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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). 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. Illustrated with case vignettes and sample dialogues, the book explains how to deliver CBT-E at four levels of intensity from outpatient to inpatient settings.
Since the basic procedures and strategies remain consistent across levels, adolescents can easily transition between them as needed throughout recovery. 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, and involving parents in a supportive role.
The approach targets cognitive processes that cut across all eating disorders, and is attuned to the distinctive features of these disorders in adolescents. Included are strategies for addressing specific clinical issues, such as medically necessary weight restoration, disordered body image, strict dieting, and binge eating. Optional modules tackle broader mechanisms that maintain eating disorder psychopathology in complex cases - clinical perfectionism, core low self-esteem, interpersonal difficulties, and mood intolerance.
Implementation is facilitated by reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.