There is substantial evidence that supports the efficacy of individual and group CBT in treating binge eating disorder (“Part A,” 2006). The CBT approach for binge eating disorder is active and directive. At the cognitive level individuals in CBT are taught to identify, test, and correct their faulty cognitions. Behavioral strategies in CBT for binge eating include monitoring binge patterns, educating the individual, and introducing incompatible activities (Parrott, 1998). One study assessed the long-term efficacy of CBT in the treatment of binge eating disorder. They assessed a sample of 68 patients with binge eating disorder and a substantial reduction of binge eating was observed during treatment. There was a decline at the three-year follow-up and at the four, five, and six-year follow up there was a slight worsening of binge eating was observed in the individuals (Ricca, Mannucci, Zucchi, Rotella, & Faravelli, 2000). Other psychosocial therapies that show efficacy in the treatment for binge eating disorder are interpersonal therapy (IPT) and dialectical behavior therapy. There is evidence that both of these therapies are effective in the improvement of behavioral and psychological symptom (“Part A,” 2006). There is substantial evidence that self-help and guided self-help CBT programs for treating binge eating disorder are effective (“Part A,” 2006). Peterson, Mitchell, Crow, Crosby, and Wonderlich (2009) compared three treatment groups, self-help, therapist-led, and therapist assisted, to determine the efficacy of self-help group treatment. Two hundred and fifty nine adults with binge eating disorder were randomly assigned to one of the three groups or a waiting list condition for 20 weeks. Participants were as... ... middle of paper ... ...cebo and fluvoxamine) in the rate of decrease in Hamilton depression scale scores. Fluvoxamine medication was effective in acute treatment of binge-eating disorder (Hudson, McElroy, Raymond, & Crow, 1998). It can be interpreted from these findings that medications such as fluvoxamine is helpful in treating binge-eating disorder. Another form of treatment is a combination of psychosocial therapy and drug therapy. There is evidence that by adding CBT to drug treatment there is an increase in efficacy. Combining CBT and antidepressant treatment for binge eating does not seem to be more effective than CBT alone (Ricca et al., 2000). Significant effect on binge suppression was not found when antidepressants were added to CBT (“Part A,” 2006). This approach can he applied to Ricky’s therapy. If CBT is not working alone then would introduce drug therapy as well.
Recurrent episodes of binge eating is classified by eating large amounts of food in a discrete amount of time and a lack of control in over-consuming during an episode (Pomerantz, 2014). One then uses recurrent inappropriate purging behavior to prevent weight gain. DSM-5 has updated this occurrence to only once a week for three months. Those with the disorder cause self-evaluation to be strongly influenced by body shape and weight. These disturbances do not occur during episodes of anorexia nervosa, which is self starvation to limit calories and weight (American Psychiatric Association,
Bulimia nervosa is an eating disorder with psychological, physiological, developmental, and cultural components. The disorder is commonly characterized by binge eating followed by inappropriate compensatory behaviors, such as self-induced vomiting, excessive exercise, fasting, and the misuse of diuretics, laxatives or enemas. Patients properly diagnosed with bulimia nervosa endure many psychological and physiological problems. In order to alleviate these problems for the patient, usually some type of intervention is required. Considering the financial costs to the patient who seeks treatment, it is important to identify effective and efficient treatment programs. Due to the wide variety of individual patient differences, it would be unwise to proclaim one treatment method as the universal cure for bulimia nervosa. However, identifying what methods work under particular conditions may help therapists tailor an individualized treatment program after a careful assessment of the client. Having this knowledge would potentially save both the client and the therapist a lot of time and frustration; not to mention, the patient would be on the path to recovery sooner. Kaye et al (1999) stress the importance of making progress towards the understanding and treatment of anorexia and bulimia nervosa, in order to generate more specific and effective psychotherapies and pharmacologic interventions.
There is now compelling evidence from double-blind, placebo-controlled studies that antidepressant medication is useful in the treatment of bulimia nervosa. What is less clear is which patients are most likely to benefit from antidepressant medications and how to best sequence the various therapeutic interventions available. The utility of antidepressant medications in bulimia nervosa has led to their evaluation in binge eating disorder. The limited information currently available suggests that antidepressant treatment may be associated with a reduction in binge frequency in obese patients with binge eating disorder, but does not lead to weight reduction.
Eldredge, K.L., et al. "The Effects of Extending Cognitive-Behavioral Therapy for Binge Eating Disorder Among Initial
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions involved in comprehensive DBT treatment. The first function DBT serves is enhancing behavioral capabilities. Secondly, it improves motivation to change by modifying inhibitions and reinforcement. Third, it assures that new capabilities can be generalize to the natural environment. Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001).
Eating disorders are characterized by a persistent disturbance of eating that impairs health or psychosocial functioning. The disorders include anorexia nervosa, binge eating disorder, and bulimia nervosa [1]. The aim of this review is focused on the use of drugs (antipsychotics, antidepressants, mood stabilizers, and appetite stimulants) in the treatment of Anorexia Nervosa (AN) and Bulimia Nervosa (BN).
...iate cognitive-behavioral therapy manual was developed to help create a more affective type of therapy for adolescents with binge eating disorder. In other words the cognitive-behavioral therapy has been tailored for adolescents in this study and will not be treated in the same manner as an adult would. The most recent research about binge-eating disorder in adolescence shows that there is a lack of validated treatments for this age group. Cognitive-behavioral therapy for adults with binge eating disorder is the most used and most affective psychological treatment. Studies done for adults with binge-eating disorder who were treated with cognitive-behavioral therapy show a significant reduction in binge eating. Having adolescents undergo this kind of therapy that has shown significant results in adults and adapted to them is the best treatment possible for them.
Today, America is plagued with eating disorders such as Anorexia Nervosa, Bulimia Nervosa, and Compulsive Eating Disorders. Each has its own characteristics that distinguish the illness yet there are some similarities that they also share. According to the National Eating Disorders Association, as with most mental illnesses, eating disorders are not caused by just one factor but by a combination of behavioral, biological, emotional, psychological, interpersonal and social factors. Shockingly, they also report that in the United States, there are as many as 10 million females and 1 million males that are battling with eating disorders such as anorexia or bulimia. Additionally, another 25 million are struggling with binge eating disorders (www.NationalEatingDisorders.org). Typically, psychological factors such as depression and low self-esteem contribute to eating disorders...
1) CBT helps recognise and reframe the negative thought patterns that lead to anxiety and binge-eating.MB-EAT uses mindfulness – recognising what is going on for you in the present moment, how you are thinking and feeling and experiencing things right now – to help you be less caught up in mental loops in the first place.
Garfinkel (Eds.), Handbook for the Treatment of Eating Disorders (pp. 25-33). New York: The Guilford Press.
To make if effective one must take these self-care steps to support their professional treatment plan. One step is to avoid dieting because as previously mentioned; dieting can induce more binge eating episodes. Have a talk with your doctor about what would be an appropriate weight management strategy. Another thing to avoid is stocking up on food. By keeping less food in your home, you must take more trips to the grocery store and the temptation/ability to binge eat is nearly gone. The next thing is to eat a healthy breakfast every day. Many with BED skip breakfast, but if you eat breakfast then you might be less prone to eating those higher calorie meals later in the day. For binge eating disorder to be cured, you must get active. Your doctor can provide what kind of physical activity is the most appropriate for you, considering what health problems you have that are related to binge eating disorder. You also must get the right nutrients, just because you eat a lot in a binge eating episode, doesn’t mean that you are getting the proper nutrients. Talks to your doctor about what vitamin and mineral supplements are right for you. Staying connected is an important factor too; don’t isolate yourself your family members and friends who want to see you get healthy. They care about you, and have your best interests at heart. Sticking to your treatment is key. Don’t skip therapy sessions, take your vitamins/medication on an irregular basis, and stick to your meal plan to get the best results (Binge Eating
As is common with other eating disorders, binge eating can be treated with talking therapy and nutritional counselling. Talking therapy addresses dysfunctional behaviours and thoughts involved in the disorder, while nutritional counselling focuses on building strong healthy eating
While FBT emphasizes a manual based, group, behavioral approach CBT focuses on an individual approach to treating anorexia nervosa focusing on maladaptive cognitions and behaviors (Wilson et al., 2007; Grave et al., 2014). CBT aims to produce change in adolescents by modifying their thought mechanisms that maintain their anorexia nervosa pathology (Grave et al., 2014). CBT is a form of intensive psychotherapy in which therapists are concerned with the adolescent’s overall functioning, not just eating and weight. According to Grave et al. (2014), CBT therapists help clients adjust to their rapid weight gain and better deal with the negative events and emotions that effect healthy eating patterns. Therapists enhance adolescent’s motivation to
It seems like every little girl dreams of becoming a model. They want to be thin and pretty like the models they see on television and in magazines. Often the desire becomes an obsession and young girls see "thinness" as being a needed characteristic. For many girls, the teenage years are spent trying to acquire this look. Females are trying diets and are exercising like it is a competition to see who can lose the most weight the quickest. The obsession of many young girls over their appearance or weight has led to a growing number of people who have developed an eating disorder to try to deal with their lack of self-esteem or other related problems.
Lenz, A. Stephen, Et Al. "Effectiveness Of Dialectical Behavior Therapy For Treating Eating Disorders." Journal Of Counseling & Development 92.1 (2014): 26-35. Academic Search Premier. Web. 11 Mar. 2014.