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Cognitive Behavioral Therapy

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Cognitive-Behavioral Therapy For Bulimia Nervosa

INTRODUCTION

Bulimia nervosa is an eating disorder characterized by binge eating as well as by self-induced vomiting and/or laxative abuse (Mitchell, 1986). Episodes of overeating typically alternate with attempts to diet, although the eating habits of bulimics and their methods of weight control vary (Fairburn et al., 1986). The majority of bulimics have a body weight within the normal range for their height, build, and age, and yet possess intense and prominent concerns about their shape and weight (Fairburn et al., 1986). Individuals with bulimia nervosa are aware that they have an eating problem, and therefore are often eager to receive help. The most common approach to …show more content…

Behavioral techniques utilized by CBT are designed not only to change certain behaviors, but also to elicit the individual's cognitions associated with specific behaviors.

COGNITIVE BEHAVIORAL TREATMENT OF BULIMIA

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).

The cognitive view of the maintenance of bulimia nervosa stresses that there is more to an individual's eating problem then just binge eating (and purging). Low self-esteem, extreme concerns about shape and weight, and strict dieting are all implicated in perpetuating the vicious cycle of bulimia (Fairburn et al., 1993). Within the first stage of treatment (weekly sessions 1-8), the following steps characterize the cognitive-behavioral approach: 1) orient

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