How to write an essay on Cognitive Behavioral Therapy for Bulimia Nervosa

How to write an essay on Cognitive Behavioral Therapy for Bulimia Nervosa

The Initial Stage

The leader has a significant role in the initial stage of the cognitive behavioral therapy group for bulimia nervosa. The leader guides the members in setting the rules and regulations in the group. In this stage, the role of the leader is to articulate the working conditions and create a positive environment among the members (Wu & Lee, 2017). The leader needs to connect with each individual and provide them with an opportunity to say their names and provide a brief description about themselves. This helps in relieving anxiety and eliminating uncertainty among the group members. The group leader will then inform the members of the group’s primary purpose and how the team is going to be organized. This includes the objectives and the important milestones that the group needs to meet. When the individual understands the goal and the main objective of the group, they can focus on meeting them. Additionally, the group leader also outlines the general group rules. When the individuals are reminded of the general rules of the group, they are likely to comply with them. The group leader also informs the group members of the resources and materials used during the group sessions. This allows the individuals to find a way to acquire the resources before the actual group sessions begin. Finally, the group leader must also establish boundaries for the group members. Establishing boundaries will enable each member to meet their individual treatment goal. Each individual needs to understand what their role is in the cognitive-behavioral group therapy for bulimia nervosa.

Facilitating trust in the group

Numerous strategies can be used to establish trust in the group. Firstly the group leader can encourage individual group members to acknowledge each other. Trust can be built when every member feels appreciated in the group. The group leader can also ensure that every member of the group is treated equally. This will allow them to build trust in other members. Thirdly the group leader needs to act consistently when reacting to certain vices and behavior. Every member will know that they have an equal responsibility in improving the effectiveness of the group process. Acting consistently enables the members to know that they are treated as equals in the group. The other way of establishing trust is by displaying integrity. Integrity is the act of ensuring that every member of the group is doing the right thing. Every member in the group needs to adhere to the strongly held group values. When individuals are honest and credible trusting relationships can thrive. Various strategies can be used to recognize the presence of trusting relationships in the group. This includes when members do not miss deadlines, cover for others’ mistakes, discourage other people, act erratically, or compete with each other.

Role Of A Group Leader

My role as a group leader in the adult CBT group for bulimia nervosa is to set the standards and tone for reshaping an individual’s behaviors and attitudes. By the end of the therapy session, I need to impact the group members with behaviors that do not promote bad eating habits. As the leader, I need to be sensitive to the individual needs of every member. My role will be to facilitate the group activities while allowing each member to benefit from each session.

The eating attitude test

The tool I will utilize is the eating attitude test. The patient will be required to fill the eating attitude test. Some of the individual parameters of the eating attitude test that I will focus on include:
I) Patient being terrified about being overweight. Being terrified of being overweight is one of the symptoms that promote purging. Patients normally feel that they can get overweight when they eat a lot, and no one will like their shape. This is one of the symptoms that will be measured at the beginning and the end of the therapy session. The therapy session is likely to modify this perception and replace it with good behavior that promotes health and wellbeing.

II) Group members feeling guilty after eating. A feeling of guilt may promote purging. This parameter will be taken before the patient starts therapy and after the therapy. If the therapy is effective, the patient will not feel guilty after having a meal.

III) Patient’s obsession with becoming thinner. Most bulimia nervosa patients feel that they need to become thinner. Most may have bad beliefs and perceptions. One of these includes being thin makes them handsome or beautiful. This symptom will be taken at the beginning and the end of therapy. By the end of therapy, the patient will eliminate thoughts and perceptions that may impact their health and wellbeing.

IV) Finally, having impulse of vomiting after meals. This purging behavior is one of the main symptoms of bulimia nervosa. These patients have two eating patterns bingeing and purging. They may eat excessively and then take laxatives or certain drugs that may make them vomit (De Jong et al., 2018). This symptom will be recorded before and after therapy. By the end of therapy, the impulse to vomit is likely to be reduced.
The comprehensive eating attitude test with all the elements can be found in the appendix.

De Jong, M., Schoorl, M., & Hoek, H. W. (2018). Enhanced cognitive-behavioral therapy for patients with eating disorders: a systematic review. Current opinion in psychiatry, 31(6), 436.

Wu, W. L., & Lee, Y. C. (2017). Empowering group leaders encourage knowledge sharing: integrating the social exchange theory and positive organizational behavior perspective. Journal of Knowledge Management.

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