Eating disorders are becoming more common in nonwestern societies and some of these presentations are atypical variants such as atypical anorexia nervosa. There is very little data on how to treat these patients. This case study reports the treatment of a young adult female in Sri Lanka who presented with atypical anorexia nervosa and moderate depressive disorder. She was successfully treated with nine sessions of enhanced cognitive-behavioural therapy CBT-E. According to our knowledge this is the first case report that describes the management of a patient with atypical anorexia nervosa using psychological therapy specifically adapted to nonwestern context. Prevalence of eating disorders, including anorexia nervosa AN, in Asia is increasing [ 1 ]. Sri Lanka is no exception with clinicians encountering higher number of patients with eating disorders than before [ 2 ]. These patients are challenging to manage and suffer from significant physical and psychosocial impairment [ 3 ]. In spite of a clear need for treatment effective in managing eating disorders, only few options are available.
Cognitive behavioral therapy CBT is the leading evidence-based treatment for bulimia nervosa. It ends with an outline of the treatment’s main strategies and procedures. The eating disorders provide one of the strongest indications for cognitive behavioral therapy CBT. Two considerations support this claim. First, the core psychopathology of eating disorders, the overevaluation of shape and weight, is cognitive in nature. This article starts with a description of the clinical features of eating disorders and then reviews the evidence supporting cognitive behavioral treatment. Eating disorders are characterized by a severe and persistent disturbance in eating behavior that causes psychosocial and, sometimes, physical impairment. The overevaluation of shape and weight; that is, judging self-worth largely, or even exclusively, in terms of shape and weight. This has been described in various ways and is often expressed as strong desire to be thin combined with an intense fear of weight gain and fatness.
The life cbt for anorexia nervosa opinion you commit
This outpatient method was implemented at a public hospital in Bergen, Western Norway. Early Career Planning. Addressing core low self-esteem People with core low self-esteem CLSE have a longstanding and pervasive negative view of themselves. First 5 psychotherapy sessions were conducted weekly while she was an inpatient. Engaging the Patient in Treatment and Change Many patients with eating disorders are ambivalent about treatment and change. Preliminary findings have been reported from a 3-site study of the use of the enhanced form of CBT CBT-E to treat outpatients with anorexia nervosa. Getting better bit e by bit e. The team members also received weekly individual supervision from an experienced CBT-E therapist on-site during their first year at the DED.