Multistep Cognitive Behavioral Therapy for Eating Disorders:
Theory, Practice, and Clinical Cases describes a novel model of
cognitive behavior therapy (CBT) for eating disorders called
multistep CBT-E (Enhanched). The treatment, derived from the
transdiagnostic cognitive behavior theory of eating disorders,
extends the range of applicability of standard CBT-E. It is
designed to be applicable to three different levels of care
(outpatient, intensive outpatient, inpatient), and to eating
disorder patients of all diagnostic categories, ages, and BMI
categories. Distinguishing multistep CBT-E is the adoption of a
multi-step approach conducted by a multidisciplinary CBT-E team
including psychologists, dietitians, and physicians, the inclusion
of a family module for patients under eighteen years old, and the
use of assisted eating and group sessions, in adjunct to individual
psychotherapy in the intensive levels of care. The first eight
chapters provide an overview of eating disorders, the cognitive
behavior theory of eating disorders, how to build a CBT-E
multidisciplinary team, how patients are assessed and prepared for
the treatment, the general organization, procedures, and strategies
involved in the three steps of multistep CBT-E treatment, and how
multistep CBT-E can be adapted for adolescents. In order to
highlight the flexibility of the multistep CBT-E approach, Section
Two of the book provides a detailed description of three treated
clinical cases. The first case illustrates how outpatient CBT-E was
adapted to treat a professional sportswoman affected by an eating
disorder; the second describes the procedures and strategies
applied in intensive outpatient CBT-E to treat a patient who did
not improve with standard outpatient CBT-E; and the third case
illustrates the procedures and strategies typically applied in
inpatient CBT-E and shows how it can be used to help a patient with
a longstanding eating disorder who has failed to respond to several
outpatient treatments. Each chapter gives a general description of
the case in question and details the main procedures, strategies,
and tools used from the assessment stage through to discharge. In
addition, abridged transcripts of relevant clinical sessions are
included, to give interesting insight into the practical
implementation of multistep CBT-E, and the outcomes at the end of
the treatment and follow-up are reported.
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