Specialized Bulimia Treatment

Why an Individualized Bulimia Treatment Plan is Essential

Each bulimia nervosa client at Castlewood’s eating disorder treatment center receives a completely customized bulimia treatment plan based on their unique needs and issues, and this plan is adjusted as progress is made through the continuum of care. Many eating disorder treatment centers create a static treatment plan for bulimia clients and expect the patient to fit the therapy regimen. At Castlewood we know from many years of experience that the most effective method to achieving long-term recovery is to keep the patient and family at the center of the treatment process, and design a bulimia treatment plan around them.

How We Create a Customized Bulimia Treatment Plan for Each Client at Castlewood

The most important first step in designing a customized bulimia treatment plan for a client is to take the time to really sit down and understand the client and the family. Understanding the history and presentation of the eating disorder, and identifying any co-occurring issues at the beginning of the treatment process, provides key pieces of information to build upon. This can’t be done just by filling out a form, or having a five-minute conversation. Each client and family is very different, and Castlewood’s clinicians devote whatever time is necessary to this early evaluation process. Each client at Castlewood has a primary therapist, primary dietitian, and a staff psychiatrist. By collaborating and sharing information, the unique components for each care plan are addressed seamlessly not only through various levels of care at Castlewood, but among the various parts of each treatment day and personal interaction. Strengths are encouraged, and each client is helped to work from their own starting point, with compassionate guidance from the treatment team. An effective treatment plan for bulimia changes and adapts to each unique client.

General Components Included in Each Treatment Plan for Clients with Bulimia Nervosa

Each client receiving treatment for bulimia nervosa at Castlewood has a bulimia treatment plan with nutritional, therapeutic, psychological, and adjunctive components. Each approach integrates education and experiential practice, along with therapeutic processing. Each client progresses differently, and each piece of the continuum of care has a unique timeframe. Individuals with bulimia nervosa have an extreme fear of losing control over their bodies and gaining weight. Many underlying issues are connected to these feelings, and some issues to do not appear until the eating disorder is stabilized. A client’s bulimia treatment plan is adjusted through close, ongoing assessment by their primary team.

Nutritional approaches include:

  • Personalized diet plan to normalize weight and optimize nutrition in clients with bulimia
  • Individual and groups sessions with licensed dietitian
  • Nutritional counseling and education
  • Food challenges and outings
  • Family education on the nutritional aspects of bulimia

Psychosocial approaches include:

  • Individual and group therapy sessions
  • General and bulimia-specific education and core groups
  • Therapy to manage associated emotions such as anxiety, shame, fear, guilt, and depression
  • Co-occurring support as needed for suicidality, trauma issues, self-harming, and other problems unique to each client
  • Family therapy and education
  • Medication management as needed for each individual client
  • Coping and intensive skill development
  • Real-skill practice both on-site and through off-site outings

Six Common Therapy Modalities Included in many Bulimia Treatment Plans

Castlewood uses a variety of evidence-based and innovative therapies in each bulimia treatment plan. Some of the primary methods utilized are:
  • Cognitive Behaviors Therapy (CBT)
  • Internal Family Systems (IFS)
  • Attachment Based Therapy
  • Dialectical Behavioral Therapy
  • Exposure and Response Prevention
  • Expressive  and Creative Arts Therapies
The intensity and frequency of each approach will depend on the level of care the client is receiving, and their personal needs. Clients transition through several levels of care. Short and long-term goal setting, and development of coping skills are integrated into the bulimia treatment plan for each client. Our goal is to prepare clients for a return to full autonomy and with the new skills and behaviors needed to sustain physical and emotional health. Castlewood is proud of the level of education and experience we are able to provide to each client as a part of their bulimia treatment plan.
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