NEDA TOOLKIT for Coaches and Trainers
Mealtime Support Therapy Treatment program
developed to help patients with eating disorders eat
healthfully and with less emotional upset.
Mental Health Parity Laws Federal and State laws that
require health insurers to provide the same level of
healthcare benefits for mental disorders and conditions
as they do for physical disorders and conditions. For
example, the federal Mental Health Parity Act of
1996 (MHPA) may prevent a group health plan from
placing annual or lifetime dollar limits on mental health
benefits that are lower, or less favorable, than annual
or lifetime dollar limits for medical and surgical benefits
offered under the plan.
Mia Slang. For bulimia or bulimic.
Monoamine Oxidase Inhibitors A class of medications
used to treat depression.
Movement/Dance Therapy The psychotherapeutic use
of movement as a process that furthers the emotional,
cognitive, social, and physical integration of the
individual, according to the American Dance Therapy
Association. Motivational Enhancement Therapy (MET) A
treatment based on a model of change, with focus
on the stages of change. Stages of change represent
constellations of intentions and behaviors through
which individuals pass as they move from having a
problem to doing something to resolve it. The stages
of change move from “pre-contemplation,” in which
individuals show no intention of changing, to the
“action” stage, in which they are actively engaged in
overcoming their problem. Transition from one stage
to the next is sequential, but not linear. The aim of MET
is to help individuals move from earlier stages into the
action stage using cognitive and emotional strategies.
Nonpurging Any of a number of behaviors engaged
in by a person with bulimia nervosa in order to offset
potential weight gain from excessive calorie intake
from binge eating. Nonpurging can take the form of
excessive exercise, misuse of insulin by people with
diabetes, or long periods of fasting.
Nutritional Therapy The goal of this therapy is to
support the nutrition rehabilitation process that
proceeds in stages. It includes CBT, behavioral therapy,
transtheoretical stages of change, the Health Belief
Model and Social Learning Theory. Specific recovery
outcome measures are employed to assist the client
with change, taking nutrition risks, exploring limits
and boundaries, and challenging unsupported beliefs
surrounding nutrition, weight and body image.
Obsessive-compulsive Disorder (OCD) Mental
disorder in which recurrent thoughts, impulses, or
images cause inappropriate anxiety and distress
followed by acts that the sufferer feels compelled to
perform to alleviate this anxiety. Criteria for obsessive
compulsive and related disorder diagnoses can be
found in the DSM-5.
Opioid Antagonists A type of drug therapy that
interferes with the brain’s opioid receptors and is
sometimes used to treat eating disorders.
Orthorexia Nervosa An eating disturbancein which a
person obsesses about eating only “pure” and healthy
food to such an extent that it interferes with the
person’s life. This eating disturbance is not a diagnosis
listed in the DSM-V.
Osteoporosis A condition characterized by a decrease
in bone mass with decreased density and enlargement
of bone spaces, thus producing porosity and
brittleness. This can sometimes be a complication of an
eating disorder, including bulimia nervosa and anorexia
nervosa. Other Specified Feeding and Eating Disorder
(OSFED) Any disorder of eating that does not meet the
criteria for the other feeding and eating disorders in the
DSM-5. Out-of-network benefits Healthcare obtained by
a beneficiary from providers (hospitals, clinicians,
etc.) that are outside the network that the insurance
company has assigned to that beneficiary. Benefits
obtained outside the designated network are
usually reimbursed at a lower rate. In other words,
beneficiaries share more of the cost of care when
obtaining that care “out of network” unless the
insurance company has given the beneficiary special
written authorization to go out of network.
Parity Equality (see Mental Health Parity Laws).
Partial Hospitalization (Intensive Outpatient) For a
patient with an eating disorder, partial hospitalization
is a time-limited, structured program of psychotherapy
and other therapeutic services provided through an
outpatient hospital or community mental health center.
The goal is to resolve or stabilize an acute episode of
mental/behavioral illness.
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