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NEDA TOOLKIT for Parents Self Psychology A type of psychoanalysis that views anorexia and bulimia as specific cases of pathology of the self. According to this viewpoint, for example, people with bulimia nervosa cannot rely on human beings to fulfill their self-object needs (e.g., regulation of self-esteem, calming, soothing, vitalizing). Instead, they rely on food (its consumption or avoidance) to fulfill these needs. Self psychological therapy involves helping people with bulimia give up their pathological preference for food as a self-object and begin to rely on human beings as selfobjects, beginning with their therapist. 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. 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 fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 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 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. Supportive Residential Services See Residential Treatment Center. Supportive Therapy Psychotherapy that focuses on the management and resolution of current difficulties and life decisions using the patient’s strengths and available resources. Telephone Therapy A type of psychotherapy provided over the telephone by a trained professional. Tetracyclics A class of drugs used to treat depression. 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 stimulus that influences a person to strive to lose weight. Third-party Payer An organization that provides health insurance benefits and reimburses for care for beneficiaries. 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. Tricyclic Antidepressants A class of drugs used to treat depression. Trigger A stimulus that causes an involuntary reflex behavior. A trigger may cause a recovering person with bulimia to engage in bulimic behavior again. 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. Page | 94