PSYCH 212 Lecture Notes - Lecture 26: Bulimia Nervosa, Psychoeducation, Dsm-5
Document Summary
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. Cbt is clearly more effective than antidepressants for bulimia. Bulimia responds better to treatment than anorexia. Bulimia leads to death less than anorexia. Old attempts focused on education about negative effects of eds (scaring clients) Newer programs educate about resisting culture of thinness. Promote healthy eating rather than stopping unhealthy eating. Complete tasks counter to thinness ideal (ex: critique it)
