Cognitive Behavior Therapy and Eating Disorders
Cognitive Behavior Therapy and Eating Disorders Fairburn et al. argue that an extreme need to control eating is a central feature of Anorexia nervosa, and that in Western societies a tendency to judge self worth in terms of shape and weight is superimposed on this need for self control, (1999). The DSM IV diagnostic criteria for AN includes the refusal or inability to maintain body weight over a minimum normal weight for age and height, e.g. weight loss leading to maintenance ofbody weight 15 percent below that expected. Intense fear of gaining weight or becoming fat even though underweight is also a characteristic seen in AN patients. The DSM IV also states that in females, absence of at least three consecutive menstrual cycles when otherwise expected to occur is a diagnostic criteria as well. Use of cognitive behavioral therapy is often the most productive, (Hoffman, 1993). Cognitive behavior therapists focus on changing eating behaviors usually by rewarding or modeling wanted behavior. These therapists also help patients work to change the distorted and rigid thinking patterns associated with eating disorders, (Hoffman, 1993). The American Institute for Cognitive T
The APA states that CBT is the most intensively investigated and best empirically supported treatment for BN, (2000). Neutralizing often takes the form of compulsive behavior, (Salkovskis & Kirk, 1989). Modifying dysfunctional assumptions. Its application in day to day practice may be restricted by the availability of suitable practitioners and similarly, the present data provides little indication of how effective CBT procedures might be when they are applied by less experienced practitioners, (Jones et al. Only in the most severe cases should an SSRI be started in combination with CBT, (but not for children). Cognitive Behavior Therapy and Schizophrenia Schizophrenia is a disease with a physical cause that describes a collection of diseases rather than one single condition, (Sheringham, 1999). This encourages patients to gradually confront their fears and learn new, more appropriate responses to feared situations. Treatment is directed at reducing dietary restraint in favor of developing normal eating patterns, developing cognitive and behavioral skills for coping with high risk situations that trigger binge eating and purging, and modifying dysfunctional thoughts and feelings about the personal significance of body weight and shape, (Fairburn et al. CBT is significantly more effective than either pharmacological or alternative psychological treatments with which it has been compared, (Wilfley & Cohen, 1997; Wilson & Fairburn, 1998).
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