Cognitive behavioural therapy for individuals with longstanding anorexia nervosa: Adaptations, clinician survival and system issues, European Eating Disorders Review, 2012, 20 (1) pp 49–59
Bamford, B. H. and Mountford, V. A.
Eating Disorders Research Team, Division of Psychological Medicine, St. George’s, University of London, London, UK
Eating Disorders Service, South West London and St. George’s Mental Health NHS Trust, Springfield Hospital, London, UK
Abstract:
Despite recent advances in the treatment of anorexia nervosa, some individuals will progress to a severe and enduring illness, with associated physical, psychological and social consequences. Working with these patients, however, may leave clinicians feeling overwhelmed, risking difficulties in the therapeutic relationship including disengagement or despair. Cognitive behaviour therapy has shown some promise in the treatment of eating disorders, yet some features may not be appropriate for this group. In this paper, we outline the ways in which we have adapted cognitive behaviour therapy to best meet the complex and challenging needs of this group. We stress the importance of maintaining a reassuring, accepting and motivational approach in combination with clear goal setting and boundaries.
Lancashire Care staff can request the full-text of this paper, email: susan.jennings@lancashirecare.nhs.uk
Filed under: CBT Cognitive Behaviour Therapy, Eating Disorders Tagged: | anorexia nervosa;cognitive behavioural therapy;longstanding;severe and enduring;treatment, cbt, Eating Disorders
