An early stage of the cognitive-behavioral treatment (along with education about the physical consequences of binge eating and purging) for Mary, who has bulimia nervosa, will likely involve

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Small, frequent meals are an important aspect of the cognitive-behavioral treatment for bulimia nervosa. This is because it helps to reduce the feeling of hunger that often triggers binge eating episodes. Additionally, it helps to regulate blood sugar levels and prevent extreme hunger, which can lead to binge eating. The other options, including antidepressant medication, family therapy, and in-patient treatment, may be part of the overall treatment plan but are not typically the first step in the early stages of treatment.

An Early Stage of the Cognitive-Behavioral Treatment (Along with Education