Binge Eating Disorder Case Study

A thirty year old female named Shelby has recently been diagnosed with Binge-Eating Disorder. The woman reports sneaking around so no one sees her eat large quantities of food, feeling distressed and overwhelmed, and described herself as being disgusting. These are examples of the DSM-5 criteria for examples of an episode of binge eating. The woman would engage in this eating episodes and feel ashamed yet would keep eating. This is an example of one of the five behaviors the DSM-5 associates with Binge-Eating disorder. However, Shelby displayed three or more of the symptoms needed to be diagnosed with a binge-eating episode. These recurring eating episodes Shelby has significantly impair her ability to socialize and function properly in her

Each item on the scale could earn 0-4, with higher scores indicating greater perceived stress (Striegel-Moore at el, 2007). The PSS scale can range from 0-56. The results showed that one pathway to the development of a BED among girls after the age of fourteen was elevated perceived stress. Findings are consistent with other studies that have found relationships between BED and stress. In Shelby’s case, she was felt like she looked differently than her peers and that her peers were making fun of her for this which caused her a lot of perceived stress. Shelby’s history of stress involving school supports that perceived stress most likely played a role in her developing Binge-Eating

CBT was administered in 16 group sessions that lasted 60 minutes over a 24 week period. This treatment included three different phases. Phase one included establishing a relationship with the therapist while focusing on educating the patient about the nature of binge-eating disorder (Grilo et al., 2011). Phase two involves cognitive restructuring where patients learn to challenge any cognition relating to binge eating (Grilo et al., 2011). Phase three primarily focuses on relapse prevention. BWL was administered in a 16 group that lasted 60 minutes over a 24 week period. In this study, BWL followed the program LEARN which stands for lifestyle, exercise attitudes, relationships, and nutrition. This treatment focused on teaching the patients to moderate caloric restriction increased physical activity alongside gradual weight loss (Grilo et al., 2011). The results from the study concluded that CBT was superior to BWL for producing reductions in binge-eating frequencies (Grilo et al., 2011). Since CBT showed better results with eliminating binge-eating frequencies then this shows CBT would be the ideal treatment for Shelby who has recently been diagnosed with Binge-Eating