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This book presents CBT-AN-20, a newly developed briefer form of Cognitive-Behavioural Therapy (CBT) for anorexia nervosa, designed to treat individuals in 20 sessions, helping clinicians to offer effective therapy to more patients and enabling patients to move more quickly towards recovery.
This manual addresses the key CBT skills needed to deliver effective CBT-AN-20. It uses a combination of psychoeducation, nutrition, exposure therapy and behavioural experiments to overcome starvation and to support essential weight gain/stability. It then details the skills needed to work with emotional factors, and with body image issues. Importantly, it also stresses the meta-competences needed to work with anorexia nervosa - such as early change, motivational work, engaging with the "anorexic voice", and maintaining a working alliance that stresses change. Accompanying the text is a range of useful web-based materials to support the clinician reading the manual. These include checklists, psychoeducation materials, measures, and videos of skills in action.
CBT-20-AN's pragmatic structure supports its delivery by both experienced therapists and those newer to the field who are practicing under expert supervision. This book is a "must read" for all levels of practitioners from all disciplines who work with eating disorders.
List of contents
1. Introduction 2. Overview of anorexia nervosa 3. Meta-competences in CBT-AN-20 4. Introduction to the competences and skills needed for CBT-AN-20 5. Assessment of the patient and their needs 6. Outline of CBT-AN-20 7. Phase 1 (Sessions 1-19): Dietary change for weight regain and exposure therapy 8. Phase 2 (Sessions 10-19): Behavioural experiments to challenge cognitions about food and uncontrollability of weight gain 9. Phase 3 (Sessions 12-19): Emotional and interpersonal triggers and maintenance 10. Phase 4 (sessions 12-20): Body image 11. Phase 5 (sessions 18-20 and beyond): Ending and relapse prevention 12. Adaptations of CBT-AN-20 13. Final considerations for current and future therapists 14. Summary and Future Directions Appendices References
About the author
Glenn Waller is professor of Clinical Psychology, University of Sheffield, UK.
Kamryn T. Eddy is professor of Psychology, Harvard Medical School, USA.
Charlotte L. Rose is a principal psychological therapist at STEPs Community Eating Disorder Service, Avon and Wiltshire Mental Health Partnership NHS Trust, UK.
Jennifer J. Thomas is professor of Psychology, Department of Psychiatry, Harvard Medical School, USA.
Hannah M. Turner is consultant clinical psychologist in the Hampshire Adult Eating Disorder Service, UK.
Tracey D. Wade is Matthew Flinders Distinguished Professor, Flinders University, Australia and director of the Flinders University Services for Eating Disorders, Australia.
