This indispensable manual presents the leading empirically supported treatment approach for adolescents with anorexia nervosa (AN). What sets family-based treatment apart is the central role played by parents and siblings throughout therapy. The book gives practitioners a clear framework for mobilizing parents to promote their child's weight restoration and healthy eating; improving parent-child relationships; and getting adolescent development back on track. Each phase of therapy is described in session-by-session detail. In-depth case illustrations show how to engage clients while flexibly implementing the validated treatment procedures.
New to This Edition
• Reflects the latest knowledge on AN and its treatment, including additional research supporting the approach.
• Clarifies key concepts and techniques.
• Chapter on emerging directions in training and treatment dissemination.
• Many new clinical strategies.
“This book—the first specific manualized approach available—is highly recommended for all professionals engaged in work with adolescents suffering from anorexia nervosa.”
—Journal of Clinical Psychiatry
“This work was designed to be most valuable to psychotherapists, and it succeeds well in this mission.”
—Journal of Developmental and Behavioral Pediatrics
“The efficacy of this form of treatment has now been established—it has become the first-choice intervention for adolescents with AN. Containing clear guidance and numerous examples, this book is required reading for all clinicians who treat young people with this disorder.”
—B. Timothy Walsh, MD, Ruane Professor of Psychiatry, Columbia University; Director, Division of Clinical Therapeutics, New York State Psychiatric Institute
“Now in an updated second edition, this is arguably the most important book on the treatment of younger patients with AN to be published in the last 20 years. Clinicians who work with this patient population and their family members need to read—and use—this manual.”
—James E. Mitchell, MD, The Lee A. Christoferson Chair in Neuroscience Research and Chester Fritz Distinguished University Professor, University of North Dakota School of Medicine and Health Sciences
“An important milestone in the development of effective treatments for adolescent AN. The publication of the second edition is timely, reflecting the growing evidence base and the widespread acceptance that active involvement of families in treatment is a key ingredient in recovery. The authors' ability to combine sound empirical knowledge and clinical wisdom makes this book a 'must' for practitioners.”
—Ivan Eisler, PhD, Department of Psychological Medicine, Institute of Psychiatry, King's College London, United Kingdom
“This manual has been an invaluable tool for our clinical practice. Lock and Le Grange have produced the authoritative guide to FBTfor AN. Their evidence-based approach has made conversations with parents about how to address this debilitating illness much more collaborative and hopeful.”
—Leslie A. Sim, PhD, Clinical Director, Mayo Clinic Eating Disorders Program
“In writing and updating their treatment manual, Lock and Le Grange demonstrate an exemplary respect for the bidirectional relationship between research and practice. The second edition incorporates more than a decade's worth of additional clinical trials and clinical experience, yielding a rich description of a powerful intervention for a notoriously difficult-to-treat disorder. This manual is an essential resource for therapists and a cornerstone text for a graduate-level course or practicum in eating disorders interventions.”
—Katharine L. Loeb, PhD, School of Psychology, Fairleigh Dickinson University; Department of Psychiatry, Mount Sinai School of Medicine
Table of Contents:
1. Introduction and Background Information on Anorexia Nervosa
2. Family-Based Treatment for Anorexia Nervosa
3. Phase I: Initial Evaluation and Setting Up Treatment
4. Session 1: The First Face-to-Face Meeting
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. Session 8 in Action
10. Beginning Phase II: Helping the Adolescent Eat on Her Own (Sessions 11–16)
11. Phase II in Action
12. Starting Phase III: Adolescent Issues (Sessions 17–20)
13. Phase III in Action
14. Summary of a Completed Case
15. Where Are We Going from Here?: Training, Dissemination, Clinical Practice, and Research
About the Authors:
James Lock, MD, PhD, is a child psychiatrist and Professor of Child Psychiatry and Pediatrics in the Division of Child and Adolescent Psychiatry and Child Development, Department of Psychiatry and Behavioral Sciences, at Stanford University. He is also Director of the Eating Disorders Program in the Division of Child Psychiatry and Psychiatric Director of the Comprehensive Care Program, an inpatient eating disorder program for children and adolescents, at Lucile Salter Packard Children's Hospital at Stanford. The author of numerous scientific publications on eating disorders in youth, Dr. Lock is a recipient of the Price Family Foundation Award for Research Excellence from the National Eating Disorders Association and Early Career and Mid-Career Development Awards from the National Institute of Mental Health.
Daniel Le Grange, PhD, FAED, is Benioff UCSF Professor in Children’s Health in the Department of Psychiatry and UCSF Weill Institute for Neurosciences and Director of the Eating Disorders Program at the University of California, San Francisco. He is Emeritus Professor at the University of Chicago, where he was Director of the Eating Disorders Program until 2014. Dr. Le Grange was a member of the team at the Maudsley Hospital in London that developed family-based treatment for anorexia nervosa. Over his career, he has treated numerous adolescents and families struggling with eating disorders. He is a past recipient of the Leadership Award in Research from the Academy of Eating Disorders and an Early Career Development Award from the National Institute of Mental Health. The author of over 500 articles, books, book chapters, and published abstracts, Dr. Le Grange has published several books for professionals and parents in collaboration with James Lock, including Help Your Teenager Beat an Eating Disorder, Second Edition.