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Chapter 12 - Reducing Excessive Exercise Behaviour Using Online Cognitive–Behavioural Therapy

The Case of a Middle-Aged Adult

from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies

Published online by Cambridge University Press:  30 March 2023

By
Merve Denizci Nazlıgül
Edited by
Ornella Corazza  and
Artemisa Rocha Dores
Ornella Corazza
Affiliation:
University of Hertfordshire and University of Trento, Italy
Artemisa Rocha Dores
Affiliation:
Polytechnic Institute of Porto and University of Porto, Portugal
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Summary

One of the most challenging aspects of exercise addiction (EA) is that it is a behaviour that is positively reinforced in the community. Moreover, accompanying non-adaptive eating behaviours make this problem more complicated. Evidence has shown that people with EA are mostly ambivalent and can be resistant to change. Therefore an understanding of individual differences and comorbidity factors may be important when choosing the most appropriate disorder-specific treatment. This chapter presents the case of a 38-year-old woman who exhibited excessive exercise and binge-eating behaviours. In addition to 12 sessions of online cognitive–behavioural therapy, some mindfulness-based techniques were used to elicit emotional awareness in this patient throughout her treatment. At the end of the intervention, her mood was improved, and she began to use more effective ways of coping with negative emotions. This case may also shed light on the importance of limitations and barriers to treatment adherence.

Keywords

binge eatingcase studycognitive–behavioural therapyexercise addictionmindfulness-based practices
Type
Chapter
Information
The Body in the Mind
Exercise Addiction, Body Image and the Use of Enhancement Drugs
 , pp. 171 - 176
Publisher: Cambridge University Press
Print publication year: 2023

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