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How to understand and treat eating disorders
Riccardo Dalle Grave M.D.
Patients with anorexia nervosa given intensive CBT-E during the COVID-19 pandemic had significantly improved, albeit to a lesser extent than pre-pandemic patients.
Events and emotions influencing eating behavior is common in people with eating disorders and need to be addressed with treatment.
Some people have severe interpersonal problems that maintain their eating disorder and interfere with its treatment.
Low self-esteem is common in people with eating disorders but for the treatment is crucial to understand if is secondary to the eating disorder or is independent by it.
A large subgroup of patients with eating disorders are diagnosed with clinical depression, but often the depressive features are secondary to the disorder. Here's why that matters.
Excessive exercising is a major cause of physical and psychosocial impairment in people with eating disorders and needs to be directly addressed by the treatment.
A promising strategy to improve the outcome of eating disorders treatment is the intensification of the evidence-based enhanced cognitive behavior therapy (CBT-E)
The role of parents in CBT-E for adolescents with eating disorders is to support the implementation of one-to-one treatment, not to drive it.
Dietary restraint is the attempt to restrict what one eats, while dietary restriction is undereating in the physiological sense. Both should be addressed in treatment.
Despite the many similarities between binge eating and substance use disorder, there are fundamental differences between the two conditions. This has implications for the treatment
"False hope syndrome" may be behind the rising popularity of extreme and rigid low-carb diets, which promise quick and easy weight loss.
The overvaluation of shape and weight, according to the cognitive behavioral theory of eating disorders, is the core component of body image disturbance.
Celiac disease and eating disorders interact negatively with each other, and their coexistence increases the likelihood of developing severe complications.
Eating disorders are more common in people with type 1 diabetes than in the general population, and the combination can have serious consequences.
Clinical perfectionism can significantly impair an individual’s life and seems to maintain any coexisting eating disorder.
The causes of eating disorders are still not well known. However, we now have a better understanding of the processes that maintain them.
CBT-E designed both for adults and adolescents of all eating disorders has the potential to overcome some issues that plague conventional eating disorder services.
The male athlete triad syndrome is characterized by low energy availability, reduction of testosterone levels, and low bone mineral density.
Is the prescription of typical antipsychotics useful in the treatment of adolescents with anorexia nervosa?
Family-based treatment (FBT) and Enhanced Cognitive Behavior Therapy (CBT-E) achieve similar outcomes in the treatment of adolescents with eating disorders, new research finds.
Alternative testing for food intolerance may promote the development and maintenance of eating disorders.
About 20% of individuals with anorexia nervosa go on to develop a lifelong condition. Unfortunately, there is no consensus on how to define and treat these patients.
Shape checking is common in people with eating disorders and influential in maintaining dissatisfaction with shape and encouraging dieting.
Feeling fat is an experience reported by many people, but its intensity and frequency appear to be far greater among those with eating disorders.
Overvaluation of shape and weight has been observed in about 20 percent of patients seeking treatment for obesity and was associated with eating psychopathology and poorer quality of life.
Problems related to the definition of comorbidity can have important clinical consequences that affect the treatment of eating disorders.
A new treatment for binge-eating disorder is designed to overcome the limits of existing approaches.
The overvaluation of shape and weight and not weight phobia is the core psychopathology of anorexia nervosa, according to the modern transdiagnostic cognitive behavior therapy.
CBT-E for eating disorders is well-suited to be delivered via teletherapy and can address the lack of psychological treatments available caused by the COVID-19 outbreak.
Amind the Covid-19 pandemic, people with eating disorders have a high risk of relapse.
Riccardo Dalle Grave, M.D., is head of the Department of Eating and Weight Disorders at the Villa Garda Hospital in Italy. He is the author of Cognitive Behavior Therapy for Adolescents with Eating Disorders.