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Cognitive-behavioral self help. Allison, Stunkard, and Thier (2004) wrote the book Overcoming Night Eating Syndrome: A Step-by-Step Guide to Breaking the Cycle in order to offer a self-help option for individuals seeking treatment for their symptoms of NES. The book offers education on NES, takes the reader through a multitude of journaling exercises meant to help identify automatic thoughts that exist in relation to their night eating, and finally offers suggestions on how to break the cycle of night eating behavior. Some of these suggestions include different nutrition, meal planning, and relaxation training. This book was written before standardized CBT interventions for NES existed and its efficacy as a self-help intervention has not been established. Cognitive behavioral therapy: Therapist administered. CBT is the gold standard treatment for eating disorders. Although NES is not a recognized eating disorder in the DSM- IV, it was hypothesized that CBT might also be an effective treatment for NES. Allison et al. (2010) developed first CBT intervention for NES, modeling it after cognitive behavioral treatments for binge eating disorder. Allison et al. (2010) conducted a pilot study with 25 night eating patients using 10-sessions of CBT. The CBT treatment was broken into 3 stages. The first stage included sessions 1-4 and was meant to develop therapeutic alliance and explain the process of CBT. The second stage included sessions 5-8 and focused on strengthening of coping skills and to challenge automatic thoughts relative to night eating symptoms. The third stage included sessions 9-10 that were scheduled on a biweekly basis. Progress, challenges, and successes were reviewed and problem solving techniques were addressed (Allison et al., 2010). Results showed significant reductions in nocturnal ingestions (70%), significant reductions of caloric intake, and significant reductions in weight (Allison et al., 2010). As this was the first trial for CBT, further investigation is needed. 18PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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