Managing Distress in Eating Disorders

If you have an eating disorder, or know someone who does, you probably know how difficult experiencing an eating disorder can be. Part of what makes an eating disorder so difficult is the experience of distress, which unfortunately is a fundamental aspect of having an eating disorder. This post will explore some ways of managing distress in eating disorders. In many ways, the behaviours that produce an eating disorder, come about as way of avoiding distress related to food, exercise, and weight and shape. To illustrate this point, if someone is very fearful of gaining weight and believes eating particular foods will lead to weight gain, [...]

What to do when the ‘evidence based treatments’ are not successful?

What to do when the ‘evidence based treatments’ are not successful? One of the big questions in the field is what should you do if an evidence based treatment is not successful. If we look at binge eating as a behaviour, and thus covering the diagnosis of bulimia nervosa (BN) and binge eating disorder (BED), then the “treatment of choice” would be Cognitive Behavioural Therapy (CBT). Yet we know that not all people recover using CBT and some relapse after treatment ends. It has been suggested that an ‘additive’ design, where other therapy protocols are added onto the treatment of choice, may be useful to examine. McIntosh [...]

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