Healthy-Weight Program

for Bulimia Nervosa

Status: Controversial


The Healthy Weight Program for bulimia nervosa consists of six sessions designed to help the patient engage in weight control strategies that do not pose the same physiological and psychological liabilities as the inappropriate compensatory behaviors inherent to the disorder (e.g., purging, fasting, excessive exercise). These healthier strategies include altering food consumption (e.g., cutting out high-fat foods) and increasing exercise to achieve a negative energy balance and a slim, healthy figure. Unlike CBT for bulimia nervosa, the pursuit of a thin ideal body is not challenged, binge eating and purging are not directly targeted, and dieting is encouraged (albeit in a healthier manner than individuals with bulimia nervosa typically employ) rather than discouraged. Nutritional education is provided as part of the treatment to inform the patientís food choices. Treatment is conducted in a small group format.

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