Anorexia nervosa has one of the highest death rates of all mental illnesses and one of the poorest treatment outcomes. However, one novel treatment, the neurobiologically-based treatment Temperament Based Therapy with Support (TBT-S), works with clients' temperament and traits to motivate change, ultimately managing and reducing symptoms. This practical and accessible book is the first guide to delivering TBT-S that addresses the underlying traits leading to symptoms of anorexia nervosa and helps people to manage symptoms long-term. It offers background information on the role of temperament in anorexia nervosa, the development of the TBT-S protocol and the evidence gathered. Chapters also cover how to use this therapy to augment existing treatment. A valuable resource for clinicians involved in the treatment of anorexia nervosa, including psychologists, psychiatrists, psychotherapists, specialist nurses, dieticians, and educators.
Now in its second edition, this established text provides the practical information needed to treat patients with anorexia nervosa and related eating disorders. It is suitable for all health care professionals involved in eating disorder management, with special information provided for general practitioners, nurses, family carers and nutritionists.
This book describes the application of cognitive behavioural principles to patients with a wide range of eating disorders - it covers those with straightforward problems and those with more complex conditions or co-morbid states. The book takes a highly pragmatic view. It is based on the published evidence, but stresses the importance of individualized, principle-based clinical work. It describes the techniques within the widest clinical context, for use across the age range and from referral to discharge. Throughout the text, the links between theory and practice are highlighted in order to stress the importance of the flexible application of skills to each new situation. Case studies and sample dialogs are employed to demonstrate the principles in action and the book concludes with a set of useful handouts for patients and other tools. This book will be essential reading for all those working with eating-disordered patients including psychologists, psychiatrists, nurses, counsellors, dieticians, and occupational therapists.
Based on over twenty years of research, radically open dialectical behavior therapy (RO DBT) is a breakthrough, transdiagnostic approach for helping people suffering from extremely difficult-to-treat emotional overcontrol (OC) disorders, such as anorexia nervosa, obsessive-compulsive disorder (OCD), and treatment-resistant depression. Written by the founder of RO DBT, Thomas Lynch, this comprehensive volume outlines the core theories of RO DBT, and provides a framework for implementing RO DBT in individual therapy. While traditional dialectical behavioral therapy (DBT) has shown tremendous success in treating people with emotion dysregulation, there have been few resources available for treating those with overcontrol disorders. OC has been linked to social isolation, aloof and distant relationships, cognitive rigidity, risk aversion, a strong need for structure, inhibited emotional expression, and hyper-perfectionism. And yet—perhaps due to the high value our society places on the capacity to delay gratification and inhibit public displays of destructive emotions and impulses—problems linked with OC have received little attention or been misunderstood. Indeed, people with OC are often considered highly successful by others, even as they suffer silently and alone. RO DBT is based on the premise that psychological well-being involves the confluence of three factors: receptivity, flexibility, and social-connectedness. RO DBT addresses each of these important factors, and is the first treatment in the world to prioritize social-signaling as the primary mechanism of change based on a transdiagnostic, neuroregulatory model linking the communicative function of human emotions to the establishment of social connectedness and well-being. As such, RO DBT is an invaluable resource for treating an array of disorders that center around overcontrol and a lack of social connectedness—such as anorexia nervosa, chronic depression, postpartum depression, treatment-resistant anxiety disorders, autism spectrum disorders, as well as personality disorders such as avoidant, dependent, obsessive-compulsive, and paranoid personality disorder. Written for mental health professionals, professors, or simply those interested in behavioral health, this seminal book—along with its companion, The Skills Training Manual for Radically Open Dialectical Behavior Therapy (available separately)—provides everything you need to understand and implement this exciting new treatment in individual therapy—including theory, history, research, ongoing studies, clinical examples, and future directions.
The intention of this book was to have investigators describe an expert opinion on their field of research and cutting-edge work in their laboratory on the neurobiology and treatment of eating disorders.
Determine if your eating behaviors are a problem, develop strategies to change unhealthy patterns, and learn when and how to get professional help when needed with this practical, engaging guide to taking care of yourself when you are not a full-blown anorexic. Millions of men and women struggle with disordered eating. Some stand at the mirror wondering how they can face the day when they look so fat. Others binge, purge, or exercise compulsively. Many skip meals, go on diet after diet, or cut out entire food groups. Still, they are never thin enough. While only 1 in 200 adults will struggle with full-blown anorexia nervosa, at least 1 in 20 (including 1 in 10 teen girls) will exhibit key symptoms of one or more of the officially recognized DSM eating disorders--anorexia nervosa, bulimia nervosa, and binge eating disorder. Many suffer from the effects but never address the issue because they don't fully meet the diagnostic criteria. If this is the case for you, then you may be "almost anorexic." Drawing on case studies and the latest research, Almost Anorexic combines a psychologist's clinical experience with a patient's personal recovery story to help readers understand and overcome almost anorexia.Almost Anorexic will give you the skills to: understand the symptoms of almost anorexic; determine if your (or your loved one's) relationship with food is a problem; gain insight on how to intervene with a loved one; discover scientifically proven strategies to change unhealthy eating patterns; learn when and how to get professional help when it's needed.
Delivers a proven treatment model for clinicians in all orientations This unique, hands-on clinical guide examines the significant relationship between trauma, dissociation, and eating disorders and delivers a trauma-informed phase model that facilitates effective treatment of individuals with all forms of eating disorders. It describes, step-by-step, a four-phase treatment model encompassing team coordination, case formulation, and a trauma-informed, dissociation- and attachment-sensitive approach to treating eating disorders. Edited by noted specialists in eating and other behavioral health disorders, Trauma-Informed Approaches to Eating Disorders examines eating disorders from neurological, medical, nutritional, and psychological perspectives. Dedicated chapters address each treatment phase from a variety of orientations, ranging from EMDR and CBT to body-centered and creative therapies. The book also reveals the effectiveness of a multifaceted, phase model approach. Recognizing the potential pitfalls and traps of treatment and recovery, it also includes abundant psychoeducational tools for the client. KEY FEATURES: Examines eating disorders from neurological, medical, nutritional, and psychological perspectives Highlights the relationship between trauma, dissociation, and eating disorders Maps out a proven, trauma-informed, four-phase model for approaching trauma treatment in general and eating disorders specifically Elucidates the approach from the perspectives of EMDR therapy, ego state therapy, somatosensory therapy, trauma-focused CBT, and many others Provides abundant psychoeducational tools for the client to deal with triggers and setbacks Offers the knowledge and expertise of over 20 international researchers, medical professionals, and clinicians
This groundbreaking book gives clinicians a new set of tools for helping people overcome binge-eating disorder and bulimia. It presents an adaptation of dialectical behavior therapy (DBT) developed expressly for this population. The treatment is unique in approaching disordered eating as a problem of emotional dysregulation. Featuring vivid case examples and 32 reproducible handouts and forms, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions. Step-by-step guidelines are provided for implementing DBT skills training in mindfulness, emotion regulation, and distress tolerance, including a specially tailored skill, mindful eating. Purchasers get access to a Web page where they can download and print the reproducible handouts and forms in a convenient 8 1/2" x 11" size. See also the related self-help guide, The DBT Solution for Emotional Eating, by Debra L. Safer, Sarah Adler, and Philip C. Masson, ideal for client recommendation.
Family-based treatment (FBT) for eating disorders is an outpatient therapy in which parents are utilized as the primary resource in treatment. The therapist supports the parents to do the work nurses would have done if the patient were hospitalized to an inpatient-refeeding unit, and are eventually tasked with encouraging the patient to resume normal adolescent development. In recent years many new adaptations of the FBT intervention have been developed for addressing the needs of special populations. This informative new volume chronicles these novel applications of FBT in a series of chapters authored by the leading clinicians and investigators who are pioneering each adaptation.
