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Table 1 Therapeutic phases, goals, and techniques

From: Cognitive-behavioral therapy for binge eating disorder in adolescents: study protocol for a randomized controlled trial

  Therapeutic goals Techniques
  Initial treatment phase (Sessions 1 – 3)
Initial contact and cognitive preparation - To establish a positive therapeutic alliance - Exploration
- To enhance motivation - Information on disorder and treatment
- To plan therapy - Goal setting
  - Self-monitoring of eating behavior
   - Self-management and self-reinforcement
  Intensive treatment phase (Sessions 4 – 18)
Eating behavior module “My Nutrition” - To establish a healthy eating behavior - Information on nutrition and physical activity
  - Self-monitoring of eating behavior and physical activity
- Goal setting
- Stimulus and response control
- Cue exposure
- Eating hedonics exercises
- Self-management and self-reinforcement
- Cognitive restructuring
   - Homework
Body image module “My Body” - To establish a positive body image and weight maintenance - Information on body image and weight-related stigmatization
- Body image exposure
- Self-monitoring of negative body talk
- Self-monitoring of physical activity
- Shaping of regular physical activity
- Body hedonics exercises
- Self-management and self-reinforcement
- Cognitive restructuring
- Homework
Stress module “My Emotions” - To identify and treat related psychopathology (e.g., emotion regulation difficulties, stress management problems, interpersonal conflict, social competence deficits, identity problems) - Behavioral analysis
- Information
- Goal setting
- Stimulus and response control
- Role play
- Problem solving
- Exposure
- Self-management and self-reinforcement
- Cognitive restructuring
- Homework
  Self-management phase (Sessions 19 – 20)
  - To stabilize progress - Review of progress
- To prevent relapse - Goal setting regarding future work
- Identification of situations and signs of risk for relapse and delineation of an emergency plan
   - Self-management and self-reinforcement