Academic journal article Journal of Eating Disorders

Switching to Transdiagnostic Treatment of Worry and Rumination Following Poor Early Response to CBT-E

Academic journal article Journal of Eating Disorders

Switching to Transdiagnostic Treatment of Worry and Rumination Following Poor Early Response to CBT-E

Article excerpt

Author(s): Bronwyn Raykos[sup.1], Emma Dove[sup.1], Sharon Ridley[sup.1] and Anthea Fursland[sup.1]

We describe the treatment of a patient with BN (plus comorbid major depression and generalised anxiety disorder) who completed stage one and stage two of CBT-E at a specialist eating disorders outpatient clinic. Despite good compliance with all components of the treatment, the patient did not achieve an early rapid reduction in binge-eating and purging by the stage two progress review and was considered to be at-risk of suboptimal treatment outcome. Her repetitive negative thinking (worry and rumination) was identified as significantly interfering with progress, and the primary trigger for episodes of binge-eating and vomiting. In light of this, it was decided to evaluate the usefulness of abandoning CBT-E and switching to metacognitive therapy (MCT) for repetitive negative thinking (RNT). …

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