Eating Disorder | Cognitive/Dialectical Behavior Therapy

Eating Disorder

The prevalence of eating disorder has increased over the past couple of decades, especially as social media affects body image. Eating disorder is characterized by persistent eating behaviors that negatively impact not only one’s health but other important areas of life.

Symptoms may include obsessive preoccupation with one’s body shape and weight, persistent efforts to reduce or maintain one’s weight through excessive exercise, vomiting after eating etc. The most common eating disorders are anorexia nervosa, bulimia nervosa, and binge-eating disorder.

Anorexia Nervosa
  • Extreme efforts to control one’s weight such as limiting calories, using laxatives, exercising excessively, or vomiting. 
  • Intense fear of gaining weight even when underweight 
  • Excessive preoccupation with body shape and appearance leading to low self-esteem 
Bulimia Nervosa
  • Typically eating a large amount of food in a short time (binge eating) and then using unhealthy ways such as vomiting, exercising too much, or using laxatives to rid oneself of the extra calories. 
  • Excessive preoccupation with body shape and appearance leading to low self-esteem 
pictures에 대한 이미지 검색결과

Treatments


CBT, Cognitive Behavior Therapy


Cognitive behavior therapy is widely used for the treatment of eating disorders. Initially, the client and the therapist look for reasons behind the client’s eating disorder and how it has developed over time. Issues related to eating habits are also discussed to change one’s eating habits and follow a healthier diet. 

During the middle phase of the treatment, the client reviews the earlier stages of treatment and reflects on the achievements as well as searches for areas to improve later. The client must be consistently reinforced to follow a healthy diet and avoid situations that may lead them to return back to their unhealthy eating habits. 

During the final stages of treatment, both the client and the therapist target any unhealthy eating habits or cognitive distortions that may have not been discussed and look for ways to prevent the relapse of the disorder. 


Dialectical Behavior Therapy (DBT) and Eating Disorder


Our clinic has been providing Dialectical Behavior Therapy (DBT) for those with eating disorders. The mindfulness skills, as well as distress tolerance skills, help decrease impulsive eating habits, and the emotion regulation skills and interpersonal effectiveness skills of DBT further helps the client understand and get rid of the underlying reasons for the disorder. 

Eating disorders typically arise during adolescent or early adult stages and DBT skills training can help prevent the relapse of the disorder and improve one’s quality of life in school, work, or other important areas.