Psychologists Off the Clock 31. DBT for Binge Eating with Debra Safer
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Oct 10, 2017 Dr. Debra Safer, Associate Professor and Co-Director at the Stanford Adult Eating and Weight Disorders Clinic, discusses the innovative use of Dialectical Behavior Therapy (DBT) for binge eating disorders. She explains how emotional triggers can lead to binge episodes and introduces strategies like chain analysis to disrupt these cycles. Debra also highlights essential DBT skills like mindfulness and distress tolerance, emphasizing their real-life applications. Plus, she addresses the importance of individualizing treatments and understanding the relationship between binge eating and weight.
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Emotion Triggers Drive Automatic Binging
- Binge eating often follows an emotional trigger and becomes an automatic, overlearned response to discomfort.
- Patients report eating to numb, comfort, or space out rather than for pleasure.
Use Chain Analysis To Interrupt Binges
- Use chain analysis to slow and map the links from a prompting event to a binge.
- Break the chain at any link to prevent the binge from unfolding.
Anchor Mindfulness To Notice Emotions
- Practice mindfulness to observe emotions without being carried away by them.
- Apply simple sensory anchors like temperature or texture if visual focus triggers judgment.
