Ready, Now

Contents Part One Introduction 8 1.1 Welcome to Ready, Now 9 1.2 Overview of Anorexia Nervosa 16 What is Anorexia Nervosa? 16 Core Psychopathology: Misidentification of Food as a Threat 17 Why do Some People Develop Anorexia Nervosa? 20 Summary to Overview of Anorexia Nervosa 23 Part Two Psychological and Physiological Aspects of Anorexia Nervosa 24 2.1 The Psychology of Anorexia Nervosa 24 Introduction to the Psychological Aspects of Anorexia Nervosa 25 Illness Process - Inside the Mind 25 Two Stages of the Illness Process 26 1. The Early Stages - Possessed 27 2. In the Depths of the Illness - Insight but Inability to Change 42 Conclusion to the Psychology of Anorexia Nervosa 50 2.2 The Physiology of Anorexia Nervosa 50 Introduction to the Physiology of Anorexia Nervosa 51 Starvation and Malnutrition 52 Metabolic Changes 54 Fat & Muscle Wastage 55 Normal Metabolism 55 Electrolyte Imbalances 58 Bones & Teeth 59 Hair, Nails, and Skin 60 Hormones and Menstruation 61 Emotions and Mood 65 Brain Changes 67 Lethargy, Headaches, Dizziness, and Fainting 68 Sleep Disturbances and Insomnia 69 Water Retention 70 Digestive Problems 71 Cholesterol Disturbances 72 Conclusion to the Physiological Aspects of Anorexia Nervosa 73 Part Three Recovery 75 3.1 An Introduction to Recovery 75 Recovery Disclaimer 76 What is Recovered? 83 How Do I Know When I am Recovered? 88 What is Recovery? 88 How Long Does Recovery Take? 90 3.2 Introduction to the Two Major Stages of Recovery 92 Introduction to The Two-Stages Model of Recovery 92 Stage One of Recovery: Surrender 93 Component One. Weight Gain 96 Introduction to Weight Gain 97 Component Two. Repair of Physical Damage 107 Introduction to Repair of Physical Damage 107 Refeeding & Refeeding Syndrome 111 Extreme Hunger (Hypermetabolism) 113 Night Sweats 118 Low Blood Glucose 119 Excessive Exercise 120 Digestive Problems 123 Exhaustion & Irritability 126 Micronutrient Deficiencies 128 Conclusion to Stage One: Surrender - Weight Gain and Repair of Physical Damage 129 Stage Two of Recovery: Growth 130 Component Three - Psychological Development 130 Introduction to Psychological Development 130 What is Psychological Development? 133 3.3 Introducing the 6 Areas of Psychological Development 143 1. Welcome It 144 2. Decide 146 3. Know What You Want (Discovering and Living to Your Values) 151 4. Creating Empowering Beliefs 156 5. Developing your Capable Self-Identity 162 6. Giving Yourself Unconditional Permission 167 Conclusion to Psychological Development 170 You are Not to Blame 171 Part Four Treatment 172 4.1 Introduction to Treatment 172 Defining Treatment 173 What Do I Look for When Choosing Treatment? 175 A Note on Current Treatment 179 A Better Way 184 Who Makes Up My Power Recovery Team? 188 4.2 Introducing the Power Recovery Team 189 1. Dietitian 192 2. Clinical Hypnotherapist and Neurolinguistic Programming Practitioner 199 3. Life Coach 213 Summary to Recruiting Your Power Team 216 What Matters Most When Choosing Help 216 The Three Most Important Characteristics of Your Chosen Recovery Team 218 4.3 Environment 220 4.4 Into the World: Practice 220 Conclusion to Ready, Now 222 5.1 Parting Words 226 Reference 228