Lisa M. Schab, LCSW, is a licensed clinical social worker with a private counseling practice in the Chicago suburbs. She is author of twelve self-help books, including The Anxiety Workbook for Teens, Beyond the Blues, and The Divorce Workbook for Teens, and has written columns on healthy families and tweens and teens. One of her areas of specialization is working with people suffering from eating problems and disorders.
It was a joy to work through the exercises in The Bulimia Workbook for Teens. I was particularly impressed with the spiritual and altruistic aspects of some of the material. Teens should feel very validated to have the worksheets in this book. Each one is like a supportive hug.
Joan Mrozek, clinical leader at Linden Oaks Hospital at Edward in Naperville, IL
Publishers Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
Distributed in Canada by Raincoast Books
Copyright 2010 by Lisa Schab Instant Help Books A Division of New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
Cover design by Amy Shoup
All Rights Reserved
Epub ISBN: 9781608821761
The Library of Congress has Cataloged the Print Edition as:
Schab, Lisa M.
The bulimia workbook for teens : activities to help you stop bingeing and purging / Lisa M. Schab.
p. cm.
Includes bibliographical references.
ISBN-13: 978-1-57224-807-6 (pbk.)
ISBN-13: 978-1-57224-803-8 (pdf ebook)
ISBN-10: 1-57224-807-6 (pbk.)
1. Bulimia--Treatment--Problems, exercises, etc. 2. Cognitive therapy for teenagers--Problems, exercises, etc. I. Title.
RC552.B84S33 2010
616.8526306076--dc22
2010035511
Contents
a personal message
Dear Reader,
Welcome to recovery. By opening this book, you are opening yourself up to a happier and more peaceful life. You dont have to be completely convinced of this, and you dont have to be completely ready to change. As long as you are willing to consider the ideas you read about here, you are on the path to freedom.
Bulimia is a difficult opponent to face. It is sly, sneaky, and strong. But as you learn new ways to think and act, youll find that you are even smarter and stronger. And as you are ready, you will begin to win the battles you fight, and eventually you will win a better lifeone without bulimia.
This book is designed to help you become aware of and begin to change the false core beliefs that cause you to use bingeing and purging as coping skills. Right now, those behaviors might be all you have. But reading and completing the activities in this book will teach you healthier ways to cope, and you will begin to trust those ways. This trust will give you the confidence you need to recover and heal.
Each activity is introduced by an Affirmation. This is a positive statement about yourself and your abilities. It is likely to be in direct opposition to what you believe now. Typical bulimic thoughts are negative and foster self-hatred. Positive affirmations give you the power of truth and self-confidence, tools you can use to heal.
These six sections follow each affirmation:
Think
This section lets you consider how the affirmation applies to your own life. You will discover the thoughts and behaviors that keep you in a relationship with bulimia, and youll practice creating new thoughts that will help you get out when you are ready.
Speak
Saying your thoughts and feelings out loud both relieves anxiety and helps you hear who you are. Sharing or discussing them with another person helps you understand yourself better and learn new information. Speaking positive affirmations and goals helps bring them to life and is a first step in making them real.
Imagine
Research has shown that your brain cant tell the difference between whats actually happening now and a memory or fantasy that you visualize. Picturing change gives you a chance to get comfortable with it, practice it, and actually shift the brain patterns that are keeping you stuck. Visualization (paired with relaxation) lets you learn to feel comfortable with behaviors that might normally raise your anxiety. These exercises are meant to be done slowly and peacefully. Take as much time as you need to relax before, during, and after them.
Act
This section will give you the chance to bring your thoughts of change into reality. The suggested actions might mean trying real shifts in your behaviors or taking actions that are symbolic in nature. Either of these steps will help you move forward and become more comfortable in releasing bulimia.
Create
Using art materials to express your thoughts, feelings, dreams, and desires will help you release those that are holding you back and bring into reality those that will help you heal. This is not art class; you cannot do these activities incorrectly. The focus is not on creating a beautiful work of art, but on doing what feels right and good to you and on being peaceful as you work.
Transcend
The word transcend means to rise above, to triumph over, and to overcome. These activities will help you think and act from a bigger perspective. Working with nature, music, writing, love, compassion, prayer, gratitude, or just the bigger picture, you will connect to your inner wisdom and rise above bulimia.
Writing in a journal is a big part of these activities and of your recovery process. Your journal will be the place you record the thoughts, feelings, ideas, and observations that are a reflection of your inner selfthe most valuable part of you. Your journal will help you to face and manage thoughts and feelings, and in doing so, learn how to live without using bulimic behaviors. Be prepared to find a true friend in your journal.
As you go through this book, be patient and gentle with yourself. Take your time. You cant rush recovery any more than you can force a bud to open sooner than it is ready. This book is one tool in your journey to peace. There will be other books, people, and experiences that help you as well. Be open to healing and you will find it.
My very best to you,
Lisa M. Schab, LCSW
to the helping professional
Bulimia is a complex and confounding disorder that most cannot battle and beat on their own. The purpose of this book is to provide tools and guidance to teens seeking recovery and to the professionals working with them.
The helping professional should be aware that the multifaceted etiology of bulimia and its tendency to evolve from an unhealthy dieting method to a universal coping mechanism can cause it to take on the role of an emotional lifeline for the client, making the thought of change very frightening. Activities in this book are designed to both address the fear and bring the bulimic lifeline into awareness so that it can be consciously dismantled and a healthy lifeline created to take its place.
The activities are built on the premises of cognitive behavioral therapy (CBT) and neuroscience, which both contend that thought patterns create behavior. When thoughts changeand with them the neural pathways in the brainbehavior can change. Each time we either observe or alter an ingrained thought pattern, we loosen the chemical connection in the brain that pairs the thought and the behavior. So the more we repeat an affirmation, apply a concept, or visualize a change, the more we are physiologically creating real change.
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