1. Binge Eating 2. Psychotherapy
James E Mitchell, M.D.
Feel free to re-title and remove Penn specific stuff

2. Treatment of BED Psychotherapy Overall Evidence ↓ BE ↓ Wt Self-Help/
Guided Self-Help ++
+/-
Cognitive Behavior Therapy
+++
Interpersonal Therapy
Behavioral Weight Loss +
Dialectic Behavior Therapy
Kendall/Carolyn: it is okay with Dr. Mitchell to print this in the course guide. Please include.

4. Gerald Klerman, MD
Myrna Weissman, PhD

6. Denise Wilfley, PhD

7. BED: CBT vs. IPT (Wilfley et al, 1999)
N = 162

8. Marsha Linehan, PhD

9. Christy Telch, PhD
Eunice Chen, PhD
Debra Safer, PhD

12. Treatment of Bulimia Nervosa and Binge-Eating Disorder
Clinician Manual
Integrative
Cognitive-Affective Therapy
for the
Treatment of Bulimia Nervosa and Binge-Eating Disorder
Wonderlich, S.A., Peterson, C., Mitchell, J.E., Crow, S.J.,
Smith, T.L. , & Klein, M.
Supported by NIH Grant R34 MH077571
Steve Wonderlich, PhD

13. ICAT Description 21 sessions Clinician Manual and Patient Workbook
PDA/Paper Wallet Coping Skills
PDA/Paper Wallet Insert for Coping Skills

14. ICAT Clinical Targets Motivational Enhancement Emotion Identification
Meal Planning
Relationship Skills
Self Regulation Skills
Self Discrepancy Reduction

15. Theoretical Underpinnings of ICAT
CBT for BN
Fairburn
Wilson
Agras
Marcus
Intensive Opening Phase
Self Monitoring
Disrupt Dieting
Motivational
Interviewing
Vitousek
Treasure/Schmidt
Geller
Recognizing Ambivalence
Positive Function of Disorder
Emotion Focused Interventions
Greenberg
Heatherton and Baumeister
Barlow
Binge/Purge as Escape from Negative Emotion
Diet as Avoiding Negative Emotion

16. Theoretical Underpinnings of ICAT (Cont’d)
Self-Discrepancy Theory
Strauman
Actual, Ideal, Ought, Feared Selves
Structural Analysis of Social Behavior
Benjamin
Relationship Problems and Interpersonal Patterns
Self directed Style
Relapse Prevention
Marlatt
Lapse Training
Skill Maintenance

17. Chris Fairburn, MD

18. CBT-E Refinement of prior CBT Addresses also: Mood intolerance
Clinical perfectionism
Core low self-esteem
Interpersonal difficulties

19. CBT-E Transdiagnostic Diagnostic migration among ED
ED are essentially “cognitive disorders”
Core psychopathology
- Overvaluation of shape and weight
(- Subgroup core is to control eating)

21. Self-help
Pure Self-help
Supervised or Assisted Self-help

22. Frequent Problems with Research on Self-help
Non-randomization
Inadequate Control Groups
Small Sample Sizes/Underpowered
Lack of Standardized Assessments
Brief Follow-ups

23. Technology-assisted Areas
Internet Treatment or Prevention
Chat Groups
Treatment
CD-ROM Treatment
Telehealth Treatment
Stepped Care
PDAs
Text Messaging
Virtual Reality

24. An Internet-based program early intervention of eating disorders
ES[S]PRIT:
An Internet-based program early intervention of eating disorders
Center for Psychotherapy Research

25. CD-ROM and ED Treatment

26. Thought Restructuring

29. Comments/Questions?