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Cognitive therapy is based on a model which explains how thoughts and feelings relate to each other.The synchronous
relationship between cognitions, behaviour and mood suggests that a change in any one component is likely to produce
changes in the other. Beck's model of cognitive therapy emphasise the underlying cognitions or beliefs in an individual's overt
difficulties. Cognitive therapy is therefore a treatment aimed at understanding primarily cognitive structures in an individual's
problem, and devising intervention strategies aimed at changing, but initially challenging underlying irrational beliefs.
Through modelling by the therapist, education and challenging verbal techniques, aimed at helping the patient to think
about his problem and make the various links between symptoms and vulnerability factors, cognitive therapy guides the patient
to a greater understanding of his problems.The model states that in the presence of emotional disturbance there will be: Negative
automatic thoughts, patterns of regularly occurring errors and core beliefs and dysfunctional assumptions.
In England, most people are overweight or obese. This includes 61.3% of adults and 30% of children. They have a higher risk
of getting diabetes, heart disease and cancer. Excess weight can also make it more difficult for people to find and keep work, and
it can affect self-esteem and mental health. Health problems associated with being overweight or obese cost the NHS more than
£5 billion every year.
Obesity is everybody?s business and it is the responsibility of individuals to change their behaviour to lose weight. Both
motivation and a positive attitude are needed. As described by dieticians, people also need to change the way that they eat, replace
unhealthy foods, say no to extra portions and make conscious choices. Individuals have to be willing to change how they live and
be open to new ways of doing things, having daily routines, setting new rules and being more active.
This paper therefore explores how cognitive behaviour therapy principles and techniques can be used to help overweight or
obese individuals who need to lose weight or lower their cholesterol.
Biography
Samuel Stein is an Attending Child, Adolescent and Family Psychiatry. He graduated from the University of the Witwatersrand Medical School
in 1986, and undertook his psychiatry training in Oxford, Cambridge and at St. Mary's Hospital in London. He is a Fellow of the Royal College of
Psychiatrists and has edited several books including:
Disorganized Children
. He is also a Visiting Professor at the Institute for Health Research at the
University of Bedfordshire and the Post-Graduate Medical Institute at Anglia Ruskin University. He has a commitment to service-oriented research
and many of his initiatives have been implemented nationally as examples of accessible and effective good practice.
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