Table 1.

Comparison of bulimia nervosa (BN) and binge eating disorders (BED) features and treatment stages according to the brief strategic therapy (BST) approach.

	BULIMIA NERVOSA
	Overweight/obese arriving in therapy for health problems	Overweight/obese for affective-relational protection	Weight Cycling	Vomiting	BINGE EATING DISORDER
Attempted Solutions	Control (diet)			Compensatory behaviors – vomiting	Control (fasting or quanti-qualitative over-controlled diet)
Perceptive Reactive System			Obsessive-compulsive disorder based on pleasure
Intervention Logic				Paradox
TREATMENT STAGES
I	• How worst OR Miracle fantasy • Conspiracy of silence			• Meeting with a “secret lover” • Conspiracy of silence • List of foods to vomit	• “Fear of fasting” restructuring • Conspiracy of silence.
II	• Paradoxical diet AND If you do once you do five			• Interval technique OR • Perfect blowout
III	Small food transgression(s) during well-balanced nutritious diet			Paradoxical diet
IV	Redefinition of a new balance, support self-efficacy and conclusion of the therapy