Interpersonal Therapy
Dialectical Behavior Therapy (DBT)
Cognitive Behavioral Therapy (CBT)

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Table of Contents

Interpersonal Psychotherapy

After tests and experiments, interpersonal psychotherapy is known to be one of the therapies that are fitting for binge eating disorder. It may not be the perfect therapy to adopt for depression or other eating disorders like Anorexia Nervosa, among others. Still, it is a recommended treatment by therapists for binge eating disorder.

This therapy is an adaptation of cognitive-behavioral therapy that has been in use since its transformation in the year 1993.

What is interpersonal psychotherapy?

In simple terms, interpersonal psychotherapy is the type of treatment centered on the relationship between an eating disorder (binge eating disorder) and interpersonal functioning.

The belief is that a solution to an eating disorder like a binge eating disorder is very much possible if therapists help the clients/patients see a relationship between the condition and their interpersonal functioning.

Before apparent results could be evident, patients with a binge eating disorder would go through three phases of therapy.

PHASE ONE

In phase one, the therapist responsible for helping the patient overcome their binge eating disorder has a lot to do. Phase one of interpersonal psychotherapy consists of about four sessions. All of which are introductory sessions.

First session

The first session encompasses the therapist’s ability to explain the essential things to note about interpersonal psychotherapy. In addition, the therapist explains the reason for using this method of therapy for the binge eating disorder.

In many cases, the ability to explain in express terms what the psychotherapist means and the therapy’s usefulness helps the client see the reason and is an excellent way to begin healing.

At this session, the clients know that it is necessary to address triggers and processes that contribute to the disorder’s continuity. In addition, those patients with eating disorders are people who suffer from interpersonal difficulties.

Some interpersonal difficulties like the patients’ view about their shape and weight have ways of causing damage and triggering disorders like binge eating disorder.

To help the patient understand the concept of their issue, the therapist should help the patient view their problems through their interpersonal relationships. So, of course, it is best to get as personal as possible.

Second session

In this session, the therapist helps the patient identify the interpersonal problems and allows the patient to focus on specific interpersonal issues to begin to think of the befitting solution to this problem. To get the information above, you can adopt any of these methods as a therapist trying to help a patient overcome a binge eating disorder.

  • • Assess the patient’s interpersonal relationships as you speak to them; their social network, environment, and others are aspects of their interpersonal relationship that a therapist ensures are checked before suggesting any therapy to the patient interest in food intake with consequently reduced caloric intake or reduced ingestion of sufficient nutrients
  • • Then, the therapist checks for every stage of change that the patient has experienced and is currently experiencing

The patients continue to like the above sessions until the fourth session. Sometimes, suppose the diagnosis is fast, the third session, whatever session the therapist chooses to stop. In that case, the therapist must have detected the nature of the patient’s interpersonal problems, difficulties, and, of course, how these difficulties relate to their current eating disorder (Binge eating disorder).

The interpersonal problems that the therapist is likely going to find present in the patient include the following:

Lack of intimacy and interpersonal deficits

When patients do not have people close to them or have had no close friends or family for a while, they tend to suffer from eating disorders. Some of the major problem areas concerned with binge eating disorder include lack of intimacy, absence of great relationships, and love.

Interpersonal role disputes

If essential figures in patients’ lives, like parents, grandparents, and partners, are not available for them, they generate a daily dispute and conflict toward them.

This, among others, can be a huge interpersonal problem that the therapist wants to test in his patient suffering from a binge eating disorder.

Role transitions

When there is a drastic change in patient’s life, and changes like moving away from their home, changing their jobs, or school are evident in their lives are evident in patient’s lives, they can be considered severe problem areas when trying to detect interpersonal problems.

Grief

Loss is consequential and is not something that many people react to in the same way. However, it may not be familiar to a particular age group. It is still not totally out of character for therapists to consider grief as a problem area.

Considering the relationship between their loss and the behavioral pattern that the patients have exhibited since the loss is a great way to begin; it will help patients face their feelings and tackle how the loss has affected them head-on. Doing all of these means that patients move forward in time and learn to forget the past even as they move forward into a new, promising future.

Life goals

It is also a wise thing to envision the possibilities of the problems that will happen in the future. It is a great way to check out their aspirations and hope for the future. Whether it is one or two, identifying the problem areas is an excellent way to proceed to the next phase.

 

PHASE TWO

After identifying the patient’s problem areas, although the therapist will still be with the patient, the healing journey continues with advice and reassurance at intervals.

The treatments commonly used, IPT – ED, always comprise of the following; decision analysis, experimental techniques, communication analysis, and clarification, among other forms of methods that they can use.

The patient needs to change into someone he/she can be proud of and into someone the therapist can also be proud of while they both navigate the techniques and treatments in use.

PHASE THREE

After about two weeks interval, in which patients practice the techniques that have been suggested in phase two and agreed between the patient and the therapist, the process can then be canceled.

Cancellation of the whole process should only happen because changes are palpable in the patient and the interest to continue in the new path is evident.

Phase three is the concluding stage, and the goals include:

  • • Ensure that the changes continue
  • • Ensure that there are no tendencies that patients will go back to their vomit

Dialectical Behavior Therapy

Dialectical behavior therapy can be used to treat varieties of mental disorders that include depression, substance dependence, and post-traumatic stress disorder. It is also a treatment/ therapy designed to treat eating disorders like binge eating disorder.

Marsha Linehan founded this therapy in the year 1970. Dialectical therapy is the therapy that involves helping individuals to balance change and acceptance. Assisting individuals to understand and accept their conditions and learning how to change the condition is what the dialectical treatment represents.

Some of the components of dialectical behavior therapy are:

It involves the instruction given by a teacher to the student on how they can develop the following vital skills to their growth and healing.

Mindfulness has to be about the full consciousness that an individual develops due to continuous focus on the important things.

Distress tolerance focuses on how an individual can manage their distress and all unwanted feelings.

Interpersonal effectiveness has to do with the ability to be assertive and the capacity to set boundaries as an individual learns to survive in a relationship.

Emotional regulation has to do with the way an individual can balance emotions, especially when they feel a plethora of it at the same time.

Individual therapy

It is a DBT component that has to do with how to help increase the patient’s motivation and skills in their lives.

This particular treatment occurs once a week and can be taken simultaneously with the DBT skill training.

Coaching to ensure generalization of skills

Coaching to ensure generalization of skills is an essential technique in DBT. It is the stage where the therapist takes the coach’s hat and wears it for a while to train their patients on coping with difficult situations as they continue their everyday journey and encounter issues and events in their daily lives.

Structure the environment with case management

This treatment is a special one because it is an environment-centered therapy. The patient learns at this treatment stage to manage their lives and cope with everyday life problems related to their environment, whether physical or social.

DBT consultation team to support the therapist

The therapist must also be cared for because it is easy to go from being a therapist to being a patient if some things are not done. Therefore, the DBT has organized a support system that will cater to all group leaders, individual therapists, and case managers to ensure that they do not fall victim to circumstance.

Cognitive Behavior Therapy

CBT (Cognitive Behavior Therapy) is the type of treatment that is based on evidence. This treatment exists because there is a belief that the thoughts and feelings of an individual suffering from a binge eating disorder are intertwined. Hence, the connection between thoughts and feelings is connected with actions.  Thus, both are channeled into providing productive things for the individual.

It is one of the most famous treatment methods used for binge eating disorder with three major phases as its focus:

The behavioral phase

At this phase, the focus is on the patient’s behavior, which is primarily binged eating episodes as far as binge eating disorder is concerned. At this treatment stage, education and awareness is provided to patients on the meaning and importance of balanced eating, nutrition, and meal planning

In addition, at this stage, addressing and minimizing the negative behaviors are done by simple techniques as devised by personal therapy.

The cognitive phase

This stage of treatment for cognitive behavior therapy focuses on the thought process, which we believe is an element of the individual’s cognition. If we work on an individual’s mental partial and remove all unhealthy thoughts about food, it becomes challenging for him to have binge eating episodes.

The actions here may include conquering all distorted thoughts about food. In addition, it involves helping patients improve relationships with the people in their lives and providing hope that results from patients learning how their thoughts affect their actions and how the first step to change should be changing the thought process.

Maintenance and relapse prevention phase

This stage in the CBT is just building on the first two stages of the CBT Treatment. At this stage, there is a need to improve the self-confidence of the patient by using the skills he/she has learned

The above is to ensure that change is evident and continuous in patients and there is no tendency to relapse at any point in the process of continuing with the journey of their life.

Secondly, the practice of holistic healing is also incorporated whereby the symptoms are improved and stabilized.

These treatments and techniques under CBT may be uneasy, but they have proven to be very effective in helping individuals who suffer from binge eating disorder overcome the illness.

There are, of course, other simple things that we can use to ensure that we curb binge eating disorder or, at least, to reduce to the barest minimum and help individuals overcome it.

These things have been put together for easy access.

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