Cognitive Behavior Therapy for the Eating Disorders

Psychiatr Clin North Am. 2019 Jun;42(2):169-179. doi: 10.1016/j.psc.2019.01.001. Epub 2019 Apr 2.

Abstract

Cognitive behavioral therapy (CBT) is an evidence-based treatment for bulimia nervosa and binge-eating disorder and is regarded as the first-line treatment for both eating disorders. An enhanced version of the treatment (CBT-E) appears more effective in treating patients with severe comorbidity. There is less evidence that CBT is effective for the treatment of anorexia nervosa. Evidence suggests that CBT-E is no more effective than specialist care involving regular medical follow-up and supportive psychotherapy in the persistent adult form of anorexia nervosa (AN). Early studies suggest that CBT-E may be useful in treating the adolescent form of AN.

Keywords: Anorexia nervosa; Binge eating disorder; Bulimia nervosa; CBT; CBT-E; Cognitive behavioral therapy.

Publication types

  • Review

MeSH terms

  • Binge-Eating Disorder / therapy*
  • Bulimia Nervosa / therapy*
  • Cognitive Behavioral Therapy*
  • Comorbidity
  • Feeding and Eating Disorders
  • Humans