scholarly journals Management of Severe Rhabdomyolysis and Exercise-Associated Hyponatremia in a Female with Anorexia Nervosa and Excessive Compulsive Exercising

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Marwan El Ghoch ◽  
Simona Calugi ◽  
Riccardo Dalle Grave
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Behavioural Therapy ◽  
Serum Creatine Kinase ◽  
Water Restriction ◽  
Psychogenic Polydipsia ◽  
First Case ◽  
Cognitive Behavioural ◽  
Eating Disorder Psychopathology ◽  
Behavioural Strategies

This case report describes the management of a 49-year-old female with restricting-type anorexia nervosa and excessive compulsive exercising associated with rhabdomyolysis, high levels of serum creatine kinase (CK) (3,238 U/L), and marked hyponatremia (Na+: 123 mEq/L) in the absence of purging behaviours or psychogenic polydipsia; it is the first case report to describe exercise-associated hyponatremia in a patient with anorexia nervosa. The patient, who presented with a body mass index (BMI) of 13.4 kg/m2, was successfully treated by means of an adapted inpatient version of an enhanced form of cognitive behavioural therapy (CBT-E). Within a few days, careful water restriction, solute refeeding, and the specific cognitive behavioural strategies and procedures used to address the patient’s excessive compulsive exercising and undereating produced a marked reduction in CK levels, which normalised within one week. Exercise-associated hyponatremia also gradually improved, with serum sodium levels returning to normal within two weeks. The patient thereby avoided severe complications such as cerebral or pulmonary oedema or acute renal failure and was discharged after 20 weeks of treatment with a BMI of 19.0 kg/m2and improved eating disorder psychopathology.

scholarly journals Cognitive Behavioral Therapy Management of a Patient with Atypical Anorexia Nervosa

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Nisansala Liyanage ◽  
Chathurie Suraweera ◽  
Asiri Rodrigo
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Case Report ◽  
Depressive Disorder ◽  
Behavioral Therapy ◽  
Behavioural Therapy ◽  
First Case ◽  
Cognitive Behavioural ◽  
Atypical Anorexia Nervosa

Eating disorders are becoming more common in nonwestern societies and some of these presentations are atypical variants such as atypical anorexia nervosa. There is very little data on how to treat these patients. This case study reports the treatment of a young adult female in Sri Lanka who presented with atypical anorexia nervosa and moderate depressive disorder. She was successfully treated with nine sessions of enhanced cognitive-behavioural therapy (CBT-E). According to our knowledge this is the first case report that describes the management of a patient with atypical anorexia nervosa using psychological therapy specifically adapted to nonwestern context.

scholarly journals Manualised Cognitive Behaviour Therapy for Anorexia Nervosa: Use of Treatment Modules in the ANTOP Study

2018 ◽  
Vol 7 (11) ◽  
pp. 398 ◽  
Author(s):  
Gaby Resmark ◽  
Brigid Kennedy ◽  
Maria Mayer ◽  
Katrin Giel ◽  
Florian Junne ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Secondary Analysis ◽  
Self Esteem ◽  
Behavioural Therapy ◽  
Behaviour Therapy ◽  
Duration Of Illness ◽  
Cognitive Behavioural ◽  
Outpatient Intervention ◽  
Cognitive Behaviour ◽  
Pros And Cons

Standardised treatment manuals facilitate therapy planning and enhance comparability for research purposes. Within the Anorexia Nervosa Treatment of Out Patients (ANTOP) study, the largest multisite outpatient intervention trial in anorexia nervosa (AN) to date, manualised enhanced cognitive-behavioural therapy (CBT-E) was offered as one treatment modality. The manual consisted of 9 modules, of which Motivation, Nutrition, Formulation and Relapse Prevention were compulsory. Homework worksheets were provided, to ensure the transfer of therapeutic improvements to daily life. This study investigated the use of modules and worksheets in order to explore practice styles of trained therapists in the treatment of AN. This secondary analysis was based on log-sheets (n = 2604) CBT-E therapists completed after each session. Frequencies of modules and worksheets used across all sessions were calculated. Relationships, such as that between use of module and duration of illness, were examined. The most commonly used module was Motivation. In patients with longer illness duration, the module Self Esteem seemed to be particularly important. The worksheet Scales, balancing the pros and cons of AN, was prioritised by therapists. The results underline the importance of motivational work in the treatment of AN, including validating the ambivalence experienced by most AN patients. With increasing duration of illness, resource-oriented elements, such as self esteem stabilisation, should be of focus.

scholarly journals Coping During Covid-19 Workbook

2021 ◽  
Author(s):  
Eamon Aswad ◽  
Keith Gaynor
Keyword(s):  
Mental Health ◽  
Coping Skills ◽  
Behavioural Therapy ◽  
Anxiety And Depression ◽  
Medical Support ◽  
Self Help ◽  
Cognitive Behavioural ◽  
The World ◽  
Mental Health Difficulties ◽  
Behavioural Strategies

2020 saw the world affected by an unprecedented pandemic. Alongside the healthrisks, the COVID-19 pandemic has created mental health difficulties for a largenumber of people. Many people are feeling anxious or depressed, in ways that they might never have before.This eight module Cognitive Behavioural Therapy Workbook is designed to support those who are struggling with symptoms of anxiety and depression because of the COVID-19 crisis. This workbook has been created to provide psycho-education and self-help techniques to manage COVID-19 related distress.The workbook includes a variety of cognitive and behavioural strategies including;mindfulness exercises, gradual exposure to feared situations, physical coping skills, reducing unhelpful behaviours that contribute to anxiety (e.g. avoidance), reducing worry, maintaining identity and testing out beliefs about COVID-19.It is recommended that this workbook can be completed by anyone who is over the age of eighteen. The Coping During COVID-19 Workbook doesn’t replace formal psychological or medical support but may be an additional resource.

Cognitive–Behavioural Therapy via Videoconferencing to a Rural Area

2001 ◽  
Vol 35 (1) ◽  
pp. 62-64 ◽  
Author(s):  
Taryn Cowain
Keyword(s):  
Case Report ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Cognitive Behavioural Therapy ◽  
Married Woman ◽  
Antidepressant Treatment ◽  
South Australia ◽  
Behavioural Therapy ◽  
Rural South ◽  
Cognitive Behavioural

Objective: This case report describes the use of cognitive–behavioural therapy via twoway, interactive audiovisual videoconferencing and identifies issues involved in using this form of technology to provide therapy. Clinical picture: A 38-year-old married woman living in rural South Australia presented with panic disorder with agoraphobia and major depression. The patient had refused antidepressant treatment. Treatment: The patient was treated with 12 sessions of cognitive–behavioural therapy delivered via videoconferencing. Outcome: Anxiety and depressive symptoms resolved with concomitant improvement in function. Conclusions: Providing this form of therapy via videoconferencing can be effective.

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