Dysfunctional Eating Behavioral Therapy: A Case Study

Like those who show bulimia nervosa, individuals with binge eating disorder are involved in repeated eating binges during which they feel no control over their eating. Today’s treatments for binge eating disorder are similar to those for bulimia. These treatments consist of Cognitive behavioral therapy, as well as other forms of psychotherapy and in some cases anti-depressant medication. The anti-depressant medication is given to assist in the reduction of binge eating patterns and to alter the disturbed concern over weight and

Beidel, D. C., Bulik, C. M., & Stanley, M. A. (2014). Feeding and Eating Disorders. In D. C. Beidel, C. M. Bulik, & M. A. Stanley, Abnormal Psychology DSM5 (pp. 234-268). Upper Saddle River: Pearson.

Both methods have been proven to be significantly effective in reducing the symptoms of bulimia nervosa. Although immediate reduction of bulimic symptoms is beneficial to the patient, it is not indicative of recovery. For this reason, my analysis will consider the long-term outcome effects for each treatment method. My findings will influence which method I will recommend for the treatment of bulimia nervosa.

In this paper, I will discuss how cognitive behavioral therapy (CBT) can be utilized in the management of eating disorders. More specifically I will identify Anorexia Nervosa and provide statistics that relate to the disease. Etiologies will be discussed as well as symptoms. Various techniques of Cognitive Behavioral Therapy will be described as well as the rationale as it relates to the clinical issue.

In most if not all professions, there are moral and ethical codes that must be followed. It is done so in order to maintain a level of professionalism, protection for the consumer of the services, and representation for the profession. Mental Health counselors have code of ethics which they go by as well to establish a universal standard of expectation and delivery. No matter the type of client you are helping, there are universal ethic codes that must be followed. Ethical Issues in Eating Disorders Treatment: Four Illustrative Scenarios is a series of articles that discusses four of the ethical practices that must and should be used by counselors. Even though the article is using scenarios dealing with eating disorders, the ethics that the

Real beauty is found in a person's heart, not in their appearance, but the media rarely portrays this though. Most magazines and television shows feature only excessively thin people. Unfortunately, this causes teenagers whose bodies don't match those same proportions to look at their selves with hatred. Every lump and bulge becomes despised, and soon, they have a full-blown eating disorder.

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).

procedures to reduce dietary restraint and increase eating regularity. The last phase involves teaching people relapse-prevention

While behavioural approaches to the management of obesity are often successful in achieving clinically significant weight loss, the weight lost is generally regained. The great majority of patients return to their pre-treatment weight within 3 years. There have been attempts to improve the long-term effectiveness of behavioural treatment but the results have been disappointing. In this paper we suggest that, among other factors, this is because of the neglect of the contribution of cognitive factors to weight regain, and because there is often ambiguity over the goals of treatment. We present a cognitive behavioural analysis of the processes involved in weight regain, and we describe a new cognitive behavioural treatment derived from it. This treatment is designed to minimise the problem of weight regain by addressing psychological obstacles to the acquisition of, and long-term adherence to, effective weight-control behaviour.

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).

Emma is a 15-year-old teenager diagnosed with bulimia nervosa. Partaking in episodes of binge eating, fasting and self- induced vomiting; Emma has a distorted perception regarding her weight and body image. Similarly, Ethan is a 16-year-old teenager diagnosed with Non- suicidal- self-injury (NSSI), who through repetitive cuts and burns to the body uses self- injury as an emotional regulatory strategy. Both Emma and Ethan were suggested Cognitive behavioral therapy as an effective treatment option.

The key concepts of behavior therapy are that it “is grounded on a scientific view of human behavior that accommodates a systematic and structured approach to counseling” (Corey, 2013, p. 250). The attention is focused on the behavior of the person. Behavior therapy is about giving control to the client to expand their freedom. “People have the capacity to choose how they will respond to external events in their environment” (Corey, 2013, p. 250).

The treatments for eating/consumption disorder include such things as counseling, education and medication. Find out what treatment(s) works for them. Eating/consumption disorder treatment(s) depends on your particular disorder and your symptoms. It typically includes a combination of psychotherapy counseling, nutritional education, medical monitoring and sometimes even medications.

There are many struggles faced with treatment unit of Psychiatric hospital. The continent of mental ill person due to many state hospital being closed. (Montross, 2016) Therapy seems to be the most effective method.

The three nationally recognized eating disorders are identified as Bulimia Nervosa, Anorexia Nervosa, and Binge-Eating Disorder. Eating disorders, although stereotypically viewed as a lifestyle choice, is a serious and often fatal illness that not only cause severe eating disturbances, but adverse psychological and physiological environments for the individual (National Institute of Mental Health, 2006). These disorders typically develop in the mid-to-late teen years and often carry out into early adulthood albeit also existing in late adulthood (Butcher, Mineka, & Hooley, 2004). Treatment for this class of disorder can range from various perspectives, current methodologies for binge-eating disorder point to cognitive therapies and pharmacotherapy (Reas & Grilo, 2014).