Psychological treatments for EDs Flashcards
What are the inpatient treatment goals?
Stabilise weight, weight gain (AN), refeeding in a safe and controlled environment, reducing compensatory behaviours, psychological input, prepare for next phase of treatment.
What does CBT involve?
Helps the patient recognise the relationships btwn our thoughts, behaviours and emotions in our lives. By making changes to how we behave and think, it can enhance how we feel. (reciprocal determinism)
What is CBT-E?
Treatment for all EDs. Targets core psychopathology rather than the specific ED. Typically, outpatient treatment.
What are the two forms of CBT-E?
Broad and Focused.
What are the 3 factors in broad CBT-E?
Clinical perfectionism, core low self-esteem, interpersonal difficulties.
What is dietary restraint?
The attempt to restrict what one eats. It becomes extreme when the rules become rigid, i.e., when to eat, what to eat and how much.
What is dietary restraint?
Defines the true undereating in a biological sense, i.e. losing significant weight, leading to physical and psychosocial symptoms.
What does CBT-E preparation involve?
Determining whether it is suitable for the patient at this specific time. This is because it is very intense and cognitively demanding, and some patients may not be at the stage to undergo such treatment. Thus, the need to avoid false starts is imperative. Need to explore potential barriers to engagement, such as cognitive inflexibility.
What are the potential contraindications that the patient is not ready to undergo CBT-E?
Physical and psychological presentations, including significantly low body weight and fainting. Presence of clinical depression, which will affect motivation. Major disturbing life events.
What is interpersonal psychotherapy?
This is usually used as a maintainence treatment to prevent relapse. It aims to improve interpersonal functioning and resolve any current relationship crises. Uses communication analysis to look at specific incidents the patient has experienced and aims to help them tackle the situation differently using role play.
How effective is CBT-E according to Fairburn et al?
Found that for both specific and broad types, it improved patients symptoms to levels equivalent to the community (2/3 of the sample). With a 60-week follow up, 50% still were at equivalent levels.
