Bulimia: education first!

In recent years, behavioral therapies have become an essential aid in the face of addictive behavior. Help with smoking cessation, alcohol dependence, compulsive gambling, eating disorders ... These brief therapies help to put an end to many problems that can spoil our lives. Review of details ...

Tobacco: motivation first!

Behavioral and cognitive therapies (CBT) are methods of helping to change behavior. They can be successfully applied to many situations.

Alcohol: the importance of the group

Eating disorders are widespread among adolescents. Bulimia is one of the most worrying problems. Often this disease is not alone: ​​it is accompanied by anxiety disorders (especially social anxiety), depression or personality disorders (2/3 of bulimia). To address this issue, behavioral and cognitive therapy will focus on identifying the cause of malaise.

Pathological gambling: saying no at random

The tracks are of four orders

The response of behavioral and cognitive therapy will then be in several phases. First, there will be a period of education in nutrition, in order to fully understand the stakes of the diet. Then the behavioral and cognitive techniques will be exploited: self-assertion, relaxation to manage anxiety, exposure techniques / prevention of responses (we confront the foods that trigger bulimia to learn to manage anxiety). It will also be discussed to put an end to erroneous beliefs. These techniques, although brief (15 sessions approximately) give good results and these "psycho-nutritional" approaches are more and more used with adolescents often in an impasse.
To help stop smoking, behavioral and cognitive therapy is very effective: it doubles the chances of success. This therapy is centered around several points

And if there is a relapse, the important thing is to de-dramatize, strengthen periods of abstinence and identify more effective strategies. It should be noted that any victory over the cigarette, even of short duration, is always a step forward towards the final stop!

The treatment of alcohol addiction is similar to the techniques used in smoking cessation. Again, motivation is in the front line. Interviews help "reboost" this urge to stop. They include a feedback (to note its consumption to better evaluate it), advice, a proposal of therapeutic strategies, an increase of the feeling of efficiency ...

To prevent relapses, group therapies during abstinence seem effective. The sessions range from 6 to 12 and include several therapists. They are preceded and followed by assessments of anxiety, depression, etc. During the group meeting, it is discussed what was done at the previous meeting, the development of exercises to be carried out externally, role plays, discussions, the provision of documents. There may also be separate groups, which will bring families and spouses together. This is a great help to stop.

The principle is very similar to the treatments used in other addictions. But we must play on the unconscious conditioning that animates the player. To establish the diagnosis of pathological gambling, different questionnaires exist. They allow to know the habits, the history of the person, the consequences of the game ... A notebook of liaison is realized: the player notes the moments of play, the wagers, feelings felt ... Much of the work then Risk situations. He is asked to avoid playgrounds, find alternative behaviors and develop activities that do not offer the opportunity to play. We will also work on assertiveness (to say no to the colleague who proposes to go play for example). With the therapist, the work will also focus on information and irrational beliefs.

To summarize, the processing will proceed in five steps

Behavioral and cognitive therapy thus provides very good results to completely stop excessive gambling, often with dramatic consequences.


MEDEC 2003

Poor control of eating habits: this is a behavioral problem, related to the food Interpersonal stress: this will involve problematic relations with the environment that will be managed by the uncontrolled taking A model of anxiety: eating will be an answer to professional or other problems A cognitive model: erroneous "beliefs", a malaise will be fought by the diet. Br>

Game information: What is randomness? Why can not we control it? Explain that you can not improve at roulette as you progress to the billiards !; Correction of erroneous beliefs: The therapist tries to remove the blinders that the player has placed. Possibilities and then try to implement them Social skills training: Self-affirmation in particular Relapse prevention: Anticipate situations at risk, learn how to manage missteps, possibly put oneself in a group