You are here

Therapy for Eating Disorders
Share

Therapy for Eating Disorders
Theory, Research & Practice

Third Edition


© 2013 | 264 pages | SAGE Publications Ltd

‘This updated edition provides an excellent overview of the diagnosis, prevalence and causes of eating disorders, as well as a handbook for the application of evidence based interventions. A “must buy” for eating disorder services and individual practitioners!’

Sally Savage, Clinical Lead for Northamptonshire NHS Eating Disorders Lifespan Service


Affecting thousands of people every year with potentially devastating consequences, anorexia, bulimia and binge eating disorders are becoming increasingly evident in today’s fast paced, high pressured society.


Drawing on over 20 years’ experience as a practitioner, Sara Gilbert takes the reader through the complexities of working with eating disorders, drawing on practical, cognitive behavioural and educational approaches to theory, assessment, treatment and practice. Packed full of new resources for both qualified professionals and trainees, this new edition includes:

·         A summary of new research on the causes of eating disorders, dual diagnosis and co-morbidity.

·         New content on the best treatment for eating disorders and preparing clients for treatment.

·         An updated chapter examining the effects of nutrition on physical and psychological well-being.

·         New content on working with complexity and risk.

·         A fully updated reference section.


This is a vital resource for practitioners in the mental health field, including psychotherapists, psychologists, counsellors, psychiatrists, mental health nurses and dieticians.


Sara Gilbert is a chartered clinical psychologist whose specialist interest in the field of eating disorders spans 20 years. She has worked for 12 years as a clinical lead in an eating disorder service in the NHS and is now in private practice.

 
Preface
 
Acknowledgements
 
What is an eating disorder?
A note about psychiatric diagnosis  
Eating Disorders in the twenty first century  
The relationship between weight and eating disorder  
Anorexia nervosa  
Bulimia nervosa  
Binge Eating Disorder  
Feeding and Eating disorders not elsewhere classified  
Other causes of weight loss or gain or unusual eating behaviours  
 
Causes of the Eating Disorders
Psychobiological mechanisms  
Psychosomatic theories  
Looking for an explanation in the past  
Eating disorder and other psychiatric diagnoses: is there a genetic susceptibility?  
Anorexia and bulimia nervosa as sociocultural phenomena  
Eating disorder as learned behavior  
Eating disorder as a corollary to dieting and food deprivation  
Conclusions  
 
Treatment for the Eating Disorders
Psychodynamic therapies  
Family therapies  
The use of psychotropic medication  
Cognitive behaviour therapy  
An outline of the characteristics of CBT  
How effective is CBT for eating disorders?  
Conclusions  
 
A Cognitive Behavioural and Integrative Approach to Eating Disorders
The theoretical basis of a cognitive behaviour therapy approach to the eating disorders  
The structure of cognitive therapy for eating disorders  
The acceptability of cognitive therapy for eating disorders  
A broad interpretation of cognitive therapy for the eating disorders  
Conclusions  
 
Beginning the Therapy Process
The initial stages  
Some questions to ask when assessing the person with an eating disorder  
The use of questionnaires in the assessment of eating disorder  
Is this the right time for therapy?  
Conclusion  
 
Preparing for change
Presenting the cognitive behavioural view and formulating the problem  
Assessment of motivational stage in people with an eating disorder  
Self-monitoring by the client  
Setting the agenda for therapy  
A focus on emotions and coping strategies  
Psychoeducation  
 
Nutritional Aspects of Helping the Eating-Disordered Client
Nutritional knowledge of eating-disordered clients  
Nutritional counselling  
The body's need for good nutrition  
Knowledge about energy balance and weight regulation  
Information about the specific effects of bingeing and purging  
Information about the effects of food and eating on metabolism  
Establishing a normal eating pattern with obese binge eaters: to diet or not?  
Establishing weight gain with anorexics  
 
Behavioural Techniques
Self-monitoring  
Target setting  
Behavioural experiments  
Self-reward  
Scheduling pleasant events  
Behavioural techniques for controlling overeating (self-control)  
Taking exercise  
Practising 'normal' eating  
Exposure  
Assertiveness around food  
Relaxation and stress management  
Conclusion  
 
Cognitive Techniques
Identifying negative thoughts  
Answering negative thoughts  
Homework  
Identifying and dealing with dysfunctional assumptions and core beliefs  
Modifying assumptions and core beliefs  
Exploring the meaning of eating disorder symptoms  
Getting 'stuck'  
Conclusion  
 
Adapting to Different Situations and Dealing with Endings
Working with severe and complex cases  
The end of the therapy relationship  
Preventing relapse  
Involving family members in the therapy process  
Working with groups  
Working in parallel with other treatments  
Conclusion  
 
Conclusion
Appendix 1: Some useful web pages  
Appendix 2: Eating Problems: Resources for Clients  
Appendix 3: Eating Disorders and their Effects  
Appendix 4: Guidelines for Normal Healthy Eating  
Appendix 5: The Effects of Strict Dieting and Starvation and of Giving Them Up  
Appendix 6: Medical and Physical Problems Caused by the Symptoms of Eating Disorders  
Appendix 7: Controlling What You Eat  
Appendix 8: Giving Up Vomiting as a Way to Control Your Weight or Deal with Stress  
Appendix 9: Learning to be Assertive about What You Eat: A Bill of Rights  
 
References
 
Index

`Sensible, thoughtful and full of helpful 'how to' advice for the therapist' -
Behaviour Research and Therapy


`A particularly suitable book for individuals with a general mental health training who are starting work with this patient group. It deserves to be widely read' -
European Eating Disorders Review


`An invaluable resource for anyone working in, or wishing to know more about, eating disorders' -
Dietetics Today



Written from a cognitive behavioural perspective, this updated edition provides an excellent overview of the diagnosis, prevalence and causes of Eating Disorders, as well as a handbook to the application of evidence based interventions. An extremely valuable resource for those already working in the field, and  an easy to access introduction for those mental health practitioners new to working with sufferers of Eating Disorders. The appendices provide excellent resources for use in the self help management or as an adjunct to therapy for sufferers and their families. A ‘must buy’ for Eating Disorder Services and individual practitioners!

Sally Savage
Clinical Lead for Northamptonshire NHS Eating Disorders Lifespan Service

This newly updated edition is a well-structured, accessible and thoughtful guide to the nature and treatment of eating disorders. This book will undoubtedly be valued by all practitioners working within the field of eating disorders.

Dr Alex Willner
Clinical Psychologist

Sara Gilbert shares over 20 years experience covering both practical and theoretical techniques in a clear, readable manner. The technical terms used are well explained and the book offers lots of useful strategies for those working within this field. I would highly recommend this book to anyone working in the mental health sector.

Martine Johnson
www.wellbeingmentor.co.uk

Sara Gilbert's book is a significant contribution to the literature on eating disorders and their treatment and a useful general reference manual, especially for CBT therapists and other health service providers. This third edition is enriched by the latest research findings in the field, ranging from the DSM-5 classifications to magnetic resonance imaging techniques used to detect structural changes in the brain of people with eating disorders. 

Flora Todaro Luck, Psychotherapist
Private Practice

Sample Materials & Chapters

Chapter One: What is an Eating Disorder?


Preview this book

For instructors

This book is not available as an inspection copy. For more information contact your local sales representative.

Select a Purchasing Option


Paperback
ISBN: 9781446240953
£27.99

Hardcover
ISBN: 9781446240946
£87.00

SAGE Knowledge is the ultimate social sciences digital library for students, researchers, and faculty. Hosting more than 4,400 titles, it includes an expansive range of SAGE eBook and eReference content, including scholarly monographs, reference works, handbooks, series, professional development titles, and more.

The platform allows researchers to cross-search and seamlessly access a wide breadth of must-have SAGE book and reference content from one source.

SAGE Knowledge brings together high-quality content from across our imprints, including CQ Press and Corwin titles.