Eating Disorder Professional Treatment - Individual Psychotherapy
Bridget Engel, Psy.D., edited by Kathryn Patricelli, MAUnless you are in severe danger, the therapist will recommend outpatient therapy for you and likely, also for your loved ones. Outpatient therapy happens in a counselor's office usually once a week. Individual therapy is designed to provide you with education and support. It will be important to talk about how and why the eating disorder developed and what keeps the behavior going. The therapist may also teach you to correct faulty thinking, get in touch with strong emotions, increase poor self-esteem, and process your body image. Homework might also be given. This might include contracting to reduce eating disorder behaviors, tracking your thoughts and behaviors throughout the week, or journaling.
The therapist will also help you develop new coping skills. Introducing or restoring of coping skills might include learning how to self-soothe and calm down without the use of food when upset. It will include communicating feelings and needs effectively to others. You must also learn how to develop a healthy social support system and ask for help when you need it. In addition, you will be taught how to appropriately handle anger, to recognize incorrect feelings of being inadequate, and to appreciate your individual strengths and talents. Those who binge and purge benefit from adding more structure to their eating schedules, learning healthy food choices, and letting go of perfectionistic thoughts.
There are several different approaches that the therapist may use to guide individual therapy. The choice of approach depends on the therapist's expertise and preferred methods, as well as your needs. The most common type of therapy used for eating disorders is Cognitive Behavior Therapy (CBT). CBT has been very thoroughly researched. It has been found in numerous studies to be more effective than other options or no treatment at all. The basis of CBT is that feelings and behaviors are driven by thoughts (cognitions). When thoughts are incorrect, the behaviors and feelings that result tend to be distorted or disturbed as well. The role of the therapist in CBT is to help you identify the incorrect thoughts that are causing your eating disordered behavior.
A CBT therapist is likely to teach many ways to change faulty thinking. For example, those with anorexia will be challenged regarding their rigidly self-imposed expectations and perfectionism. They will be taught to set more realistic goals for themselves and to decrease the importance they place on weight and body image. In recognizing their talents and strengths, their self-esteem benefits from a broader perspective of who they are and what they look like. To do this, a CBT therapist will often point out examples of "black and white thinking." This is a form of faulty thinking in which people see the world in absolutes rather than shades of gray. For example, thinking "I am either completely terrible" or "I am totally wonderful", rather than thinking "I am generally an okay person even though I am not perfect." The therapist will challenge people to monitor these rigid thoughts and to allow more flexibility in their thinking.
For those with bulimia, CBT will look at how they spend too much time comparing themselves to others in unhealthy ways. They will learn:
- to focus on themselves, rather than on external standards
- positive self-talk to start being more kind to themselves
- techniques to stop their obsessive thinking
- to dispute their reasons for binging and purging behaviors
- to view these dangerous behaviors from a more realistic, healthy perspective
Resources
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Articles
- What are Eating Disorders?
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Eating Disorder Causes and Maintaining Factors
- Causes of Eating Disorders - Biological Factors
- Causes of Eating Disorders - Biological Factors Continued
- Causes of Eating Disorders - Personality Traits and Missing Skills
- Causes of Eating Disorders - Family Influences
- Causes of Eating Disorders - Cultural Influences
- Eating Disorder Maintaining Factors
- Eating Disorder Maintaining Factors Continued
- Other Eating Disorder Maintaining Factors
- Characteristis of Eating Disorders
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Eating Disorder Treatment & Prevention
- Eating Disorder Professional Treatment - Nutritional Rehabilitation
- Eating Disorder Professional Treatment - Individual Psychotherapy
- Eating Disorder Professional Treatment - Individual Psychotherapy Continued
- Eating Disorder Professional Treatment - Inpatient and Residential
- Eating Disorder Professional Treatment - Group Therapy and Peer Support
- Eating Disorder Professional Treatment - Family Therapy
- Prevention of Eating Disorders
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Questions and Answers
- Eating Disorder or Overreacting?
- Please Help. I Criticize Myself Too Much and I Need to Stop.
- I Have Bulimia
- Heavy Load
- Eating
- Odd Eating Behavior
- Husband's Weight Problem
- Help
- Do I Have an Eating Disorder?
- When Psychotherapy Does Not Help
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19 more
- Teenaged girl at risk for Eating Disorders writes, "i want to be confidant with my body"
- Do I have an eating disorder?
- I am afraid to see a doctor about my problem because of my future profession!
- I am bulimic for more than 10 years, and it is killing me...
- I don't like to eat.
- Help?
- Where do i start to get on the road to recovery
- How can I change my life?
- Is this a eating disorder ?
- how can i get my former eating habit back
- Is This An Eating Disorder
- Is this an eating disorder?
- Am I a bulimic or not?
- I Sometimes Cut
- I Wanna Be Thin!
- Bulimic
- Odd Eating Disorder
- Elder Anorexia
- Eating Disorder?
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Book & Media Reviews
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Links
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Videos
- Anorexia: What Therapists and Parents Need to Know
- Eating Disorders Myths Busted- Myth # 1: You can tell by looking at someone
- Eating Disorders Myths Busted- Myth #9: Eating Disorders are for Life
- Eating Disorders Myths Busted- Myth #3: Mothers are to Blame
- Eating Disorders Myths Busted- Myth #2: Families are to Blame
- Eating Disorders Myths Busted- Myth #8: Genes are Destiny
- Eating Disorders Myths Busted- Myth #7: Society Alone to Blame
- Eating Disorders Myths Busted- Myth # 6: Eating Disorders are Benign
- Eating Disorders Myths Busted- Myth #4: Eating Disorders are a Choice
- Myth # 5: Eating Disorders are the province of white upper-middle class teenage girls
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11 more
- Mental Health Minute: Eating Disorders
- Pediatrics: Child Eating Disorders - Part 2
- Pediatrics: Child Eating Disorders - Part 1
- Not Falling For It: How to Challenge Toxic Media Messages about Food, Weight, and Body Image
- Eating Disorder Treatment Blogging Series - Part 1
- Eating Disorder Treatment Blogging Series - Part 2
- Eating Disorder Treatment Blogging Series - Part 3
- Eating and Body Dysmorphic Disorders
- Eating Disorders from the Inside Out
- Eating Disorders Part 2: Recent Advances in Treatment
- Eating Disorders Part 1: How to Prevent Identify and Intervene Early
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