Cognitive correction therapy (CRT) for anorexia nervosa

Cognitive correction therapy (CRT) helps people develop cognitive strategies and improve their thinking skills through mental exercises. It was originally developed for people with brain damage, but was later used to help people with schizophrenia and more recently anorexia nervosa.

People with eating disorders often experience certain cognitive deficits, which may lead to their condition. There is some evidence that CRT may be able to help teach thinking and cognitive skills, thereby improving social, emotional, and cognitive functions, thereby better helping to manage daily life.

What is anorexia nervosa?

Anorexia nervosa is a mental health condition that is classified as an eating disorder in DSM-5. People with anorexia nervosa have a distorted perception of their size and body shape, and are afraid of weight gain.of

Anorexia nervosa is characterized by a series of behaviors, including attention to food, calorie restriction (which may be extreme), fear of weight gain or gaining weight, refusing to eat certain foods or whole groups of foods, and in some cases, excessive Exercise or overeating and clearing. These behaviors can be life-threatening.

Cognitive deficits in anorexia nervosa

Research on anorexia nervosa has shown that people with this disease often have specific cognitive deficits.This defect in neurocognitive function not only contributes to the development of the disease, but also maintains behavior and interferes with recovery.

The two main cognitive deficits that have been identified and targeted in CRT treatment of anorexia are lack of cognitive flexibility and central coherence.

  • lack Cognitive flexibility (The ability to change or change mental and behavioral strategies): Patients with anorexia usually show rigid thinking during the acute phase of the disease and after weight recovery. It can manifest as strict rules about which foods they will eat, routine behaviors, and multitasking difficulties. If a person’s habits and routines are disrupted, they usually become very painful.
  • problem Central coherence (Focus on details, relatively lack of attention to the big picture): People with anorexia may pay attention to details while ignoring the big picture. For example, a person may focus on the calorie count and macronutrient distribution of a particular food, but cannot consider this information in the larger context of their overall nutritional intake.

How does CRT work?

In CRT, the therapist introduces the individual to neuropsychological tasks, puzzles, games, and other real-life activities that target cognitive flexibility and/or central coherence. People will then repeat these tasks with the therapist and themselves to strengthen their skills.

The goal of CRT

CRT solves the cognitive deficits of anorexia nervosa by helping people understand their thought processes instead of focusing on their thought content. Once a person realizes and understands their thought process, practicing CRT exercises can help them change it.

For patients with anorexia nervosa, improving cognitive flexibility is often a core component of rehabilitation.Neutral activities that can be used to develop cognitive flexibility and improve center coherence include:

  • Change the order of daily behaviors (eg brushing your teeth before changing into pajamas instead of after)
  • Choose products of different brands that you often buy (such as washing powder)
  • Sit in different places while eating
  • Use dominant and non-dominant hands and fingers to complete repetitive motor skills
  • Switch your attention back and forth between two categories such as movie title and spice

People with anorexia learn these new skills and strategies through brain training exercises and are encouraged to reflect on their performance and learn from their behavior for the rest of their lives.

CRT is designed as a relatively short-term treatment. It usually lasts three to six months. A review found that most CRT treatment courses last 16 weeks.However, the duration of treatment depends on many factors, including the needs of the individual and its progress. People with more serious diseases or comorbidities may need longer treatment.

CRT does not directly address specific symptoms of eating disorders, such as weight and size problems or dietary restrictions. To be used to treat anorexia nervosa, CRT needs to be used in conjunction with other traditional therapies.of

CRT is always used as an adjunct to the treatment of eating disorders; it is not intended to be an independent treatment for anorexia nervosa.

How’s the effect?

CRT allows patients with anorexia nervosa to acquire new cognitive skills by practicing cognitive flexibility and central consistency in neutral situations that are not directly related to diet or nutrition. After practicing these skills, people can apply them to diet-related tasks. For example, the skills acquired through CRT training may help people with anorexia nervosa balance a meal plan instead of focusing on the nutritional content of a single food.

Research on the use and effectiveness of cognitive therapy for anorexia is still relatively new. In the research done so far, CRT seems to help people improve their cognitive skills.

Preliminary studies exploring the effectiveness of CRT in children, adolescents, and adults with anorexia nervosa have shown that most people believe that CRT is acceptable and that the technology can be used in traditional treatment settings (such as hospitals).

CRT does not focus on emotional content, which may reduce the threat to people who are seriously ill and are not prepared to deal with emotional topics or make major diet-related behavior changes.

Larger research reviews indicate that CRT may have many potential benefits. possible:

  • Improve the effectiveness of traditional treatments
  • Improve cognitive ability
  • improve the quality of life
  • Reduce symptoms of eating disorders
  • Reduce treatment dropouts

Activities you can try at home

There are many interesting games, puzzles and “brain teasers” that can help you improve your cognitive flexibility and central coherence. You may recognize some classic board and card games on the list, but you will also find many applications that can be used as a phone or tablet. Here are some things you can play at home:

  • Last Word Response: Last Word Response is a game that is usually used as an impromptu exercise in drama art. It requires the cognitive flexibility of the player and the ability to listen fully before reacting.The first player can make a statement or ask a question first, for example “Where is the library?” The second player must start with the last word of the first person’s question, “Library? Uh, let me think about…” Then the first player can answer the conversation by saying, “Think for as long as you want.” The second player can respond, “To get to the library, you need to cross the quadrilateral.” The game becomes tricky, and the dialogue often changes strangely.
  • Set: Set is a card game that focuses on matching elements according to different criteria (for example, shadows, colors, graphics, and some elements). It involves setting switching, which is an executive function that involves the ability to unconsciously divert attention between tasks.
  • Unusual Uses: Unusual Uses is a language setting conversion game that challenges you to come up with unusual alternative uses for common items. For example, instead of eating an apple, you can cut an apple in half and use it to print color on the fabric.The point of the game is to brainstorm and use-you don’t actually have to fulfill them.
  • Word search: Word search requires you to focus on relevant and irrelevant information-an aspect of central coherence.

However, it is important to note that playing these games does not constitute cognitive correction therapy. If you are interested in trying CRT as an adjunctive treatment for anorexia or other mental health conditions, be sure to cooperate with a well-trained therapist.

Very good sentence

CRT is a relatively new development that has been used to help treat anorexia nervosa. Because it solves some potential cognitions that contribute to the development and maintenance of the disease, it may be used as an effective adjuvant therapy. If you decide to try CRT, you will be able to learn skills to help you overcome rigid thinking and better understand the big picture as you gradually recover.