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Cognitive Behavior Therapy for Adolescents with Eating Disorders
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Table of Contents

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, PhD, 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.

Reviews

"This is an important book. It fills two major gaps. For clinicians, it provides a detailed guide to the treatment of any form of eating disorder seen in adolescents. For researchers, it specifies for the first time how this empirically supported treatment, 'enhanced cognitive behavior therapy' (CBT-E), should be implemented with young patients....Too often, treatment manuals are written by treatment 'gurus' or researchers who engage in little or no ongoing face-to-face clinical work....This book is entirely different, as it has been written by two experienced practitioners, both of whom are active clinically. The result is a truly useful guide."--from the Foreword by Christopher G. Fairburn, DM, FMedSci, FRCPsych, Wellcome Principal Research Fellow and Professor of Psychiatry, University of Oxford, United Kingdom

"Eating and weight issues in adolescence can be disabling and can have lifetime effects. Written by two outstanding clinician-scholars, this very accessible book shows how to deliver empirically based, state-of-the-art treatment that is tailored to the individual. With thoughtfulness and care, the authors capture the complexities of describing eating disorders in adolescents and discuss ways to navigate the thorny issues of patient and family engagement. An important book."--Kelly D. Brownell, PhD, Robert L. Flowers Professor of Public Policy and Professor of Psychology and Neuroscience, Duke University

"Dalle Grave and Calugi, two respected CBT experts, have produced a vital manual that walks the clinician through engaging and treating adolescents with eating disorders. This is a well-written book that describes how to deliver CBT-E to younger patients in a flexible, individualized, and effective manner. An indispensable resource for clinicians and supervisors, the volume provides clear, practical guidance rooted in emerging scientific evidence."--Carlos M. Grilo, PhD, Director, Yale Program for Obesity, Weight, and Eating Research, Yale University School of Medicine

"Treating adolescents with eating disorders remains a significant challenge, in part because few treatments have garnered efficacy data that promote confidence in their application. With this detailed, comprehensive treatment manual, Dalle Grave and Calugi take the field a significant step forward. These authors have been at the forefront of the development of a transdiagnostic application of CBT-E for adolescent eating disorders, and this manual will be a most valuable tool for clinicians as well as clinical researchers."--Daniel Le Grange, PhD, Benioff UCSF Professor in Children's Health, Department of Psychiatry, University of California, San Francisco; Emeritus Professor of Psychiatry and Behavioral Neuroscience, The University of Chicago

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