Temperament Based Therapy with Support for Anorexia Nervosa PDF
Preview Temperament Based Therapy with Support for Anorexia Nervosa
Temperament Based Therapy with Support for Anorexia Nervosa Temperament Based Therapy with Support for Anorexia Nervosa A Novel Treatment Laura L. Hill TheOhioStateUniversity UniversityofCalifornia,SanDiego Stephanie Knatz Peck UniversityofCalifornia,SanDiego Christina E. Wierenga UniversityofCalifornia,SanDiego UniversityPrintingHouse,CambridgeCB28BS,UnitedKingdom OneLibertyPlaza,20thFloor,NewYork,NY10006,USA 477WilliamstownRoad,PortMelbourne,VIC3207,Australia 314–321,3rdFloor,Plot3,SplendorForum,JasolaDistrictCentre, NewDelhi–110025,India 103PenangRoad,#05–06/07,VisioncrestCommercial,Singapore238467 CambridgeUniversityPressispartoftheUniversityofCambridge. ItfurtherstheUniversity’smissionbydisseminatingknowledgeinthepursuitof education,learning,andresearchatthehighestinternationallevelsofexcellence. www.cambridge.org Informationonthistitle:www.cambridge.org/9781009016803 DOI:10.1017/9781009032063 ©CambridgeUniversityPress2022 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithoutthewritten permissionofCambridgeUniversityPress. Firstpublished2022 PrintedintheUnitedKingdombyTJBooksLimited,PadstowCornwall AcataloguerecordforthispublicationisavailablefromtheBritishLibrary. LibraryofCongressCataloging-in-PublicationData Names:Hill,Laura(Psychiatry)author.|Knatz,StephaniePeck,author.|Wierenga,Christina,author. Title:Temperamentbasedtherapywithsupportforanorexianervosa/LauraHill,OhioStateUniversity, StephaniePeckKnatz,UniversityofCalifornia,SanDiego,ChristinaWierenga,UniversityofCalifornia, SanDiego. Description:Cambridge,UnitedKingdom;NewYork,NY:CambridgeUniversityPress,2022.|Includes bibliographicalreferencesandindex. Identifiers:LCCN2021024720(print)|LCCN2021024721(ebook)|ISBN9781009016803(paperback)| ISBN9781009032063(ebook) Subjects:LCSH:Anorexianervosa–Treatment.|Eatingdisorders.|Brain–Diseases–Treatment.| Therapistandpatient.|BISAC:MEDICAL/MentalHealth Classification:LCCRC552.A5H552022 (print)|LCCRC552.A5 (ebook)|DDC616.85/262–dc23 LCrecordavailableathttps://lccn.loc.gov/2021024720 LCebookrecordavailableathttps://lccn.loc.gov/2021024721 ISBN978-1-009-01680-3Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceoraccuracyof URLsforexternalorthird-partyinternetwebsitesreferredtointhispublication anddoesnotguaranteethatanycontentonsuchwebsitesis,orwillremain, accurateorappropriate. ....................................................................................................................................................... Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-dateinformationthat isinaccordwithacceptedstandardsandpracticeatthetimeofpublication.Althoughcasehistoriesare drawnfromactualcases,everyefforthasbeenmadetodisguisetheidentitiesoftheindividualsinvolved. Nevertheless,theauthors,editors,andpublisherscanmakenowarrantiesthattheinformation containedhereinistotallyfreefromerror,notleastbecauseclinicalstandardsareconstantlychanging throughresearchandregulation.Theauthors,editors,andpublishersthereforedisclaimallliabilityfor directorconsequentialdamagesresultingfromtheuseofmaterialcontainedinthisbook.Readersare stronglyadvisedtopaycarefulattentiontoinformationprovidedbythemanufacturerofanydrugsor equipmentthattheyplantouse. Wededicatethisbookto WalterH.Kaye,MD “Walt” Thevisionarybehindthis novelandemergingtreatment: TemperamentBasedTherapywithSupport (TBT-S) Contents ListofFigures xi ListofTables xiii ListofContributors xiv Foreword:WalterH.Kaye,MD xvii Preface xix Acknowledgments xxi Introduction 1 3 OverviewofTBT-SIntervention Strategies 19 Neurobiological Section 1 Temperament Based Psychoeducation 19 Therapy with Support (TBT-S) ExperientialLearning 20 ExperientialActivities 20 Overview Multi-FamilyTherapy(forYoung AdultVersion) 20 1 WhatIsTemperamentBased ClientandSupportSkills TherapywithSupport(TBT-S)? 3 Training 21 WhyTBT-SBeganbyFocusingon MealCoachingandDietary AnorexiaNervosa 3 Activities 21 TBT-SDescription 3 FrameworkforAction WhatIsTemperament,andWhyIsIt viatheBehavioral Important? 4 Agreement 22 WhoAretheIntended Participants? 7 4 StateoftheEvidenceBasefor WhereCanTBT-SBeApplied? 8 TBT-S 23 TBT-SModularStructure 9 Multi-SiteOpenTrialinYAandSE-AN TwoTBT-SVersions:YoungAdult(YA) Adults 23 andSevere-and-EnduringAnorexia Single-SiteOpenTrialin Nervosa(SE-AN) 9 YAAN 23 2 TBT-SCorePrinciples 12 5 HowtoUseThisManual 25 EatingDisordersAreBrainand BiologicallyBasedDisorders 12 Section 2 Setting Up TreattotheTrait:Targeting TemperamentinTreatment 13 Treatment FoodIsMedicine 16 SupportsAreaNecessaryPartof 6 HowtoIntroducethe Treatment 17 BiologicalBasesofEating Movementand/orActionsAre DisordersatInitial FundamentaltoChange 17 Engagement 27 vii viii Contents 7 HowtoEngageSupportsin 13 TBT-SNeurobiologyPsychoeducation Treatment 29 Module:Decision-Makingand IntroducingSupportsatthe InhibitoryControl 64 BeginningofTreatment 29 Objective 64 IncludingSupportsinTreatment Content 64 Segments 30 14 IntroductiontoTBT-SforYoung HowtoAskSupportstoJoin Adults(YATBT-S) 70 theAdultClientinDesignated RationaleforaTBT-SModelfor Sessions 31 YoungAdultswithAnorexia 8 NutsandBoltsofTBT-S 33 Nervosa 70 WhoIsInvolvedinthe WhatIstheConceptualFrameworkof TBT-STreatmentTeam,andWhatAre YATBT-S? 72 TheirRoles? 33 HowIsTemperamentTargetedinYA WhereTBT-STreatmentTakes TBT-S? 73 Place 35 RationaleforIncludingParentsas FoodConsiderations 35 SupportsinYATBT-S 75 HowTBT-SMealsAreConductedatAll YATBT-SSessionFormat 75 LevelsofCare 35 15 YoungAdultTBT-SMulti-Family GroupFormat 77 Section 3 TBT-S Treatment TBT-SGroupTherapyforParentsand YoungAdultswithAN 77 Interventions HowtoFacilitateCross-Group Interactions 78 9 HowtoDeliverNeurobiology PsychoeducationasaMotivational 16 YoungAdultTBT-SParentSkills Strategy 38 Training 82 Objective 38 PurposeandDescriptionoftheParent Content 39 SkillsTrainingModule 82 ParentSupportforYoungAdults 10 TBT-SNeurobiology withAN 82 PsychoeducationModule:Overview ParentingaYoungAdultActivity 83 oftheNeurobiologyofAnorexia DialecticalParentalSupport Nervosa 42 Module 84 Objective 42 ParentSkillsTraining 89 Content 43 17 YoungAdultTBT-SClientSkills 11 TBT-SNeurobiology Training 94 PsychoeducationModule:Anxiety PurposeandDescriptionofthe andInteroception 50 YoungAdultClientSkillsTraining Objective 50 Module 94 Content 50 ClinicianChecklistforYASkills 95 12 TBT-SNeurobiology TargetingAnxietyModule 95 PsychoeducationModule: TargetingInteroception RewardandPunishment Module 102 Sensitivity 57 TargetingAlteredReward Objective 57 Sensitivity/MotivationalDeficits Content 57 Module 103 Contents ix 18 TBT-SToolstoManageandReduce 23 Severe-and-EnduringAnorexia EDSymptoms 107 NervosaBehavioralAgreement ToolsforSevere-and-Enduring (SE-ANBA) 137 AnorexiaNervosa(SE-AN)andYoung WhatIstheSE-ANBA? 137 Adult(YA)Clients 107 Stage1:BehavioralAgreement TBT-SToolboxInstructions 110 Preparation 137 ToolDescriptions 111 Stage2:GoalsandObjectives 143 Stage3:SE-ANBehavioralAgreement 19 TBT-SExperientialActivities 115 Summary 148 WhatAreTBT-SExperiential WhoIsInvolvedinCompletingthe Activities? 115 SE-ANBA? 148 WheretoUsetheActivities? 115 WhenShouldtheSE-ANBABe WhoAreParticipantsof Completed? 148 TBT-SActivities? 115 WhereIstheSE-ANBA WhenAreTBT-SExperientialActivities Completed? 150 Implemented? 115 WhyUsetheSE-ANBA? 152 TBT-SNeurobiologicalExperiential HowtoUsetheSE-ANBA 152 Activities 116 TBT-SProblem-SolvingExperiential Section 4 TBT-S Augmenting Activities 117 HowtoApplyTBT-SActivities 117 Eating Disorder Treatments HowExperientialActivitiesAre Organized 117 24 TailoringTBT-STreatmentModules intoAllLevelsofCare 153 20 TBT-SStrategicDietary ExamplesofTBT-SModule Approach 118 Combinations 153 PurposeandDescriptionofthe DietaryApproach 118 25 HowtoApplyTBT-SinDiverse TemperamentBasedRoleofthe Settings 159 Dietitian 119 The5-DayTBT-SProgram:YA DietaryNomenclature 121 TBT-SandSE-ANTBT-S 159 Meal-PlanningStrategies 122 IntegratingTBT-SintoOutpatient RoleofDietitianduringMeal LevelsofCare 160 Sessions 124 HowOftenDoSupportsAttend WhenMealsFallApart 127 OutpatientTreatmentSessions? 160 HowtoFlexiblyUse 21 FrameworkforActionvia TBT-SModules 162 TBT-SBehavioralAgreement 129 22 YoungAdultTBT-SBehavioral 26 HowtoInterfaceTBT-STreatment Agreement(YABA) 130 withOngoingProvidersandEating WhatIstheYABA? 130 DisorderPrograms 164 HowtoUsetheYABA 130 HowtoInterfaceTBT-SModulesinto YABAClinicianChecklist 132 OngoingEDTherapy 164 Stage1:BehavioralAgreement TBT-SPromotesSeamlessTransitions Preparation 132 ofCare 165 Stage2:ConstructingtheFinal WhatMaterialsAreSenttoOngoing BehavioralAgreement 135 Providers? 166
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