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.
Mục lục
Research Perspectives: Relationship between feeding and drug seeking behaviors.- Animal models of eating disorders.- Activity Anorexia.- Role of neurotransmitter systems.- Dimensions of personality and neuropsychological function.- Imaging findings.- Genetic aspects: Do EDs, addictions, and SUDs share genetic vulnerabilities.- The Role of Epigenetics.- Clinical Perspectives: Epidemiology of EDs, addictions and SUDs.- Assessment.- Nutritional Aspects.- Are EDs addictive disorders?.- The Role of Stress, Trauma and PTSD.- The Role of Obesity.- EDs, addictions and SUDs following bariatric surgery.- Prevention and public policy issues.- Treatment Perspectives: General principles of treating the comorbid patient.- The use of CBT.- Mindful based treatments.- The use of self-help approaches.- The use of motivational interviewing and MET.- The use of family therapy.- Nutritional interventions.- The use of exercise.- The use of alternative and complementary therapies.- Ethics and the role of compulsory hospitalization.- The role of invitational intervention.
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