Well, I am officially the last one to jump on the “New Psychotherapy Has Potential to Treat Majority Of Cases Of Eating Disorders” article. I’ll admit, this journalist did a great job with his headline — not only did I read the article, but I went on to read up on CBT-E.
To quickly define CBT, Cognitive Behavior Therapy and Eating Disorders explains:
The strategy underpinning CBT-E is to construct a ‘formulation’ (or set of hypotheses) of the processes that are maintaining the patient’s psychopathology and use it to identify the features that need to be targeted in treatment. Thus, a personalized formulation is constructed at the very onset, although this is revised as treatment proceeds.
That didn’t really mean much to me, but I skimmed through the book and quickly decided that CBT-E was not for me.
Things I would hate about CBT-E:
- It’s time-limited to 20 sessions. This just makes me mad from the start. I want to think that if I’m still having a hard time in 20 sessions from now, that I would still be able to get help. That ED treatment isn’t like antibiotics — you take a course of them and you’re cured.
- It’s not meant for anorexia. Which means…. it wouldn’t help me?
- It doesn’t help with depression. In fact, Major Depressive Disorder is a contraindication.
- There’s no “treatment team” — only one therapist can be treating you. While I understand there can be communication issues once more than one professional is involved, I’ve always found it helpful to have a separate psychiatrist, nutritionist, etc. I don’t really want to talk to my therapist about food exchanges or prozac.
- Significant others are hardly involved. (And family is not involved at ALL, but I’m not really complaining about this in my case). But really, shouldn’t you involve your loved ones so that they can better help you? And isn’t it possible that there are things going on in your surrounding relationships that could be affecting you and your eating? According to Cognitive Behavior Therapy and Eating Disorders, “topics outside the eating disorder are not usually addressed.”