Eating disorders can be treated with the following interventions:
- Cognitive behavioral therapy
- Interpersonal therapy
- Group support
- Family therapy
Therapists can help you develop a healthier and more realistic self-image. They will help you find new ways to think about your body and yourself. Cognitive behavioral therapy (CBT) has been especially successful when used for people who have bulimia and, along with medicine, has proven to be the most effective treatment for this condition. If you have bulimia, CBT may help you normalize your eating patterns, ending binging and purging and teaching you to eat small amounts of food more regularly.
Interpersonal therapy may help you understand and cope with concerns about your relationships. It may help you cope with anxiety and depression that may coexist with your eating disorder. It is also useful in addressing social factors that influence your eating behavior.
Interpersonal therapy can help you express your feelings, develop a stronger sense of individuality, cope with change, and address past trauma that might have played a role in your eating disorder.
There are many different types of groups for people with eating disorders. Groups may be part of an inpatient or outpatient program, be led by a private therapist, or exist independently. A therapist, recovered person, or other individual may lead support groups for people with eating disorders. Topics may include coping strategies, body image, nutrition information, spirituality, family issues, art therapy, or a combination of topics. CBT can be effectively conducted in a group session.
Complex family behaviors and attitudes often play a role in eating disorders. Many people cannot recover unless their families recognize their roles in the problem and make changes. Close family members need to understand the disorder and support the patient. Family therapy can play an important part in the treatment plan.
If you have anorexia nervosa and are hospitalized, you will receive strict dietary control and monitoring until you gain a desirable amount of weight. Ultimate success depends upon your commitment to change.
You may be hospitalized if:
- Your weight is 15% or more below your ideal body weight
- You have signs of serious physical or emotional deterioration
Most people with bulimia do not have to be hospitalized unless they develop anorexia, need medicines to withdraw from purging, or have major depression with suicidal thoughts.
Psychotherapy is more effective after you have started gaining weight, and malnutrition has been corrected.
- Reviewer: Michael Woods, MD
- Review Date: 10/2012 -
- Update Date: 10/11/2012 -