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Background: The presentation will focus on Cognitive Remediation Therapy (CRT) and its use in the treatment of eating disorders. By integrating this therapy into treatment, CRT effectively addresses eating disorder patient characteristics commonly contributing to maintaining the eating disorder. The presentation includes techniques for introduction and clinical application of CRT.
Cognitive Remediation Therapy
- Defining the Intervention
- Key Traits that Maintain Eating Disorders
- Treatment Map
- The Targets
- Impaired Set-Shifting
- Weak Central Coherence
- Visuospatial Impairment
- Key Research Findings
- Set-Shifting Deficit in AN
- Example of a Shifting Task: TMT
- Behavioral Response vs. Cognitive Set
- Excessive Attention to Detail (Central Coherence)
- Embedded Figures Test
- Thinking Style
- Rey-Osterrieth Complex Figure
- Thinking Styles and Interventions
- Changing Mental Default Settings
- Introducing CRT to the Patient
- Sample Session
- Forest and Trees
- Embedded Words
- Illusions
- Estimating Task
- Exploratory Questions
- Metacognitive Reflections
- What do Patients Think?
- Future Directions
- Conclusions
The presentation will focus on Cognitive Remediation Therapy (CRT) and its use in the treatment of eating disorders. Justification for the use of CRT is presented by first discussing background evidence and eating disorder patient population characteristics, including set shifting and attention to detail, and how these traits contribute to maintaining the eating disorder. Next, the presenter will outline the clinical application of CRT, providing techniques and skills for integrating CRT into the patient treatment and how to evaluate if CRT will be an effective therapy for the given patient. Techniques include how to introduce CRT to the patient, looking at the patient’s thinking style and evaluating central coherence. Following this discussion of application, evidence for CRT will be outlined, including citation of CRT use in eating disorder treatment, and collected outcome data from patient experience is presented. In closing, future directions for CRT will be presented and discussed.
Emmett Bishop, Jr., MD, FAED, CEDS, has more than 30 years experience treating eating disorders and is Medical Director of Adult Services at Eating Recovery Center, an eating disorder treatment hospital he co-founded with Dr. Ken Weiner in October 2008. Bishop has served on the iaedp Board of Directors since 1993 and is a past president; has been a member of the Academy for Eating Disorders since its inception in 1993 and is a Fellow. Bishop is a member of the Eating Disorders Journal of Treatment and Prevention Editorial Board and has been an editorial reviewer for various professional journals.
