Bulimia Nervosa is an eating disorder characterised by recurrent episodes of binge-eating followed by inappropriate compensatory behaviour. It affects 1-2% of the population, the majority of cases occurring in women between the ages of 16 and 35. This book provides a comprehensive and detailed review of the key psychological aspects of the disorder and places particular emphasis on cognitive considerations. The coverage includes the key features of Bulimia Nervosa, associated problems, psychological theories and different treatment approaches. There is special focus on cognitive factors with case examples used to illustrate the two most articulated cognitive treatments for the disorder. Emerging topics, such as imagery and metacognition are covered, as are service issues, such as stepped care and practice guidelines. Drawing on research and theory from cognitive and non-clinical areas of psychology, The Psychology of Bulimia Nervosa provides an original and challenging perspective on this debilitating condition. It questions assumptions about cognitive theory of Bulimia Nervosa and the role of standard cognitive therapy in treating the problem, suggests novel ideas, and a revised treatment and outlines areas for further research activity.

This book presents an implementation of psychodynamic self psychology in the treatment of anorexia nervosa and bulimia nervosa, using a theoretical and therapeutic approach to examine the way that patients turn to food consumption or avoidance in order to supply needs they do not believe can be provided by human beings. The book starts with an overview of self psychology, presenting both the theory of self psychology and its specific application for the etiology and treatment of eating disorders. Featuring contributions from eating disorder professionals, the book then integrates this theory with 16 compelling case studies to explore how the eating-disordered patient is scared to take up space in a society that encourages precisely that. Professionals in the field of psychotherapy for eating disorders, as well as the entire community of psychotherapists, will benefit from the empirical capability of the theory to predict the development as well as remission from eating disorders.

Offers a clear, concise, up-to-date introduction to eating disorders for students in the health professions This is a concise, accessible introduction to eating disorders for undergraduate and graduate students in psychology, as well as those specializing in health education and nutrition. Easy to read and grounded in DSM-5 definitions and the most up-to-date research, the text is designed for students in the health professions as well as health professionals seeking a basic understanding of the challenges associated with their diagnoses and treatment. Written by a licensed psychologist and certified eating disorders specialist, the book describes what eating disorders are and are not, who is likely to develop them, and signs and symptoms of specific disorders. It discusses biological, medical, psychological, interpersonal, and socio-cultural risk factors, and helps the reader to identify those who are at risk for experiencing an eating disorder and how to refer them for evaluation. Scenarios reflect the wide spectrum of people who suffer from eating disorders including young and old, male and female, and athlete and non-athlete. Uniquely, the book also covers the range of reactions someone—including treatment providers—can have to an individual diagnosed with an eating disorder. The text also delivers strategies for treatment and prevention, with overviews of their effectiveness. Print version of the book includes free, searchable, digital access to its entire contents. Key Features: Provides an easy-to-read introduction to the full range of eating disorders Discusses risk factors and warning signs of eating disorders Discusses evidence-based treatment approaches and prevention Considers long-term effects of eating disorders Includes illustrative narratives of diverse individuals with EDs Authored by a certified eating disorders specialist

Patients are guided to objectively observe their own eating patterns, including contexts in which problematic eating takes place. Through careful education, patients are guided toward normalizing their eating patterns as a way of breaking the deprivation/ binge cycle. Alternative pleasurable activities to problematic eating are explored. Patients are encouraged to explore problematic thoughts associated with bingeing and purging and taught to challenge these thoughts. This Client Workbook is intended to be used by individuals with Bulimia Nervosa or binge-eating disorder, under the supervision of a qualified professional who can help them stay on track and overcome obstacles. The Client Workbook contains background information that will improve the client's understanding of Bulimia Nervosa and binge-eating disorder and its treatment with cognitive-behavioral therapy. Each chapter presents important educational material, relevant exercises, homework assignments, and self-assessments. In general, the client should plan on proceeding at a pace of approximately one chapter per session.

This book investigates the growing and ever-changing health issues for girls and women who lead an active lifestyle and participate in sports and exercise. Easy to read, the volume provides an educational foundation for understanding how disordered eating, amenorrhea, and osteoporosis can be interrelated while also looking at image disorders and reproductive health. It contains thorough analysis of common prevention and management techniques, and provides useful links to resources on the internet for additional screening tools.

Treating Bulimia Nervosa and Binge Eating explains how cognitive therapy can be used to treat those suffering from bulimia nervosa. The manual provides a step-by-step treatment guide, incorporating a number of case examples offering detailed explanations of the treatment process, questionnaires, worksheets and practical exercises for the client, which will provide a framework and focus for therapy. The authors use existing techniques, as well as new integrated cognitive and metacognitive methods developed from their recent research, to take the therapist from initial assessment to the end of treatment and beyond, with chapters covering: engagement and motivation case formulation and socialisation detached mindfulness strategies positive and negative beliefs. This practical guide will allow those treating patients with bulimia nervosa to take advantage of recent developments in the field and will be an essential tool for all therapists working with this eating disorder.

This manual presents an evidence-based focal psychodynamic approach for the outpatient treatment of adults with anorexia nervosa, which has been shown to produce lasting changes for patients. The reader first gains a thorough understanding of the general models and theories of anorexia nervosa. The book then describes in detail a three-phase treatment using focal psychodynamic psychotherapy. It provides extensive hands-on tips, including precise assessment of psychodynamic themes and structures using the Operationalized Psychodynamic Diagnosis (OPD) system, real-life case studies, and clinical pearls. Clinicians also learn how to identify and treat typical ego structural deficits in the areas of affect experience and differentiation, impulse control, self-worth regulation, and body perception. Detailed case vignettes provide deepened insight into the therapeutic process. A final chapter explores the extensive empirical studies on which this manual is based, in particular the renowned multicenter ANTOP study. Printable tools in the appendices can be used in daily practice. This book is of interest to clinical psychologists, psychotherapists, psychiatrists, counselors, and students.

As many as one in 20 women in the western world suffer bouts of uncontrolled binge-eating. Going without food for long periods, making yourself vomit and taking laxatives you don't need are also common and are symptoms of bulimia nervosa. Such illness costs lives if not successfully treated. Now in its second edition, Peter Cooper's sympathetic and highly acclaimed guide gives a clear explanation of the disorder and the serious health issues that can result from it. He describes the treatments available today and, most importantly, sets out a self-help guide for those who want to tackle their difficulties for themselves, with a step-by-step programme. This is a real chance for sufferers to take the road to recovery, and will give their friends and family a much clearer understanding of the illness and its remedy.

Why is the brain important in eating disorders? This ground-breaking new book describes how increasingly sophisticated neuroscientific approaches are revealing much about the role of the brain in eating disorders. Even more importantly, it discusses how underlying brain abnormalities and dysfunction may contribute to the development and help in the treatment of these serious disorders. Neuropsychological studies show impairments in specific cognitive functions, especially executive and visuo-spatial skills. Neuroimaging studies show structural and functional abnormalities, including cortical atrophy and neural circuit abnormalities, the latter appearing to be playing a major part in the development of anorexia nervosa. Neurochemistry studies show dysregulation within neurotransmitter systems, with effects upon the modulation of feeding, mood, anxiety, neuroendocrine control, metabolic rate, sympathetic tone and temperature. The first chapter, by an eating disorders clinician, explains the importance of a neuroscience perspective for clinicians. This is followed by an overview of the common eating disorders, then chapters on what we know of them from studies of neuroimaging, neuropsychology and neurochemistry. The mysterious phenomenon of body image disturbance is then described and explained from a neuroscience perspective. The next two chapters focus on neuroscience models of eating disorders, the first offering an overview and the second a new and comprehensive explanatory model of anorexia nervosa. The following two chapters offer a clinical perspective, with attention on the implications of a neuroscience perspective for patients and their families, the second providing details of clinical applications of neuroscience understanding. The final chapter looks to the future. This book succinctly reviews current knowledge about all these aspects of eating disorder neuroscience and explores the implications for treatment. It will be of great interest to all clinicians (psychiatrists, psychologists, nurses, dieticians, paediatricians, physicians, physiotherapists) working in eating disorders, as well as to neuroscience researchers.