SlideShare una empresa de Scribd logo
1 de 10
Treatment of Childhood & Adolescent
Obesity: Expert Recommendations & the
Emergence of Immersion & Healthy Obsessions
Daniel Kirschenbaum, Ph.D., ABPP
02/05/15 RiverMend Health, LLC 2
Explanations for Immersion-
CBT’s Effectiveness
2007 Healthcare Organizations’
Four Stage Model
Expert
Recommendations
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
Specialists:
Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
Specialists:
Expert
Recommendations
Specialists:
Self-help Groups
Client
Behaviors
& Biology
OVERWEIGHT
Outpatient
Cognitive-Behavior
Therapy (CBT)
Bariatric Surgery
Immersion CBT
Healthcare Providers:
Medical Management,
Education & Referral
• ALL endorsed intensive CBT
• 2 most recent: de-emphasized EDUCATION
• Step models seem best, most inclusive – and
emphasis on sustained efforts for > outcomes
Specialists:
• ALL endorsed intensive CBT
• 2 most recent: de-emphasized EDUCATION
• Step models seem best, most inclusive – and
emphasis on sustained efforts for > outcomes
Explanations for Immersion-CBT’s
Effectiveness
PercentOverweight
Treatment
Begins
+10
-20
0
-10
-30
Follow-up
Education &
Controls
Outpatient
Cognitive-Behavior
Therapy (CBT)
Immersion
Non-CBT
Immersion
CBT
From Kelly & Kirschenbaum (2011). Obesity Reviews.
• Obesogenic Environment: Removed
• Greater Intensity: Therapy, Education
• Increased Power: More Modeling & Support
• Momentum: Faster, More Dramatic > Motivation
• Family Support – Increased (momentum again)
 Obesogenic Environment: Removed
 Greater Intensity:Therapy, Education
 Increased Power: More Modeling & Support
 Momentum: Faster, More Dramatic > Motivation
 Family Support – Increased (momentum again)
Lifestyle
ChangeHealthy
Obsession
Rapid
Consistent
Weight
Loss
Cognitive-
Behavior
Therapy
Immersion
Treatment
Social
Support

Más contenido relacionado

Destacado

Motivational Interviewing
Motivational InterviewingMotivational Interviewing
Motivational Interviewing
guestdbc5d7
 
Lundahl final icmi motivational interviewing 25 years
Lundahl final icmi motivational interviewing 25 yearsLundahl final icmi motivational interviewing 25 years
Lundahl final icmi motivational interviewing 25 years
Magnus Johansson
 
Power point obesity
Power point obesityPower point obesity
Power point obesity
lgandh
 
Childhood Obesity Presentation
Childhood Obesity PresentationChildhood Obesity Presentation
Childhood Obesity Presentation
rvidena
 

Destacado (16)

Motivational Interviewing
Motivational InterviewingMotivational Interviewing
Motivational Interviewing
 
Motivational Interviewing
Motivational InterviewingMotivational Interviewing
Motivational Interviewing
 
Lundahl final icmi motivational interviewing 25 years
Lundahl final icmi motivational interviewing 25 yearsLundahl final icmi motivational interviewing 25 years
Lundahl final icmi motivational interviewing 25 years
 
Motivational Interviewing by Ravi Kolli,MD
Motivational Interviewing by Ravi Kolli,MDMotivational Interviewing by Ravi Kolli,MD
Motivational Interviewing by Ravi Kolli,MD
 
Childhood obesity
Childhood obesityChildhood obesity
Childhood obesity
 
Motivational Interviewing
Motivational InterviewingMotivational Interviewing
Motivational Interviewing
 
Childhood Obesity
Childhood ObesityChildhood Obesity
Childhood Obesity
 
Childhood Obesity In America
Childhood Obesity In AmericaChildhood Obesity In America
Childhood Obesity In America
 
Ppt on Child Obesity
Ppt on Child ObesityPpt on Child Obesity
Ppt on Child Obesity
 
Power point obesity
Power point obesityPower point obesity
Power point obesity
 
Childhood Obesity Presentation
Childhood Obesity PresentationChildhood Obesity Presentation
Childhood Obesity Presentation
 
Obesity
ObesityObesity
Obesity
 
Obesity
ObesityObesity
Obesity
 
Obesity Presentation
Obesity PresentationObesity Presentation
Obesity Presentation
 
Motivational Interviewing. What it is and why you should be using it.
Motivational Interviewing. What it is and why you should be using it.Motivational Interviewing. What it is and why you should be using it.
Motivational Interviewing. What it is and why you should be using it.
 
Obesity
ObesityObesity
Obesity
 

Más de RiverMend Health

Mindfulness for Eating Disorders, Overeating and Obesity
Mindfulness for Eating Disorders, Overeating and ObesityMindfulness for Eating Disorders, Overeating and Obesity
Mindfulness for Eating Disorders, Overeating and Obesity
RiverMend Health
 

Más de RiverMend Health (12)

Mindfulness for Eating Disorders, Overeating and Obesity
Mindfulness for Eating Disorders, Overeating and ObesityMindfulness for Eating Disorders, Overeating and Obesity
Mindfulness for Eating Disorders, Overeating and Obesity
 
The Role of Bariatric Surgery on Brain and Reward
The Role of Bariatric Surgery on Brain and RewardThe Role of Bariatric Surgery on Brain and Reward
The Role of Bariatric Surgery on Brain and Reward
 
Treating Eating Dysfunction: Understanding Mechanisms to Improve Treatments
Treating Eating Dysfunction: Understanding Mechanisms to Improve TreatmentsTreating Eating Dysfunction: Understanding Mechanisms to Improve Treatments
Treating Eating Dysfunction: Understanding Mechanisms to Improve Treatments
 
Globesity Today
Globesity TodayGlobesity Today
Globesity Today
 
Obesity and Culture
Obesity and CultureObesity and Culture
Obesity and Culture
 
Women an Alcohol
Women an AlcoholWomen an Alcohol
Women an Alcohol
 
Substance Abuse in the Elderly: The Boomers Change Things Again
Substance Abuse in the Elderly: The Boomers Change Things Again Substance Abuse in the Elderly: The Boomers Change Things Again
Substance Abuse in the Elderly: The Boomers Change Things Again
 
Nutrition, Lifestyle Medicine & Detoxification
Nutrition, Lifestyle Medicine & DetoxificationNutrition, Lifestyle Medicine & Detoxification
Nutrition, Lifestyle Medicine & Detoxification
 
Co-Occurring Addiction & Mental Illness
Co-Occurring Addiction & Mental IllnessCo-Occurring Addiction & Mental Illness
Co-Occurring Addiction & Mental Illness
 
25 Years of Drug Testing and its Technical and Clinical Future
25 Years of Drug Testing and its Technical and Clinical Future25 Years of Drug Testing and its Technical and Clinical Future
25 Years of Drug Testing and its Technical and Clinical Future
 
UF Pain Care
UF Pain CareUF Pain Care
UF Pain Care
 
Addiction as a brain disease Brain Imaging in Addictions
Addiction as a brain disease Brain Imaging in AddictionsAddiction as a brain disease Brain Imaging in Addictions
Addiction as a brain disease Brain Imaging in Addictions
 

Último

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Último (20)

Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 

Treatment of Childhood & Adolescent Obesity: Expert Recommendations & the Emergence of Immersion & Healthy Obsessions