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.
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