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Treating Bulimia in Adolescents


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Table of Contents

1. Introduction and Background Information on Bulimia Nervosa2. Family-Based Treatment for Adolescent Bulimia Nervosa3. Phase I: Initial Evaluation 4. Session 1: The First Face-to-Face Meeting with the Family5. Session 1 in Action6. Session 2: The Family Meal 7. Session 2 in Action8. The Remainder of Phase I (Sessions 3-10) 9. The Remainder of Phase I in Action 10. Phase II: Helping the Adolescent Eat on Her Own (Sessions 11-16) 11. Phase II in Action 12. Phase III: Adolescent Developmental Concerns (Sessions 17-20) 13. Phase III in Action 14. Summary of a Completed Case

About the Author

Daniel Le Grange, PhD, FAED, is Benioff UCSF Professor in Children's Health in the Department of Psychiatry and UCSF Weill Institute for Neurosciences and Director of the Eating Disorders Program at the University of California, San Francisco. He is Emeritus Professor at the University of Chicago, where he was Director of the Eating Disorders Program until 2014. Dr. Le Grange was a member of the team at the Maudsley Hospital in London that developed family-based treatment for anorexia nervosa. Over his career, he has treated numerous adolescents and families struggling with eating disorders. He is a past recipient of the Leadership Award in Research from the Academy of Eating Disorders and an Early Career Development Award from the National Institute of Mental Health. The author of over 500 articles, books, book chapters, and published abstracts, Dr. Le Grange has published several books for professionals and parents in collaboration with James Lock, including [ital]Help Your Teenager Beat an Eating Disorder, Second Edition.[/ital]

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.


"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, Department of Psychiatry, Warneford Hospital, Oxford University, Oxford, UK "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, Department of Psychiatry, Harvard Medical School, USA "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." - Diane Collins, Addiction Today, May-June 2010

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