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Cognitive Behavioural Therapy for an Adolescent with Anorexia Nervosa
José I Baile1, María F Rabito-Alcón1
1Department of Psychology, Open University of Madrid (UDIMA), 28400 Madrid, Spain.
Children (Basel, Switzerland)
|January 21, 2022
Summary
Cognitive Behavioural Therapy (CBT) effectively treated a 17-year-old with anorexia nervosa, achieving weight restoration and psychological recovery. Long-term follow-up confirmed sustained positive outcomes in this case study.
Area of Science:
- Psychiatry
- Clinical Psychology
- Eating Disorders
Background:
- Anorexia nervosa treatment lacks a definitive gold standard therapy.
- Cognitive Behavioural Therapy (CBT) shows promise but requires further evidence.
- This case study investigates CBT for adolescent anorexia nervosa.
Observation:
- A 17-year-old female diagnosed with restricting-type anorexia nervosa underwent psychological therapy.
- Standardized screening tools (EAT-26, EDI-2, BSQ) and clinical interview informed the diagnosis.
- Therapeutic goals included weight restoration (BMI ≥ 18.5) and cognitive/behavioral change.
Findings:
- The patient completed 33 CBT sessions incorporating cognitive restructuring, response cost, and positive reinforcement.
- Integrated family intervention and nutrition therapy supported the treatment.
- Within eight months, the patient achieved target weight and healthier attitudes towards food and body image.
Implications:
- CBT demonstrated efficacy in achieving both physical and psychological recovery for this patient.
- This case contributes to the body of evidence supporting CBT for specific anorexia nervosa cases.
- Sustained recovery was observed at one and two-year follow-ups, highlighting long-term benefits.
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