Bulim ia Nervosa (BN) is a category of eating disorder,BN’s m ain feature are over-evaluation ofthe weightand shape,repeated binge eating behaviorand inappropriatecompensatorybehaviortopreventweightgainafterbingeeating.Studies foundthepropotionofyoungwomeninpatientswithBN ishigher.Bulimianervosa brings diferentdegrees ofdamage to the individual's daily life,learning,work, interpersonalandotherfunctions,andafectthehealthydevelopmentofindividual’s psychologyandphysiology.Theresearchshowsthatcognitivebehavioraltherapyis one ofthe long-term ef fective psychologicalintervention m ethods forthe intervention of bulimianervosa.Cognitivebehavioraltherapyisspecialyaimedatthecoremechanism ofbulimianervosa,whichisastructured,scientific,operationalTherapeuticmethod. Thispaperpresentsacasereportofcognitivebehavioraltherapyinayoungwoman withbulimianervosasymptoms.

This article used the Enhanced Cognitive Behavior Therapy (CBT-E) for eating disorder.CBT-E has developed two versions in clinicalpractice,One is Enhanced CognitiveBehavioralTherapyfocusedversion(CBT-Ef)thatexclusivelyconcentrateson theeatingdisorderpsychopathology.AnotheroneisEnhancedCognitiveBehavioral Therapybroadversion(CBT-Eb)designedbasedonthefocusedversion,whichisaimed toaddressmechanisms“external”tothecorepsychopathology(perfectionism,core low self-esteem,moodintolerance,interpersonalproblem)thatcontributestoBN’s maintenance.ThisarticleusedCBT-Eb’smodelandguidancetointerventedayoung womenLN withBN’ssymptomsfortwoandhealfmonthes.Interventionconsistedof 18consultations(includinginitialevaluationandreturnvisit),whichweredividedtointo fourstages:(1)Thefirststage(1-6sessions,twiceaweek)istoestablishrelationship, introduce counseling setings and feature,determine the conseling goals,colect informations to build the formulation,use eating record to help LN establish s e lf-m o n ito rin g a b o u t e a tin g a n d w e ig h t, h e lp L N to e s ta b lis h re g u la r e a tin g h a b it; (2 ) Thesecondstage(7-8sessions)istostrengthentheefectofthefirststage,formulate the intervention goal of the third stage, learn the m indfulness eating skil ls, and strengthentheregulareatinghabits;(3)Thethirdstage(9-14sessions)isthemain stageoftheintervention,whichisaimedtoaddressthemainmechanism and other

maintainingmechanism oftheBN,includingstressandeventrelatedmoodintolerance; (4)Theforthstage(15-16sessions)isthefinalstage,whichisaimedtosummarizeand strengthentheefectofintervention,reducetheriskofrelapse,discussthetermination ofthe intervention and counseling relationship.The Eating DisorderExamination Questionnarie 6.0 (EDE-Q 6.0),The Depression Anxiety Stress Scale (DASS-21) and Rosenberg’sSelf-Esteem Scale(SES)wereusedtomonitorLN’seatingdisorder symptoms,moodchangesandlevelofself-esteem duringthecounselingandoneand halfmonthaftertheterminationoftheconsultation.