![\"Photo](\"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-content\/uploads\/sites\/7\/2017\/08\/cwh-group-session.jpg\")
<\/p>\n<\/p>\n
Cotswold House runs a number of therapeutic groups throughout the week, which are attended by both inpatients and day patients. A member of the team will assess you individually to establish your suitability to attend groups at each stage of your treatment.<\/p>\n
Group therapy allows patients to share experiences and information, which others may be able to relate to and identify with. Individuals often find that they get a great deal of support from meeting and talking with people who are going through similar experiences as themselves.<\/p>\n
Groups can also be helpful in establishing and developing interpersonal skills. The more you are able to involve yourself and participate in groups, the more you are likely to get out of them. In this respect, it is important to apply the knowledge and skills learned in groups to outside situations to ensure they are developed and maintained.<\/p>\n
The group programme is regularly reviewed and updated.\u00a0 Some examples of our groups can be found below:<\/p>\n The aim of the group is to enhance coping skills and reduce maladaptive strategies, in particular eating disordered behaviors. It is run by a group of staff trained in DBT. There are four modules: Mindfulness, Distress Tolerance, Emotional Regulation and Interpersonal skills. The central theme is mindfulness and each group starts with a mindfulness exercise. This is to encourage practice of the taking hold of the mind, rather than being preoccupied and distracted by unwelcome thoughts and to become more mindful of our actions and their consequences. The purpose of the group is to promote effective, non-judgmental attitudes to managing life\u2019s challenges and become more resilient.<\/p>\n<\/div>\n <\/details>\n The group aims to help with unhelpful patterns of behaviours and thoughts.\u00a0 The group is therefore primarily concerned with exploring unhelpful behaviours and thoughts that maintain low self esteem in addition to exploring how to change these.\u00a0 The group also examines how low self esteem may have developed and looks at practical strategies to improve self esteem.\u00a0 More specifically the group aims to cover the following key themes:<\/p>\n In addition to the above the group provides a forum for patients to discuss struggles they may be having with low self esteem and to gain support with these struggles.\u00a0 Self Esteem group is based on cognitive-behavioural therapy.<\/p>\n<\/div>\n <\/details>\n Bodywise is a group aimed at helping patients understand what factors influence the maintenance of their body image. Individuals are given space to explore their distress regarding their changing body shape and are encouraged to explore the difference between satisfaction and acceptance. Finally, group members are given the opportunity to explore the role of body image in their eating disorder and how this may change over treatment and afterwards.<\/p>\n<\/div>\n <\/details>\n The psycho-educational group is primarily concerned with providing education about eating disorders and combines a mix of didactic teaching with discussion.\u00a0 It examines the causes and consequences of eating disorders including the impact of starvation and unhelpful weight control strategies such as purging.\u00a0 In addition, the group looks at ways in which recovery can be facilitated and the last session is concerned with relapse prevention.\u00a0 More specifically, the group covers the following key topics:<\/p>\n This group is facilitated by the dietician at Cotswold House Marlborough.\u00a0 The sessions cover various aspects of nutrition from \u2018why do we eat?\u2019, \u2018normal eating\u2019 and then on to shopping, cooking and eating food out.\u00a0 This group each week provides open discussions and tasks, and can provoke thoughts challenging eating disorder behaviours and beliefs.\u00a0 The group also incorporates goals around eating using the same SMART model used in the goal setting group.\u00a0 This gives patients the opportunity to identify issues they are looking to work on as individuals, and as a group discussing ways of doing this and sharing personal accomplishments.<\/p>\n<\/div>\n <\/details>\n This group is facilitated by the occupational therapy team on a weekly basis. Individuals have the opportunity to prepare sandwiches for their lunch in a supportive group setting. Members have the option to choose between two fillings. This activity enables group members to handle their own food, use all main food groups in preparation of a simple sandwich and facilitates individuals using adequate portion sizes. Support and guidance are provided by facilitators. It is expected that practical handling of food will increase individuals\u2019 ability to prepare sandwiches and light meals for themselves on discharge. This group increases individuals\u2019 exposure to a variety of foods and enables group members to become familiar with portion sizes they are expected to use at home.<\/p>\n<\/div>\n <\/details>\n This group is run by psychologists and based on the Motivational model. Rather than being aimed at problem solving or change, it is an opportunity for people to reflect on where they are at in the Motivational Cycle and to consider the role of their Eating disorder plays in their lives.<\/p>\n The exercises use a range of modalities including: group tasks, role plays, sculpts, letters, artwork and metaphors which are used to explore topics such as how life would be in the future with or without their Eating Disorder, how it impacts on choices, social life, their family and work. It validates the struggle treatment entails and the pros and cons engaging in this process.<\/p>\n Patient feedback for this group is always positive.<\/p>\n<\/div>\n <\/details>\n","protected":false},"excerpt":{"rendered":" Cotswold House runs a number of therapeutic groups throughout the week, which are attended by both inpatients and day patients….<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":131,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-133","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/pages\/133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/comments?post=133"}],"version-history":[{"count":2,"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/pages\/133\/revisions"}],"predecessor-version":[{"id":214,"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/pages\/133\/revisions\/214"}],"up":[{"embeddable":true,"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/pages\/131"}],"wp:attachment":[{"href":"https:\/\/oxfordhealth.nhs.uk\/cotswoldhouse\/wp-json\/wp\/v2\/media?parent=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n \n DBT (Dialectical Behavior Therapy)<\/span>\n <\/summary>\n
\n\n \n Self Esteem<\/span>\n <\/summary>\n
\n\n
\n \n Bodywise<\/span>\n <\/summary>\n
\n\n \n Psycho \u2013 Education<\/span>\n <\/summary>\n
\n\n
\n \n Nutrition<\/span>\n <\/summary>\n
\n\n \n Sandwich Making<\/span>\n <\/summary>\n
\n\n \n Relationships<\/span>\n <\/summary>\n
The Relationship Group is a\u00a0 weekly group run by the family therapist and cognitive behaviour therapist. It advocates that members take ownership of the group and is one that is interactive, thus members are expected to actively participate. The facilitators invite members to bring their own personal material to inform the agenda rather than material being presented by facilitators. Individuals are expected to be transparent and open about their progress in treatment and to talk about any issues this might present both to them and others. The group encourages the sharing of many different perspectives rather than one person having the right answer. This process helps to replicate the different perspectives that might be held in families. Through sharing different perspectives group members are able to see that there are many possibilities. Group members contribute their own strengths and resources to support and facilitate each other. The group also aims to provide a protected space whereby any issues pertaining to group dynamics and dilemmas can be openly addressed.<\/div>\n <\/details>\n\n \n Goal Setting<\/span>\n <\/summary>\n
Goal-setting is a consistent weekly group run by the occupational therapy team. Held on a Monday afternoon, it enables members to choose a goal they wish to work towards in the coming week. The facilitator encourages members to set goals in the context of their medium to long term aims. In particular individuals are encouraged to challenge themselves to achieve a goal that their eating disorder has prevented them from completing, e.g. eating a difficult food, going for a meal with a friend or preparing a meal for themselves in Cotswold House.<\/div>\n <\/details>\n\n \n Motivation<\/span>\n <\/summary>\n
\n