John Roberts
Abu Dhabi Women’s College, UAE
Title: Managing Complexity in Psychological Crisis: A Single Case Cognitive and Behavioural Formulation of Binge Eating, Type I Diabetes Mellitus and Obesity with Features of Multi- Impulse Control Disorder
Biography
Biography: John Roberts
Abstract
This presentation describes the core components in the assessment formulation and treatment of a single patient with Insulin Dependant Diabetes (IDDM), obesity and features of a multi-impulse control disorder under psychological crisis. The principle treatment was Cognitive and Behavioural Therapy (CBT) for Binge Eating (CBT-BE). In the context of diabetes and binge eating complicated by personality factors this presentation will critically analyse current patient treatment manuals. The presentation also argues for the inclusion of meta-cognitions into manualised treatments as the focus of manuals may be too narrow. This paper conclude that incorporation of schematic-cognitive bias into treatments will lead to improved control of disordered eating and associated impulses. The presentation also evaluates cognitive behavioural group IDDM treatment components and argues for more integrated, idiosyncratic but formulation specific psychological treatment for clinical difficulties of this type.