Eating disorders present diagnostic and treatment challenges to clinicians. While such disorders need both medical and psychological treatment, patients may be too medically ill for a thorough psychiatric evaluation and may be misunderstood by many primary care physicians. In this book, Drs. Philip S. Mehler and Arnold E. Andersen provide a user-friendly and comprehensive guide for primary care physicians, mental health professionals, and others who encounter patients who have eating disorders. Mehler and Andersen identify common medical complications that people who have eating disorders face and answer questions about how to treat them. They also cover such serious complications as osteoporosis, cardiac arrhythmia, electrolyte abnormalities, and gastrointestinal sequelae. Incorporating illustrative case studies, medical background on the complications, guidelines for diagnosis and treatment, and an up-to-date list of selected references, chapters cover important topics including team treatment and nutritional rehabilitation. Care of the patient who is very medically compromised is based on extensive experience. The authors also address special areas of concern, such as athletes who have eating disorders, males with eating disorders, and the pharmacological treatment of obesity. In this thoroughly revised and updated edition of Eating Disorders, Drs. Mehler and Andersen * discuss the results of recent randomized control trials* include new chapters on diabetes in eating disorders, osteoporosis, gastrointestinal complications, involuntary feeding, and innovative psychological strategies* present a fresh consideration of ethical conflicts, including involuntary treatment, harm reduction, palliative care, and futility* focus on evidence-based solutions* provide information pertinent to worried families and nonmedical professionals like teachers and coaches, including recent genetic findings* take a holistic approach that considers both the physical and mental health of the patient This classic foundational guide will help primary care and mental health professionals to understand and more effectively address the complex concerns of patients who have eating disorders.

This practical guide enables those working with young children to better understand, manage and support children's relationship with food. Revealing the different ways in which children can relate to food, it gives accessible guidance and advice about how to help children to develop psychologically healthy eating habits and behaviours, and how to tackle feeding issues such as picky eating, obesity and food anxiety. Included is an easy-to-use reference section for trouble-shooting, which contains advice on how special needs such as autism can affect children's feelings about food.

Praise for the first edition:
..."this thoroughly researched and very detailed book provides the serious student of eating disorders with a great deal of useful and constructive information...it provides a complete picture of the individual sufferer's dilemma and notes the wide-ranging behavioural patterns that can occur in these conditions...The authors have made extensive use of their own experiences {of helping people recover} which help to illustrate their findings in a most straightforward and enlightening manner." - British Review of Bulimia and Anorexia Nervosa
"This brilliant book helped me and my family to see that the illness is so much more than an effort to control weight. Sharing the book could also provide you with an excellent channel of communication." - The Guardian
..."many therapists would benefit from reading this book. If more helpers treated their patients with the authors' degree of empathy and integrity, treatment of anorexia nervosa would take a huge step forward." - Society for the Advancement of Research into Anorexia
..."a detailed and comprehensive guide to theories of causation, intervention and therapy. It discusses methods of treatment, help, and self-motivation in this demanding field of psychology, medicine and counselling." - Nursing Textbook Review
This new edition continues the outstanding tradition of excellence for which Duker and Slade's Anorexia Nervosa and Bulimia: How to Help is internationally recognised. Updated to meet contemporary concerns, this book is a 'must' for anyone who wants to do something practical about anorexia nervosa/bulimia.
Its unique contribution is the now widely acknowledged whirlpool theory whichunifies the physiological and psychological aspects of the illness. This provides much needed alternatives for the helpers who are all too often drawn into coercing the sufferer to eat, which is psychologically destructive, or ignoring the physical aspects of the problem which can be dangerous. It also offers a basis for resolving continuing medical and legal dilemmas. To illustrate their approach, the authors draw extensively on their own research and many years of experience providing effective therapy. There is no other book that attends in such detail to the minute steps involved in leaving an anorexic/bulimic lifestyle behind.
As incidence of all forms of the illness continues to increase, this new edition is more relevant than ever.

This empathetic handbook has been created for people affected by any form of disordered eating. Thoughtfully compiled by experienced authors, it will be a comprehensive guide through every stage of your recovery, from recognising and understanding your disorder and learning fully about treatment, to self-help tools and practical advice for maintaining recovery and looking to the future. Each chapter includes suggested objectives, tasks and reflections which are designed to help you think about, engage with, and express your thoughts, feelings and behaviours. It will encourage you to process the discoveries you make about yourself for positive and long-lasting change. Encouraging quotes are included throughout from people who have walked this path and found the help they needed to overcome their own disordered eating. You are not alone on this journey.

This text provides readers with a concise introduction to the psychology of eating focussing on the psychological and biological processes that underlie eating behaviour. While insights into eating behaviour that has gone wrong, such as anorexia nervosa and bulimia, are offered, the primary focus is on 'normal' eating behaviour. "Eating Behaviour" highlights the way that the brain and body control eating, the environmental factors that infiltrate the consciousness to make us think it is time to eat, and childhood, to unravel how eating behaviour develops within the individual.

The text covers the subject of eating and food related behaviour from the five main areas of psychology, developmental, cognitive, social, biological, and psychopathological perspectives. Written in a lively, accessible style, it is designed to give readers a basic understanding of the topic and a platform from which to expand their knowledge of this area.

This book is essential reading for psychology and health psychology students, those taking eating behaviour modules, and eating behaviour and disorders courses. It is also valuable reading for nutritionists, dietitians, food scientists, occupational therapists, speech and language therapists and medical students.

From pioneering family-based treatment developer James Lock, this is the first comprehensive guide to adolescent-focused therapy (AFT) for anorexia nervosa (AN), an evidence-based individual approach. AFT is an effective alternative to family-based treatment that may be a better fit for some patients. Lock explains how AN serves as a maladaptive response to developmental challenges of adolescence. He presents a manualized framework for helping adolescents find more adaptive coping strategies, manage difficult emotions, and develop greater autonomy and a stronger sense of self, while reducing risky behaviors and restoring weight. AFT emphasizes the therapist-patient alliance and involves parents in a supportive role. Rich case material and sample dialogues illustrate how to implement each phase of the approach. AFT is recognized as a best practice for the treatment of anorexia nervosa in adolescents by the U.K. National Institute for Health and Care Excellence (NICE).

For five decades, negative body image has been a major focus of study due to its association with psychological and social morbidity, including eating disorders. However, more recently the body image construct has broadened to include positive ways of living in the body, enabling greater understanding of embodied well-being, as well as protective factors and interventions to guide the prevention and treatment of eating disorders. Handbook of Positive Body Image and Embodiment is the first comprehensive, research-based resource to address the breadth of innovative theoretical concepts and related practices concerning positive ways of living in the body, including positive body image and embodiment. Presenting 37 chapters by world-renowned experts in body image and eating behaviors, this state-of-the-art collection delineates constructs of positive body image and embodiment, as well as social environments (such as families, peers, schools, media, and the Internet) and therapeutic processes that can enhance them. Constructs examined include positive embodiment, body appreciation, body functionality, body image flexibility, broad conceptualization of beauty, intuitive eating, and attuned sexuality. Also discussed are protective factors, such as environments that promote body acceptance, personal safety, diversity, and activism, and a resistant stance towards objectification, media images, and restrictive feminine ideals. The handbook also explores how therapeutic interventions (including Acceptance and Commitment Therapy, Cognitive Dissonance, and many more) and public health and policy initiatives can inform scholarly, clinical, and prevention-based work in the field of eating disorders.

'She's not going anywhere. Her heart is struggling. She's not stable enough to move' Lizzie couldn't believe it. She had just gone to the hospital for a quick check-up and now they told her she could die. The doctors had diagnosed Anorexia and that she must regain weight. Her life closed in around her, but all she wanted was to avoid food. Anyone who lives with an eating disorder fights their own thoughts, their own anxieties, their own self, every second of every minute of every day. For Lizzie this was her reality from the age of 14. However through professional help, the support of her loving family and her faith, she somehow found the hope and strength to overcome. Life Hurts tells Lizzie's story, reflecting on it from her perspective as a doctor. Her vision is to inspire and encourage others to see that, although eating disorders can be devastating, there is hope for all of us.

Body image is a subjective multidimensional construction that has an early and continuous influence on ones emotions, thoughts, and behaviors. Throughout the lifespan, the body image suffers several influences and changes, as it is a complex and contextualized construct. Body image distortion may lead to the development of an eating disorder. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that results in altered consumptions or absorptions of food and that can significantly impair physical health or psychological functioning. This book provides an in-depth review of the prevalence of eating disorders. It also discusses several risk factors, and available treatment options for those suffering from eating disorders.

Women have unintentionally become their own worst enemies through their engagement in ""fat talk""--critical dialogue about one's own physical appearance--and ""body snarking""--criticism towards other women's bodies). Not only does this harsh judgment pervade our psyches and societies, but it also contributes to the glass ceiling in a variety of professions, including politics representing feminist activism. This book reviews and analyzes the origins and effects of fat talk and body shaming, and provides potential solutions that include evidence-based personal therapies and community interventions.

If Your Adolescent Has an Eating Disorder is an authoritative guide to understanding and helping a teenager with anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant/restrictive food intake disorder, or other eating disorders. It is designed for parents of teens who have recently been diagnosed with an eating disorder, or who are at risk of developing one, and for other adults, such as teachers and guidance counselors, who are regularly in contact with at-risk adolescents. The book combines the latest science-including the newest treatments and most up-to-date research findings on eating disorders-with the practical wisdom of parents who have been in the trenches raising teens with eating disorders. Written in a clear and approachable style, Drs. B. Timothy Walsh and Deborah R. Glasofer explain exactly what eating disorders are and describe their characteristics, as well as signs and symptoms. They outline the right way to go about getting help if you suspect your child may have a problem, about when and where to get treatment, and about how to navigate the healthcare system. There is also advice on how to handle everyday life-both at home and at school-once your child is diagnosed, and on how to communicate with your teen and her or his siblings about issues related to the eating disorder. Complete with red flags to look out for, warnings on the dangers of doing nothing, and a comprehensive list of additional resources, this book will help parents and other adults face and deal effectively with adolescent eating disorders before they become life-threatening.

Anorexia Nervosa and other eating disorders are arguably the most complex mental health problems that a child or adolescent may experience. Numbers seeking help are on the increase, and the complexity of these disorders challenges even the most experienced clinician. In this timely book, the experience of numerous practitioners with international reputations in the field is brought to bear on the broad range of issues a good clinician needs to know about, including the history of the disorder through to treatment, psychopharmacology, the psychotherapies, epidemiology, comorbidities, eating disorders in boys and neuroimaging. The book is divided into parts detailing the scientific underpinnings, abnormal states, the evidence base for treatments and finally public health issues, including service delivery models and perspectives on prognosis and outcomes. Clinicians encountering eating disorders will find this latest addition to the Cambridge Child and Adolescent Psychiatry series invaluable.

Drawing from Within is an introductory guide for those wanting to explore the use of art with clients with eating disorders. Art therapy is a particularly effective therapeutic intervention for this group, as it allows them to express uncomfortable thoughts and feelings through artistic media rather than having to explain them verbally. Lisa D. Hinz outlines the areas around which the therapist can design effective treatment programmes, covering family influences, body image, self-acceptance, problem solving and spirituality. Each area is discussed in a separate chapter and is accompanied by suggestions for exercises, with advice on materials to use and how to implement them. Case examples show how a therapy programme can be tailored to the individual client and photographs of client artwork illustrate the text throughout. Practical and accessible to practitioners at all levels of experience, this book gives new hope to therapists and other mental health professionals who want to explore the potential of using art with clients with eating disorders.

`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.

With its primary focus on the psychology of eating from a social, health, and clinical perspective, the second edition of "The" "Psychology of Eating: " "From" "Healthy to" "Disordered" "Behavior" presents an overview of the latest research into a wide range of eating-related behaviors Features the most up-to-date research relating to eating behaviorIntegrates psychological knowledge with several other disciplinesWritten in a lively, accessible styleSupplemented with illustrations and maps to make literature more approachable

In this book, the authors present current research in the study of the psychological, social and medical implications of binge eating and drinking. Topics discussed in this compilation include the pre-clinical findings on the neurobiology of binge drinking from rat animal models; the causes and co-factors of binge eating disorders; understanding the high co-prevalence of problematic eating and drinking; a neurocognitive profile of binge drinking; the neural, biological and genetic factors associated with binge eating disorders; cultural variations in the pursuit of attractiveness and associated harms; measures to detect childhood binge eating disorders; the pathophysiological and psychological aspects of binge drinking; and borderline personality disorder mediating the effect of childhood abuse on substance dependence.

Eating disorders (EDs) and disordered eating behaviours are considered a major disease of the modern world, being among the most prevailing public health problems in female adolescents and young adults in recent decades, and reaching in many Western countries an epidemic proportion. They occur primarily in adolescent girls and young women, during a crucial developmental stage, and are linked to extensive morbidity and high mortality rates. EDs are complex, conflictual, misunderstood disturbances that often raise negative emotions such as bewilderment, mistrust and fear not only among lay people but also in treatment providers. These reactions are likely the result of failing to grasp why someone would not comply with the basic universal need of eating or put such an emphasis on weight and appearance that renders them more important than anything else in life. This book offers an up-to-date summary with respect to the putative treatment options in EDs.

Eating disorders in males are a complex phenomenon. Eating disorders are less common in males than in females, occurring generally 10 times more frequently in women than in men. In spite of similar symptoms in men and women, men are less likely to be primarily diagnosed as suffering from an eating disorder and they risk to be under-diagnosed. This new and unique book reviews research on the epidemiology, clinical features, risk factors, weight and shape concerns, body dissatisfaction and a particular male anxiety on muscle mass on the topic of eating disorders in males.

This is a book that attempts to propose itself as a new trigger in the wide world of anorexia nervosa. The originality of its proposal consists in approaching anorexia nervosa, not only by endocrinological and psychological perspectives, but also by anthropological, philosophical and ethical point of view. In this way it's not only an update of specific literature, but also an integration with a new method to study this condition. The purpose of the book is to approach anorexia nervosa from different points of view, to reach a new interpretation which involves notions from biological and human sciences interpreted in a unique model and which could allow a new method of treatment.

Eating disorders are among the most complex disorders to treat, typically requiring medical, nutritional, and psychotherapeutic interventions. High relapse rates and the sense of urgency to save lives and minimize or prevent lifelong problems present challenges for even the most seasoned treatment providers. In an engaging, clear, and concise manner, Eating Disorders in Special Populations: Medical, Nutritional, and Psychological Treatments prepares physicians, dietitians, and psychotherapists to navigate the labyrinth they enter with eating disordered patients. Aggregating a vast amount of information and perspectives in a clear and concise format, readers will gain insight into the minds on both sides of the treatment room. From leading experts in the field, readers will learn how dietitians, physicians, and psychotherapists conceptualize and treat people with eating disorders, and treatment providers will discover the nuanced etiologies of eating disorder symptoms in a range of diverse populations. Increase your cultural competency and expand your practice by learning how eating disorders are created, maintained, and resolved. Join us in bringing light, health, and hope to our patients and to our colleagues across disciplines.

Thoroughly revised and updated with the latest research and methodologies, the fourth edition of the classic guide written specifically for parents, friends, and caregivers of individuals with eating disorders. For more than thirty years, this classic guide has been an essential resource for the "silent sufferers"-those affected by a loved one's eating disorder. This revised edition put family and friends at the center of the treatment process, providing the latest information on the methods and practices available to facilitate the recovery process. Surviving an Eating Disorder is the first book for family and friends to use a psychological perspective to understand eating disorders. Other treatment manuals or self-help books propose change but Surviving is the first to consider why change can be so hard for everyone involved. The factors that can hinder progress are discussed and the methods that can work are emphasized. Illustrated with case examples, this fourth edition explains the latest treatments and provides the necessary tools to carefully evaluate what can be most effective for each reader's individual care. The authors offer concrete advice and support, urging readers to care for both themselves and their relationships as they support their loved ones struggling with food and eating issues. With its combination of information, insight, and practical strategies, Surviving an Eating Disorder considers crisis as opportunity-a time for the possibility of hope and change for everyone involved.

This comprehensive, up-to-date book presents the latest research and applied practice to address all of the key issues relating to sport and eating disorders. The book begins by looking at the underlying factors behind the development of disordered eating. It goes on to consider evaluation, diagnosis and treatment across a wide range of sports and assesses the various types of treatment available and the practicalities of implementing treatment programmes. A whole chapter is devoted to the role of the internet, both as a source of information and possible treatment, for athletes with these disorders. The final chapter provides four practical examples and case studies of disordered eating in high-risk sports.