By Myra Cooper

This guide is written for execs operating with humans pain with bulimia nervosa and for victims themselves. It presents a framework for knowing what keeps the sickness and why it has constructed. furthermore, there's a step by step programme to assist restoration. The authors draw on advancements in cognitive conception and on innovation and cognitive th erapy remedy ideas. They specialize in the hyperlink among considering and behavior, and provides assistance on studying how you can establish and alter detrimental strategies, underlying assumptions and center self ideals. authentic details is gifted along a programme of labor sheets, self-assessment questionnaries and case examples from the authors' specialist adventure.

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Extra resources for Bulimia Nervosa: A Cognitive Therapy Programme for Clients

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2. Compensated means engaged in behaviours to prevent weight gain, such as vomiting, taking laxatives, excessive exercise etc. frequency of bingeing In determining whether you have bulimia nervosa or are simply ‘at risk’, remember to take into account any unusual circumstances that may have affected your eating in the last three months. For example, you may have been on holiday with other people for part of that time, or living somewhere where it was very difficult to binge eat. If you know that you would have binged and compensated for bingeing if you had been in your usual surroundings, then it is very likely that you have bulimia nervosa.

However, it is usually not nearly as distressing as people predict. The strategies presented later in the book will help minimise any distress. It is usually overcome rapidly as you binge less often and get used to coping with problems in other ways. However, a very small number of people do experience extreme distress. If this is likely to be a problem for you, then you will need a strategy in place to manage it. We discuss this fear in more detail in the next chapter. Bingeing and general coping Quite often people worry that without their bulimia nervosa they will be unable to cope with any problems which may arise.

One of the advantages of cognitive theory is that it captures the person’s own experience of their problem; it uses their language to understand personal thoughts, feelings and behaviour. Moreover, once the problem is understood in these terms and the key thoughts have been identified, then the theory leads directly into strategies for change. Importantly, unlike most other theories of eating disorders, the cognitive model of bulimia nervosa and the treatment based on it, cognitive therapy, has been widely investigated and is supported by a considerable amount of research.

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