Getting Better Bite by Bite is an essential, authoritative and evidence-based self-help programmethat has been used by bulimia sufferersfor over 20 years. This new edition maintains the essence of the original book, while updating its content for today's readers, drawing on the latest knowledge of the biology and psychology of bulimia and its treatment. The book provides step-by-step guidance for change based on solid research. The use of everyday language, stimulating contemporary case study story-telling and evocative illustrations in Bite by Bite provide encouragement, hope and new perspectives for all readers. This handy-sized book fills a need for easy-to-understand information about Bulimia Nervosa, a serious and prevalent eating disorder. Ulrike Schmidt and Janet Treasure are world-renowned researchers and authorities on eating disorders, and June Alexander, a former sufferer of anorexia and bulimia, is a respected writer and internationally-known eating disorder awareness advocate. Getting Better Bite by Bite is a valuable resource - for sufferers, for their families, and for the health professionals and carers treating them.

This book explores the clinical challenge of long-term eating disorders and examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience. It also explores the clinical challenge of long-term eating disorders-often compounded by co-morbidity with depression, self-harm, OCD or psychosis. Eating disorders can persist for many years, yet are rarely classified as 'severe and enduring' in the way that other disorders such as schizophrenia can be. This book introduces Severe and Enduring Eating Disorder (SEED) as a concept, and draws on detailed case histories to describe its assessment and treatment. It examines the physical and psychological problems, family issues and difficulties in day-to-day living that patients with SEED can experience. It discusses treatment approaches including Rehabilitation Eating Disorders Psychiatry and also covers treatment in a range of different settings.

"[Beauty Sick] will blow the top off the body image movement...provocative and necessary." - Rebellious Magazine An award-winning psychology professor reveals how the cultural obsession with women's appearance is an epidemic that harms women's ability to get ahead and to live happy, meaningful lives, in this powerful, eye-opening work in the vein of Peggy Orenstein and Sheryl Sandberg. Today's young women face a bewildering set of contradictions when it comes to beauty. They don't want to be Barbie dolls but, like generations of women before them, are told they must look like them. They're angry about the media's treatment of women but hungrily consume the outlets that belittle them. They mock modern culture's absurd beauty ideal and make videos exposing Photoshopping tricks, but feel pressured to emulate the same images they criticize by posing with a "skinny arm." They understand that what they see isn't real but still download apps to airbrush their selfies. Yet these same young women are fierce fighters for the issues they care about. They are ready to fight back against their beauty-sick culture and create a different world for themselves, but they need a way forward. In Beauty Sick, Dr. Renee Engeln, whose TEDx talk on beauty sickness has received more than 250,000 views, reveals the shocking consequences of our obsession with girls' appearance on their emotional and physical health and their wallets and ambitions, including depression, eating disorders, disruptions in cognitive processing, and lost money and time. Combining scientific studies with the voices of real women of all ages, she makes clear that to truly fulfill their potential, we must break free from cultural forces that feed destructive desires, attitudes, and words-from fat-shaming to denigrating commentary about other women. She provides inspiration and workable solutions to help girls and women overcome negative attitudes and embrace their whole selves, to transform their lives, claim the futures they deserve, and, ultimately, change their world.

Feeding problems in children are relatively common, and often resolve themselves with little need for intervention. However, some categories of feeding problem are severe, persistent, and may be life-threatening without skilled involvement by professionals, including medical and surgical intervention. This revised and expanded Second Edition of Feeding Problems in Children deals with these severe and persistent problems, summarising the different kinds of work undertaken with children and their families in a number of countries. It first discusses the theoretical frameworks and perspectives, before moving on to explore clinical and applied research aspects of children's feeding. Finally, a comprehensive Clinical Practice Toolkit has been added to this edition, providing clinical models, checklists, model forms and reports. Featuring contributions from well-known international experts in the field, comprehensive and fully referenced, this book continues to be essential reading for all those practising or training in paediatrics in primary or secondary care, including paediatricians, GPs, gastroenterologists, psychologists, psychiatrists, therapists, paediatric nurses, health visitors and allied health professionals. 'Given the multi-cultural composition of today's communities, the decision by Drs Southall and Martin to include a chapter on cultural aspects to feeding was most insightful. This book, with its comprehensive coverage of the issues and a practical Toolkit with examples of materials from a multi-disciplinary practice, makes an essential contribution to the education of frontline clinicians dealing with feeding problems in young children.' - from the Foreword by William B Crist From reviews of the First Edition: 'A detailed guide, extensively referenced' FAMILY MEDICINE 'A useful addition to a hospital library or multi-disciplinary paediatric library' PHYSIOTHERAPY JOURNAL

Building a supportive and open relationship with young people suffering from eating disorders is key to assisting the recovery process. This book is packed with metaphorical explanations that will allow parents and caregivers to ally themselves with treatment rather than the eating disorder, and take positive steps with their child towards a full and lasting recovery. Written by experienced eating disorder specialists, the book will help caregivers to reach out to young people having difficulty cooperating with treatment. Its effective use of analogies and metaphors helps to crystallize a practical understanding of eating disorders and the crucial aspects of the treatment process. Integrating medical, psychological, and narrative aspects, as well as the visual (with illustrations), it encourages the reader, and by extension the sufferer, to conceptualize each step towards health. This book will be an invaluable tool for families, friends, and those working with young people suffering from eating disorders. The fresh perspective will also appeal to mental health professionals and anyone else working in the field.

Research suggests that anorexia nervosa and other eating disorders, whilst not prevalent in the population, have the highest mortality rate of all psychological problems. The development of effective treatment programs is therefore an important priority for health care professionals. This flexible book has been designed for use by therapists as part of a programme when working with young people with eating disorders. The aim is to help young people understand more about their own experience, and alongside guidance ofr therapists it includes a complete workbook for use by the young persons themselves. This presents tasks ranging from reflective thinking to drawing to promote engagement with difficulties as a first step to overcoming them.

Eating disorders comprise a range of physical, psychological and behavioural features that often have an impact on social functioning and can invade most areas of the sufferer s life. Although eating and weight disorders are common in children and adolescents, there is a scarcity of practical guidance on treatment methods for eating disorders in young people.

In this book, Simon Gowers and Lynne Green bring together up-to-date research, clinical examples and useful tips to guide practitioners in working with young people, as well as helping families of children and adolescents to deal with their difficulties. Eating Disorders provides the clinician with an introduction about how CBT can be used to challenge beliefs about control, restraint, weight and shape, allowing young people to manage their eating disorder. Chapters cover:

• preparing for therapy
• a CBT treatment programme
• applications and challenges.

This practical text will be essential reading for mental health professionals, paediatric teams and those in primary care working with children and adolescents with eating disorders. It will benefit those working with both sufferers themselves and families who have difficulty understanding the disorder.

Eating problems are common in children and teenagers. Yet myths about such problems abound and it can be very difficult to separate the facts from popular beliefs; unusual or disturbed eating patterns can be understandably bewildering and distressing for parents. Whatever aspect of your child's eating behaviour is causing you concern, this book will help you understand some of the more common reasons why problems arise, and will give you advice on what you and others can do to manage the situation. Written by two experienced clinicians, this new edition of Eating Disorders: A Parents' Guide is dedicated to clarifying the subject of eating disorders. Combining an accessible and straightforward introduction to the subject with practical advice, this book represents the first step towards recognising, understanding and dealing with the problem. Case-studies are used to help parents understand their children's experiences of this complex and challenging subject and sensitive advice is offered on a range of issues, including: how to identify a complete range of eating difficulties how to approach specific problems where to seek help and treatment. This book will be welcomed by anyone who is concerned about the eating habits of their children and will be invaluable to professionals working with those suffering from eating disorders.

This resource is aimed at therapists, social workers, nurses and parents who work with children who have an aversion to oral feeding. It is a practical manual which gives solutions from a range of disciplines and contains assessment forms, outcome measures, session plans, case notes and activity suggestions for use with children.

The authors' decade-and-a-half collaboration with 'insiders' has yielded fresh answers to these life and death questions: How does a/b seduce and terrorize girls and women? Why is a/b successful in encouraging girls and women to unwittingly embrace their would-be murderer? How can such a murderer be exposed and thwarted? This book details a unique way of thinking and speaking about anorexia/bulimia. By having conversations with insiders in which the problem is viewed as an external influence rather than a part of the person, these therapists show how to bring the tactics of a/b into the open, expose its deceptions, break its spell, and encourage defiance of its tyrannical rule. These innovations enable insiders, professionals, and loved ones to unite against anorexia/bulimia rather than allowing a/b to pit a professional or loved one against an insider, and the insider against herself. Coercion is sidestepped in favor of practices that are collaborative, accountable and spirit-nurturing. The groundbreaking discoveries outlined in this book will provide new options, inspiration and hope, not only for those who suffer at anorexia's hands, but also for their loved ones and healthcare professionals.

`Kathy Leach provides a thoughtful, well-written text that addresses the `great weight debate' in an engaging and compassionate way.' -The Psychologist, Vol. 20, March 2007 `The main body of the book focuses on clinical work, offering insightful ways of thinking about and working with obese individuals. The text is punctuated with some very useful case examples and transcripts which guide and enlighten the readers thinking.' -The Psychologist, Vol.20, March 2007 `An excellent, clear and accessible introduction to basic transactional analysis theory and principles, providing useful examples of how this form of therapy can be particularly useful and effective when working with people who overeat.' -The Psychologist, Vol.20, March 2007 `An important contribution in helping clinicians and clients understand the psychological aspects that prevent people form losing weight or maintaining weight loss. It is a `must-have' text for anybody working with this client group.' -The Psychologist, Vol.20, March 2007 `The Overweight Patient provides a practical framework to psychological management of obesity. Kathy Leach employs a model of Transactional Analysis psychotherapy to the treatment of obesity. She clearly writes from her considerable clinical experience. The factual information presented in this interesting book conveys the sense of someone steeped in that patient population. It is well written, with a light touch, and I found myself reading it in a single sitting. To any practitioner of transactional analysis, this will be a `must read.'' -European Eating Disorders Review, 2007 `The Overweight Patient explores the underlying beliefs and behaviours that may contribute to obesity, including psychological needs, addiction, fear of deprivation, parental influences and sexual fears. Kathy Leach draws a useful distinction between the need to eat and the need to maintain a large body size, and addresses the reasons for both long-term obesity and short-term weight gain. She provides a clear and accessible introduction to the psychoanalytic theory of Transactional Analysis and details how this approach can be used with overweight people, and as a self-help methodology. Kathy Leach offers sensitive advice on methods to help clients increase their self - esteem, self- awareness and motivation to develop healthier lifestyles.' -Transactions (TSTA) `Illustrated with patient histories, exercises and worked examples of techniques, this book enables therapists and health practitioners to help obese people to understand why they reach for food or maintain a large body weight, and to change their eating behaviour or live more comfortably with their size.' -Transactions (TSTA) This practical guide approaches obesity and overeating from a psychological perspective, and offers sensitive methods to increase patients' sense of self-worth, self-knowledge, and motivation to lose weight. The Overweight Patient explores the underlying beliefs and behaviours that may contribute to obesity, including psychological needs, addiction, fear of deprivation, parental influences and sexual fears. Kathy Leach draws a useful distinction between the need to eat and the need to maintain a large body size, and addresses the reasons for both long-term obesity and short-term weight gain. She provides a clear and accessible introduction to the psychoanalytic theory of Transactional Analysis and details how this approach can be used with overweight people. Illustrated with patient histories, exercises and worked examples of techniques, this book enables therapists and health practitioners to help obese people come to terms with their size, or to support their decision to change their behaviour and reduce their need to eat.

Civil Commitment in the Treatment of Eating Disorders presents a comprehensive view on the use of involuntary hospitalization in the treatment of patients with anorexia and other eating disorders. This volume synthesizes the existing empirical data and ethical perspectives surrounding this sometimes controversial approach to treatment in order to establish a balanced, compassionate understanding of current research and patient experiences. Particular attention is paid to the use and misuse of persuasion and coercion in civil commitment and to when these concepts are applicable. This accessible new volume prepares treatment providers to understand the role of civil commitment in their treatment practices and in patients' recovery.

Avoidant Restrictive Food Intake Disorder, more commonly known as ARFID, is a relatively newly introduced diagnostic category. Research in the field, although growing, remains limited, with clinical knowledge and expertise varying across clinicians. There may be uncertainty how to correctly identify and diagnose the disorder as well as how best to direct treatment. This clinical guide sets out to be a trailblazer in the field, providing up-to-date information and comprehensive clinical guidance on ARFID in childhood and adolescence. Chapters in the book are divided into five sections, the first focussing on the importance of attending to the perspectives of those directly affected by ARFID. Three subsequent sections cover diagnosis and presentation, including chapters on aetiology, epidemiology, assessment, and outcome measures; clinical assessment, including psychological, family, nutritional, medical, and sensory components; and management, discussing nutritional, medical, psychological, and wider system approaches. The final section discusses prognosis and outcomes, and considers future research directions. This clinically focussed book, with contributions from a multi-disciplinary authorship, is intended to function as an accessible, practical guide, and reference resource. It includes summaries of available evidence, with related recommendations for clinical practice. The advice and suggestions included will assist clinicians in targeting their attention appropriately, to ensure that children, adolescents, and their families receive the best possible care.

Eating disorders affect 1.25 million people in the UK, and the incidence is rising. The DSM-5 specifies diagnostic criteria for eight types of eating disorder, with anorexia nervosa, bulimia nervosa, and binge eating disorder accounting for the majority of cases. This new addition to the Oxford Specialist Handbook of Psychiatry series covers the aetiology, epidemiology, risk factors, and diagnostic criteria for all forms of eating disorders, alongside patient management within the community and inpatient settings. Also featuring chapters on emerging eating disorders, such as orthorexia and muscle dysmorphia, medicolegal issues surrounding involuntary hospitalisation and nasogastric feeding, and acute emergency care, this Handbook is a comprehensive yet succinct addition to the literature for all doctors, nurses, and members of the multidisciplinary team in managing the complex and multifactorial conditions that arise in patients with eating disorders. Each chapter is accompanied by case stories drawn from real-life examples, taking the reader through from initial presentation to treatment, and the key need-to-know facts and current evidence-based treatments. The Oxford Specialist Handbook of Eating Disorders is a new go-to resource for the crucial information around this multifaceted area of medicine.

Options can be limited for those who do not respond to standard eating disorder treatments. Schema therapy is one of the new exciting frontiers in the treatment of this clinical population, offering a much-needed model that integrates both developmental and deeper level personality factors. Schema Therapy for Eating Disorders is the first book of its kind, guiding clinicians to deliver the schema model to those with entrenched or enduring eating pathology, and in turn encouraging further clinical research on this approach to treatment. Written by an international team of leading schema therapy experts, and with a foreword by Wendy Behary and Jeffrey Young, this book draws on their clinical knowledge and research experience. Comprehensive and practical, this book introduces the rapidly growing evidence base for schema therapy, outlines the application of this model across eating disorder diagnostic groups, as well as individual and group modalities, and explores practical considerations, common challenges and the therapeutic process. The book includes detailed case examples, which provide a theoretical and practical basis for working with therapist-client schema chemistry and transference, and outlines methods of ensuring therapist self-care in the face of difficult and often long-term work. Innovative and accessible, this fresh look at the treatment of eating disorders will be an invaluable resource for clinicians in the field.

This book is a comprehensive guide to addressing, working with, and healing from emotional struggles related to fertility and eating disorders. Covering the emotional, psychological and physical impact of anorexia nervosa, bulimia and binge eating disorder, this book explores the lived experience of numerous women and men who have lived with eating disorders, fertility, and parenthood. It delves into research on medical complications that can affect fertility, attachment, the experience of shame, adjustment to the postpartum period, and offers clinical tools for therapists to use to support clients from a weight and body neutral perspective. Those who read this book will come away with a renewed sense of hope for recovery and healing from serious mental illnesses, and the notion that the value of having a family may be stronger than the eating disorder itself. The only book of its kind, The Clinical Guide to Fertility, Motherhood and Eating Disorders will be useful to practitioners, therapists, and scholars alike.

Civil Commitment in the Treatment of Eating Disorders presents a comprehensive view on the use of involuntary hospitalization in the treatment of patients with anorexia and other eating disorders. This volume synthesizes the existing empirical data and ethical perspectives surrounding this sometimes controversial approach to treatment in order to establish a balanced, compassionate understanding of current research and patient experiences. Particular attention is paid to the use and misuse of persuasion and coercion in civil commitment and to when these concepts are applicable. This accessible new volume prepares treatment providers to understand the role of civil commitment in their treatment practices and in patients' recovery.

Binge Eating Disorder, written by a clinician and an advocate who have personally struggled with Binge Eating Disorder (BED), illuminates the experience of BED from the patient perspective while also exploring the disorder's etiological roots and addressing the components of treatment that are necessary for long-term recovery. Accessible for both treatment providers and patients alike, this unique volume aims to explore BED treatment and recovery from both sides of the process while also providing a resource for structuring treatment and building effective interventions. This practical roadmap to understanding, resilience, and lasting change will be useful for anyone working clinically with or close to individuals suffering from BED, as well as those on the recovery journey.

This three-part workbook offers a concise and forgiving research- based guide to clients' diffi culties with sustained weight loss. Part 1 is a review of your client's previous efforts at weight control and image change, as well as information and a review of research to help your client understand why weight loss might not have worked in the past. Part 2 contains information and exercises to help your client develop a new acceptance of their body and their relationship with food, as well as tools to develop mindfulness and self- compassion. Part 3 will help your client identify, experiment with, and commit to values related to food, appearance, and other important areas of life, tackling troublesome mental and practical barriers along the way.

This is an insightful and essential new volume for academics and professionals interested in the lived experience of those who struggle with disordered eating. Embodiment and Eating Disorders situates the complicated - and increasingly prevalent - topic of disordered eating at the crossroads of many academic disciplines, articulating a notion of embodied selfhood that rejects the separation of mind and body and calls for a feminist, existential, and sociopolitically aware approach to eating disorder treatment. Experts from a variety of backgrounds and specializations examine theories of embodiment, current empirical research, and practical examples and strategies for prevention and treatment.

Skills-based Caring equips carers with the skills and knowledge needed to support those suffering from an eating disorder, and to help them to break free from the traps that prevent recovery. Through a coordinated approach, it offers detailed techniques and strategies, which aim to improve professionals' and carers' ability to build continuity of support for their loved ones. Using evidence-based research and personal experience, the authors advise the reader on a number of difficult areas in caring for someone with an eating disorder. This new and updated edition is essential reading for both professionals and families involved in the care and support of anyone with an eating disorder.

This groundbreaking volume presents a new conceptual approach to treating adults with eating disorders and their children. By utilizing Parent-Based Prevention, a state-of-the-art intervention program from Stanford University for families who risk raising children in the context of parental eating disorders, Parents with Eating Disorders offers a practical, evidence-based manual to working with affected families with the goal of preventing disordered eating from being passed to future generations. Additional resources include intervention planning and self-assessment forms intended for clinicians to use as they implement the program.

First published in 1993. Routledge is an imprint of Taylor & Francis, an informa company.

The publication four years ago of Getting Better Bit(e) by Bit(e), written by two eating disorder specialists at London's world-famous Maudsley Hospital, was a milestone in the treatment of bulimia. For the first time a self-help book was shown, by rigorous clinical trials, to cure a significant fraction of women suffering from bulimia, and to reduce the therapist contact time needed by others. Getting Better Bit(e) by Bit(e) offered an efficient way of treating bulimic patients, which would be valued by any resource-conscious health service. The authors of Getting Better Bit(e) by Bit(e) have now written this Clinician's Guide, to help health care professionals maximize the benefit that patients obtain from the self-help book. Based on the authors' wide-ranging experience of treating eating disorder patients, it provides a step-by-step account of how the chapters in Getting Better Bit(e) by Bit(e) can be used to ameliorate various aspects of bulimics' difficulties, with examples drawn from real patients' case histories. Particular emphasis is given to the problem of motivating patients who are reluctant to change their behaviour, using Miller and Rollnick's motivational interviewing approach. The Clinician's Guide to Getting Better Bit(e) by Bit(e) will be invaluable for all those treating sufferers of bulimia.

This book outlines a whole new approach to therapy for eating disorders based on neuroscience.