Diabetes and Wellbeing E-Book

Jen Nash

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 342

Veröffentlichungsjahr: 2013

Beschreibung

Diabetes and Wellbeing presents a range of effective psychological principles proven to positively impact the emotional wellbeing of individuals with type 1 and 2 diabetes. The guide takes an explicitly CBT approach to motivate sufferers in essential self-care tasks.

• Written in a practical style, for those newly diagnosed with diabetes, individuals managing its challenges for many years, and healthcare  professionals
• Reveals how the stress of daily diabetes management can affect an individual’s ability to stay motivated and engaged in essential self-care tasks that are vital for good health
• Presents proven techniques for improving emotional wellbeing
• First book to take an explicitly CBT approach to diabetes, simultaneously drawing on solution-focused behavioural therapy and mindfulness approaches
• Fills the gap information of this kind among healthcare professionals and individuals with diabetes

Leseprobe

Table of Contents

Title Page

Copyright

Acknowledgements

Chapter 1: Introduction

What is Diabetes?

Type 1 Diabetes

Type 2 Diabetes

What is the Emotional Impact of Diabetes?

How Does Psychology Help?

How to Use this Book

Further Reading

Chapter 2: Cognitive Behavioural Therapy for Diabetes

The Importance of Managing Your Thinking Styles

What is Cognitive Behavioural Therapy?

How to Use CBT: The Five-Step Thought-Challenging Process

Reference

Further Reading

Chapter 3: Dealing with Diagnosis

Your Experience of Diagnosis

Initial Shock Reaction

How to Manage the Emotional Impact of Diagnosis

Dealing with Guilt, Shame and Self-Blame

Practical Aspects of Dealing with Diagnosis

What Does the Research Tell Us About the Experience of Diagnosis?

For the Healthcare Professional

References

Further Reading

Chapter 4: Depression, Low Mood and Burnout

What is Depression?

Why Does Depression Occur?

How is Depression Diagnosed?

Diabetes and Depression

How to Manage Depression

Your Thoughts: Using CBT to Overcome Depression

Getting Support

Special Advice for Severe Depression

Special Advice if You are Feeling Suicidal

Supporting a Loved One Who is Depressed

Advice for Healthcare Professionals

References

Further Reading and Resources

Directories to Find a Therapist

Useful Websites

Chapter 5: Managing Fear, Anxiety and Worry

What Causes Anxiety?

Are You Currently Struggling with Anxiety?

Specific Fears that Affect People with Diabetes

Dealing with the Fear of Long-Term Complications

Overcoming General Anxieties and Worries

References

Further Reading

Chapter 6: Managing Food, Weight and Emotions

Practical Issues in Managing Eating Behaviour

Diabetes and Eating Disorders

Ten steps to overcoming your eating disorder

References

Further Reading and Resources

Website

Chapter 7: Diabetes and Relationships

Your Relationship with Healthcare Professionals

Relationships in Your Family and Social System

Sexual Difficulties

References

Further Reading

Chapter 8: Implementing Change

The Paradox of Motivation

Seven-Step Plan for Implementing Change

References

Further Reading

Chapter 9: Managing Setbacks, Staying Solution-Focused and Embracing Mindfulness

Learn the Difference Between a Lapse and a Relapse

Staying Solution-Focused

Acceptance and Mindfulness

References

Further Reading

Chapter 10: Recommended Resources

Diabetes Charities

Education

Diabetes Supplies

Nutrition

Motivational and Support Resources

Find a Therapist

Pharmaceutical Companies Internet Resources

Useful Books

Index

This edition first published 2013

© 2013 John Wiley & Sons, Ltd

Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley's global Scientific, Technical and Medical business with Blackwell Publishing.

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The right of Jen Nash to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

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Library of Congress Cataloging-in-Publication Data

Nash, Jen.

Diabetes and wellbeing : managing the psychological and emotional challenges of diabetes types 1 and 2 / Jen Nash.

pages cm

Includes bibliographical references and index.

ISBN 978-1-119-96718-7 (pbk.) — ISBN 978-1-118-48544-6 (epub) — ISBN 978-1-118-48543-9 (epdf) 1. Diabetes. 2. Diabetes — Psychological aspects. 3. Cognitive therapy. I. Title.

RC660.N365 2013

616.4′62 – dc23

2012042928

A catalogue record for this book is available from the British Library.

Cover image: © Lev Dolgatshjov / 123RF

Cover design by http://cyandesign.co.uk/

Acknowledgements

Thank you to diabetes for teaching me all you have about myself. I've hated you, been angry with you and hurt myself because of you. But you've fostered in me a sense of resilience, courage and the tenacity to be myself. I wouldn't be the person I am today without you.

Thank you to the many, many people with diabetes I have had the honour of being connected with through my work at Positive Diabetes. Each one of you has touched my life, and your bravery in sharing your lives and experiences has enabled me to write this book.

I am grateful to my parents, Vera and Bill, who always instilled in me the value of education. This is the greatest gift you could have given me. Your values have changed the lives of the people who I have worked with; your lives have left a legacy.

Thank you to my dear sister Vanessa. You are a rock in my life. Your practical support and efforts made the writing of this book so much easier and smoother. But most of all, thank you for being a role model of faithfulness and unconditional love—and for loving me just the way I am.

Huge gratitude goes to my cherished friend Duncan, who always believed in me, encouraged me and spurred me on to write even when I doubted myself. Your unwavering faith in my potential made this book possible. Thank you.

Thank you to all the wonderful members of Marie-Claire Carlyle's Mastermind Group—you powerful women have been real role models to me and have encouraged me to step into a bigger vision of the impact I could have on the lives of people with diabetes. You inspire me.

Sincere thanks to all the team at Wiley-Blackwell for their dedication, believing in me and giving me the opportunity to write this much-needed book.

And finally. Thank you to everyone who has ever loved me, and who I have loved in return. You have taught me more than you know. I continue to be a work in progress—thank you for the gift of allowing me the space in your life to be that work in progress. It has been an honour to be a part of your journey.

Chapter 1

Introduction

Life with diabetes can be hard work. Diabetes has been likened to a job—not just any job, but one in which you have to work 24 hours a day, 7 days a week, 365 days a year, with no holiday, no praise and no pay. I don't know about you, but I wouldn't stay working in a role like that for very long! But the individual with diabetes doesn't have the option of walking out or giving up; they have to keep ‘working’, day in and day out, for the rest of their life.

I really like this analogy of diabetes being like a job as I think it helps put into perspective how much of a struggle life with diabetes can be. None of us can do anything in life that requires effort over a sustained period without getting support and respite—and diabetes is exactly the same. You are probably reading this because you are someone with type 1 or type 2 diabetes yourself, a professional who works with individuals with diabetes, or perhaps a family member or loved one of someone with the condition. You are aware that although diabetes is a physical health problem, it affects the person in other ways too; and you want to know how to understand, help and support the person with diabetes. This book aims to offer both a person with diabetes and those around them a range of insights and practical strategies to help.

What is Diabetes?

Diabetes is a disease in which the body fails to produce or properly respond to insulin, a hormone that the body needs to convert food into the energy needed to live throughout daily life. There are two different types of diabetes—type 1 and type 2—and each has its own causes, symptoms and treatments.

Type 1 Diabetes

The causes

Type 1 diabetes occurs when the pancreas stops producing insulin. There are a number of different causes of type 1 diabetes.

Problems with the immune system

Type 1 diabetes is an autoimmune disease. Your immune system is essential for fighting off infections. It works by attacking ‘intruders’ in the body that it doesn't recognize, such as germs. In diabetes the body reacts against and destroys the vital insulin-producing beta cells of the pancreas.