Innovative Treatment Approaches to Bulimia Nervosa

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Abstract
The available evidence indicates that behavioral interventions for bulimia nervosa are effective in many cases; yet a significant proportion of patients are not symptom-free and others relapse following termination of treatment. Explanations for the nonresponsiveness to behavioral treatment and relapse are offered, including characteristics of certain patients and the scope and implementation of behavioral interventions. The conceptual basis and therapeutic implementation of two alternate behavioral interventions, namely, temptation with exposure and response prevention (TERP) and implosive therapy (IT), are presented and reviewed for their potential utility in nonresponsive and relapsing cases.

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