ENHANCED COGNITIVE BEHAVIORAL THERAPY (CBT-E)
FOR EATING DISORDERS
CBT-E is an evidence-based treatment for eating disorders (EDs) including Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder. Research shows that CBT-E is highly effective. Two-thirds of those who complete treatment achieve full or partial remission. The approach involves a a number of techniques.
HOW IT WORKS
To start, CBT-E educates those who suffer with EDs about how the disorder started and is maintained. When people feel badly about their weight and shape and decide to restrict their intake, this restraint often leads to weight loss. Given the social bias toward thinness, when one loses weight after restricting, this behavior is reinforced. On top of this, the weight loss will reinforce the focus on weight and shape that leads to more restraint. This cycle can also lead to a very low body weight.
What’s more, attempts to restrict often lead people to eat past fullness. This is, in part, due to biological changes that occur in the face of extreme hunger. People also tend to engage in all or none thinking after they break food rules. For example, someone might think they’re either “being good” or “being bad” when they eat certain things. This mindset often leads to bingeing because if they eat a “bad” food, then they believe they’re being bad. As a result, their logic follows that they might as well take advantage of this “opportunity” to eat foods that are often off limits. The pleasure in eating certain foods reinforces the bingeing.
Purging may follow these binges. When people purge or engage in compensatory behaviors, these actions are reinforced as they reduce discomfort. So what starts as an attempt to restrict can have a number of unfavorable outcomes that reinforce the problematic behaviors.
ADDITIONAL THERAPEUTIC APPROACHES
Given the issues with restriction, the first step in CBT-E is to support regular eating. In CBT-E, people also monitor their eating so that they can see patterns and change them. This logging also helps individuals to see bingeing, purging or restricting as moments to learn from rather than as failures.
The therapy is also focused on a number of other concepts. Treatment examines how much attention people give to their weight and shape and encourages people to redistribute this attention to serve their values and goals. As part of CBT-E, individuals learn how their view may be skewed. For example, people with EDs tend to compare themselves to people that they think are more attractive than them. Understanding these automatic biases can help people to take their thoughts less seriously and to act in support of their health.
INTERESTED IN TREATMENT FOR EATING DISORDERS?
Are you or a loved one struggling with an eating disorder and looking for help? Lauren uses Intuitive Eating, Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to support Individuals with EDs. You can learn more about the treatments and services she provides here.
Lauren is a licensed psychotherapist in
several states. Learn more about where
Lauren sees Clients, below.
When she is offering face to face, Lauren does in-person therapy in Newport Beach. She also provides online treatment for eating disorders throughout California. Her Clients span from San Francisco down to Southern Orange County and San Diego.
Lauren provides treatment for eating disorders in the state of Utah. Since she provides teletherapy, she works with people who live in different areas of the Beehive State – from Salt Lake City and its suburbs, like West Jordan, Syracuse, Highland and Riverton, to Park City and St. George.
Lauren also offers online treatment for eating disorders in Florida, and sees people from all corners of the Sunshine state. Whether you’re from Naples, Orlando, Miami, or Boca Raton, Lauren can provide specialized counseling remotely in your area.
Lauren also practices teletherapy in Arizona. If you’re seeking help in Phoenix, Sedona, Scottsdale or Tucson, Lauren offers specialized therapy for eating disorders online across the Grand Canyon State.
In addition to all of the locations previously listed, Lauren offers teletherapy for eating disorders to a number of countries internationally. You can learn
Online treatment isn’t right for everyone with eating disorders. An assessment can determine if online therapy is appropriate for your needs. You can reach out here to learn more.
Subscribe below to keep up-to-date on Lauren’s video content, writing, podcasts, shop and more.
For more information about working with Lauren
call 310-824-5200 ext. 4 to speak with Client
Coordinator Lisa O’Reilly at the
©2021 by Lauren McMeikan Rosen, LMFT.
Disclaimer: The information contained on this website is intended for informational and education purposes only and is not meant to be a replacement for therapy. If you are interested in treatment, you can email me and I will happily provide you with more information