title: Experiences of Enhanced Cognitive Behaviour Therapy for Bulimia Nervosa.
abstract: BACKGROUND
  Recent quantitative studies provide support for an "enhanced" transdiagnostic approach of Cognitive Behaviour Therapy (CBT-E) for eating disorders; however it is not yet known how recipients of CBT-E experience therapy.
  
  
  OBJECTIVE
  The current study used a qualitative approach to explore service users' experiences of CBT-E.
  
  
  METHODS
  Individuals with a diagnosis of bulimia nervosa and who had completed CBT-E from one service in Wales were invited to participate. Semi-structured interviews were completed with eight individuals and analysed using Interpretative Phenomenological Analysis (IPA).
  
  
  RESULTS
  Participants valued both specific and non-specific elements of CBT-E. Therapist specialism in eating disorders was considered to enhance therapist empathy. The most helpful aspects specific to CBT-E were gaining insight into maintenance cycles and experiential learning. The most challenging aspects of CBT-E were changing behaviours and cognitions "in the moment" and in the longer-term.
  
  
  CONCLUSIONS
  The implication of therapist specialism and empathy is further discussed, as well as the difficulty for CBT-E in changing service users' long-standing core beliefs.
authors: Cardiff and Vale Eating Disorders Service (EDS),Cardiff,Wales.
authors: Louise
authors: L
authors: Onslow
authors: Cardiff and Vale Eating Disorders Service (EDS),Cardiff,Wales.
authors: Debbie
authors: D
authors: Woodward
authors: Cardiff and Vale Eating Disorders Service (EDS),Cardiff,Wales.
authors: Toni
authors: T
authors: Hoefkens
authors: Cardiff University,Wales.
authors: Louise
authors: L
authors: Waddington
mesh_terms: D000328:Adult; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008875:Middle Aged; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014852:Wales
keywords: Bulimia Nervosa; CBT-E; IPA; cognitive behaviour therapy