TITLE:
Α Model of Ιntegrative Psychotherapy H.E.A.L. A Case Study
AUTHORS:
Georgios Tsitsas, Maria Christodoulaki
KEYWORDS:
Η.Ε.Α.L., Intergrative Model, Bulimia Nervosa, Case Study
JOURNAL NAME:
Creative Education,
Vol.16 No.5,
May
21,
2025
ABSTRACT: Background: The eating disorder disease known as bulimia nervosa (BN) typically appears between adolescence and early adulthood, with a median onset age of 12. In order to manage weight gain, people with BN often engage in odd compensatory behaviors after episodes of excessive food consumption. Roughly 94% of people with BN either put off or never seek therapy. Even though there are therapies available, certain communities lack access to them. If BN is not treated, it may worsen and result in additional dangerous comorbidities. Οur proposed therapeutic model with the theoretical formulations of an enriched therapeutic perspective named H.E.A.L will be presented. Individuals, couples, and groups are all included, and it incorporates a range of cognitive-behavioral, systemic, attachment theory-based elements and neuropsychotheraputic techniques. The theoretical perspective of the model incorporates findings of neuroscience and neuropsychotherapy, psychodynamic and humanistic approaches (attachment theory, person-centered theory), cognitive therapies, narrative exposure theory and somatic experiencing modalities. H.E.A.L. describes an extended version of the stages of this intergrative model. Case Presentation: This case study will focus on Α, a female aged 23 with Bulimia Nervosa, (moderate severity), and average of 4 - 5 episodes of inappropriate conpensatoty behaviors according to DSM-5. The patient was recommended after a psychiatric evaluation with issues except from psychogenic bulimia, such as anxiety attacks, depressive symptomatology and low levels of functioning. She completed three pre- and post-intervention questionnaires, the Beck Depression Inventory (BDI) Beck Anxiety Inventory (BAI) and GAF Scale. Also the Eating Disorder Examination Questionnaire (EDE-Q) at the beginning of the intervention and at the end, the Eating Disorder Recovery Questionnaire (Dr Greta Noordenbos, Psychological Instiute of Leiden University) After the intervention she showed reduction in Depression Inventory Scores, BAI scores and on the GAF scores. She also reduced bulimic episodes to one per month and she demonstrated changes overall in eating behavior, body image, self-confidence, emotional regulation, and social relationships and partnerships. Conclusions: The patient showed changes in three mental health indicators of depression, anxiety and overall well-being. She also demonstrated a change in the frequency of bulimic episodes, a balanced relationship with nutrition, and overall satisfaction with life.