Individual Psychodynamic Therapy

As formulated by Crisp et al. (1991), individual psychodynamic therapy aims at maturational issues associated with puberty and adolescence. In two trials of this modality, substantial improvements in patient groups (including adolescents and adults) were found in both medical/nutritional recovery and psychological functioning (Crisp et al. 1991; Hall and Crisp 1987). In 1999, Robin et al. used ego-oriented individual therapy, a manualized form of individual psychodynamic therapy, in a small randomized clinical trial (RCT) comparing individual therapy and family therapy (described in the following section). Ego-oriented individual therapy devised for adolescents posits that individuals with anorexia nervosa

1 The following Web sites provide therapist directories as well as information about more intensive treatment centers: http://www.EDReferral.com and http://www.gurze.com.

manifest ego deficits and confuse control with biological needs. Anorexia nervosa represents a disruption in normal ego development. To recover, patients must develop sufficient self-efficacy to successfully separate and individuate from their family of origin. To develop better self-efficacy, patients must first learn to identify and define their emotions, and later to tolerate negative emotions.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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