Diet and Doubt: A Clinical Case Study of Inference-Based Therapy for Bulimia Nervosa.
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Abstract | :
There is a recognized overlap between eating disorders (EDs) and obsessive-compulsive disorder (OCD) in terms of diagnosis, phenomenology, epidemiology, and psychological characteristics related to the disorder. In light of these similarities, a cognitive inference-based therapy (IBT) program, shown to be effective in treating OCD, was adapted for EDs. This case study describes the application of IBT treatment for a 35-year-old woman diagnosed with bulimia nervosa who also demonstrated overvalued ideation related to her body weight and shape. Over a 20-week period, the client's ED pathology significantly decreased. Notably, the frequency of binge episodes was reduced by 90% from pre- to posttreatment and by 100% at 6-month follow-up. Significant reductions were also observed in dietary restriction and overvalued ideation. This case study has important implications for the treatment of individuals with both an ED and strong overvalued ideas. |
Year of Publication | :
0
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Journal | :
Journal of cognitive psychotherapy
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Volume | :
30
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Issue | :
4
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Number of Pages | :
263-276
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Date Published | :
2016
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ISSN Number | :
0889-8391
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DOI | :
10.1891/0889-8391.30.4.263
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Short Title | :
J Cogn Psychother
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