Rumination Disorder

Treatments

Liquid Rescheduling         

Treatment Summary: Liquid Rescheduling focuses on two conditions, which are manipulating the individual’s liquid intake amount and consistency of food intake during a meal. Liquid is withheld at the presentation of a meal and allowed an hour and a half after the meal and the individual receives similar amounts of foods or caloric intake at every meal. Liquid Rescheduling may be effective because the absence of liquid during a meal may make it difficult to regurgitate. Caution should be used when recommending this option of treatment with some individuals with developmental disabilities. Also individuals with oral motor delays and or swallowing problems trying to withhold liquids may be difficult and dangerous. 

• Reference: Heering, P.W., Wilder, D.A., & Ladd, C. (2003). Liquid rescheduling for the treatment of rumination. Behavioral Interventions, (18), 199-207 

• Submitter: N/A 

Experimental Design of CBT and Self-monitoring 

Summary of Treatment: The client is to self-monitor their rumination occurrences, suggested app on phone, in conjunction with a regimented course of CBT and diaphragm exercises. These items in tandem allow for the individual with rumination to gradual experience less and less incidents after eating. The CBT course last about 8-12 weeks with a counselor, focusing on reducing frequency of the rumination disorder. 

• Reference: Thomas, J. J. & Murray, H. B. (2016). Cognitive-behavioral treatment of adult rumination behavior in the setting of disordered eating: A single case experimental design. International Journal of Eating Disorders, 49(10), 967-972. https://doi.org/10.1002/eat.22566 

• Submitter: N/A