title: [Psychotherapy and obesity: strategies, challenges and possibilities].
abstract: One fifth of the German population is obese with increasing prevalence. Psychotherapy plays an important role in weight loss programmes. Cognitive behaviour therapy, targeting lifestyle changes, including exercise and eating behaviour, is the evidence-based treatment of choice. Especially the lack of motivation or absence of weight loss, further weight gain or psychosocial burden makes psychotherapy essential. The treatment of a comorbid binge eating disorder should be initiated prior to focusing on weight loss. Remarkably difficult stages in the treatment of obesity are the initiation of changes as well as the maintenance of the achieved weight loss. Internet-based attempts will become increasingly important.
authors.affiliation: Medizinische Klinik VI, Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Osianderstr. 5, 72070 Tübingen, Deutschland. martin.teufel@med.uni-tuebingen.de
authors.forename: M
authors.initials: M
authors.lastname: Teufel
authors.forename: S
authors.initials: S
authors.lastname: Becker
authors.forename: N
authors.initials: N
authors.lastname: Rieber
authors.forename: K
authors.initials: K
authors.lastname: Stephan
authors.forename: S
authors.initials: S
authors.lastname: Zipfel
mesh_terms: D001521:Behavior Therapy / Q000379:methods; D056912:Binge-Eating Disorder / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D015444:Exercise / Q000523:psychology; D005247:Feeding Behavior; D006801:Humans; D020407:Internet; D008019:Life Style; D009042:Motivation; D009765:Obesity / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods; D055502:Secondary Prevention; D013813:Therapy, Computer-Assisted / Q000379:methods; D015431:Weight Loss