Aims
This study will test innovative interventions for people with Bulimia Nervosa (BN) and Binge Eating Disorder (BED) who are non-rapid responders to first-line evidence-based treatment (a guided digital cognitive behavioural therapy (CBT) program). Participants will receive a treatment package of either personalised psychotherapy, or transcranial magnetic stimulation (TMS).

Background
CBT is a robust treatment for BN and BED. However, it may not adequately address the automatic cognitive processes maintaining maladaptive eating and weight control behaviours. These occur during the early stages of information-processing (i.e., outside of conscious control) and may be more automatic and engrained among those with more difficult-to-treat illness (i.e., non-rapid responders). Alternative, individualised treatment approaches are required for people with more difficult to treat illness. Taking a stepped care approach to treatment, starting with the least intensive treatment followed by more intensive intervention where necessary, may offer cost savings, reduce waiting times, promote the efficient use of clinical resources, and begin to provide evidence around how to optimise patient outcomes.

Currently recruiting
https://eatingdisordersresearch.org.au/website/signature-studies