Treatment Plans and Interventions for Bulimia and Binge-Eating Disorder PDF
Preview Treatment Plans and Interventions for Bulimia and Binge-Eating Disorder
TreaTmenT Plans and InTervenTIons for BulImIa and BInge- eaTIng dIsorder TreaTmenT Plans and InTervenTIons for evIdence-Based PsychoTheraPy Robert L. Leahy, Series Editor This series provides psychotherapy practitioners with a wealth of practical tools for treat- ing clients with a range of presenting problems. Each volume synthesizes current informa- tion on a particular disorder or clinical population; demonstrates how to develop specific, tailored treatment plans; and describes interventions proven to reduce distress and alle- viate symptoms. Step-by-step guidelines for planning and implementing treatment are illustrated with rich case examples. User- friendly features include reproducible self- report forms, handouts, and symptom checklists, all in a convenient large-size format. Specific strategies for handling treatment roadblocks are also detailed. Emphasizing a collabora- tive approach to treatment, books in this series enable therapists to offer their clients the very best in evidence-based practice. TrEaTmEnT PlanS and InTErvEnTIonS for dEPrESSIon and anxIETy dISordErS, SEcond EdITIon Robert L. Leahy, Stephen J. F. Holland, and Lata K. McGinn TrEaTmEnT PlanS and InTErvEnTIonS for BUlImIa and BIngE-EaTIng dISordEr Rene D. Zweig and Robert L. Leahy Treatment Plans and Interventions for Bulimia and Binge- eating disorder Rene D. Zweig Robert L. Leahy THE GUILFORD PRESS New York London © 2012 The guilford Press a division of guilford Publications, Inc. 72 Spring Street, new york, ny 10012 www.guilford.com all rights reserved Except as indicated, no part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher. Printed in the United States of america This book is printed on acid-free paper. last digit is print number: 9 8 7 6 5 4 3 2 1 lImITEd dUPlIcaTIon lIcEnSE These materials are intended for use only by qualified mental health professionals. The publisher grants to individual purchasers of this book nonassignable permission to duplicate the forms in the book and on the cd-rom for which permission is specifically granted in a footnote. This license is limited to you, the individual purchaser, for personal use or use with individual clients. This license does not grant the right to reproduce these materials for resale, redistribution, electronic display, or any other purposes (including but not limited to books, pamphlets, articles, video- or audiotapes, blogs, file- sharing sites, Internet or intranet sites, and handouts or slides for lectures, workshops, or webinars; whether or not a fee is charged). Permission to reproduce these materials for these and any other purposes must be obtained in writing from the Permissions department of guilford Publications. The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the authors, nor the editor and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information. readers are encouraged to confirm the information contained in this book with other sources. library of congress cataloging-in- publication data is available from the Publisher. ISBn 978-1-4625-0258-5 For Matt and Ethan —R. D. Z. For Helen —R. L. L. about the authors Rene D. Zweig, PhD, is director of Union Square cognitive Therapy, a full-time private prac- tice in new york city. Previously, she directed the Eating disorders and Weight management Program at the american Institute for cognitive Therapy. She is adjunct clinical Supervisor at the ferkauf graduate School of Psychology at yeshiva University, and a diplomate of the acad- emy of cognitive Therapy. Robert L. Leahy, PhD, is director of the american Institute of cognitive Therapy in new york city and clinical Professor of Psychology in the department of Psychiatry at Weill cornell medical college. He is the author or editor of 19 books on cognitive therapy and psychological processes, including the professional books Cognitive Therapy Techniques and Overcoming Resis- tance in Cognitive Therapy, and the popular books The Worry Cure and Beat the Blues They Beat You. dr. leahy is Past President of the association for Behavioral and cognitive Therapies, the International association for cognitive Psychotherapy, and the academy of cog- nitive Therapy. He is a recipient of the aaron T. Beck award for Sustained and Enduring con- tributions to cognitive Therapy. He has given workshops worldwide and has appeared frequently in the popular media. vii contents CHaPTER 1 Introduction 1 Rationale for Cognitive- Behavioral Treatment 3 Level-of-Care Decision Making 4 Using This Treatment Planner 6 CHaPTER 2 Bulimia nervosa 9 Description 9 Understanding Bulimia Nervosa in Cognitive- Behavioral Terms 10 Psychotropic Medications for Eating Disorders 16 CHaPTER 3 assessment, diagnosis, and Treatment Planning 18 Differential Diagnosis 20 Treatment Planning 21 CHaPTER 4 detailed Treatment Plan for Bulimia nervosa 32 Socialization to Treatment 32 Motivation 33 Behavioral Change 34 Cognitive Restructuring 45 Body Image Interventions 54 Optional Supplementary Interventions 60 Relapse Prevention Interventions 65 Possible “Roadblocks” and Treatment Resistance 67 Sample 20-Session Treatment Plan 70 CHaPTER 5 case example 97 Session 1 97 Session 2 99 Session 3 103 Sessions 4–7 105 Sessions 8–10 107
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