Course and treatment ED Flashcards
AN and BN
50% recovers fully
30% recovers partly
20% has chronic ED
Highest mortality rate of all psychiatric disorders.
Treatment barriers
Lack of knowledge
Acknowledgement
Shame, fear of stigma, problems w disclosure
Lack of knowledge about treatment
3-5 years on average between onset and help, yet more than 50% don’t receive treatment.
Treatment AN/BN
1st choice: outpatient treatment eg CBT
- Focus on weight recovery, abstinence from binge/purge, restoration of negative body image/dysfunctional thoughts
2nd; intensive treatment when it doesn’t lead to prolonged weight recovery
In youth: First w multi-family
Psychotropic medication
Limited effect, only in case of”
- therapy resistance
- avoiding relapse
- comorbid disorders
Treatment BED
Outpatient CBT, if needed weight loss treatment
Supplemented w anti-depressants
Self-help programs based on CBT
CRT
Cognitive Remediation therapy (always in combo w other treatment)
The how rather than the what of thinking. Aims to:
- Improve memory, planning skills, flexibility
- Improve awareness of ongoing thinking process
- Use of exercises, reflections and behavioural tasks to practice flexible thinking style
- Reflection about thinking style is crucial
Content of CRT sessions
Every exercise has to be linked to daily life
Structure:
1. Task explanation and execution
2. Reflecting on thinking strategies that were used
3. Translation, linking to daily life.
Sessions of 30-45 min, 3 to 6 exercises per sesh
Central Coherence task
Practice focusing on bigger picture/details in a photo with two pictures.
Pro’s of CRT
Not about food, weight or shape
Not about emotions
Enhances motivation for treatment
Easy and fun exercises that aren’t right/wrong
Pro’s of CRT
Not about food, weight or shape
Not about emotions
Enhances motivation for treatment
Easy and fun exercises that aren’t right/wrong
