133 pg, paper, ‘08

This Overcoming Eating Disorders program addresses the cognitive-behavioral treatment of bulimia nervosa and binge-eating disorder.

The main focus of the treatment described is the normalization of eating. Patients use self-monitoring forms to track their eating habits on a daily basis while they work toward establishing a pattern of three meals and two snacks per day, eaten at regular intervals. After successfully regulating heir eating, patients move on to recognizing and eliminating their triggers. CBT techniques like problem solving and cognitive restructuring help patients deal with negative mood states, faulty interpersonal interactions, and errors in thing-king. Strategies for maintaining treatment gains and prevention relapse are also addressed. Homework exercises are assigned at each session and play and important role in keeping patients motivated throughout the duration of treatment.

This program is intended for use my qualified therapists who have had some experience in the assessment and treatment of eating disorders. It provides guidance regarding the details of specific therapy sessions and phases of therapy. Moreover, to avoid therapist drift, the authors advise all therapists to review the guide from time to time.

The accompanying patient workbook, Overcoming Your Eating Disorder, should also be read by therapists because it contains information linked to specific treatment sessions and procedures.

CONTENTS:

Information about Bulimia Nervosa and Binge-Eating Disorder and This Treatment Program

1 – Introductory Information for Therapists
2 – Special Issues in Treatment
3 – Pretreatment Assessment

Treatment Phase 1: Behavior Change
4 – Session 1
5 – Session 2
6 – Session 3
7 – Session 4
8 – Remainder of Phase I: Sessions 5–9
9 – Assessing Progress

Treatment Phase 2: Identifying Triggers
10 – Introduction to Phase 2
11 – Feared and Avoided Foods
12 – Weight and Shape Concerns
13 – Faulty Thinking
14 – Negative Mood

Treatment Phase 3: Maintaining Change
15 – Final Sessions: Relapse Prevention

Guided Self–Help
16 – Therapist Assisted Self–Help

ABOUT THE AUTHORS:

Robin F. Apple is associate clinical professor, Department of Psychiatry and Behavioral Sciences at Stanford University, where she has an active role training postdoctoral psychology fellows and psychiatry residents to use CBT and other treatment techniques. She also has a private practice in Palo Alto, CA, and is a consultant with the county medical center’s eating disorders program.

An early leader in the field of behavior therapy, W. Stewart Agras is a professor of psychiatry at Stanford University where he established one of the first behavioral–medicine programs in the country and became the first and founding president of the Society for Behavioral Medicine. When the upsurge in patients with bulimia nervosa occurred in the late 70s, he began research into the etiology and treatment into the disorder, conducting a number of important treatment trials for bulimia nervosa together with the first treatment studies for binge eating disorder.

REVIEWS:

“Experienced therapists as well as those who have had limited experience using CBT for eating disorders will find this manual to be an excellent review and guide.”
— Joel Yager, M.D., Department of Psychiatry, University of New Mexico School of Medicine

This is an outstanding resource for therapists and their patients,. It provides a state-of-the-art approach to controlling binge eating and purging.”
— Scott Crow, M.D., Professor of Psychiatry, University of Minnesota