There is substantial evidence to support the effectiveness of individual and group CBT in the treatment of binge eating disorder (“Part A,” 2006). The CBT approach for binge eating disorder is active and directive. Cognitively, individuals in CBT are taught to identify, test, and correct their erroneous cognitions. Behavioral strategies in CBT for binge eating include monitoring binge eating patterns, educating the individual, and introducing incompatible activities (Parrott, 1998). One study evaluated the long-term effectiveness of CBT in treating binge eating disorder. They evaluated a sample of 68 patients with binge eating disorder and a substantial reduction in binge eating was observed during treatment. There was a decline at three-year follow-up, and at four-, five-, and six-year follow-up a slight worsening of binge eating was observed in individuals (Ricca, Mannucci, Zucchi, Rotella, & Faravelli, 2000). Other psychosocial therapies that show effectiveness in treating binge eating disorder are interpersonal therapy (IPT) and dialectical behavior therapy. There is evidence that both of these therapies are effective in improving behavioral and psychological symptoms (“Part A,” 2006). There is substantial evidence that self-help and guided self-help CBT programs for the treatment of binge eating disorder are effective (“Part A,” 2006). Peterson, Mitchell, Crow, Crosby, and Wonderlich (2009) compared three treatment groups, self-help, therapist-led, and therapist-assisted, to determine the effectiveness of self-help group treatment. Two hundred and fifty-nine adults with binge eating disorder were randomly assigned to one of three groups or waitlisted for 20 weeks. Participants were as...... halfway through the paper ...... cebo and fluvoxamine) in the rate of decline in Hamilton Depression Scale scores. Fluvoxamine medications have been shown to be effective in the acute treatment of binge eating disorder (Hudson, McElroy, Raymond, & Crow, 1998). From these results it can be interpreted that drugs such as fluvoxamine are useful in the treatment of binge eating disorder. Another form of treatment is a combination of psychosocial therapy and drug therapy. There is evidence that adding CBT to drug treatment results in increased effectiveness. The combination of CBT and antidepressant treatment for binge eating does not appear to be more effective than CBT alone (Ricca et al., 2000). No significant effect on binge suppression was found when antidepressants were added to CBT (“Part A,” 2006). This approach can be applied to Ricky's therapy. If CBT does not work alone, then drug therapy would also be introduced.