An indispensable clinical resource, this groundbreaking book is the first treatment manual to focus specifically on adolescent bulimia nervosa. The authors draw on their proven approach to treating anorexia nervosa in the family context and adapt it to the unique needs of this related yet distinct clinical population. Evidence-based strategies are presented for helping the whole family collaborate to bring dysfunctional eating behaviors under control, while also addressing co-occurring psychological problems and parent-child relationship conflicts. Highly practical, the book shows exactly how to carry out this time-limited therapy and what to do when problems arise. Special features include annotated session transcripts and answers to frequently asked questions. --- from the publisher
"Le Grange and Lock, the brilliant innovators of the most effective treatment for anorexia nervosa, have adapted their family-based approach into the first promising intervention for adolescents with bulimia nervosa. Extremely well written and user friendly."-David B. Herzog, MD, Department of Psychiatry, Harvard Medical School
"The family-based approach has offered patients a genuine paradigm shift in the treatment of eating disorders, and real hope for recovery from a complex illness. Le Grange and Lock build here on their authoritative manual for the treatment of adolescent anorexia to deliver the first such manual for adolescent bulimia. This book is essential reading for those who seek empirically based, therapeutically sound treatments for children and adolescents with eating disorders."
-Leslie A. Sim, PhD, Department of Psychology and Psychiatry, Mayo Clinic
"When treating adolescents with bulimia nervosa, clinicians owe it to their patients to consider how family involvement might benefit treatment. This welcome book is authored by two of our most esteemed authorities on family-based intervention for eating disorders. Grounded in extensive research and practice, the manual offers theoretical perspectives, a clear rationale for the treatment, and practical instruction on implementing the techniques."-Joel Yager, MD, Department of Psychiatry and Biobehavioral Sciences, University of New Mexico School of Medicine; past president, Academy for Eating Disorders
"The authors' approach emphasizes a positive view of parents, as agents in reestablishing healthy eating for adolescents with bulimia nervosa; of the family, as a resource for recovery; and of adolescents themselves, as competent and autonomous-except in relation to their disordered eating. Detailed case studies show how the therapist can model uncritical acceptance of the patient and separate the illness from the individual. This book belongs in the library of any professional who treats eating disorders."
-Richard E. Kreipe, MD, Department of Pediatrics, University of Rochester Medical Center
"A seminal resource for both researchers and clinicians. Not only will this book assist in understanding the dynamics and treatment for families with a child with bulimia nervosa, but the comparisons presented with families with a child with anorexia nervosa also help to solidify understanding of those dynamics as well."
-Nancy Zucker, PhD, Duke Eating Disorder Program, Duke University Medical Center
"Practical in orientation and comprehensive in scope, this is an invaluable resource for clinicians."
-Christopher G. Fairburn, DM, FRCPsych, FMedSci, Department of Psychiatry, Warneford Hospital, Oxford University, Oxford, UK
1. Introduction and Background Information on Bulimia Nervosa
2. Family-Based Treatment for Adolescent Bulimia Nervosa
3. Phase I: Initial Evaluation
4. Session 1: The First Face-to-Face Meeting with the Family
5. Session 1 in Action
6. Session 2: The Family Meal
7. Session 2 in Action
8. The Remainder of Phase I (Sessions 3-10)
9. The Remainder of Phase I in Action
10. Phase II: Helping the Adolescent Eat on Her Own (Sessions 11-16)
11. Phase II in Action
12. Phase III: Adolescent Developmental Concerns (Sessions 17-20)
13. Phase III in Action
14. Summary of a Completed Case