PSYCH 212 Lecture Notes - Lecture 21: Suicide Prevention, Family Therapy, Bulimia Nervosa
Document Summary
Meal planning or forced or intravenous feeding. Family therapy is more effective than individual therapy. Parents control child"s eating, planning meals, preparing food, and monitoring eating. No one is blamed; family works together as team. Cognitive behavior therapy (fairburn method): 1st choice. Family methods are efficacious, but other therapies have not done well. 1) psychoeducation and behavioral therapy normalize eating. Stop reinforcement cycle of binging and purging. 2) address dysfunctional beliefs about self, appearance, dieting. 3) review and prepare clients for relapses: Interpersonal therapy for bulimia focuses solely on improving close relationships. Ipt works more slowly than cbt, but clients continue to improve on their own after therapy ends. Worse than cbt at end of trial, but at 1 year follow up equals cbt (agras et al. , 2000) Antidepressants have some positive effect on bulimia. Yet only reduce binging and purging in a minority of people & relapse is common.
