Overcoming Eating Disorders (Second Edition): Therapist Guide

The Overcoming Your Eating Disorder therapist guide provides step-by-step instructions and evidence-based strategies for supporting individuals with eating disorders. A client workbook is downloadable separately.

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Chapter 1: Introductory Information for Therapists

Chapter 2: Special Issues in Treatment

Chapter 3: Pretreatment Assessment

Chapter 4: Session 1

Chapter 5: Session 2

Chapter 6: Session 3

Chapter 7: Session 4

Chapter 8: Remainder of Phase 1: Sessions 5-9

Chapter 9: Assessing Progress

Chapter 10: Introduction to Phase 2

Chapter 11: Feared and Avoided Foods

Chapter 12: Weight and Shape Concerns

Chapter 13: Faulty Thinking

Chapter 14: Negative Mood

Chapter 15: Final Sessions: Relapse Prevention

Chapter 16: Therapist-Assisted Self-Help

References

Front Matter

Overview

Cognitive behavioral therapy (CBT) is an effective treatment for eating disorders including bulimia nervosa and binge-eating disorder. It is recommended by the American Psychiatric Association (APA) and the UK National Institute for Health and Care Excellence (NICE). Overcoming Eating Disorders (Second Edition) is written by W. Stewart Agras (Professor Emeritus of Psychiatry at Stanford University School of Medicine) and Robin F. Apple (Clinical Psychologist and previously Associate Clinical Professor at Stanford University), and provides therapists with all the tools they need to deliver effective, evidence-based psychological treatment for bulimia nervosa and binge-eating disorder. Part of the Treatments That Work™ series, it provides step-by-step instructions for teaching clients the skills to improve their eating habits and overcome their food-related difficulties.

Why Use This Resource?

This program provides a step-by-step, structured approach for treating eating disorders.

  • Detailed explanations of cognitive-behavioral principles tailored to eating disorders.
  • Evidence-based interventions for overcoming eating disorders.
  • Practical guidance for structuring sessions and implementing client exercises.
  • Strategies for overcoming common obstacles during treatment.

Key Benefits

Structured

Offers a clear, session-by-session outline for delivering effective therapy.

Educational

Helps clients understand the nature of their difficulties.

Effective

Supports therapists in implementing effective interventions for addressing eating disorders.

Trusted

Part of the Treatments That Work™ series, developed by leading experts.

Who is this for?

Bulimia Nervosa (BN)

Characterized by recurring episodes of binge eating followed by compensatory behaviors, such as vomiting.

Binge-Eating Disorder

Recurring episodes of eating large quantities of food, accompanied by a sense of loss of control.

Integrating it into your practice

01

Assessment

Explore how clients experience their eating disorder.

02

Psychoeducation

Teach clients about eating disorders and what maintains them.

03

Skills

Implement effective cognitive-behavioral interventions to address key symptoms.

04

Monitoring

Use structured worksheets to track progress and refine interventions.

05

Relapse Prevention

Equip clients with long-term strategies for maintaining their progress.

Theoretical Background & Therapist Guidance

Eating disorders are serious difficulties that can affect anyone. It is estimated that 0.3% and 0.9% of people will experience bulimia nervosa and binge-eating disorder respectively at some point in their lives. Symptoms of include recurrent episodes of binge eating (i.e., eating in a way that feels uncontrolled and distressing), preoccupation with one’s shape and weight, and the use of compensatory behaviors such as self-induced vomiting, laxative use, strenuous exercise, and restriction (note that use of compensatory behaviors applies only to bulimia nervosa).

Overcoming Eating Disorders is a comprehensive program to assist clinicians in delivering effective CBT for bulimia nervosa and binge-eating disorder. The program includes two books:

  • Overcoming Eating Disorders: Therapist Guide details the step-by-step cognitive behavioral treatment of bulimia nervosa and binge-eating disorder.
  • Overcoming Your Eating Disorder: Workbook is the companion to this therapist guide. It will help your patients to become active participants in their treatment and learn how to establish a regular pattern of eating, address body-image concerns, and tackle intense moods and emotions that affect their eating.

Although written for the client, the exercises in the workbook are intended to be carried out under the supervision of a mental health professional. The authors suggest that the most effective implementation of these exercises requires an understanding of the principles underlying the different procedures, and that mental health professionals should be familiar with both the Overcoming Your Eating Disorder: Workbook and this therapist guide.

Therapists with an active subscription to a Psychology Tools ‘Complete’ plan are licensed to use Treatments That Work® titles, and to download and share chapters with their clients.

Authored by leading psychologists including David Barlow, Michelle Craske and Edna Foa, Treatments That Work™ is a series of manuals and workbooks based on the principles of cognitive behavioral therapy (CBT). Each pair of books - therapist guide and client workbook - contains step by step procedures for delivering evidence-based psychological interventions and will help you to provide the best possible care for your clients.

What's inside

  • A structured, session-by-session treatment manual.
  • Therapist checklists and progress monitoring tools.
  • Detailed guidance for implementing cognitive-behavioral interventions for eating disorders.
  • Case examples and troubleshooting tips for common challenges.
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FAQs

No, this resource is designed for therapists. Clients may benefit from the companion Client Workbook, which provides exercises for independent practice.
The full program is designed to be completed over multiple sessions, but can be tailored to individual client needs.
The guide includes structured assessments and self-monitoring tools to evaluate symptom changes over time.
Encourage gradual implementation and support clients in identifying and addressing the barriers they encounter.

How This Resource Improves Clinical Outcomes

By integrating this resource into therapy, therapists are able to:

  • Deliver a structured, comprehensive treatment specifically developed for eating disorders.
  • Implement effective, evidence-based interventions.
  • Help clients maintain long-term gains through relapse prevention strategies.
  • Tailor treatment to meet diverse client needs

References And Further Reading

  • Agras, W. S., Telch, C. F., Arnow, B., Eldredge, K., Wilfley, D. E., Raeburn, S. D., et al. (1994). Weight loss, cognitive-behavioral, and desipramine treatments in binge eating disorder. Behavior Therapy, 25, 209-238.
  • Agras, W. S., Walsh, B. T., Fairburn, C. G., Wilson, G. T., & Kraemer, H. C. (2000). A multicenter comparison of cognitive-behavioral therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57, 459-466.
  • Fairburn, C. G., Norman, P. A., Welch, S. L., O’Connor, M. E., Doll, H. A., & Peveler, R. C. (1995). A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. Archives of General Psychiatry, 52(4), 304-312.
  • Grilo, C. M., Masheb, R. M., & Wilson, G. T. (2005). Efficacy of cognitive behavioral therapy and fluoxetine for the treatment of binge eating disorder: A randomized double-blind placebo-controlled comparison. Biological Psychiatry, 57, 301-309.
  • Barlow, D. H. (2004). Psychological treatments. American Psychologist, 59, 869-878.