Food and Feelings Session 5

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Dec 6, 2023

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Group Type: Food and Feelings Group Title: Common Difficult Feelings: Guilt, Shame, and Helplessness Session Number: 5 Date Created : 5/10/2022 Revision Date(s) Revision approved by: Adapted from: The Food and Feelings Workbook, Karen R. Koenig, LCSW, M.Ed Materials & Room Set-Up  Handout(s): 1. Stopping the Guilt Trip 2. Helplessness Brainstorm  Tools needed for patients: writing instrument  Tools needed for group leader: handouts Introduction/Warm up  Introductions, names, and pronouns  Review group rules of respect and confidentiality  Briefly discuss how patients identified difficult emotions for them last session and discuss how the next two sessions will be discussing some of the most common difficult emotions.  Read the following on helplessness and discuss relevance for patients: “Real power comes from sound judgement, being able to go with the flow, and having a receptive ear to your emotions” (Koenig) Discuss how controlling what you do or don’t put into your body can create a false sense of control, eating disorder behaviors have taken control. Description of group topic  This group will focus on common difficult feelings experienced. Objectives  Discuss different definitions of guilt, shame, and discuss learned helplessness  Provide education regarding common difficult emotions and address some of the messages and stigma around guilt/shame/helplessness as “bad” emotions Group Intervention/Activity  After definitions and quote pass out Stopping the Guilt Trip handout and the Helplessness Brainstorm.  Allow time for patients to complete the handouts and allow for discussion afterwards  Facilitator can ask patients if someone would like to share on of the things in their real helplessness column on the Helplessness Brainstorm worksheet that they are having a difficult time with. Allow for other group members to brainstorm actions that patient could add to their solutions column. Discussion 1

Group Type: Food and Feelings Group Title: Common Difficult Feelings: Guilt, Shame, and Helplessness Session Number: 5 Date Created : 5/10/2022 Revision Date(s) Revision approved by: Adapted from: The Food and Feelings Workbook, Karen R. Koenig, LCSW, M.Ed  Do your eating disorder behaviors intensify feelings of guilt?  What physical sensations do you associate with shame? A prickly hot sensation, repulsed  How does eating or rigidly controlling your food intake contribute to your shame?  What are three things that you can do to detoxify your shame? Understanding your behavior, self- compassion, trying to do better next time  Did any of the shame-based behaviors resonate with you? Why or why not? Do any of these behaviors interact with your eating disorder behaviors? Definitions: Guilt: Flags behavior that does not meet our internal standard. About what we do Shame: About who we are Learned Helplessness: Situations where even though we are not helpless we act helpless this may be in order to get attention or approval or avoid punishment and withdrawal of love. Shame Based Behavior:  Doing well but chronically sabotaging success  Ignoring advice of healthy people you trust and engaging in relationships/activities that have high risks of hurting you  Consistently take risky or self- harming actions and try to hide/deny them  Regularly neglect health of mind, body, and spirit  Habitually act on impulse with slight or no regard for consequences Myself and melissa around 6:15 lindsey prot and between liv and michelle. If you have a problem, say it to my face because I don’t do confrontation. Lindsey disclosed after speaking wth them that they had conflict over rooming together 2

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