Treating Bulimia in Adolescents: A Family-Based Approach [Paperback]

Daniel Le Grange PhD (Author), James Lock MD PhD (Author)

Book Description

ISBN-10: 1606233513 | ISBN-13: 978-1606233511 | Publication Date: June 19, 2009 | Edition: 1

An indispensable clinical resource, this groundbreaking book is the first treatment manual to focus specifically on adolescent bulimia nervosa. The authors draw on their proven approach to treating anorexia nervosa in the family context and adapt it to the unique needs of this related yet distinct clinical population. Evidence-based strategies are presented for helping the whole family collaborate to bring dysfunctional eating behaviors under control, while also addressing co-occurring psychological problems and parent–child relationship conflicts. Highly practical, the book shows exactly how to carry out this time-limited therapy and what to do when problems arise. Special features include annotated session transcripts and answers to frequently asked questions.

(20100501)

Editorial Reviews

Review

"Le Grange and Lock, the brilliant innovators of the most effective treatment for anorexia nervosa, have adapted their family-based approach into the first promising intervention for adolescents with bulimia nervosa. Extremely well written and user friendly."--David B. Herzog, MD, Department of Psychiatry, Harvard Medical School

 

"When treating adolescents with bulimia nervosa, clinicians owe it to their patients to consider how family involvement might benefit treatment. This welcome book is authored by two of our most esteemed authorities on family-based intervention for eating disorders. Grounded in extensive research and practice, the manual offers theoretical perspectives, a clear rationale for the treatment, and practical instruction on implementing the techniques. The evidence-based approach and excellent clinical illustrations provided by Le Grange and Lock will enrich the therapeutic armamentarium of novices and experienced clinicians alike."--Joel Yager, MD, Department of Psychiatry and Biobehavioral Sciences, University of New Mexico School of Medicine; past president, Academy for Eating Disorders

 

"The family-based approach has offered patients a genuine paradigm shift in the treatment of eating disorders, and real hope for recovery from a complex illness. Le Grange and Lock build here on their authoritative manual for the treatment of adolescent anorexia to deliver the first such manual for adolescent bulimia. This book is essential reading for those who seek empirically based, therapeutically sound treatments for children and adolescents with eating disorders."--Leslie A. Sim, PhD, Department of Psychology and Psychiatry, Mayo Clinic

 

"Le Grange and Lock have written an eminently practical guide. Their approach emphasizes a positive view of parents, as agents in reestablishing healthy eating for adolescents with bulimia nervosa; of the family, as a resource for recovery; and of adolescents themselves, as competent and autonomous--except in relation to their disordered eating. Detailed case studies show how the therapist can model uncritical acceptance of the patient and separate the illness from the individual. This book belongs in the library of any professional who treats eating disorders."--Richard E. Kreipe, MD, Department of Pediatrics, University of Rochester Medical Center

 

"This is a seminal resource for both researchers and clinicians. Not only will this book assist in understanding the dynamics and treatment for families with a child with bulimia nervosa, but the comparisons presented with families with a child with anorexia nervosa also help to solidify understanding of those dynamics as well. A very thoughtful and thorough presentation."--Nancy Zucker, PhD, Duke Eating Disorder Program, Duke University Medical Center

 

"Written by two specialists on eating disorders, this book provides a detailed description of a family-based treatment for adolescents with bulimia nervosa. Practical in orientation and comprehensive in scope, this is an invaluable resource for clinicians."--Christopher G. Fairburn, DM, FRCPsych, FMedSci, Department of Psychiatry, Warneford Hospital, Oxford University, Oxford, UK

 

"A welcome companion to the Treatment Manual for Anorexia Nervosa, this practical guide to treating bulimia nervosa in young people provides step-by-step guidance for clinicians experienced in working with young people and their families. Written by leaders in the field, the manual brings transparency of process and purpose to the treatment of what can be complex clinical problems. The authors' personal experience translating theory into practice and dealing with the real issues encountered in therapy is evident throughout. I would recommend this book to anyone new to working with young people with eating disorders."--Dasha Nicholls, MD, PhD, Head, Feeding and Eating Disorders Service, Great Ormond Street Hospital and the Institute of Child Health, London, UK

"A theoretical, yet easy-to-follow manual combining case studies with theory and examples of the practice approach. Highly practical, the book shows evidence-based strategies for practitioners to best support adolescent sufferers of bulimia, while helping the family develop skills to cope with the complexities of the illness and to work collaboratively to bring the eating behaviours under control....This is an extremely useful tool for therapists working with adolescents and their families."--Addiction Today Magazine

(Addiction Today Magazine )

About the Author

Daniel Le Grange, PhD, is Professor in the Department of Psychiatry, Section for Child and Adolescent Psychiatry, and Director of the Eating Disorders Program at the University of Chicago. Dr. Le Grange trained at the Institute of Psychiatry, University of London, and was a member of the team at the Maudsley Hospital in London that developed family-based treatment for anorexia nervosa. He completed postdoctoral work at the University of London and at Stanford. Dr. Le Grange is the author of numerous research publications and is a past recipient of a National Institute of Mental Health (NIMH) Career Development Award. He is currently principal investigator at the Chicago site for an NIMH anorexia nervosa treatment study, and investigator on an NIMH ecological momentary assessment study of anorexia nervosa.
 
James Lock, MD, PhD, is Professor of Child Psychiatry and Pediatrics in the Division of Child and Adolescent Psychiatry and Child Development, Department of Psychiatry and Behavioral Sciences, Stanford University. He is the director of the Eating Disorders Program in the Division of Child Psychiatry and psychiatric director of an inpatient eating disorder program for children and adolescents at Lucile Salter Packard Children’s Hospital at Stanford. Dr. Lock trained in general psychiatry at UCLA and in child psychiatry at the University of California, Davis. The author of numerous scientific publications, he is a past recipient of an NIMH Early Career Development Award, a current recipient of an NIMH Mid-Career Development Award, and principal investigator at the Stanford site for an NIMH treatment study.

Product Details

• Reading level: Ages 12 and up
  
• Paperback: 260 pages
• Publisher: The Guilford Press; 1 edition (June 19, 2009)
• Language: English
• ISBN-10: 1606233513
• ISBN-13: 978-1606233511
• Product Dimensions: 8.9 x 5.9 x 0.7 inches
• Shipping Weight: 13.6 ounces (View shipping rates and policies)
• Average Customer Review: 4.3 out of 5 stars  See all reviews (3 customer reviews)
• Amazon Best Sellers Rank: #383,116 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews

6 of 6 people found the following review helpful:

5.0 out of 5 stars Excellent Eating Disorder Treatment Manual, July 7, 2010

By 

Dr Stuart Jeanne Bramhall "Dr Stuart Jeanne B... (New Plymouth, New Zealand) - See all my reviews

This review is from: Treating Bulimia in Adolescents: A Family-Based Approach (Paperback)

An excellent Maudesley model treatment manual for clinicians to use in treating Bulimia Nervosa. The authors chose to address Bulimia in a separate edition from their first manual, TREATMENT MANUAL FOR ANOREXIA NERVOSA. The psychological and family dynamics are somewhat different in Bulimia, though the family centered approach is essentially the same. With treatment broken down session by session, it becomes possible for for most clinicians with a family therapy background to deliver effective treatment to bulimic teenagers and their families - with minimal additional training.

As with with the anorexia manual, the approach is very prescriptive - from the initial "intense scene" where the therapist informs the parents that their child has a fair chance of dying unless they both take a leave of absence from work to personally supervize her meals - to the insistence the parents take charge of the patient's eating, compulsive exercising and purging - until she successfully frees herself from the spell bulimia holds over her.

As with anorexia, the second session always involves a picnic lunch the family brings to the office - enabling the therapist to "coach" the parents on getting their daughter to eat. This is followed by weekly visits to ensure the family is continuing to provide close supervision of dietary choices, meals, exercise and purging.

In treating bulimia the main focus is not weight restoration (often bulimic patients are sightly overweight), but ending the cycle of binging and purging (either via self-induced vomiting or laxative abuse). There also tend to be more co-occurring psychiatric conditions (most commonly depression and suicide ideation) with bulimia, which may need to be addressed first.

On average, it takes around 10 to 12 weeks for bulimic symtpoms to come under control. At that point the family enters Phase II, a 3-4 month transitional phase, during which the teenager resumes more control over her own eating and the family begins to work on autonomy issues (issues relating to the teenager separating and becoming independent from her parents). The latter tend to be more prominent in bulimic than anorexic patients.

Phase III consists of 3-4 sessions one month apart, during which the family and therapist practice problem solving around typical adolescent issues and develop a relapse prevention plan.

4 of 6 people found the following review helpful:

5.0 out of 5 stars got the goods, March 8, 2008

By 

V. Klug (Locust Grove, VA United States) - See all my reviews
(REAL NAME)   

Amazon Verified Purchase

This review is from: Treating Bulimia in Adolescents: A Family-Based Approach (Hardcover)

If your a parent with a bulimica child, this book has the insight to what you need.
Just to warn you, it is advanced stuff. You may need a dictionary and you may need to commmit a lot of time to get what you need out of this book-to help your child. But look, God made us to think and what could motivate us to learn even difficult things more than saving our own children.
Bulimia is serious and may lead to anorexia- which is potentially fatal.
Please be encouraged that there is help for your child, but not without a cost-you may need to work your brain really hard.
Studies have found that therapists treatment is less successful than a parents healthy involvement.

1 of 5 people found the following review helpful:

3.0 out of 5 stars IT, August 28, 2010

By 

erin OToole-Lyon (Richmond, VA) - See all my reviews
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Amazon Verified Purchase

This review is from: Treating Bulimia in Adolescents: A Family-Based Approach (Paperback)

This was written like an instruction manual to putting together your next stereo. It was dry and without life, when the intent is to promote well-being.