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. "Most therapy manuals suffer from one of two excesses. They are either overly theoretical, and hence very dreary to read, or they are little more than a series of case examples or anecdotes, providing entertaining reading but inadequate instruction. Treating Bulimia solves these problems in a simple and effective manner. It presents a chapter outlining the theory and practice of the approach, followed by the same material 'in Action,' in which an extended case example illustrates the material presented in the previous chapter. No matter what one's learning style, at least one of the elements of Treating Bulimia will resonate with the reader....Most useful for the practicing therapist who works with adolescents and their families."—Bulletin of the Menninger Clinic “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 “Le Grange and Lock have written an eminently practical guide. Their 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 “Written by two specialists on eating disorders, this book provides a detailed description of a family-based treatment for adolescents with bulimia nervosa. 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 Contents: 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 |