However, family members can be seen with or without the individual with the symptoms. Outpatient therapy can also include group therapy where several people with similar eating issues meet with a therapist or facilitator, usually once a week for one to two hours. Therapists and therapy centers can differ as to what approach or theoretical orientation they will take in therapy. The treatment manual by Christopher Fairburn, Overcoming Binge Eating, is a step by step manual that takes the Cognitive Behavioral Approach. It is available at most bookstores.
Interpersonal therapy is a more recent type of therapy that is being offered.
It focuses on relationship issues, concerns and problems that often fuel disordered eating and eating disorders. There is less research on this orientation, but seems to be as effective as CBT in short-term gains. Behavioral therapy focuses on rewarding healthy behavior in an attempt to reduce non-healthy behavior. It is not as effective in long term gains but is highly effective in short term gains in weight. It is most often used in inpatient settings.