuals. It can help them cope with traumatic events without the need to discuss it directly.

If you are looking for a therapist who offers Narrative Therapy, please browse our list of practitioners below..

There are a variety of approaches to address the issue of shame.  One of them is the Shame Resilience method is based on the research of Brené Brown, Ph.D. LMSW. 

Shame Resilience is the developed ability to practice authenticity when we experience shame, to move through the experience without sacrificing our values, and to come out on the other side of the shame experience with more courage, compassion, and connection than we had going into it.

Shame Resilience is about moving from shame to empathy- the real antidote to shame. Self-compassion is also critically important, because when we’re able to be tender with ourselves in the midst of shame we’re more likely to reach out, connect and experience empathy.

Other approaches, like Complex Integration of Multiple Brain Systems (CIMBS)  uses what is called a systems perspective that can address how an individual has learned to respond due to early trauma and or other developmental experiences.

Approaches to shame are not limited to the above.  There are many other therapies that address feeling.

If you do contact a therapist regarding shame issues please make sure that you ask them about their training in this area and choose a therapist whose approach makes sense to you.

 

Karen Goble

M.A., RCC
I’m a psychotherapist (MA, RCC) who offers therapy with heart. My private practice is a safe, nurturing space for acceptance and growth. I’m committed to helping my clients move courageously beyond... Read more