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When Talk Therapy is Not Enough: Creative Alternatives for Engaging the Patient and Family in the Early Stages of Change

Saturday, March 24, 2012: 10:40 AM-12:10 PM
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Yellow Topaz (The Charleston Marriott)
Clinicians at all levels of care encounter patients and families within the precontemplative and contemplative stages of change. This presentation will offer techniques to augment traditional talk therapy and enhance engagement within these stages. Techniques and handouts provided are applicable across the continuum of care and all modes of treatment.

Outline

 

  1. Overview of The Stages of Change and application to the eating disorder population
    1. Inpatient/Residential
    2. Partial Hospitalization Program/Intensive Outpatient
    3. Outpatient Individual/Family Therapy
  2. The Precontemplative Patient and Family
    1. Resigned Precontemplator

                                                              i.      Definition and examples

                                                            ii.      Utilizing Family Letters to increase awareness and engagement

    1. Rebellious Precontemplator

                                                              i.      Definition and examples

                                                            ii.      Rolling with the resistance

1.      Exploring “The Many Faces of Ed”

2.      Identifying “What are the Costs of my Benefits?”

                                                          iii.      Expanding the traditional Concept of Body Image

    1. Reluctant Precontemplator

                                                              i.      Definition and examples

                                                            ii.      Increasing healthy body consciousness

1.      Activity:  “Processing Feelings Through the Body”

2.      Experiential Activity:  “Enhancing Connection” utilizing the 5 senses

    1. Rationalizing Precontemplator

                                                              i.      Definition and examples

                                                            ii.      Identifying and creating a common language

                                                          iii.      Experiential activity: “Recovery Minefield”

  1. The Contemplative Patient and Family
    1. Definition and examples
    2. Stages of letting go of the eating disorder

                                                              i.      Application and examples of the grief model related to eating disorders

                                                            ii.      Utilizing letter writing activity to begin detaching from the eating disorder

    1. Challenging ambivalence

                                                              i.      Role plays

                                                            ii.      Therapeutic journaling activities

1.      “Tell it to the Judge”

2.      “The Rules”

    1. Empowering the patient to reclaim their voice

                                                              i.      Separating from the eating disorder by identifying own voice

                                                            ii.      Expressing the internal struggle

1.      Activity:  “What I Wish You Knew…”

2.      Activity:  Family exposure experience

  1. Conclusion

 

Engaging clients and families in the recovery process can often prove to be a challenging task for even the most skilled clinician. This presentation will discuss how the Stages of Change can be integrated within the conceptualization and treatment of those struggling with eating disorders through a combination of didactic and experiential activities. The presenters will discuss therapeutic activities to augment traditional talk therapy that are applicable to all levels of care and can be adapted for individual, family and/or group therapy settings. The presenters will be focusing specifically on facilitating engagement and change among clients and families within the Precontemplative and Contemplative stages of change. As many clients are often entrenched within the Precontemplative stage of change, the presenters will provide examples of techniques for each of this stage’s various subtypes (i.e, Resigned, Rebellious, Reluctant and the Rationalizing Precontemplators). The goals of the presentation are to: 1. Provide clinicians with creative techniques to enhance their clinical practice, 2. Integrate concepts based on the stages of change to assist clinicians in engaging clients and families within the recovery process, 3. Augment traditional talk therapy with therapeutic activities based on current stage of change, level of care and mode of treatment. The experiential techniques and therapeutic writing activities presented are designed to: increase client and family awareness, facilitate the process of communication, enhance engagement in treatment and generate motivation for change. The attendees will be provided with handouts and examples of the activities presented to utilize in their clinical practice.

 

Primary Presenter:
Michelle Gebhardt, PsyD

Michelle Gebhardt, Psy.D., is a Licensed Clinical Psychologist and Clinical Coordinator of the Inpatient Center for Eating Disorders and Self-Injury Recovery at Alexian Brothers Behavioral Health Hospital. She is also President of the Heartland iaedp Chapter, which is currently forming and will serve: Illinois, Missouri, Wisconsin, Iowa, Indiana, Michigan and Ohio. In addition, Dr. Gebhardt treats patients and families within the Alexian Brothers Outpatient Group Practice in Hoffman Estates, Illinois, focusing on treatment of eating disorders and non-suicidal self-injury. She is a member of the iaedp, Illinois Psychological Association and the International Society for the Study of Self-Injury.



Co-Presenter:
Brittany Statler, MSW

Brittany Statler, MSW is a therapist within the Inpatient & PHP Centers for Eating Disorders/Self-Injury Recovery at Alexian Brothers Behavioral Health Hospital. Brittany focuses on individual, family and group therapy for both the eating disorder and self-injury population along with case management and assessment. She also leads and helped create the Family/Support System Psychoeducation and Experiential Therapy Group. In addition to her work at the hospital, Brittany is also a therapist at Alexian Brothers Eberle Evening IOP, where she treats mood disorders, anxiety, stress and addictions. She treats males and females across the lifespan utilizing CBT, DBT, and ACT.



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