Abstract

Cognitive behavior therapy (CBT) is the most effective treatment of bulimia nervosa (BN) and binge eating disorder (BED). Initial findings with eating disorder not otherwise specified (EDNOS) other than BED promise similar outcomes. Options for improving upon the efficacy and efficiency of CBT are discussed, primarily by incorporating an expanded range of principles and clinical strategies from CBT in general. Fairburn’s (2008) enhanced CBT provides an illustration. Dissemination of CBT is poor. Guided self-help based on CBT principles is effective for a subset of patients with BN and BED and provides the means for making evidence-based treatment available to a wider range of patients. There is scant research on CBT for anorexia nervosa, and evidence of efficacy is lacking.

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