Proposta técnica de atendimento psicológico individual e grupal em ambulatório interdisciplinar de apoio aos transtornos alimentares

Abstract

Introduction: Eating Disorders (EDs) are persistent alterations in eating behavior that impact an individual's physical and psychosocial health. Integrating psychology into an interdisciplinary team ensures comprehensive and humanized care. Aims: To structure a technical proposal for psychology services integrated into interdisciplinary ED outpatient clinics. Method: A qualitative study based on a narrative literature review and the development of a technical product. Results and Discussion: An analysis of 16 scientific publications and 20 legal documents revealed a lack of regulatory guidelines for interdisciplinary practice in these outpatient clinics within teaching hospitals. The technical proposal outlines psychological practice grounded in Cognitive-Behavioral Therapy (CBT), encompassing case conceptualization, psychological assessment upon request, and the collaborative formulation of an Singular Therapeutic Project (STP) involving the team, the patient, and family members. Individual sessions employ CBT techniques (problem-solving, social skills training, gradual exposure, etc.) to address issues such as dietary restriction, binge-eating episodes, and compensatory behaviors. Concurrently, open waiting-room groups were structured for patients and families, covering topics such as diagnosis, the cognitive model of EDs, and body image. Continuity of care is managed through periodic re-evaluations using indicators: SPT goal attainment, dropout rates, and satisfactory service ratings (≥ 4). Final Considerations: It is expected that, following validation, this model will enhance the quality of care, clinical outcomes, and patient well-being.