Abstract
Yoga and Cognitive Behavior Therapy were applied to a patient with type 1 diabetes mellitus and eating disorder. At the beginning of intervention, the patient's motivation towards therapy was uncertain and she was alexithymic. To help the patient identify and express her emotions, thought records were chronicled during sessions. At the same time, yoga was introduced to control her emotions. Behavioral planning enabled the patient to substitute binge-purging with other activities. From the thought records, it was inferred that the patient's lack of confidence in job ability was found to trigger binge eating. Clarification of the areas in which she lacked confidence and then taking small steps to overcome these through the application of cognitive techniques was found to be effective. In addition, her mother's excessive worrying was found to be a major factor in lowering the patient's self-confidence. Therefore, the mother was advised to pay extra attention and give positive feedback in regards to the patient's adaptive behaviors. Our intervention to motivate the patient to actively participate in therapy using cognitive techniques in addition to yoga as a mindfulness technique were found to be effective in controlling eating disorder in a patient with type 1 diabetes mellitus.
