Anorexia and Obesity: Two of a Kind?

anorexia Dr Nicola Davies is a health psychologist, counsellor, and writer specialising in raising awareness about health, wellbeing and weight loss. She is a member of the British Psychological Society and the British Association for Counselling and Psychotherapy. Nicola also keeps a health psychology blog and runs an online forum for counsellors. She is the author of I Can Beat Obesity! and I Can Beat Anorexia! and the co-author of the Eating Disorder Recovery Handbook.

While generally regarded as two separate, very different issues, anorexia and obesity actually share many similarities – not only in terms of risk factors, but also psychological, behavioural, cognitive, genetic, and neuropsychological similarities.

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Managing Anxiety and Depression on the Autism Spectrum

The dramatic increase in the prevalence of autism spectrum conditions among children and adolescents and the correspondingly large number of youth transitioning into adulthood has created an urgent need to address the mental health problems faced by many adults on the autism spectrum. Nearly a half million youth with autism will enter adulthood over the next decade and most will continue to require some level of support. In addition, there is a large and diverse group of adults whose autistic traits were not identified in childhood and have not received the appropriate interventions and services. Although autism symptoms may improve with age, co-occurring mental health issues may worsen in adolescence or adulthood. As a result, there are a sizable number of adults on the higher end of the spectrum who are now seeking help to deal with feelings of social isolation, interpersonal difficulties, anxiety, depressed mood, and coping problems. Unfortunately, mental health problems such as anxiety and depression and even the diagnosis of an autism spectrum condition itself often go unrecognized. Although the rate of co-occurring (co-morbid) mental health issues for adults on the spectrum is high, accessing services to address these symptoms is frequently difficult and the extent of the problem will only increase as more and more youth transition to adulthood.

Evidence is beginning to emerge for interventions addressing the mental health needs of this growing and under-served group of adults, including cognitive-behavioral therapy (CBT). CBT has direct applicability to adults on the autism spectrum who often have difficulty understanding, managing, and expressing emotions. It has been shown to be effective in changing the way a person thinks about and responds to feelings such as anxiety and depression. With CBT, the individual learns skills to modify thoughts and beliefs through a variety of strategies which improve interaction with others in helpful and appropriate ways, thereby promoting self-regulation and mental health. It is a goal oriented approach and primarily emphasizes here-and-now problems, regardless of one’s history, traits, or diagnosis. CBT also provides a more structured approach than other types of psychotherapy, relies less on insight and judgment than other models, and focuses on practical problem-solving. Moreover, because individuals learn self-help in treatment they are often able to maintain their improvement after therapy has been completed. Evidence-based CBT holds considerable promise as an effective intervention for improving the quality of life and psychological well-being of adults on the autism spectrum.

Despite the availability of effective psychological treatments for anxiety and depression, a substantial number of adults on the autism spectrum do not seek professional help. Common obstacles to mental health care access include limited availability and affordability of services, confidentiality issues, lack of insurance coverage, frequent delays and long waiting periods, and social stigma. Likewise, many service providers do not have the experience or expertise to work with individuals on the autism spectrum, particularly those with co-occurring mental health issues. Self-help interventions represent an increasingly popular alternative to therapist-delivered psychological therapies, offering the potential of increased access to cost-effective treatment for a range of different mental health issues. They provide an opportunity for the individual to gain some useful insights and begin to work through their problems with limited guidance from a therapist or mental health professional. Research has clearly shown that self-help strategies are effective, practical, and acceptable for many individuals in reducing mental health problems such as mild to moderate anxiety and depression, often alone or with other forms of treatment. Self-help interventions have the potential to play an important role in providing effective treatment to the large proportion of adults on the spectrum who are experiencing mental health issues.

While there is no shortage of books describing the debates and challenges related to the diagnosis and treatment of autism spectrum conditions, there is a need for a practical resource for adults on the spectrum that promotes self-understanding and directly teaches effective ways of coping with their emotional challenges. Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT presents strategies derived from cognitive-behavioral therapy (CBT), adapted specifically for adults on the higher end of the spectrum, to help them overcome anxiety and depression, and improve their psychological well-being. The author takes the best of CBT therapeutic methods to facilitate greater self-understanding, self-advocacy, and better decision-making in life-span activities such as employment and interpersonal relationships. This self-help guide provides evidence-based tools that can be used to learn new ways of thinking, feeling, and doing. It includes questionnaires, worksheets, and exercises to help the reader:

  • Evaluate his or her autistic traits and discover their cognitive style.
  • Identify and modify the thoughts and beliefs that underlie and maintain the cycles of anxiety, depression, and anger.
  • Apply therapeutic techniques such as mindfulness, positive self-talk, guided imagery, and problem solving.
  • Accept the past and achieve unconditional self-acceptance.
  • Deal effectively with perfectionism and low frustration tolerance.
  • Avoid procrastination and learn to maintain positive changes to their progress

Used alone or in combination with therapy, Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT is an essential self-help book for adults on the higher end of the spectrum looking for ways to understand and cope with their emotional challenges and improve their psychological well-being. It was honored as an Award-Winning Finalist in the “Psychology/Mental Health” category of the 2016 Best Book Awards.

About the Author

Lee A. Wilkinson, PhD, is a licensed and nationally certified school psychologist, chartered psychologist, and certified cognitive-behavioral therapist. Dr. Wilkinson is author of the award-winning book, A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition), also published by Jessica Kingsley Publishers and editor of a best-selling text in the American Psychological Association (APA) Applying Psychology in the Schools Series, Autism Spectrum Disorder in Children and Adolescents: Evidence-Based Assessment and Intervention in Schools.

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Borderline Personality Disorder: One Step at a Time

Tracy Barker, author of A Sad and Sorry State of Disorder, is an expert by experience on how to live with and manage borderline personality disorder (BPD), now a happily married home maker committed to raising awareness of BPD, she has written an emotional and honest piece on how it feels to have BPD, the struggles and how to deal with it; one step at a time.

One step, then take a break –
a few days, to recover.
One step, then rest
before embarking on another.

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What is it like from a birth parent’s perspective to have your children living in foster care?

Foster care birth parentsIn this extract from Welcome to Fostering, Annie describes what it is like from a birth parent’s perspective to have your children living with foster carers, and provides some useful advice for foster carers on how to manage a good relationship with birth parents. She is the writer of her own blog, Surviving Safeguarding, which tells the story of her ongoing journey to win her children back into her custody. She believes that ‘Fostering is truly a wonderful thing’.

Click here to download the extract

If you would like to read more articles like Annie’s and hear the latest news and offers on our Fostering and Adoption books, why not join our mailing list? We can send information by email or post as you prefer. You may also be interested in liking our Adoption, Fostering and Parenting Facebook page.

Peace Inside: How meditation can transform your mental health

peaceSam Settle, editor of Peace Inside, examines how the time tested practice of meditation – sitting in silence and paying attention to the breath – is helping people maintain a healthy mind behind bars.

“If you don’t go into prison with a mental health problem, then you’re very likely to pick one up while you’re there. And if you do have a pre-existing condition – and many people who come into prison do – it’s probably going to get worse while you’re inside.” So said the head of the mental health team at an Oxfordshire prison, speaking recently to yoga teachers at a training run by our charity, the Prison Phoenix Trust (PPT). Part of the PPT’s work is setting up yoga and meditation classes in prisons, training and supporting qualified teachers for this unusual work. There are currently 144 classes in 79 UK and Irish prisons.

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What are the different forms of bullying and what strategies can be used to overcome the problem?

bullyingMichael Panckridge, co-author of Be Bully Free, takes a look at the different forms that bullying can take and suggests strategies that victims of bullying can adopt to overcome the problem.

Bullying is about power and the perceived need to gain dominance over another person either physically, intellectually, socially or emotionally. Research into the effect of bullying behaviour indicates that not only does it produce negative short-term psychological problems, but can also affect a person well into their adult life and even lay the foundations for significant and ongoing emotional health problems. Sometimes the bullying is overt and immediate. However, in many cases, the bullying is low-key and ‘hidden’, and the recipient may not be aware of it immediately.  Initially the recipient may think it is their own behaviour that is causing the bullying – that there is something wrong with them or what they do. When this happens, the recipient of the bullying tends to avoid being with other people and they use strategies to escape. This may include avoiding school, which can signal the start of school refusal. Continue reading

Counsellors working with young people often find it can feel like messy, complex work. What helps when counsellors are stuck?

counsellorNick Luxmoore, author of Practical Supervision for Counsellors who Work with Young People, explores the positive impact that good supervision sessions can have on counsellors who are struggling to break down barriers with young people in their care.

It’s Nikki’s first day as a counsellor and she’s about to see four young people. “Help!” she says, panicking. “What am I supposed to do?” Elsewhere, the girl Stephanie’s been seeing for counselling has ripped up a box of tissues and stormed out of the room, Marvin’s complaining that his counselling waiting list is getting longer and longer, and all the young people at Maggie’s school appear to be cutting themselves or feeling suicidal….

However experienced or inexperienced they may be, all professional counsellors are obliged to have regular meetings with a supervisor: someone with whom they can untangle the “stuckness” that develops in their thinking and relationships. Most are only too glad of the facility and most counsellors are able to choose their supervisor, someone who may or may not already have experience of working with young people. Continue reading

Emotions of Suicide Loss

Reaching out to fellow Aspies, Lisa Morgan proffers her insight and advice to ensure that others on the autism spectrum don’t have to face suicide loss alone. Her book, Living Through Suicide Loss with an Autistic Spectrum Disorder (ASD): An Insider Guide for Individuals, Family, Friends, and Professional Responders is an honest look at the immediate aftermath of suicide loss, how emergency responders can help, and the long-term implications of living with suicide loss for individuals on the autism spectrum.

“A suicide loss can elicit such intense emotions that a person with Asperger’s Syndrome (AS) can be quickly overwhelmed and flooded with out of control feelings.  The complicated grief, possible trauma, and relationship difficulties are some of the reasons for the emotional flooding a person with AS might experience.  I have experienced emotional flooding many times since my husband completed suicide in 2015.  I am going to share with you the coping skills that worked for me as I continue to understand and gain control over my troublesome emotions.”

  • Complicated Grief

“Complicated grief is grief that is coupled with anger, rejection, and feelings of guilt to name a few. Anger is the lion of my emotions. It’s wild, ferocious, and can maul my heart before I even know what is happening. I have learned to let it out slowly in small, manageable bits.  There are different ways this can be done. The easy way is to recognize when you are feeling angry and go with it while still maintaining control. Hit a pillow, punch the couch, or the mattress on the bed until you are spent and have no energy left. Go for a brisk walk or a run. For me, the coping skill is to do something physical. I have found emotions caused by rejection and feelings of guilt can be reasoned away somewhat by logic. Accepting that the decision to complete suicide was not up to you, but was responsibility of the person who died by suicide is the first logical step. I worked at accepting my husband’s decision and releasing myself from feeling any rejection and guilt.  There were uncomfortable emotions I had to sort out, but the comfortable logic of reason helped very much. It doesn’t happen overnight. Healing from complicated grief is a process that will take time. It’s an investment in a future of hope, happiness, and health.”

  • Possible Trauma

“There is possible trauma involved in losing a loved one to suicide. There are people who witness the suicide, find their loved one after the suicide, or who reach their loved one in time to try to save them, only to have their loved one still not make it. The trauma added to the complicated grief can bring out confusing emotions and flood an adult with AS. When I experience emotional flooding I shut down. My senses are extremely hyper-sensitive. I can’t control my anxiety which leads to lots of crying, and all I want to do is to withdraw inside of myself. When my emotions flood, I try to reach out to someone who can ground me and help me to regain control. It’s usually very helpful to have someone repeat truths until I can feel that my emotions are calming down. If I can’t find someone to reach out to, I can stay emotionally flooded for a long time. Instead, I try to draw, write, listen to music, take walks, and use the coping skills I know have worked before until I feel better. It can be difficult to actually start using the coping skills, but with determination it can be done.   One thing that I have learned with all the emotional flooding I’ve experienced is it will dissipate eventually. The more coping skills I use, the faster I have felt better.”

  • Relationship Difficulties

“I have yet to completely understand how some relationships disintegrate for the survivor of suicide loss at a time when those relationships are needed more than ever before. It’s a painful absence for sure. I had friends tell me they would stay with me no matter what I was going through and then- leave soon after the worst experience of my life. As an adult with AS, trust is extremely important, yet dreadfully hard to do because of my early school years where I learned to not trust anyone. The reason I can still trust after some relationships died with my husband, is because I still have some friends that were true to their word and stayed with me the whole time even until now. The emotions of losing the relationships I did—were painful, confusing, and left a big hole of emptiness in me.  The pain that comes with relational loss is deep. I thought those friends would be my friends for life. Acceptance is the key to coping with lost relationships. Remembering that the friends who left decided to go and there’s nothing I could do about it. Is it difficult to accept? Yes! Is it impossible to accept? No.”

“Nothing that has happened since the loss of my husband to suicide has been easy. Knowing that the aftermath of suicide loss is terribly hard has helped me to take up the challenge to succeed, to thrive, and to move forward. I’m worth it, you’re worth it, and we all matter.”

To learn more about Lisa Morgan’s book or to purchase a copy, click here.

Living Through Suicide Loss is a valuable addition to suicide grief literature. Morgan’s account of the challenges she faced, following her husband’s death, will resonate deeply with all suicide loss survivors.  The special challenges she documented as someone with Asperger’s syndrome, will sensitize and empower all involved in such tragedies.”

—Ronnie Susan Walker MS, LCPC, Founder: Alliance of Hope for Suicide Loss Survivors

“The excellent and much-needed book deals with the specific issues—emotional and practical—faced by people on the autism spectrum when a loved one completes suicide. Written from a personal, lived experience perspective, this sensitive and valuable book validates the experience of readers and helps them to manage what is essentially unmanageable.

—Jeanette Purks, autism self-advocate and author of
The Guide to Good Mental Health on the Autism Spectrum

 

How to compile a life story book for an adopted or fostered child

life story booksJoy Rees, author of Life Story Books for Adopted and Fostered Children, gives her advice on how best to compile a life story book for an adopted or fostered child.  Working chronologically backwards rather than forwards, she explains how such a format reinforces the child’s sense of security and promotes attachment.

A Life Story Book tells the story of the child’s life and is often described as an ‘essential tool’ to help the child gain a sense of identity and an understanding of his or her history. This was the emphasis when I wrote the first edition of this book, Life Story Books for Adopted Children, – A Family Friendly Approach, some 10 years ago.

This approach evolved from my work with adoptive families, and from a growing awareness that most of the books I read at that time were simply not ‘fit for purpose’. The language used and the details given about the birth parents’ history was generally not appropriate or helpful. The books were just not child friendly. At best many of them were complex and confusing and it was difficult to follow the child’s story in them. At worse, some books inadvertently fed into the child’s sense of self-blame and shame about their early experiences. Others risked adversely affecting placement stability by impeding the vital claiming and belonging stages of the attachment process. Continue reading