Cognitive Behavioral Therapy on obesity

Cognitive Behavioral Therapy on obesity

Obesity is a chronic disorder associated with risk factors for several comorbidities and medical complications such as hypertension, osteoarthritis, cardiovascular diseases, type-2 diabetes, cancer, and dyslipidemia, among others. Obesity is a complex and multifactorial disease: physiological, biological, genetic, familial, cultural, social, environmental, and behavioural factors and causes impact people in different ways.   It is considered as one of the most current but essential health problems that affect millions of people worldwide, including the adult population. Studies show that evident—based strategies that aim at improving weight loss and maintaining healthy weight typically integrate exceptional interventions such as physical, behavioural, nutritional, pharmacological as well as surgical. The treatments that are adopted in the multidisciplinary context among clinical teams have portrayed that the rationale requires explicit focus and attention to bring it to an equivalent whole from various professionals. Cognitive-behavioural therapy (CBT) is recognized traditionally as the most established treatment for disorders related to binge eating. It acts as the most preferred intervention for the treatment and prevention of obesity.  CBT can be considered as the primary treatment approach for obesity among other psychological methods. Traditional CBT approach for weight loss as well as other protocols like the enhanced CBT, behavioural weight-loss treatment, enhanced focused CBT, commitment and acceptance therapy, therapeutic education among other have been the basic approaches that medics have deployed to counter incidence of obesity.  This paper focuses on examining Cognitive Behavioral Therapy (CBT) for the treatment of obesity

Cognitive Behavioral therapy is traditionally recognized as one of the best-established treatment and intervention for obesity across all social lives. Though the practical and comprehensiveness nature of the approach is positive, the psychotherapy does not, in most cases produce successful weight loss among people. Psychological treatment and traditional medication protocols have been noted to have short term efficacy are compared to placebo. According toJelalian et al. (2019), regardless of the setbacks that CBT may experience in attempts to create an equivalent medical rendition, the approach has significantly reduced binge eating episodes, while promoting days without bingeing and managing heating habits among people across all social lives. However, research also shows that patients with BED-obesity have high chances of psychological comorbidity as compared to the ones without BED-obesity. Correctly, CBT,dialectical behaviour therapy, interpersonal therapy among others have portrayed the usefulness of managing obesity among people. These approaches serve as the most credible approaches through which obesity and eating disorders can be handled and addressed amicably.  Although the factors in the common in obesity cases place individuals at risk and can expose them disorder weight control patterns, the use of CBT acts as the immediate response to obesity-related complications.

Children and adolescents with obesity and eating disorders require clinical attention. Weight-and eating-relateddisease requires an unusual approach from qualified personalities. Similarly, the treatment of control of weight requires comprehensive strategies while disordered eating habits permeates the social environment, home, and individual.  However, for better understanding of the conditions and factors that arerelated to it, proper training and incidences of certification are needed to assert their credibility. For instance, health professionals and the nurse needs at least a bachelor’s degree in health-related courses to adequately provide the necessary services to people with obesity-related conditions.  Similarly, the application of ARPN’s in the service delivery approaches not only provide credible and positive experiences with the condition bust also allows health practitioners to categorically address the menace based on its impacts to the affected individuals.  As the most established obesity treatment method, CBT through ARPN has demonstrated efficacy over psychological therapeutic and pharmacological options (Jelalian et al., 2019). They are that the need to provide proper treatment method to obsessed persons, training and certification is needed to enable the affected persons to develop a coherent relationship with the health providers. Given the emphasis that is common in the interpersonal psychotherapy about the current relationship between eating disorders and the possible countermeasures, it is necessary for people across social lives; children, youths and adults to maintain a healthy eating style to reduce instances of obesity cases. Cognitive behavioural therapy, through its various types, provides outlined forms of treatments that cover a broad spectrum.

According toCastelnuovo et al. (2107), for successive treatment of obesity through the administration of the CBT, it is relevant to distinguish the mindfulness-based part of the protocols in the ACT from the developed CBT-based ones, due to different impacts the variable have on patients.  The complications that are common in managing obesity have remarkably made it hard for proper and coherent administration processes to be intercepted. Therefore, among a specific group of individuals who depend on the treatment method to counter the impacts of the obesity among people across social lives, it is worth noting that CBT remains to be one of the efficient ways through which the menace can be handled.  For instance, standard CBT has explicit structures that are essential for the treatment of overweight and obesity-related disorders. The common one includes goal-setting, self-monitoring, cognitive restructuring, and behavioural substitution.  Studies have also indicated that the use of CBT is successful in reducing the weight of patients during treatment. However, most patients usually gain weight and fail to fathom the best approach to maintain them after getting the required treatment methods.

Additionally, cognitive behavioural therapy has a diet that is typically designed for the production of calories deficit to achieve the immediate step to weight loss before maintaining a function weight which lies within a flexible range as portrayed in the adjust steps. The CBT components that are associated with lifestyle modification can motivate patients to adhere to exercise and diets as well as capable of providing set strategies and procedures like achievable an realistic goal-setting, self-monitoring during eating, as well as control of dangerous stimuli that triggers or promote alternative behaviours during negative mood states or critical emotional situations (Musetti et al., 2019). Cognitive-behavioural therapy also outlines enhancements and assessments of compliance, motivation and engagement of patients as useful strategic issues that can be used for the successful treatment of obesity and other related comorbidities. The initiation of the trans-theoretical change model, which describes five motivational stages that are necessary for patients to evolve while trying to change their dysfunctional.  The integration of CBT and mHealth is a significant approach that not only aims at providing technological opportunity in handling obesity-related issues is a necessary procedure in the health care scenario enhancement and could be related to preventive and delivery measures.  Overall, CBT, among other obesity treatment programs, have portrayed significant in the control body weight and eating disorders that have exposed people to challenges and other health-related hazards.



Cultural and Genetic Issues associated with Cognitive Behavioral Therapy

CBT has been exceptional efficacious in handling issues of anxiety disorders among the white population for many years. However, in the exploration of the general efficacy of CBT on anxiety, marginalization of status has been of significant consideration.  The case examples that show the effectiveness of CBT cultural sensitivity among clients who suffer from obesity and other related issues reveals that the efficacy of the rationale is universal among the whites.  According to Dalle Grave et al. (2018), multiculturalism is associated with philosophical and theoretical ways which show that variations in culture in its norms, worldviews, traditions, and values, as the emphasis is being made on the inferior cultures across the world.  Notably, in the field of psychology, the inception of multicultural counselling can be regarded as a therapy process which ensures that therapy goals and treatment approaches which are adversely consistent with the life contexts, cultural values, and life experiences about clients from diverse ethnic backgrounds. Studies also reveal that in a culturally responsive practice which is associated with Cognitive behavioural therapy, psychotherapy acts as an adapting mainstream that is used for fitting the cultural identity, preferences and contexts of clients.  Through the rationale, the fundamental cultural responsive aspects of CBT include acceptance of the core cultural beliefs which emphasise on the strength and supports that are essential invalidating the experiences that a client undergoes based on the changes within his or her environment. Culturally responsive CBT is associated with thought-change processes that involve a reconsideration of the usefulness of the thoughts as opposed to their validity and rationality.  Homework and health-concerns that are cultural congruent are developed in close collaboration with the patients.

Similarly, the primary concern of multicultural counselling isbased on the ability of various concepts to connect with clients in understanding the diverse world perspectives and identity development based on the main frameworks.  The disorder of obesity and anxiety appear similar across cultures, and significant approaches are used for effective treatment of obesity disorders within a cross-culturally unified platform (Sawamoto et al., 2016).  Though the method is standard across the world, it imposes cultural biases among the dominant group as well as on clients from diverse backgrounds.  The suggestion of specific CBT in addressing issues related to obesity and anxiety under the context of cultural sensitivity, it is worth noting that clients from marginalized groups usually suffer most from the vice as compared to others from an exposed social location.  According to Webb Hooper et al. (2018), integrating multicultural perspectives along CBT of obesity requires clinicians to have self-education about the modal experiences of the individual from different cultural backgrounds. However, due to lack of modal expertise in describing the full range of skills with a particular group, it is the role of clinicians to remain open to the life contexts and individual experiences of their clients.

Moreover, the response of genetics to cognitive behaviour among adults is associated with heritable disorders that may cause disabilities. As an effective treatment of depression and obesity, cognitive behaviour therapy through quantifying risk scores of genes that are based on their common variants is used to explore the cognitive trait genetic and the utility of psychiatric risk scores.  In most cases, the association of one to obesity and other related health complications that requires the use of CBT reveals that they are heritable. Most children develop incidences of obesity because of specific hereditary characteristics that they obtained from their parents. Similarly, the persistence of weight-related issuesis common because of the environmental and genetic stimuli, which can be traced from biological relationships and phenomena.  Therefore, to adequately address genetic associations and relationship shared among a specific group of people, it is essential to validate the crude relapses that might cause jeopardy in the entire concept.


The parallel between obesity and eating disorders allows for explicit discussion of issues that are associated with weight control continuum. The relationship between genetics and obesity also reveals that most characteristics are obtained from parents while in other cases; the transfer can be initiated due to eating particular foodstuffs. Within the field of eating disorders, specialized psychotherapies such as cognitive behavioural therapy remain effective modalities for the diagnoses of specific eating disorders.  In the case of obesity, behavioural treatment programs are family-based and very useful, primarily through the incorporation of various targeted cognitive skills as additives. The lifestyle interventions that are enhanced when sociological frameworks are applied encourages a supportive and accommodative environment where children and adolescents are helped to improve their daily chores while leading healthy lives.  Another possible future and a current scenario where CBT can be applicable in enhanced management of obesity are portrayed through virtual reality and enhanced-CBT where the modules focus on unlocking all the negative body memories, changing its dysfunctional correlations in behaviour as well as managing negative states of emotion.




Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Cattivelli, R., Rossi, A., Novelli, M., …& Molinari, E. (2017). Cognitive-behavioural therapy to aid weight loss in obese patients: current perspectives. Psychology research and behaviour management.

Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Cattivelli, R., Rossi, A., Novelli, M., …& Molinari, E. (2017). Cognitive-behavioural therapy to aid weight loss in obese patients: current perspectives. Psychology research and behaviour management.

Dalle Grave, R., Sartirana, M., El Ghoch, M., &Calugi, S. (2018). Treating obesity with personalized cognitive behavioural therapy.Springer.

Jelalian, E., Jandasek, B., Wolff, J. C., Seaboyer, L. M., Jones, R. N., &Spirito, A. (2019). Cognitive-behavioural therapy plus healthy lifestyle enhancement for depressed, overweight/obese adolescents: results of a pilot trial. Journal of Clinical Child & Adolescent Psychology48(sup1), S24-S33.

Musetti, A., Cattivelli, R., Guerrini, A., Mirto, A. M., Riboni, F. V., Varallo, G., …& Molinari, E. (2018). Cognitive-Behavioral Therapy: Current Paths in the Management of Obesity. In Cognitive Behavioral Therapy and Clinical Applications.IntechOpen.

Sawamoto, R., Nozaki, T., Furukawa, T., Tanahashi, T., Morita, C., Hata, T., …&Sudo, N. (2016). Predictors of dropout by obese female patients treated with a group of cognitive behavioural therapy to promote weight loss. Obesity Facts9(1), 29-38.

Webb Hooper, M., Antoni, M. H., Okuyemi, K., Dietz, N. A., &Resnicow, K. (2018).A randomized controlled trial of group-based culturally specific cognitive behavioural therapy among African American smokers. Nicotine & Tobacco Research19(3), 333-341.

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