Cbt Model

In 1981, a researcher named Fairburn conducted the first study applying cognitive-behavioral therapy to the treatment of bulimia nervosa. In a recently published report by D. L. Spangler (1999), CBT is touted as “a well-developed, theoretically grounded treatment for bulimia nervosa with the strongest empirical support for its efficacy of any form of treatment for bulimia nervosa.” Today cognitive-behavioral therapy (CBT) is a form of therapy commonly used to treat patients with bulimia nervosa (BN).

CBT therapists use the first session or two to complete a problem analysis, perform a detailed assessment and create a case formulation with the client. The therapist seeks to identify: 1) the behaviors, emotions, and thoughts which make the situation a problem, 2) predisposing factors, often going back to childhood and adolescents, 3) precipitants, 4) protective factors, 5) triggers, 6) symptoms, and 7) maintenance cycles (O’Connell, 2012). This starts the session out with a very problem-focused discussion encouraging growth of the problem, with goal setting often not starting until the second

There is a focus on helping patients to observe and label their emotional reactions to trauma, validation and acquiring a balance between acceptance and change. This is a fairly new type of approach which is being modified for the treatment of eating disorders. (Santucci, 2010) This form of therapy, according to the data is appropriate for any individual afflicted with this condition as well as many others, but currently does not have a depth of research behind it to prove it individually effective specifically for AN.

CBT treatment typically lasts about 20 weeks and can be divided into three stages (Fairburn et al., 1993). In the first stage, the cognitive view on the maintenance of bulimia is presented, and behavioral techniques are implemented to replace binge eating with more stable eating patterns. In the second stage, additional attempts are made to establish healthy eating habits, and an emphasis is placed upon the elimination of dieting. Cognitive processes (previously outlined) are focused upon extensively in this stage; the therapist and the individual examine his/her thoughts, beliefs, and values which maintain the eating problem. The final stage is concerned with maintaining the gains made in therapy once the treatment has been terminated (Fairburn et al., 1993).

Mental health professionals recognize that Family Systems Therapy (FT) and Cognitive-Behavioral Therapy (CBT) have had successes as a treatment methodology for individuals who develop eating disorders (Jones, Volker, Lock, Taylor, and Jacobi, 2012; Park, Waller, and Gannon, 2013). In this paper, I compare and contrast an individual approach involving cognitive behavioral therapy (CBT) and a family systems approach. Definitions and descriptions of studies involving both approaches will be provided, and a comparison will be made. Finally, a discussion of the ethics of both studies will be discussed.

In 2005, Swedish researchers, Nevonen and Broberg, investigated the effectiveness of highly sequenced cognitive-behavioral therapy for Other Specified Feeding or Eating Disorders and anxiety. They released a study examining thirty five EDNOS participants with a mean age of 20.5, matched and randomized to twenty three sessions of sequenced CBT, followed by either individual or group therapy. Intention-to-treat analysis was used and participants were measured pre, post-treatment, and at one and 2.5 years follow up. Their findings showed that both sequenced based groups yielded a recovery of only about 10% at post-treatment; about 60%had not changed their binge-eating, purging, or restricting during or in conjunction with completing the

Bulimia Nervosa is an eating disorder characterized by recurrent episodes of binge eating with inappropriate compensatory behaviors to prevent weight gain. Cognitive Behavior Therapy and antidepressant drug therapy are treatment modalities that have shown promise with patients diagnosed with eating disorders, more so with Bulimia than with Anorexia, (Comer, 2014). In this case study analysis, a synthesis of researched outcomes-based treatment modalities is used to conceptualize a diagnosis and treatment plan for a 19 year-old female client presenting with symptoms of 307.51 (F50.2) Bulimia Nervosa; extreme.

The Eating Disorder Inventory was developed in 1983 by David M. Garner, Marion P. Olmstead, and Janet Polivy but was officially published in 1984. The original Eating Disorder Inventory assessment was created for the sole purpose of evaluating the “psychological and behavioral traits common in anorexia nervosa and bulimia” (Garner, Olmstead, & Polivy, p.15, 1983). The researchers wanted to develop yet another instrument aimed at eating disorders because the previous instruments were only used for inpatient clients or intended for the behavioral aspects of anorexia nervosa in particular. The researchers felt that bulimia was not being accounted for in previous assessments and that the depth of these disorders was much more complex than the previous assessments were exploring. They felt that they needed to develop an instrument to measure various other traits in order to properly treat individuals with eating disorders.

We will utilize meditation and visualization to release patterns that no longer serve you to allow you to live the life you always wanted and actually enjoy the experience of eating. Private sessions allow you the opportunity to have an individualized experience to get to the root cause of your disordered eating patterns. We will end each session with actions you can take and implement in your life to finally feel full. Now is the time to feel great in your body! At the end of the six month program you will become your own health coach; you will be the master of your body allowing you to be your best guide to create wellness and harmony in your life. Join me today on your journey to wellness to start eating and living

The oldest report of the use of behavioral therapy in the management of obesity came out around 1967 (Stuart., 1967). Since then, there has been an explosion of approaches and the use of behavioral therapy in the management of obesity. Over the last two decades, cognitive behavioral therapy (CBT) has been introduced into the psychological therapy of obesity. There was an increase in the average weight loss in patients enrolled into behavioral therapy programs by 75% from what was seen in 1974 to what was achieved in 1994 (Jeffery et al., 2000). This has been due to the gradual realization that behavioral therapy interventions are more effective when they are of longer duration and are more intensive. Typically, an earlier 8-week program led

In our Western society, we have several different types of eating dysfunction, all of which are unique and tragic in their own right. Despite their individuality, however, they all have several overlapping symptoms that are key to their classification and severity. For Bulimia Nervosa (BN) and Binge Eating Disorder (BED), one of the core features is binge eating, which can be defined objectively by number of calories eaten in a given time or subjectively by the feelings of the binger. Binge eating has many different aspects that are of interest to scientists and clinicians alike. One of those interests has to do with the reduction of this symptom among populations being treated for their respective disorder. Because both

CBT is an integrated approach using various combinations of cognitive and behavioral modification interventions and techniques (Myers, 2005). The aim is to change maladaptive patterns of thinking and behaving that impact clients in the present (Weiten et al., 2009). From a cognitive behavioral perspective Jane would be diagnosed as having faulty thinking and dysfunctional behavioral issues suffering from depression, and anxiety in the form of Agoraphobia (Weiten et al., 2009).

Mclorg and Taub (1987) noted that this form of treatment allowed many of the respondents sought out for psychiatric treatments to diminish the illness. They did not follow up to see the rate of relapse or question the participants about their feelings toward the group therapy and if the presence of therapy truly helped diminish their eating disorder. A factor aside from background that was significant in this case study was the use of advertisement. All participants openly chose to attend the group in search of treatment.

This article is about the effects of therapy on patients that have Bulimia and are going through Bulimia abstinence. The study was done on about 150 patients to see if there where similarities in purging and eating habits. The study shoed that there where similarities between the different groups of people when it came to bulimia habits. I personally thought that this article was lacking in details and specificity.

People suffering from eating disorders cannot solely help themselves. Although they may be able to stop for a short time, in the long run they will be back in the same path of self-destruction. Kirkpatrick & Caldwell (2001) state, "Because eating disorders are a complicated mix of physical and psychological abnormalities, successful treatment always includes treatment of psychological issues as well as restoration of a healthy diet" (p. 131). Trained therapists should treat eating disorders. The severity of the disorders will determine the need for outpatient therapy or an in-hospital program (Matthews, 2001, p. 178). There are many goals of therapy but the return to normalcy is the main goal. The eating disorder sufferer needs to restore and maintain a normal weight as well as develop normal eating and exercise routines. Kirkpatrick and Caldwell (2001) state,