Interpersonal Psychotherapy and the Treatment of Eating Disorders

This article describes the core components and elements of IPT, the empirical evidence that supports its effectiveness, efforts to increase the dissemination and implementation of IPT, and future directions.
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research

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Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating...
Source: The Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
When I was 16 years old, I had a metabolism that was to die for. I could eat anything I wanted, whenever I wanted to, and was always hungry, which led to developing an undesirable habit of snacking at 3 a.m. My parents saw the litter of dishes and snack wrappers in my room that I had been too lazy and tired to clean up before crashing back into bed and wrongfully concluded that I was closet bingeing. Coupled with my string bean frame, they were concerned enough to book an appointment with a therapist. Unyielding in the face of my denial and protests, I soon found myself subjected to Thursday afternoons spent with Janet. Ja...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Bulimia Eating Disorders Habits Personal Psychotherapy Adolescence Anorexia Binge Eating Therapeutic Alliance Treatment Source Type: blogs
Eating disorders can be easy to hide. Know what to look for. Often when I work with parents they say they had no idea their child’s eating disorder was going on as long as it was. Eating disorders are easy to hide so it’s important, as a parent to be aware of what signs you should look for in your child. Eating disorders are secretive and can be very easy to hide from loved ones, especially in the beginning. Sometimes, the person experiencing an eating disorder is not fully aware that what they are doing is not healthy so it makes it that much more important for parents to be fully educated on what to look fo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Bulimia Caregivers Children and Teens Eating Disorders Parenting Perfectionism Personal Psychotherapy Stories Women's Issues Adolescence Body Image Cognitive Distortion Dissociation Self-Esteem Source Type: blogs
We describe the effects of LDX (50mg and 70mg) on the Sheehan Disability Scale (SDS; exploratory endpoint) from both studies. Design: The SDS was assessed at baseline, Week 6, and Week 12/early termination. Analyses included mixed-effects models for repeated measures for the examination of SDS total and domain score changes and a generalized estimating equation model to assess dichotomized remission status (remission [total score ?6] versus nonremission [total score>6]). Results: Least squares (95% confidence interval [CI]) mean treatment differences for SDS total score change from baseline at Week 12 were -2.80 (-3.98,...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Current Issue Drug Development Original Research binge eating disorder disability functionality lisdexamfetamine dimesylate Sheehan Disability Scale Source Type: research
As a relatively new and still poorly recognized concept, few people come to therapy identifying as suffering from Complex Post Traumatic Stress Disorder (C-PTSD). As a rule, a diagnosis of C-PTSD comes only after the process of self-discovery in therapy has begun. When people suffering from C-PTSD are referred to a therapist, or decide to seek help for themselves, it is usually because they are seeking help for one of its symptoms, including dissociative episodes, problems forming relationships, and alcohol or substance abuse. One of the more common issues that leads to the discovery of C-PTSD is the presence of an eating ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Addictions Anorexia Binge Eating Bulimia Eating Disorders Loneliness Psychology PTSD Trauma Treatment affect regulation Bingeing Body Image C-PTSD Child Abuse child neglect Childhood Trauma complex posttraumatic stress di Source Type: news
I have worked with hundreds of women who struggle with disordered eating and poor body image. Some clients obsessively track calories or Weight Watcher’s points. Some try to restrict their food intake all day then order large quantities of food to binge on at night. Some purge after meals or excessively exercise. Others restrict entire food groups. Some have tried every fad diet. Some say mean things to themselves when they look in the mirror, in hopes that this will motivate change. Some have found a community — in Weight Watchers or Overeaters Anonymous — to hold them accountable or to reinforce their g...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Bulimia Eating Disorders Habits Health-related Psychotherapy Self-Esteem Stigma Binge Eating Disorder Bingeing Body Image Disconnection Isolation Shame Source Type: blogs
Abstract Although third-wave behaviour therapies are being increasingly used for the treatment of eating disorders, their efficacy is largely unknown. This systematic review and meta-analysis aimed to examine the empirical status of these therapies. Twenty-seven studies met full inclusion criteria. Only 13 randomized controlled trials (RCT) were identified, most on binge eating disorder (BED). Pooled within- (pre-post change) and between-groups effect sizes were calculated for the meta-analysis. Large pre-post symptom improvements were observed for all third-wave treatments, including dialectical behaviour therapy...
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Tags: Clin Psychol Rev Source Type: research
Dr. Sara Forman, director of Boston Children’s Hospital’s Outpatient Eating Disorders Program and Dr. Tracy Richmond, director of the PREP weight management program in Adolescent Medicine, share five things parents should know about eating disorders. Kids don’t have to be really thin to have an eating disorder. Not everyone with an eating disorder looks like he or she has an eating disorder. The condition is often hidden in secret habits or obsessions. For example, binge eating and bulimia — or binging and purging &mdash...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Mental Health Teen Health anorexia anorexia nervosa bulimia Dr. Sara Forman Dr. Tracy Richmond eating disorder Source Type: news
DiscussionThis systematic review will help determine the predictive value of motivation for change on treatment outcomes in eating disorders.Trial registrationOur systematic review protocol is registered with the International Prospective Register of Systematic Reviews (PROSPERO) (CRD42016035285). All modifications will be available on the PROSPERO website, along with the dates, a description, and a justification.
Source: Journal of Eating Disorders - Category: Eating Disorders and Weight Management Source Type: research
During the process of my son’s recovery from his eating disorder I have received advice from many places. More often than not this advice was helpful and appreciated. Many people have shared with me their tips and creative strategies for managing eating disorders in their homes and many of them I utilized in our own home. There was, of course, that “advice” from friends or family members that was really not very helpful at all. That generally wasn’t advice though. That was usually a very ill-informed statement or comment that would sometimes make me wonder whether it was intended to be helpful at al...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anorexia Binge Eating Bulimia Caregivers Eating Disorders Family Parenting Psychotherapy Treatment dietary needs Family therapy Grief Healthcare Providers Malnutrition Support Group Support Groups unsolicited advice Source Type: news
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