Treating Bulimia Nervosa and Binge Eating: An Integrated Metacognitive and Cognitive Therapy Manual

Treating Bulimia Nervosa and Binge Eating: An Integrated Metacognitive and Cognitive Therapy Manual

Treating Bulimia Nervosa and Binge Eating: An Integrated Metacognitive and Cognitive Therapy Manual

Treating Bulimia Nervosa and Binge Eating: An Integrated Metacognitive and Cognitive Therapy Manual

Synopsis

Treating Bulimia Nervosa and Binge Eatingexplains how cognitive therapy can be used to treat those suffering from bulimia nervosa. The manual provides a step-by-step treatment guide, incorporating a number of case examples offering detailed explanations of the treatment process, questionnaires, worksheets and practical exercises for the client, which will provide a framework and focus for therapy. The authors use existing techniques, as well as new integrated cognitive and metacognitive methods developed from their recent research, to take the therapist from initial assessment to the end of treatment and beyond, with chapters covering:

  • engagement and motivation
  • case formulation and socialisation
  • detached mindfulness strategies
  • positive and negative beliefs.

This practical guide will allow those treating patients with bulimia nervosa to take advantage of recent developments in the field and will be an essential tool for all therapists working with this eating disorder.

Excerpt

This chapter begins with guidance on how to use the book, and discussion of who might benefit from the treatment. It introduces the reader to the symptoms and treatment of bulimia nervosa (BN) by presenting a case example of a patient (Jessica) with the disorder. It highlights the symptoms and problems that she experienced in relation to her illness, and then provides a detailed description of how her treatment with our version of cognitive therapy proceeded, as outlined in more detail in the remaining chapters of the book. It includes general information (for example, about the format of sessions) as well as a session-by-session summary of the course and content of the specific treatment received by Jessica. The treatment described here is a synthesis of our earlier work on the cognitive theory of BN (Cooper et al. 2004) with metacognitive therapy of psychological disorders (Wells 2000). We will continue to use the term cognitive therapy in this book for simplicity but we increasingly find ourselves moving towards a metacognitively focused approach.

INTRODUCTION TO THE BOOK

The book is designed to be used as a guide for therapists working with people with BN. It provides a structure, framework and focus for therapy. The book is written with individual therapy in mind, and provides a stepby-step guide from initial assessment to the end of treatment and beyond. The worksheets and patient information sheets are an important part of treatment, and therapists should aim to make maximum use of these, in addition to the advice and suggestions in the text.

Who can use the book?

All suitably trained therapists, from a range of professional backgrounds, should find this book useful. As with all psychological therapies, and problems treated, therapists must seek appropriate supervision and adhere to their professional code of ethics when using the programme.

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