CPG for Eating Disorders

Cognitive-Behavioural Therapy(CBT)Psychological therapy designed to enable people to establish links between thoughts, feelings oractions and current or past actions and reassess their perceptions, beliefs or reasoning on them.The interventions should include at least one of the following aspects: 1) control of thoughts,feelings or actions in relation to behaviour, 2) help in using alternative ways of addressingbehaviour, 3) reduce stress. A specific form of CBT has been developed for BN (CBT-BN) which,in general, involves 16-20 hours of individual sessions over four or five months. Its aim is not justto help patients modify eating habits, but also to cope with their patterns of thought (especiallyregarding the excessive value bestowed upon body shape and weight). CBT for patients with BED(CBT-BED) has been derived from CBT-BN.Behavioural Therapy (BT)Therapy that emphasises behavioural modification especially and not cognitive aspects as much.Systemic Family Therapy (SFT)FT is a form of psychotherapy that focuses on improving relationships and behavioural patternswithin the family as a whole, as well as between individual members and groups or subsystems inthe family. Systemic FT emphasises present relationships within the family and reassesses the roleof the designated patient, of the symbolic value and the secondary gain of the symptom for thefamily system. Another key feature of this approach is the contextualisation in the family of anyevent, action or judgement, where most things or events do not have an intrinsic value, but ratherare granted one depending on the function if fulfils within the system.Interpersonal Therapy (IPT)IPT was originally developed by Klerman, 1984, with the aim of being applied as maintenancetreatment after depression, although it was later used as independent treatment and, at present, itsuse has been extended to several different disorders. IPT mainly addresses current interpersonalrelationships and is focused on the patient’s immediate social contest: grief, interpersonaldisputes, role transition and interpersonal deficits. It has been adapted to BN treatment (IPT-BN;Fairburn, 1997). IPT-BN does not attempt to directly modify eating habits. Instead, it waits forthem to change by improving interpersonal behaviour. In the case of BED IPT-BN is adapted topatients with BED (IPT-BED).Psychodynamic Therapy (PDT)Type of psychotherapy based on psychoanalytical principles that consists of performing regularindividual therapy sessions with a trained psychotherapist, or under his/her supervision. A widerange of strategies is used, such as interventions aimed at understanding, support interventions ordirective activity.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS249