PSYCH 14 Lecture Notes - Lecture 15: New Approach, Cognitive Behavioral Therapy, Childhood Obesity
Document Summary
Family therapy more effective for patients still living at home. Caregivers given control of eating/ meals and promote acceptance and understanding of behavior. Cbt and antidepressants sometimes used but mot very effective. At 10-20 year follow up, 50% of patient have weight in normal range. Attempting to identify irrational beliefs and illogical thinking patterns connected with body image, weight, food, perfectionism. Focus on behaviors of bingeing, purging, dieting, ritualistic exercise. Develop a specific plan for relapse prevention and for reaction to relapses. Works slower than cbt but at 1 year follow up, may actually be more effective. Can be effective but no as common and not used as stand-alone treatment. Slightly better outcome over time than anorexia. At 5-year follow-up, 70% of patients have no symptoms. Lower mortality rate than anorexia but still high rates of suicide. Eating disorders: prevention awareness of cultural ideals not very effective. General education about adverse effects of eating disorders or increasing.
