Treating Eating Disorders with DBT

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People with eating disorders who also struggle with co-occurring high-risk or dysregulated behaviors are often not well served by standard eating disorder therapies. From pioneering treatment developers Anita Federici and Lucene Wisniewski, this book presents a groundbreaking adaptation of dialectical behavior therapy (DBT) for individuals with multidiagnostic eating disorder (MED) presentations. MED-DBT is affirming, non-stigmatizing, and evidence informed. It integrates the full DBT model--including individual therapy, skills training, phone coaching, and consultation team--with strategies for treating eating behaviors, body image, interoception, and medical instability. Featuring rich case examples, the book is grounded in extensive clinical experience and state-of-the-art neurobiological research. A reproducible MED-DBT Diary Card and other useful tools can be photocopied or downloaded and printed.

Obsah

I. An Introduction to MED-DBT
1. The MED-DBT Program: Development and Foundations
2. Assessment for Treatment: Is MED-DBT a Good Fit for Your Client?
II. MED-DBT Theories and Treatment Assumptions
3. Introduction to the Adapted Biosocial Theory: A Focus on Biology
4. The Adapted Biosocial Theory: A Focus on Invalidating Environments
5. Assumptions about MED-DBT Clients
6. Building Your MED-DBT Team
7. Dialectical Dilemmas in MED-DBT Treatment
III. Getting Ready for Treatment
8. Laying the Foundation: Early Steps in the MED-DBT Pretreatment Phase
9. Strengthening Commitment: Later Tasks in MED-DBT Pretreatment
10. The Life Worth Living Discussion
11. What to Target and When
IV. The MED-DBT Protocol
12. Individual Session Structure
13. MED-DBT Diary Cards
14. Behavior-Chain Analysis and Missing-Links Analysis in MED-DBT
15. Considerations for Teaching DBT Skills
16. Adaptations for Phone Coaching
17. Contingency Management in MED-DBT
18. Consult Teams in MED-DBT
19. Transitions and Ending Well
List of Abbreviations
References
Index