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Individual psychotherapy in most instances, particularly with children, should occur following a thorough assessment of the patient's family and social context. This chapter describes individual therapies that have been applied in eating disorders, summarizes their evidence base, and concludes with a commentary on their appropriateness for children and adolescents. Psychodynamic therapies have the longest history in therapies for eating disorders. Cognitive-analytic therapy (CAT) is a treatment that combines elements of cognitive therapy (CT) and psychodynamic therapy. CAT integrates active symptom management, and has been recommended as a viable alternative to cognitive-behavior therapy (CBT). Self-help therapy is a modified form of CBT, in which a treatment manual is provided for people to proceed with treatment on their own, or with support from a non-professional. CBT and interpersonal psychotherapy (IPT) have been found to be effective in reviews that have included trials of eating disorder not otherwise specified (EDNOS) or binge-eating disorder.
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