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  • Chapter 12 - Reducing Excessive Exercise Behaviour Using Online Cognitive–Behavioural Therapy

  • from Section 2 - Reaching the Extreme with Exercise: A Collection of Clinical Case Studies
  • Edited by Ornella Corazza, University of Hertfordshire and University of Trento, Italy, Artemisa Rocha Dores, Polytechnic Institute of Porto and University of Porto, Portugal
  • Book:
    The Body in the Mind
    Published online:
    30 March 2023
    Print publication:
    06 April 2023, pp 171-176

  • Summary

    One of the most challenging aspects of exercise addiction (EA) is that it is a behaviour that is positively reinforced in the community. Moreover, accompanying non-adaptive eating behaviours make this problem more complicated. Evidence has shown that people with EA are mostly ambivalent and can be resistant to change. Therefore an understanding of individual differences and comorbidity factors may be important when choosing the most appropriate disorder-specific treatment. This chapter presents the case of a 38-year-old woman who exhibited excessive exercise and binge-eating behaviours. In addition to 12 sessions of online cognitive–behavioural therapy, some mindfulness-based techniques were used to elicit emotional awareness in this patient throughout her treatment. At the end of the intervention, her mood was improved, and she began to use more effective ways of coping with negative emotions. This case may also shed light on the importance of limitations and barriers to treatment adherence.