In the first article by Masheb (2011) the research was performed to determine the difference in the combination of CBT plus a low-Energy-Density diet (CBT+ED) and CBT plus General Nutrition counseling (CBT+GN) for the treatment of BED and help with weight loss. The 50 female participants were put in a computer program to randomly assign them into one of the two groups. The Clinicians doing the therapy were experienced in CBT in patients with eating disorders. The CBT+ED treatment was performs by weekly one-hours sessions on 40 minute CBT and 20 minute ED for the first 16 weeks and every other week one-hour sessions the following weeks until week 26. The CBT+GN treatment was performs by weekly one-hours sessions on 40 minute CBT and 20 minute GN for the first 16 weeks and every other week one-hour sessions the following weeks until week 26. At the end of the 26 week, the patients were sent home and a 12-month follow-up session was conducted. The primary outcomes measured were the amount of subjects who experiences a 5% weight loss, binge remission, energy density, and serving of fruits and vegetables (1). …show more content…
The CBT and ECT both received 15 sessions over 5 weeks not includung the inpatient treatment but the ECT consist of 5 group sessions within the 5 weeks of CBT and 10 individual hour sessions of 14 virtual environments over the 5 weeks. The virtual environments helped them practice problem solving, decision making, eating management, and emotional management
Identified Strengths: Claudette and Rick are drinking and smoking marijuana a lot or every day.
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).
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT; Cohen, Mannarino, & Deblinger, 2006) is a highly structured and family-centered treatment. It is currently regarded as the most rigorously tested and efficacious treatment for CSA survivors and their caregivers. In a typical 16-session TF-CBT treatment, both the children and the parents will go through three stages: preparation (psychoeducation, affection regulation and cognitive coping), processing (trauma processing and "en vivo" mastery), and termination (enhancing safety and development).
Forty-three published abstracts were retrieved from PubMed database and three were retrieved from CINAHL database, for a total of 46 articles for potential inclusion in the review. Three duplicates were then removed, yielding 43 articles for potential inclusion. Two articles were excluded because they are commentaries. Three articles were excluded because they are reviews. One article was excluded because it is a case study. 14 articles were excluded because they do not include a mindful eating intervention. Two articles were excluded because they do not focus on weight or weight-related co-morbidities. One article was excluded because it focuses on anorexia nervosa or bulimia. One article was
Jane is a 22 year old single white British female who lives with her parents in a house outside the city. She is heterosexual and has had a boyfriend for seven years. She feels unable to discuss her issues with her boyfriend. Her parents both have mental health issues and Jane does not feel able to talk to her mother about her problems. She has an older brother she has a good relationship who lives with his girlfriend, a four hour drive away.
Self-help CBT-I is recommended as the least restrictive evidence-based entry step of the treatment model. With the advance of information technology, internet is used for delivery of self-help material.
Esben concludes by saying that EFT is effective in treating all 3 cases with BED and that it could be more effective that Cognitive-Behavioural Therapy (CBT). He states that attempting to change the belief system could lead to more relapse. Thus, targeting maladaptive beliefs about thoughts and emotions could be an improved intervention for changing dysfunctional eating behaviours. However, he does not talk about its relapse rate which he talked about extensively for bariatric surgery. This makes the audience question what constitutes improved intervention. It is hard to understand if improved intervention refers to a lower relapse rate or a treatment that only reduces dysfunctional eating behaviours as in the case
A second diagnosis for Kathie is Mild Binge Eating Disorder (BED) (F50.8). BED is characterized by recurrent episodes of binge eating in which the client eats a large amount of food in a two-hour period that most people would consume in a similar situation. There is sense of lack of control over the eating. The binge episodes one to three times a week for three months. The client must meet three of the five criteria listed in the DSM-V for BED which include eating more rapidly than normal, feeling uncomfortably full after binge eating (BE), eating when not hungry, feeling embarrassed, and feeling guilty, disgusted, or depressed after the binge eating episode. Additionally, there is a feeling of marked distress over the binge eating episode. There are no compensatory behaviors such as vomiting, using laxatives, medications or excessive exercise (APA, 2013). Kathie has been secretly struggling with an eating disorder (ED) for the last six months. She has meets 3 of the 5 criteria listed in the DSM-V including eating excessively until she feels uncomfortably full. After binge eating, she feels ashamed and helpless, which makes her more depressed. She feels a loss of control over her eating. She eats alone and feels guilty after binge
CBT is a time- sensitive, structured, present oriented psychotherapy (Beck Institute, 2016). CBT is directed at helping clients change their unhelpful thinking and behavior through various techniques. The participant has failed to recognize that his irrational thoughts, (feeling singled out because of his race and health issues) are preventing him from fully functioning causing him to become depressed. He is also struggling to shift his focus from his negative interactions with the staff and residents in treatment and this leads to feelings of anger.
The focus of this intervention design is the relationship between binge-eating disorder and depression. In May of 2013, the Diagnostic and Statistical Manual of Mental Disorders, 5th edition was published. With this publication came the introduction of binge-eating disorder as a formal, independent diagnosis. As a result, there is a gap in the literature in
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
According to the National Institute of Health (NIH), Cognitive Behavioral Therapy (CBT) is useful for a variety of conditions, ranging from anxiety to depression to substance abuse. CBT has been proven effective with helping addicts overcome substance abuse through a variety of techniques and theories introduced below.
Eating disorders affect millions of men and women every day. Bulimia nervosa, anorexia nervosa, and binge eating disorder are three main types of eating disorders that can have detrimental consequences on the human body. These eating disorders not only deteriorate one’s body, but also eradicate the mind. “Inherent to anorexia nervosa and bulimia nervosa are a plethora of medical complications which correlate with the severity of weight loss or the frequency and mode of purging” (Mehler, 2015).
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).
Binge eating disorder (BED) is a “severe, life-threatening and treatable eating disorder characterized by recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; experiencing shame, distress, or guilt afterwards; and not regularly using unhealthy compensatory measures (purging) to counter the binge eating” (NEDA 1). This disorder effects people of all genders, races, and ages. This disorder also happens to be the most common eating disorder among the people of the United States. Often times people get this disorder mixed up with another eating disorder called Bulimia. The difference is that with bulimia people purge after every meal they eat (by means of vomiting, excessive exercising or with the use of laxatives). But people with BED usually do not do unhealthy things, such as purging. Instead they feel guilty about the amount of food they ate and will not eat for an extended period of time, which can cause more binges to occur.