To clearly formulate a new ...

To more clearly articulate a new cognitive paradigm should be no one to quarrel, to limit the external contacts, do not bring themselves to utter exhaustion at work, since it is fraught with breakdowns. Must be constantly thinking back to the main task, and periodically repeat it themselves. This amplified many times over, if accompanied by prayers or appeals to the Higher Power (6). Furthermore, through description and accurate records of a typical day, we try to construct a new model of behavior, given the preferences and capabilities patient, in consultation with him and his family. The smaller model would be contrary to the original views and positions the patient, the more stable and sustainable will be a success. The stability of the model will be higher, the more we are her''anchored "suguboindividualnymi rules and regulations. For example, in the morning - only tea in the kitchen not to go, with co-workers did not have dinner and walk the walk and so on products, not to talk, to supper - after all, or only special dietary, etc. Indicate the general rules a little maybe, as in life stereotypes of people differ and individual set of rules and regulations is chosen in each case is different. Up to a call a little vomiting or taking laxatives in the case deviations from the rules. Further, the patient is released for several days by keeping a diary, do not watch TV, do not eat or drink stimulants for final lapping behavioral model. Moreover, any case of failure is considered as a teaching situation with the analysis of errors or purpose of correcting medication . medicine is desirable to supplement cognitive-behavioral therapy, only after exhausting the first all reserves of mental evolution and spiritual growth. pharmacotherapy of obesity, food and, combined with emotional disorders, rather represented (7). It is very important that at the first session held so-called ,''casting''and the patients depending on their motivation and ability to learn and care in assignments, you can make a further prediction of success of treatment. Low-motivated patients tend to have short or little success (8). By Western standards they must either withdraw from the program, on time, or limited to a much less significant goals and objectives. The patient is effectively moving the program if the result of discussions with the therapist decides that not the deprivation of food and hunger make him suffer, but only certain way of relating to it (9). adage''divide and rule''has here, as more helpful. The patient learns to distinguish between anxiety, gastric discomfort, fatigue, and a desire to amenity, and to separate those feelings from eating, stop and visualize these scenes substitute for their relaxation, meditation and any other substitution techniques. Thus, in our practice, a young girl suffering from bulimia nervosa, was surprised to find that the reading of religious literature and reflections on sacred truths are able to block her appetite.