Cognitive-Behavioral Therapy And Exposure With Response Prevention In The Treatment Of Bulimia Nervosa

Cognitive behavioral therapy for hyperphagia and exposure and reaction prevention therapy are eating disorders with psychological, physiological, developmental, and cultural factors. This disorder usually features eating too much and inappropriate compensatory behavior, such as spontaneous vomiting, excessive exercise, fasting, diuretic abuse, laxative or enema, etc. Patients correctly diagnosed with bulimia nervosa have many psychological and physical problems.

Cognitive behavioral therapy (CBT) for bulimia nervosa directly targets the central characteristics of the disease, ie, overeating, inappropriate compensatory behavior, and excessive attention to body shape and weight. This treatment focuses not on the reasons that these symptoms first developed in the past, but how to circulate themselves now to make themselves persistent. CBT of bulimia nervosa is done about 20 times per week, including 3 stages. In the first stage we will psychologically educate about weight, over-eating, cleansing and bad effects on the body due to extreme diet, and support the establishment of regular meal patterns and appropriate weight monitoring programs. In the second phase, the focus shifts to considering shape and weight, reducing diet behavior, and deciding the remaining binge-relaxation event. The third phase is directed towards maintenance plans and future recurrence prevention

The success of cognitive behavioral therapy for hyperphagia and overeating is associated with becoming a more flexible food. Cognitive behavioral therapy (CBT) of eating disorders is the most studied and validated treatment for bulimia and bulimia. Based on the cognitive model, we found that the restricted diet maintains a cycle of overeating. To break the cycle of treatment it is necessary to reduce the dietary restriction. Studies have shown that patients taking flexible eating habits can reduce eating too much or eating too much

Hospitalization is occasionally done, but most cases of hyperphagia without complications can be treated outpatient. The best psychotherapy is cognitive behavioral therapy. This includes self-monitoring of behavior related to thoughts, emotions, eating disorders. The focus of treatment is to normalize feeding behavior and identify environmental factors and unreasonable thinking or sensory conditions to promote overeating or irritation. Teach patients to challenge irrational thoughts about weight and self-esteem. Antidepressants have also been shown to be effective in reducing overeating and clearance in hyperphagia