Cover -- Title Page -- Copyright -- Contents -- Acknowledgements -- Chapter 1 Introduction -- What is Diabetes? -- Type 1 Diabetes -- The causes -- The symptoms -- Treatment -- Type 2 Diabetes -- The causes -- The symptoms -- Treatment -- What is the Emotional Impact of Diabetes? -- Dealing with diagnosis -- Depression and low mood -- Guilt, shame and self-blame -- Fear and anxiety -- Using food to cope with emotions -- Communicating with health professionals -- Family relationships -- Sexual difficulties -- How Does Psychology Help? -- Goal setting -- Rewards -- Acceptance and mindfulness -- Staying solution-focused: managing setbacks -- 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 -- Step 1: Ask yourself, 'What is the situation or event?' -- Step 2: What do you tell yourself? What are the thoughts you notice running through your mind? -- Step 3: What is happening in your body and what do you do? -- Step 4: Challenge your thoughts -- Step 5: Develop an alternative, balanced thought -- The skill of thought challenging -- Reference -- Further Reading -- Chapter 3 Dealing with Diagnosis -- Your Experience of Diagnosis -- Initial Shock Reaction -- Type 1 case study: Katie -- Type 2 case study: Jeevan -- Stage 1: denial -- Stage 2: anger -- Stage 3: bargaining -- Stage 4: depression -- How to Manage the Emotional Impact of Diagnosis -- Learning to LIKE yourself -- Dealing with Guilt, Shame and Self-Blame -- What are guilt and shame? -- How do these emotions affect people with diabetes? -- Overcoming guilt and shame -- Making reparations -- Self-forgiveness -- Practical Aspects of Dealing with Diagnosis -- Telling others -- Informing your employer.

What Does the Research Tell Us About the Experience of Diagnosis? -- Taken over by a new reality -- The body plays a role in life -- Different ways of learning -- The healthcare service as a necessary partner -- For the Healthcare Professional -- Helpful phrases for the newly diagnosed patient -- Unhelpful phrases -- What does the research tell us about diagnosis? -- References -- Further Reading -- Chapter 4 Depression, Low Mood and Burnout -- What is Depression? -- Why Does Depression Occur? -- Biological factors -- Psychological factors -- Social factors -- How is Depression Diagnosed? -- Thinking -- Feelings -- Behaviour -- Bodily changes -- Assessing your symptoms of depression -- Diabetes and Depression -- Depression or diabetes burnout? -- How to Manage Depression -- Antidepressant medications -- Increase your activities -- Your Thoughts: Using CBT to Overcome Depression -- The downward spiral of depressed mood -- Thoughts that are common to depression -- Case study: Helen -- Step 1: What is the situation or event? -- Step 2: What do you tell yourself? What are the thoughts you notice running through your mind? -- Step 3: What is happening in your body and what do you do? -- Step 4: Challenge your thoughts by asking yourself some helpful questions -- Step 5: Come up with an alternative, balanced thought -- Getting Support -- Seeking support from a professional -- Special Advice for Severe Depression -- Seek professional help -- Give yourself praise for the simple tasks you are achieving -- Special Advice if You are Feeling Suicidal -- Supporting a Loved One Who is Depressed -- Examples of reflective listening -- Advice for Healthcare Professionals -- Simple depression screening questions for healthcare professionals -- Active monitoring -- How to ask about suicidal ideation -- 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? -- Changes caused by anxiety (Butler and Hope, 1995) -- Specific Fears that Affect People with Diabetes -- Fear of hypoglycaemia -- Five strategies for overcoming your difficulties with hypoglycaemia -- Dealing with the Fear of Long-Term Complications -- Keep your thoughts about diabetes risks in perspective -- Remind yourself of the actual facts -- Focus on what you can control: diabetes self-care -- Needle phobia -- Overcoming General Anxieties and Worries -- Some of the ways worry can affect you (Butler and Hope, 1995) -- Have a 'worry time' -- Distraction -- Relaxation training -- Controlled breathing -- Imagery -- References -- Further Reading -- Chapter 6 Managing Food, Weight and Emotions -- Practical Issues in Managing Eating Behaviour -- Increase your knowledge -- Strive for balance -- Food and your social life -- Using food to cope with emotions -- How to manage emotional eating -- Diabetes and Eating Disorders -- What are eating disorders? -- Are you currently struggling with an eating disorder? -- Causes of eating disorders -- Eating disorders and type 1 diabetes -- Eating disorders and type 2 diabetes -- Overcoming an eating disorder -- Ten steps to overcoming your eating disorder -- Step A: Get ready to change -- Step B: Keep a diary -- Step C: Establish an insulin routine that feels achievable -- Step D: Reduce binge eating -- Step E: Reduce vomiting/laxative use -- Step F: Examine your thinking -- Step G: Learn how to problem-solve -- Step H: Expect challenges -- Step I: Increase self-esteem -- Step J: Speak up -- Seeking professional help -- Advice for health professionals -- References -- Further Reading and Resources -- Website.

Chapter 7 Diabetes and Relationships -- Your Relationship with Healthcare Professionals -- Potential challenges in the patient-healthcare professional relationship -- For the person with diabetes: How to improve your relationship with your healthcare team -- Advice for the healthcare professional -- Relationships in Your Family and Social System -- Communicate -- Ask for help -- Take personal responsibility -- Seek professional help -- Sexual Difficulties -- Male sexual problems -- Female sexual problems -- Gain support for the physical side of sex -- How to manage the emotional impact of sexual difficulties -- A plan for tackling sexual difficulties: sensate focus (adapted from Ford, 2005) -- Next steps for erectile dysfunction -- Next steps for orgasmic dysfunction in women: body awareness exercise -- Other aspects of sexual relationships -- References -- Further Reading -- Chapter 8 Implementing Change -- The Paradox of Motivation -- Link an activity that feels like a struggle with one that naturally feels effortless -- Kindness statement -- Remind yourself of things you have achieved in the past -- Seven-Step Plan for Implementing Change -- Step 1: Set a goal -- Specific -- Measurable -- Attainable -- Realistic -- Time-bound -- Step 2: Make a plan -- Step 3: Go public -- Step 4: Link pleasure to goal achievement -- Step 5: Reward yourself -- Step 6: Update your identity -- Step 7: Get started now -- 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 -- Looking for exceptions -- Using the miracle question -- Scaling -- Case study: Mahesh -- Acceptance andMindfulness -- What is mindfulness? -- Mindfulness and CBT -- Mindfulness and diabetes -- A mindfulness exercise.

How to use mindfulness in everyday life -- 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.