NEDA TOOLKIT for Coaches and Trainers
Self-guided Cognitive Behavior Therapy A modified
form of cognitive behavior therapy in which a
treatment manual is provided for people to proceed
with treatment on their own, or with support from
a nonprofessional. Guided self-help usually implies
that the support person may or may not have some
professional training, but is usually not a specialist in
eating disorders. The important characteristics of the
self-help approach are the use of a highly structured
and detailed manual-based CBT, with guidance as to
the appropriateness of self-help, and advice on where
to seek additional help.
Telephone Therapy A type of psychotherapy provided
over the telephone by a trained professional.
Self-report Measures An itemized written test in
which a person rates his/her feeling towards each
question; the test is designed to categorize the
personality or behavior of the person.
Third-party Payer An organization that provides
health insurance benefits and reimburses for care for
beneficiaries. State Mandate A proclamation, order or law from
a state legislature that issues specific instructions
or regulations. Many states have issued mandates
pertaining to coverage of mental health benefits and
specific disorders the state requires insurers to cover.
Substance Abuse Use of a mood or behavior-altering
substance in a maladaptive pattern resulting in
significant impairment or distress of the user.
Substance Use Disorders The fifth edition of
the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5) defines a substance use disorder
as a maladaptive pattern of substance use leading
to clinically significant impairment or distress, as
manifested by one (or more) of the following, occurring
within a 12-month period: (1) Recurrent substance use
resulting in a failure to fulfill major role obligations at
work, school, or home; (2) Recurrent substance use
in situations in which it is physically hazardous; and
(3) Recurrent substance-related legal, social and/or
interpersonal problems.
Subthreshold (or Subclinical) Eating
Disorder Condition in which a person exhibits
disordered eating but not to the extent that it fulfills all
the criteria for diagnosis of an eating disorder.
Therapeutic Foster Care A foster care program in
which youths who cannot live at home are placed in
homes with foster parents who have been trained to
provide a structured environment that supports the
child’s learning, social and emotional skills.
Thinspiration Slang. Photographs, poems, or any other
stimuli that aim to influence a person to strive to lose
weight. Thyroid Medication Abuse Excessive use or misuse of
drugs used to treat thyroid conditions; a side effect of
these drugs is weight loss.
Treatment Plan A multidisciplinary care plan for each
beneficiary in active case management. It includes
specific services to be delivered, the frequency of
services, expected duration, community resources, all
funding options, treatment goals and assessment of the
beneficiary environment. The plan is updated monthly
and modified when appropriate.
Trigger A stimulus that causes an involuntary reflex
behavior. A trigger may lead to the return of eating
disorder behaviors in someone in recovery.
Usual and Customary Fee An insurance term that
indicates the amount the insurance company will
reimburse for a particular service or procedure. This
amount is often less than the amount charged by the
service provider.
Vocational Services Programs that teach skills needed
for self-sufficiency.
Yoga A system of physical postures, breathing
techniques and meditation practices to promote bodily
or mental control and well-being.
Supportive Therapy Psychotherapy that focuses on
the management and resolution of current difficulties
and life decisions using the patient’s strengths and
available resources.
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