Brief Cognitive Behavioural Therapy for Non-Underweight Patients

"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 techniques (CBT) they should be delivering under such circumstances. This clear, focused book, written by experts in the field, guides clinicians through a ten 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 "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 "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

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.

Foreword 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 References 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