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bulimia Archives - Suzanne Wallach

What Type Of Therapy Is Best For Eating Disorders?

woman receiving therapy for an eating disorder

Eating disorders are serious mental illnesses. They are characterized by abnormal, irregular eating habits, and an extreme concern with one’s body weight or shape. There are several different manifestations of eating disorders. The various types are listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) under the Disorder Class: Feeding and Eating Disorders. The three most common eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder. Eating disorders can be debilitating and can adversely affect a person’s emotions, health, and interfere with one’s ability to adequately function in his or her daily life. If left untreated, eating disorders can result in severe short and long-term consequences. 

Every individual is different and will react distinctly to the array of therapeutic treatment modalities available. The treatment plan for an individual diagnosed with an eating disorder will be directly informed by several contributing factors, such as: the exact diagnosis, how long he or she has been actively engaging in unhealthy eating habits, his or her personal health history, and the presence of any co-morbid disorders. Some of the most frequently relied upon therapeutic treatment methods when treating eating disorders could include, but are not limited to cognitive behavioral therapy, dialectical behavior therapy, and interpersonal therapy.

Cognitive Behavioral Therapy

Cognitive behavioral therapy (CBT) works by addressing one’s thoughts. It holds the basic assumption that one’s thoughts govern one’s feelings, which in turn affects one’s behaviors. Through CBT an individual’s unhelpful cognitive distortions and behaviors are challenged and disrupted, essentially prohibiting one’s ability to maintain dysfunctional eating habits.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is recognized as an effective method of treatment for an individual diagnosed with an eating disorder. DBT can help an individual learn useful self-management skills, reduce stress, minimize anxiety, and learn to control destructive eating behaviors. DBT promotes acceptance and teaches individuals how to live in the present moment and cope with emotional triggers that may otherwise perpetuate unhealthy symptoms and behaviors associated with eating disorders. 

Interpersonal Therapy

Interpersonal therapy (IPT) a therapeutic modality that is most often used to treat individuals who suffer from psychiatric disorders such as anxiety disorders, eating disorders, depression, etc. Interpersonal therapy focuses on how a person’s communications and interactions with other people affect one’s own mental health. Through interpersonal therapy an individual will learn to resolve and adjust unhealthy interpersonal problems, resulting in a symptomatic recovery.

When posed with the question: What type of therapy is best for eating disorders? The answer is variable as there are countless factors that must be considered which make it is impossible to provide a definitive answer regarding the universal efficacy of any single type of therapy. In order to provide the most effective treatment, including a variety of different types of therapies into one’s treatment plan may be advantageous.

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment.

How To Treat Bulimia Through Therapy

woman with bulimia standing on a scale with tape around her ankles

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) lists bulimia nervosa under the Disorder Class: Feeding and Eating Disorders as a complex brain disorder. Bulimia nervosa, also referred to as bulimia, is one of the three most commonly diagnosed eating disorders in America. The Mayo Clinic defines bulimia as a “serious eating disorder marked by binging, followed by methods to avoid weight gain.” Hence, bulimia is essentially characterized by episodes of uncontrolled binging (extreme overeating), typically followed by purging (making oneself vomit). An individual struggling with bulimia may also purge via the misuse of various medications related to weight loss, such as laxatives, diuretics, enemas, and/ or excessive exercise. The episodes of binging and purging is often referred to as a binge-purge cycle. Depending on the individual, eating binges can range from occurring twice a week to several times a day. Bulimia is not solely about one’s weight, but also revolves around one’s self-image. The psychological nuances and physical consequences that can arise from bulimia are what makes it such a complex disorder. The damage that occurs from prolonged malnutrition and the unhealthy cycle of binging and purging can lead to significant short and long-term physiological complications. While bulimia is a chronic disorder, with proper treatment an individual can learn the tools and skills needed to develop a healthy and sustainable relationship with food.

Treatment

Every individual is different and will require some form of customized treatment when it comes to bulimia. There are many different mental health treatment options and distinct forms of therapies used to treat bulimia. The nuanced needs of a person diagnosed with bulimia will greatly inform which psychotherapeutic methods are included in one’s treatment plan. In order to treat bulimia through therapy, a person’s treatment plan could comprise of one or more of the following types of therapy:

  • Cognitive behavioral therapy (CBT) is based off of the notion that one’s thoughts govern one’s feelings, which in turn affects one’s behaviors. According to the Society of Clinical Psychology, “In CBT, the therapist works collaboratively with the patient to disrupt the factors maintaining the binge-purge cycle with the goal to achieve abstinence from these behaviors.”
  • Interpersonal therapy (IPT) is a therapeutic modality that is most often used to treat individuals who suffer from anxiety disorders, eating disorders, depression, as well as other psychiatric disorders, including bulimia nervosa. Interpersonal therapy focuses on how a person’s communications and interactions with other people affect his or her own mental health. Through interpersonal therapy an individual will learn to resolve and adjust unhealthy interpersonal complications, resulting in a symptomatic recovery.
  • Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy that places greater emphasis on the psychosocial aspect of therapy. DBT can benefit an individual diagnosed with bulimia by helping to foster self-management skills, lower stress, reduce anxiety, and learn to control destructive eating behaviors. The goals of DBT are to help an individual learn to establish healthy coping mechanisms that can be applied to environments that would have otherwise provoke destructive eating behaviors. It helps individuals learn how to reduce emotional reactivity and improve their interactions with others. DBT promotes acceptance and teaches skills to enable an individual to live in the moment and cope with emotional triggers that may otherwise perpetuate the binge-purge cycle and other unhealthy symptoms and behaviors associated with bulimia. 

A treatment plan for bulimia will be carefully tailored so as to effectively accommodate all of the individual’s mental health needs. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health.  As such, please do not use any material provided above as a means to disregard professional advice or delay seeking treatment.