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Cognitive behavioural therapy for individuals with longstanding anorexia nervosa: Adaptations, clinician survival and system issues
Author(s) -
Bamford Bryony H.,
Mountford Victoria A.
Publication year - 2012
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.1080
Subject(s) - disengagement theory , anorexia nervosa , eating disorders , psychotherapist , psychology , cognition , feeling , clinical psychology , cognitive therapy , cognitive behavioral therapy , psychiatry , medicine , gerontology , social psychology
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. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.