Case Study Eating Disorder

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Counselling Case Study - Alexandra

This case study will explore eating disorder problem of a 46-year-old woman Alexandra who recently started to gain weight due to developing binge eating. Two different therapeutic approaches - Cognitive Behavior Therapy and Person Centered Therapy to improve her binge eating problem will be reviewed and compared. In addition, briefly will be discussed the MB EAT program aimed at enhancement of the PC Therapy. From the CBT perspective, Alexandra can be viewed as a person who has an interrelated behavioral and cognitive problems. She is struggling with increasing amount of episodes of binge eating. This eating disorder often interfere with her daily functioning. From behavioral point of view her eating- difficulties
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recently lost her family home due to wrongly placed investments. She is experiencing feelings of powerlessness, anxiety, loneliness, and (probably) early signs of depression. In addition, a loss of confidence with her husband, may also contribute to her eating disorders. Cognitive behavioral therapy (CBT) is one of the possible options to treat Alexandra’s conditions. CBT emphasizes the process of changing habits and attitudes that maintain psychological disorders. By changing the harmful patterns that interfere with daily functioning, A. will feel better and will lead healthier life. (Wilfley, 2011) Counsellors from CBT would initially emphasize on discussion and observation. The goal at this point is to develop a clearer understanding of Alexandra’s binge eating and to assess accurately the degree to which it is impacting her life. She will be examined (using Socratic Dialogue) to discover which specific factors are influencing her eating disorder. Personalized goals will be set and periodically will be addressed throughout the various phases of CBT. It is very important to understand which group of problems represent more serious issue specifically for …show more content…
Behavioral treatment will help A. to identify what triggers her inappropriate eating and will help her to learn appropriate responses to these triggers. She will work together with the counsellor in developing a plan for improving her eating habits and gradually eliminating her symptoms. At this stage, the CBT will include both activities during the sessions and the “homework” for reinforcing the adoption of a new positive behavior. If the treatment is successful, it will help A. to rise her self-esteem, to feel better about herself and as a result her family and social relationships could

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