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Talk Therapy (CBT) Helps Treat Bulimia

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Bulimia is an eating disorder characterized by binging and purging, which often goes unnoticed or undiagnosed as sufferers may be of normal weight or overweight. New research suggests that "talk therapy" (cognitive behavior therapy) can help patients with bulimia.

Research by Dr. Phillipa P. J. Hay and colleagues at the University of Western Sydney in Australia was published in the Cochrane Database of Systematic Reviews as Psychological treatments for people with bulimia nervosa and binging.

The researchers looked at a number of studies of bulimic patients who were involved with a range of psychotherapies: this covered 3,054 adults living in the United States, Canada, and the United Kingdom who generally had weekly sessions for an average of about 16 weeks. They found that 37% of patients treated with CBT stopped binging; whereas only 3% of those who received no treatment stopped.

CBT was the most effective method, though other psychotherapy treatments also helped patients. Reuters explained that:

Bulimia-specific CBT targets overeating and subsequent self-induced vomiting or heavy laxative use that purges food from the body after binge eating episodes. Therapy focuses on dietary habits, fear of weight gain, and how to "normalize" thoughts about food and body image.

If you think you may have bulimia, which is characterized by binging on large quantities of food and then purging (vomiting or using laxatives) or starving yourself ... please don't suffer in silence.


More like this in Psychology · Oct 14, 2009
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4 Comments

Janey on 10/14/09

Interesting post. CBT has been a standard treatment for bulimia in Australia for at least 10 years - I received this treatment in Australia around 2000/2001.

Weekly CBT treatment over six months marked the beginning of a recovery which extended over the next five years. Given I'd been bulimic for ten years prior to the start of treatment this was not a bad result.

Prior to receiving CBT I had been given Prozac, traditional psychotherapy and most unhelpfully told to 'just stop throwing up' by a psychiatrist allegedly specialising in the treatment of eating disorders... The CBT worked.

Anyone suffering from bulimia, binge eating disorder or any other kind of disorder would be well served to at least give CBT a try - not a silver bullet or overnight cure, but it may help.

Recovery after many years of disordered eating is possible, but often a difficult, frustrating and painful road. However, it is less painful then spending another 10, 20, 30, 40 or 50 years living with the chaos and pain of an eating disorder.

All the best.

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ArrowSmith on 10/15/09

Enough about privileged white woman's disease.

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FitJerk - Flawless Fitness Blog on 10/15/09

It's not a privilege dude, it's a weight loss technique. A delicate craft which they have perfected over years of flawless execution.

Don't believe me?

You try it! >:P

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Janey on 10/15/09

That's a little harsh. Yes, I'm white, but at the time I developed my eating disorder I was an 11 year old girl living in a predominantly welfare dependent area brought up by a welfare dependent single mother going to a poor state school.

So I was an underprivileged white child, which is in no way an oxymoron. Why make such big race based generalisations?

Also, men can and do suffer from bulimia.

Bulimia is not a lifestyle choice, it is an insidious disease.

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