What is the primary focus of psychotherapy in treating anorexia nervosa?

The primary focus of psychotherapy in treating anorexia nervosa is reframing cognitive distortions. Individuals with anorexia nervosa often engage in distorted thinking patterns related to body image, self-worth, and the importance of weight and control. These cognitive distortions can maintain the eating disorder and prevent recovery.

Through psychotherapy, especially cognitive-behavioral therapy (CBT), therapists help patients identify, challenge, and reframe these negative thoughts. By restructuring harmful beliefs around food and body image, individuals can begin to adopt healthier patterns of thinking. This shift is crucial as it lays the groundwork for behavior change, leading to improved self-acceptance and a more accurate perception of their body and health needs.

While weight restoration is a significant aspect of treatment, particularly in severe cases of anorexia, psychotherapy's role in addressing the underlying cognitive and emotional issues is foundational for long-term recovery. Similarly, while understanding dietary habits and building self-esteem are important components, they are often secondary to the goal of addressing cognitive distortions, which can have a more profound impact on a patient's mindset and behaviors related to their eating disorder.