This state-of-the-art guide provides a powerful transdiagnostic approach for treating adolescent eating disorders (anorexia nervosa, bulimia nervosa, binge-eating disorder, and others) in either outpatient or inpatient settings. It describes how enhanced cognitive behavior therapy (CBT-E)–the gold-standard treatment for adult eating disorders–has been systematically adapted and tested with younger patients. With a strong motivational focus, CBT-E gives the adolescent a key role in decision making. The book presents session-by-session guidelines for assessing patients, determining whether CBT-E is appropriate, developing case conceptualizations, conducting individualized interventions, addressing medical issues, and involving parents. User-friendly features include case vignettes and reproducible forms; purchasers get access to a webpage where they can download and print the reproducible materials in a convenient 8 1/2′ x 11′ size.
CBT-E is recognized as a best practice for the treatment of adolescent eating disorders by the U.K. National Institute for Health and Care Excellence (NICE).
Table of Content
Foreword, Christopher G. Fairburn
Introduction and Overview
1. Eating Disorders in Adolescence and Cognitive Behavioral Theory
2. CBT-E for Adolescents with Eating Disorders: An Overview
3. Assessment, Preparation, and Medical Management
The Core Protocol
4. The Three Steps of CBT-E for Adolescents: An Overview
5. Session 0
6. Parents-Only Session
7. Session 1
8. Session 2
9. Deciding to Change
10. Review Sessions
11. Underweight and Undereating Module
12. Body Image Module
13. Dietary Restraint Module
14. Events, Moods, and Eating Module
15. Setbacks and Mindsets Module
16. Ending Well
Adaptations for More Complex and Severe Cases
17. The Broad CBT-E Modules
18. Intensive Outpatient CBT-E
19. Inpatient CBT-E
20. Comorbidity and CBT-E for Adolescents
Appendices
Appendix A. Terms Used to Describe Eating-Disorder Psychopathology
Appendix B. The Effects of Caloric Restriction and Weight Loss: The Minnesota Starvation Experiment
Appendix C. The Starvation Symptom Inventory
Appendix D. The Eating Problem Checklist
References
Index
About the author
Riccardo Dalle Grave, MD, is Director of the Department of Eating and Weight Disorders at Villa Garda Hospital in Verona, Italy. In collaboration with Christopher G. Fairburn, Dr. Dalle Grave has developed an inpatient treatment program for eating disorders at Villa Garda based entirely on enhanced cognitive behavior therapy (CBT-E), including an adapted program for adolescents. His current research includes assessing the effectiveness of CBT-E in treatment of significantly underweight adults and adolescents with eating disorders in both outpatient and inpatient settings. Dr. Dalle Grave is editor of the CBT-E website (
cbte.co) and Director of the Advanced Training Course on the Treatment and Prevention of Eating Disorders and Obesity sponsored by the Italian Eating and Weight Disorder Association. He also provides CBT-E supervision for clinical services in Europe, the United States, Australia, and the Middle East. He is a Fellow of the Academy of Eating Disorders and serves on the editorial boards of several journals in the field.
Simona Calugi, Ph D, is Clinical Research Director of the Department of Eating and Weight Disorders at Villa Garda Hospital in Verona, Italy. In collaboration with Riccardo Dalle Grave and Christopher G. Fairburn, Dr. Calugi is involved in assessing the effectiveness of CBT-E in treatment of significantly underweight adults and adolescents with eating disorders in both outpatient and inpatient settings. Dr. Calugi has extensive clinical experience in delivering outpatient CBT-E to adolescent and adult patients with eating disorders. She is a member of the online CBT-E training group (
cbte.co) and is on the teaching faculty of the Advanced Training Course on the Treatment and Prevention of Eating Disorders and Obesity sponsored by the Italian Eating and Weight Disorder Association (AIDAP). She also serves on the faculties of several CBT-based psychotherapy schools in Italy and is president of the AIDAP.
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