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ANOREXIA
ANOREXIA
Alliah A. Cachola
Abstract
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EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY IN ANOREXIA NERVOSA
In individual therapy, cognitive behavioral therapy is used for adults where in the main
goal is to change the eating patterns and behaviors in to normal condition in supporting weight
gain and to help change the distorted beliefs and thoughts of a person about eating restrictively.
Cognitive behavioural therapy (CBT) focuses on redirecting the way of the person thinks
and behaves which can change their perception about food and body weight, also to develop
CBT is used for people with eating disorders who have been diagnosed with mental
disorders like anxiety, panic, depression, obsessive-compulsive disorder etc. It has specific and
research proven methods of dealing with clients that have such conditions by using various
techniques that are appropriate for them. Clients who want to work together with the therapist in
actively changing their problems will refer in CBT. It talks about how a person think of his or
her self, the world and other people, what affects the client’s thoughts and feelings and how
he/she responds. In CBT, it helps to change how you think (cognitive) and how you act
(behavior). Cognitive Behavioral Therapy involves doing the therapy individually or with a
group of people, meeting with the therapist for 5 to 20 weekly sessions each lasting for 1 hour,
deciding with the therapist on what will be the focus of change. It also includes sharing past and
present experiences about life, collaborative work with therapist to see how the client will utilize
the therapy in between sessions, and reflecting on own thoughts, feelings and behavior to search
how they are connected in the difficulties and how to bring change in the way of thinking and
responding.
Cognitive Analytical Therapy (CAT) works more interpersonally about the important and
identified issues by having a connection between the client and clinician where they describe the
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EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY IN ANOREXIA NERVOSA
issues that affects the client, understand the link of past relationships and experiences. They also
use the relationship between them to reflect and create awareness about change in and out of the
session, and focus on the changes that the client wants to make about what makes them feel
good. It is a safe and clinically effective therapy for people who want to work through the issues
that cause their disorder. To bring change, CAT offers a way of thinking about self in a different
way, finding the root of the problems and difficulties, and how they affect with everyday life,
identifying the patterns of decisions and actions that contribute to difficulties and searching how
to address them individually, understanding the importance of the relationships in life. This
therapy is time-limited, 16 to 24 sessions each lasting for 50 to 60 minutes. The first few sessions
are the reformulation phase wherein the client can tell the therapist about present experiences,
history, and problems. The client is encouraged to identify the things that give him or her
happiness and satisfaction. In CAT, the client must answer a questionnaire called The
Psychotherapy File, which divides the difficulties that the client experiences into Traps,
Dilemmas, Snags, and Unstable States of Mind. The client must do a Reformulation Letter that
includes his/her understanding of the experiences shared with the therapist about the whole
Mayo Foundation for Medical Education and Research. (2018, February 20). Retrieved March
nervosa/diagnosis-treatment/drc-20353597
https://www.mayoclinic.org/diseases-conditions/anorexia-nervosa/diagnosis-treatment/drc-
20353597
https://www.medicalnewstoday.com/articles/267432#treatment-and-recovery
https://www.acat.me.uk/page/what+is+the+difference+between+cat+and+cbt