Diabetes and Wellbeing (eBook)

Managing the Psychological and Emotional Challenges of Diabetes Types 1 and 2

Jen Nash (Autor)

eBook Download: PDF

2013
John Wiley & Sons (Verlag)
9781118485439 (ISBN)

Infos

Diabetes and Wellbeing presents a range of effective psychological principles proven to positively impact the emotional wellbeing of individuals with type 1 and 2 diabetes. The guide takes an explicitly CBT approach to motivate sufferers in essential self-care tasks.

• Written in a practical style, for those newly diagnosed with diabetes, individuals managing its challenges for many years, and healthcare  professionals
• Reveals how the stress of daily diabetes management can affect an individual's ability to stay motivated and engaged in essential self-care tasks that are vital for good health
• Presents proven techniques for improving emotional wellbeing
• First book to take an explicitly CBT approach to diabetes, simultaneously drawing on solution-focused behavioural therapy and mindfulness approaches
• Fills the gap information of this kind among healthcare professionals and individuals with diabetes

Dr. Jen Nash in a Clinical Psychologist living with diabetes since childhood. She is the founder and director of Positive Diabetes (www.PositiveDiabetes.com), an international service- providing therapy, education and training services to promote the psychological wellbeing of people living with type 1 and type 2 diabetes. She is also a keynote speaker for national diabetes charities, trainer for NHS professionals, consultant to leading diabetes pharmaceutical companies, and co-author of My Sweet Life: Successful Women with Diabetes (2011).

Inhalt

Cover???????????????????????? 1
Title Page?????????????????????????????????? 5
Copyright???????????????????????????????? 6
Contents?????????????????????????????? 7
Acknowledgements?????????????????????????????????????????????? 8
Chapter 1 Introduction?????????????????????????????????????????????????????????? 9
What is Diabetes? 9
Type 1 Diabetes 10
The causes 10
The symptoms 10
Treatment 11
Type 2 Diabetes 11
The causes 11
The symptoms 12
Treatment 12
What is the Emotional Impact of Diabetes? 13
Dealing with diagnosis 13
Depression and low mood 14
Guilt, shame and self-blame 14
Fear and anxiety 14
Using food to cope with emotions 15
Communicating with health professionals 15
Family relationships 15
Sexual difficulties 16
How Does Psychology Help? 16
Goal setting 16
Rewards 17
Acceptance and mindfulness 17
Staying solution-focused: managing setbacks 17
How to Use this Book 17
Further Reading 18
Chapter 2 Cognitive Behavioural Therapy for Diabetes?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 19
The Importance of Managing Your Thinking Styles 19
What is Cognitive Behavioural Therapy? 20
How to Use CBT: The Five-Step Thought-Challenging Process 22
Step 1: Ask yourself, ‘What is the situation or event?’ 22
Step 2: What do you tell yourself? What are the thoughts you notice running through your mind? 23
Step 3: What is happening in your body and what do you do? 24
Step 4: Challenge your thoughts 25
Step 5: Develop an alternative, balanced thought 26
The skill of thought challenging 26
Reference 30
Further Reading 30
Chapter 3 Dealing with Diagnosis?????????????????????????????????????????????????????????????????????????????? 31
Your Experience of Diagnosis 31
Initial Shock Reaction 32
Type 1 case study: Katie 32
Type 2 case study: Jeevan 32
Stage 1: denial 34
Stage 2: anger 36
Stage 3: bargaining 37
Stage 4: depression 38
How to Manage the Emotional Impact of Diagnosis 39
Learning to LIKE yourself 39
Dealing with Guilt, Shame and Self-Blame 46
What are guilt and shame? 47
How do these emotions affect people with diabetes? 47
Overcoming guilt and shame 47
Making reparations 49
Self-forgiveness 50
Practical Aspects of Dealing with Diagnosis 51
Telling others 51
Informing your employer 52
What Does the Research Tell Us About the Experience of Diagnosis? 52
Taken over by a new reality 52
The body plays a role in life 53
Different ways of learning 53
The healthcare service as a necessary partner 53
For the Healthcare Professional 53
Helpful phrases for the newly diagnosed patient 54
Unhelpful phrases 54
What does the research tell us about diagnosis? 54
References 55
Further Reading 56
Chapter 4 Depression, Low Mood and Burnout?????????????????????????????????????????????????????????????????????????????????????????????????? 57
What is Depression? 58
Why Does Depression Occur? 59
Biological factors 59
Psychological factors 59
Social factors 60
How is Depression Diagnosed? 60
Thinking 61
Feelings 61
Behaviour 61
Bodily changes 62
Assessing your symptoms of depression 62
Diabetes and Depression 62
Depression or diabetes burnout? 64
How to Manage Depression 65
Antidepressant medications 65
Increase your activities 65
Your Thoughts: Using CBT to Overcome Depression 72
The downward spiral of depressed mood 72
Thoughts that are common to depression 72
Case study: Helen 74
Step 1: What is the situation or event? 74
Step 2: What do you tell yourself? What are the thoughts you notice running through your mind? 75
Step 3: What is happening in your body and what do you do? 75
Step 4: Challenge your thoughts by asking yourself some helpful questions 75
Step 5: Come up with an alternative, balanced thought 76
Getting Support 77
Seeking support from a professional 78
Special Advice for Severe Depression 79
Seek professional help 79
Give yourself praise for the simple tasks you are achieving 80
Special Advice if You are Feeling Suicidal 80
Supporting a Loved One Who is Depressed 81
Examples of reflective listening 82
Advice for Healthcare Professionals 82
Simple depression screening questions for healthcare professionals 83
Active monitoring 83
How to ask about suicidal ideation 84
References 85
Further Reading and Resources 87
Directories to Find a Therapist 87
Useful Websites 87
Chapter 5 Managing Fear, Anxiety and Worry?????????????????????????????????????????????????????????????????????????????????????????????????? 88
What Causes Anxiety? 88
Are You Currently Struggling with Anxiety? 89
Changes caused by anxiety (Butler and Hope, 1995) 89
Specific Fears that Affect People with Diabetes 90
Fear of hypoglycaemia 90
Five strategies for overcoming your difficulties with hypoglycaemia 93
Dealing with the Fear of Long-Term Complications 99
Keep your thoughts about diabetes risks in perspective 99
Remind yourself of the actual facts 101
Focus on what you can control: diabetes self-care 101
Needle phobia 103
Overcoming General Anxieties and Worries 112
Some of the ways worry can affect you (Butler and Hope, 1995) 112
Have a ‘worry time’ 113
Distraction 114
Relaxation training 115
Controlled breathing 115
Imagery 115
References 115
Further Reading 116
Chapter 6 Managing Food, Weight and Emotions?????????????????????????????????????????????????????????????????????????????????????????????????????? 117
Practical Issues in Managing Eating Behaviour 117
Increase your knowledge 117
Strive for balance 118
Food and your social life 119
Using food to cope with emotions 120
How to manage emotional eating 123
Diabetes and Eating Disorders 131
What are eating disorders? 131
Are you currently struggling with an eating disorder? 133
Causes of eating disorders 134
Eating disorders and type 1 diabetes 135
Eating disorders and type 2 diabetes 136
Overcoming an eating disorder 136
Ten steps to overcoming your eating disorder 137
Step A: Get ready to change 138
Step B: Keep a diary 142
Step C: Establish an insulin routine that feels achievable 145
Step D: Reduce binge eating 146
Step E: Reduce vomiting/laxative use 147
Step F: Examine your thinking 148
Step G: Learn how to problem-solve 151
Step H: Expect challenges 152
Step I: Increase self-esteem 153
Step J: Speak up 155
Seeking professional help 157
Advice for health professionals 157
References 158
Further Reading and Resources 159
Website 159
Chapter 7 Diabetes and Relationships?????????????????????????????????????????????????????????????????????????????????????? 160
Your Relationship with Healthcare Professionals 160
Potential challenges in the patient–healthcare professional relationship 161
For the person with diabetes: How to improve your relationship with your healthcare team 162
Advice for the healthcare professional 166
Relationships in Your Family and Social System 172
Communicate 173
Ask for help 174
Take personal responsibility 174
Seek professional help 174
Sexual Difficulties 176
Male sexual problems 177
Female sexual problems 177
Gain support for the physical side of sex 178
How to manage the emotional impact of sexual difficulties 179
A plan for tackling sexual difficulties: sensate focus (adapted from Ford, 2005) 180
Next steps for erectile dysfunction 183
Next steps for orgasmic dysfunction in women: body awareness exercise 186
Other aspects of sexual relationships 188
References 192
Further Reading 192
Chapter 8 Implementing Change???????????????????????????????????????????????????????????????????????? 193
The Paradox of Motivation 193
Link an activity that feels like a struggle with one that naturally feels effortless 194
Kindness statement 195
Remind yourself of things you have achieved in the past 195
Seven-Step Plan for Implementing Change 198
Step 1: Set a goal 198
Specific 199
Measurable 199
Attainable 199
Realistic 200
Time-bound 200
Step 2: Make a plan 201
Step 3: Go public 203
Step 4: Link pleasure to goal achievement 204
Step 5: Reward yourself 204
Step 6: Update your identity 209
Step 7: Get started now 210
References 212
Further Reading 212
Chapter 9 Managing Setbacks, Staying Solution-Focused and Embracing Mindfulness???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 213
Learn the Difference Between a Lapse and a Relapse 214
Staying Solution-Focused 216
Looking for exceptions 216
Using the miracle question 217
Scaling 217
Case study: Mahesh 218
Acceptance andMindfulness 219
What is mindfulness? 219
Mindfulness and CBT 220
Mindfulness and diabetes 220
A mindfulness exercise 222
How to use mindfulness in everyday life 224
References 224
Further Reading 225
Chapter 10 Recommended Resources?????????????????????????????????????????????????????????????????????????????? 226
Diabetes Charities 226
Education 227
Diabetes Supplies 227
Nutrition 227
Motivational and Support Resources 227
Find a Therapist 228
Pharmaceutical Companies Internet Resources 228
Useful Books 229
Index???????????????????????? 231

Rezensionen

"It is an excellent introduction for clients and health
practitioners into the range of psychological interventions that
are available." (Behavioural & Cognitive
Psychotherapy, 1 March 2014)

"This book is written to be read in its entirety and is a
good addition to the current literature on the psychology of
diabetes. It will support many of the web-based learning facilities
that are available to patients and healthcare
professionals." (Diabetes Update, 1 October
2013)

Produkt-Details

• Erscheint lt. Verlag: 1.3.2013
• Sprache: englisch
• Themenwelt: Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Krankheiten / Heilverfahren
• Themenwelt: Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Lebenshilfe / Lebensführung
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Diabetologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie
• Schlagworte: area • broad • ConText • daily • Dealing • demonstrated • Diabetes • Diabetes Care • Emotional • FACT • Health & Behavioral Clinical Psychology • Impact • Klinische Psychologie / Verhalten • Management • Medical • Medical Science • Medizin • persons • Principles • Psychological • Psychologie • Psychology • Range • rarely • researchbased • Settings • spectrum • Stress • Type
• ISBN-13: 9781118485439 / 9781118485439