Bulimia Nervosa Essay

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Bulimia nervosa is an eating disorder that is characterized by episodes of uncontrollable binge eating followed purging as a form of compensation including, self-induced vomiting; the misuse of laxatives, or diet medications; fasting; and excessive exercise. (Shapiro, et al., 2007) This disorder was categorized as separate diagnostic disorder in 1979, since then it has been found that Cognitive Behavioural Therapy (CBT) is most effective in combatting bulimic behaviours (Mitchell, et al., 2002). The use of CBT on Bulimia Nervosa has been found to be effective due to emphasis on both maladaptive cognitions and behaviours that contribute to the severity of the disorder. The Centre for Eating Disorders at Sheppard Pratt (2015) describes cognitions …show more content…
There is evidence to suggest that some clinicians who lack confidence in providing elements of CBT such as changing views of body image, can result in CBT not being implemented properly (Turner, Tatham, Lant, Mountford, & Waller, 2014). A study investigated this problem and found clinicians that lack capability and experience anxiety in delivering aspects of CBT are likely to produce ineffective results. This study highlights a downfall of CBT; the importance of extensive training and knowledge of existing techniques. Although numerous studies have exemplified the effectiveness of CBT, majority of these studies are conducted in tightly-controlled research trials (Turner, et al., 2014). This doesn’t always convey results seen in clinical practice, which can lead to inexperienced clinicians delivering ineffective CBT. This problem could be reduced by use of internet based CBT by professionals who specialize in CBT treatment strategies. The use of internet managed CBT, has been found to be successful in decreasing compensatory eating behaviour’s, due to flexibility (Sánchez-Ortiz et al., …show more content…
CBT has been extensively studied for treatment of bulimia nervosa, and is accepted as the treatment of choice due to its rapid response rate (Jancin, 2003). There has been shown to be strong evidence that CBT is beneficial and an important method in reducing purging, binging and dangerous behaviour’s associated with bulimia. It has also been shown that CBT is also produces positive outcomes for this disorder over the internet and within groups settings, which makes the treatment a popular choice in the management of bulimia. The successfulness of CBT can be attributed to requiring readiness of patient participation in the recovery process by encouraging a change in disordered cognitions to reduce behavioural symptoms such as self-induced vomiting. This is achieved by encouraging the patient to be active in changing their behaviours and teaching coping mechanisms to deal with intrusive cognitions, CBT creates a rapid and long term recovery solution (Mahoney, 2004). Although some shortfalls of CBT include the necessity of an experienced and competent health professional who highly trained to form a strong therapeutic alliance which in turn provides essential guidance Sánchez-Ortiz, et al., 2011). Another important issue is that many of the previously mentioned studies have been conducted in tightly controlled settings, which doesn’t always relay to

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