A case of chronic bulimia with multi-treatment

Abstract

The paper reports the case of a bulimic client who approaches a cognitive constructivist therapy after more than twenty years of suffering. She has a long history of treatments with poor success. The chooses to exclude every interpretative act at the beginning of the therapy and to work primarly on motivating the client. She needs to be conscious of her illness to acquire the responsability of it. The goal of this first step is to depress the client in order to motivate her to begin a psychological, emotional and behavioral change. After the depressive reaction of the client the therapy begins with a more active and motivated attitude and focuses on rumination and drive to control.