Most people with eating disorders struggle to find an effective therapy that they can access quickly. Brief Cognitive Behavioural Therapy for Non-Underweight Patients: CBT-T for Eating Disorders presents a new form of cognitive behavioural therapy (CBT) that is brief and effective, allowing more patients to get the help that they need.
CBT is a strongly supported therapy for all adults and many adolescents with eating disorders. This 10-session approach to CBT (CBT-T) is suitable for all eating disorder patients who are not severely underweight, helping adults and young adults to overcome their eating disorder. Using CBT-T with patients will allow clinicians to treat people in less time, shorten waiting lists, and see patients more quickly when they need help. It is a flexible protocol, which fits to the patient rather than making the patient fit to the therapy.
Brief Cognitive Behavioural Therapy for Non-Underweight Patients provides an evidence-based protocol that can be delivered by junior or senior clinicians, helping patients to recover and go on to live a healthy life. This book will appeal to clinical psychologists, psychiatrists, psychotherapists, dietitians, nurses, and other professionals working with eating disorders.
"Most services are restricted in the number of sessions that they can give to help people with eating disorders. Until now, clinicians have had no guidance about which of the established cognitive behavioural therapy (CBT) techniques they should be delivering under such circumstances. This clear, focused book, written by experts in the field, guides clinicians through a 10-session CBT intervention. It brilliantly describes the key methods, alongside the rationale for their use, and provides clear examples and materials throughout. It addresses how to balance the use of the guide while ensuring flexibility to individual needs and responsiveness to weekly monitoring. It is essential reading for all clinicians working with eating disorders in the 21st Century." - Professor Roz Shafran, UCL Great Ormond Street Institute of Child Health, UK
"This book makes a timely and significant contribution to the treatment of eating disorders. Firmly based on rigorous empirical research, it is innovative and clinically sophisticated. Cognitive behavioral therapy (CBT) is the most effective treatment for most eating disorders, but the reality is that a majority of patients do not receive quality evidence-based treatment. By providing a briefer, less costly, and more scalable form of CBT, this therapist-friendly treatment manual can help overcome the research-treatment gap. It is a must-read for professionals in the field of eating disorders." - Professor G. Terence Wilson, Oscar K Buros Professor of Psychology at Rutgers, the State University of New Jersey, USA
Table of Contents
Chapter 1. The background to CBT-T and its evidence base
Chapter 2. Principles of CBT-T, and how to apply them in routine practice
Chapter 3. The CBT-T protocol checklist, and how to employ it
Chapter 4. The critical first session Chapter 5. Phase 1 - Exposure, nutrition, and repairing the ‘broken’ cognitive link
Chapter 6. Session 4 - Reviewing progress and deciding whether to continue
Chapter 7. Phase 2 - Addressing cognitions regarding food, eating, and weight, using behavioural experiments and cognitive restructuring
Chapter 8. Phase 3 - Working with emotional triggers and core beliefs
Chapter 9. Phase 4 - Working with body image
Chapter 10. Phase 5 - Relapse prevention
Chapter 11. Follow-up as an active part of therapy
Chapter 12. Patients’ experiences of CBT-T, and the roles of clinicians and supervisors
Appendix 1 – CBT-T Protocol checklist
Appendix 2 - Basic diary sheet
Appendix 3 - ED-15 questionnaire and scoring key
Appendix 4 - Information sheet for patients and their families and friends
Appendix 5 – REAL food guide for CBT-T (Susan Hart & Caitlin McMaster)
Appendix 6 – Questionnaires to give the patient at each session
Appendix 7 – Patient handout on emotions and beliefs that can trigger eating behaviours
Appendix 8 – Extended food diary, assessing triggers to behaviours
Appendix 9 – Template for therapy blueprint
About the Authors
Glenn Waller is a Professor of Clinical Psychology at the University of Sheffield, UK. He has a particular focus on the real-world effectiveness of cognitive behavioural therapy for eating disorders. He served on the development group for the 2017 NICE eating disorder guideline. He is a past President of the Academy for Eating Disorders, and is an Associate Editor for the International Journal of Eating Disorders.
Hannah M. Turner is a Consultant Clinical Psychologist at the Southern Health NHS Foundation Trust Eating Disorders Service, UK. Her interests include treatment effectiveness in community settings. She is a British Association of Behavioural and Cognitive Psychotherapy (BABCP) accredited therapist and supervisor. She served on the development group for the 2017 NICE eating disorder guideline.
Madeleine Tatham is a Consultant Clinical Psychologist at the Norfolk Community Eating Disorders Service, UK. She is a British Association of Behavioural and Cognitive Psychotherapy (BABCP) accredited therapist and regularly contributes to Clinical Psychology Doctorate teaching programmes in the UK.
Victoria A. Mountford is Principal Clinical Psychologist at the Eating Disorder Service, South London and Maudsley NHS Foundation Trust, UK. Her interests include early intervention, body image, and improving psychological treatment outcomes in the eating disorders. She is a British Association of Behavioural and Cognitive Psychotherapy (BABCP) accredited practitioner, supervisor, and trainer.
Tracey D. Wade is the Matthew Flinders Distinguished Professor of Psychology at Flinders University, Australia. She has served as President of the Eating Disorder Research Society (2017-2018) and is an Associate Editor for the International Journal of Eating Disorders. In 2016 she was made an Inaugural Honorary Fellow of the Australian Association for Cognitive and Behaviour Therapy.