Cognitive-behavioral therapy and nutritional counseling in the treatment of bulimia nervosa and binge eating

Abstract

The goals of manual-based cognitive-behavioral therapy (CBT) and nutritional counseling for eating disorders are similar, namely, eliminating dysfunctional patterns of eating. Modifying these behaviors requires specific therapeutic expertise in the principles and procedures of behavior change that is not typically part of the training of nutritionists and dieticians or mental health professionals without specific expertise. We discuss ways in which principles of behavior change can be applied to eating disorders by non-CBT experts. Specific nutritional rehabilitation programs have the potential to augment CBT in addressing the array of appetitive abnormalities present in eating disorder patients. The dysfunctional appetitive, hedonic, and metabolic characteristics of patients with bulimia nervosa (BN) and binge eating disorder are reviewed. These abnormalities constitute potential target areas that might be more fully addressed by nutritional interventions designed to restore normal appetitive function. D

Treatment of adolescent overweight and obesity

“…CBT treatments have the advantage over some other treatment approaches in that they are generally manual-based, meaning that non-psychologist health professionals (e.g. nurses) can be trained in their delivery [49,50,53,56,71]. This enables CBT programmes, including potential CBT programmes for treating obesity in adolescents, to be widely disseminated, increasing the availability of effective treatment programmes.…”

The Rate and Shape of Change in Binge Eating Episodes and Weight: An Effectiveness Trial of Emotionally Focused Group Therapy for Binge‐Eating Disorder

“…Controlled studies showed that cognitive‐behavioural therapy (CBT; Latner et al, ; Latner & Wilson, ; Wilson, Fairburn, Agras, Walsh, & Kraemer, ), antidepressant medications (Agras et al, ), interpersonal psychotherapy (IPT; Agras, Walsh, Fairburn, Wilson, & Kraemer, ; Wilfley et al, ), group psychodynamic‐interpersonal psychotherapy (Tasca et al, ) and behavioural weight loss treatment (Marcus, Wing, & Fairburn, ) are effective in eliminating BE episodes and reducing associated psychopathology in the short and long term (Wilson, Grilo, & Vitousek, ). Unfortunately, these treatments have a limited effect on weight loss (Wilson & Shafran, ; Wilson, Wilfley, Agras, & Bryson, ).…”

Diabulimia - Cultural Determinants of Eating Disorders

“…Psychotherapy (primarily CBT, DBT) (52) in diabulimia most often takes on the form of individual, group or family therapy (53). The results of the research indicate a greater effectiveness of a family therapy in comparison with an individual therapy, especially when the problem affects a child (54).…”