This state-of-the-art guide provides a powerful transdiagnostic approach for treating adolescent eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, and others) in either outpatient or inpatient settings. It describes how enhanced cognitive behavior therapy (CBT-E)--the gold-standard treatment for adult eating disorders--has been systematically adapted and tested with younger patients. With a strong motivational focus, CBT-E gives the adolescent a key role in decision making. The book presents session-by-session guidelines for assessing patients, determining whether CBT-E is appropriate, developing case conceptualizations, conducting individualized interventions, addressing medical issues, and involving parents. User-friendly features include case vignettes and reproducible forms; purchasers get access to a webpage where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.
CBT-E is recognized as a best practice for the treatment of adolescent eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).
This state-of-the-art guide provides a powerful transdiagnostic approach for treating adolescent eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, and others) in either outpatient or inpatient settings. It describes how enhanced cognitive behavior therapy (CBT-E)--the gold-standard treatment for adult eating disorders--has been systematically adapted and tested with younger patients. With a strong motivational focus, CBT-E gives the adolescent a key role in decision making. The book presents session-by-session guidelines for assessing patients, determining whether CBT-E is appropriate, developing case conceptualizations, conducting individualized interventions, addressing medical issues, and involving parents. User-friendly features include case vignettes and reproducible forms; purchasers get access to a webpage where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.
CBT-E is recognized as a best practice for the treatment of adolescent eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).
Foreword, Christopher G. Fairburn
Introduction and Overview
1. Eating Disorders in Adolescence and Cognitive Behavioral
Theory
2. CBT-E for Adolescents with Eating Disorders: An Overview
3. Assessment, Preparation, and Medical Management
The Core Protocol
4. The Three Steps of CBT-E for Adolescents: An Overview
5. Session 0
6. Parents-Only Session
7. Session 1
8. Session 2
9. Deciding to Change
10. Review Sessions
11. Underweight and Undereating Module
12. Body Image Module
13. Dietary Restraint Module
14. Events, Moods, and Eating Module
15. Setbacks and Mindsets Module
16. Ending Well
Adaptations for More Complex and Severe Cases
17. The Broad CBT-E Modules
18. Intensive Outpatient CBT-E
19. Inpatient CBT-E
20. Comorbidity and CBT-E for Adolescents
Appendices
Appendix A. Terms Used to Describe Eating-Disorder
Psychopathology
Appendix B. The Effects of Caloric Restriction and Weight Loss: The
Minnesota Starvation Experiment
Appendix C. The Starvation Symptom Inventory
Appendix D. The Eating Problem Checklist
References
Index
Riccardo Dalle Grave, MD, is Director of the Department of
Eating and Weight Disorders at Villa Garda Hospital in Verona,
Italy. In collaboration with Christopher G. Fairburn, Dr. Dalle
Grave has developed an inpatient treatment program for eating
disorders at Villa Garda based entirely on enhanced cognitive
behavior therapy (CBT-E), including an adapted program for
adolescents. His current research includes assessing the
effectiveness of CBT-E in treatment of significantly underweight
adults and adolescents with eating disorders in both outpatient and
inpatient settings. Dr. Dalle Grave is editor of the CBT-E website
(cbte.co) and Director of the Advanced Training Course on the
Treatment and Prevention of Eating Disorders and Obesity sponsored
by the Italian Eating and Weight Disorder Association. He also
provides CBT-E supervision for clinical services in Europe, the
United States, Australia, and the Middle East. He is a Fellow of
the Academy of Eating Disorders and serves on the editorial boards
of several journals in the field.
Simona Calugi, PhD, is Clinical Research Director of the Department
of Eating and Weight Disorders at Villa Garda Hospital in Verona,
Italy. In collaboration with Riccardo Dalle Grave and Christopher
G. Fairburn, Dr. Calugi is involved in assessing the effectiveness
of CBT-E in treatment of significantly underweight adults and
adolescents with eating disorders in both outpatient and inpatient
settings. Dr. Calugi has extensive clinical experience in
delivering outpatient CBT-E to adolescent and adult patients with
eating disorders. She is a member of the online CBT-E training
group (cbte.co) and is on the teaching faculty of the Advanced
Training Course on the Treatment and Prevention of Eating Disorders
and Obesity sponsored by the Italian Eating and Weight Disorder
Association (AIDAP). She also serves on the faculties of several
CBT-based psychotherapy schools in Italy and is president of the
AIDAP.
"This is an important book. It fills two major gaps. For
clinicians, it provides a detailed guide to the treatment of any
form of eating disorder seen in adolescents. For researchers, it
specifies for the first time how this empirically supported
treatment, 'enhanced cognitive behavior therapy' (CBT-E), should be
implemented with young patients....Too often, treatment manuals are
written by treatment 'gurus' or researchers who engage in little or
no ongoing face-to-face clinical work....This book is entirely
different, as it has been written by two experienced practitioners,
both of whom are active clinically. The result is a truly useful
guide."--from the Foreword by Christopher G. Fairburn, OBE, DM,
FMedSci, FRCPsych, Wellcome Principal Research Fellow and Professor
of Psychiatry, University of Oxford, United Kingdom
"Eating and weight issues in adolescence can be disabling and can
have lifetime effects. Written by two outstanding
clinician-scholars, this very accessible book shows how to deliver
empirically based, state-of-the-art treatment that is tailored to
the individual. With thoughtfulness and care, the authors capture
the complexities of describing eating disorders in adolescents and
discuss ways to navigate the thorny issues of patient and family
engagement. An important book."--Kelly D. Brownell, PhD, Robert L.
Flowers Professor of Public Policy and Professor of Psychology and
Neuroscience, Duke University
"Dalle Grave and Calugi, two respected CBT experts, have produced a
vital manual that walks the clinician through engaging and treating
adolescents with eating disorders. This is a well-written book that
describes how to deliver CBT-E to younger patients in a flexible,
individualized, and effective manner. An indispensable resource for
clinicians and supervisors, the volume provides clear, practical
guidance rooted in emerging scientific evidence."--Carlos M. Grilo,
PhD, Director, Yale Program for Obesity, Weight, and Eating
Research, Yale University School of Medicine
"Treating adolescents with eating disorders remains a significant
challenge, in part because few treatments have garnered efficacy
data that promote confidence in their application. With this
detailed, comprehensive treatment manual, Dalle Grave and Calugi
take the field a significant step forward. These authors have been
at the forefront of the development of a transdiagnostic
application of CBT-E for adolescent eating disorders, and this
manual will be a most valuable tool for clinicians as well as
clinical researchers."--Daniel Le Grange, PhD, Benioff UCSF
Professor in Children’s Health, Department of Psychiatry,
University of California, San Francisco; Emeritus Professor of
Psychiatry and Behavioral Neuroscience, The University of
Chicago-With case vignettes and sample dialogues, this book
provides a seamless and structured process for a therapist to
follow….Both authors are internationally renowned for their
expertise in the field of eating disorders.--Doody's Review
Service, 4/27/2020
"This is an important book. It fills two major gaps. For
clinicians, it provides a detailed guide to the treatment of any
form of eating disorder seen in adolescents. For researchers, it
specifies for the first time how this empirically supported
treatment, 'enhanced cognitive behavior therapy' (CBT-E), should be
implemented with young patients....Too often, treatment manuals are
written by treatment 'gurus' or researchers who engage in little or
no ongoing face-to-face clinical work....This book is entirely
different, as it has been written by two experienced practitioners,
both of whom are active clinically. The result is a truly useful
guide."--from the Foreword by Christopher G. Fairburn, OBE, DM,
FMedSci, FRCPsych, Wellcome Principal Research Fellow and Professor
of Psychiatry, University of Oxford, United Kingdom
"Eating and weight issues in adolescence can be disabling and can
have lifetime effects. Written by two outstanding
clinician-scholars, this very accessible book shows how to deliver
empirically based, state-of-the-art treatment that is tailored to
the individual. With thoughtfulness and care, the authors capture
the complexities of describing eating disorders in adolescents and
discuss ways to navigate the thorny issues of patient and family
engagement. An important book."--Kelly D. Brownell, PhD, Robert L.
Flowers Professor of Public Policy and Professor of Psychology and
Neuroscience, Duke University
"Dalle Grave and Calugi, two respected CBT experts, have produced a
vital manual that walks the clinician through engaging and treating
adolescents with eating disorders. This is a well-written book that
describes how to deliver CBT-E to younger patients in a flexible,
individualized, and effective manner. An indispensable resource for
clinicians and supervisors, the volume provides clear, practical
guidance rooted in emerging scientific evidence."--Carlos M. Grilo,
PhD, Director, Yale Program for Obesity, Weight, and Eating
Research, Yale University School of Medicine
"Treating adolescents with eating disorders remains a significant
challenge, in part because few treatments have garnered efficacy
data that promote confidence in their application. With this
detailed, comprehensive treatment manual, Dalle Grave and Calugi
take the field a significant step forward. These authors have been
at the forefront of the development of a transdiagnostic
application of CBT-E for adolescent eating disorders, and this
manual will be a most valuable tool for clinicians as well as
clinical researchers."--Daniel Le Grange, PhD, Benioff UCSF
Professor in Children’s Health, Department of Psychiatry,
University of California, San Francisco; Emeritus Professor of
Psychiatry and Behavioral Neuroscience, The University of
Chicago-With case vignettes and sample dialogues, this book
provides a seamless and structured process for a therapist to
follow….Both authors are internationally renowned for their
expertise in the field of eating disorders.--Doody's Review
Service, 4/27/2020
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