Clinical Manual of Eating Disorders provides sound therapeutic advice based on current research and clinical practice. It extensively expands on approaches for well-known disorders such as anorexia nervosa and bulimia nervosa covered by the third edition of the American Psychiatric Association's ''Practice Guideline for the Treatment of Patients With Eating Disorders.'' It also covers strategies for night eating and related syndromes, obesity and weight management in relation to psychiatric medications, psychiatric aspects of bariatric surgery, and management of patients with chronic, intractable eating disorders. Ranging widely from determining initial treatment approaches to addressing problems posed by unique groups of patients, this book focuses squarely on what psychiatrists need to know about the clinical assessment and management of patients with anorexia nervosa, bulimia nervosa, binge-eating disorder, and obesity. Its insights will enable clinicians to better make nuanced assessments of patients with these conditions, present the best available evidence about treatment options to patients and their families, and initiate and conduct treatment interventions with the majority of patients they encounter. Clinical vignettes illustrate specific techniques and strategies to help anchor the discussions in the decision-making situations commonly faced by practitioners.
Author(s): Joel Yager, Pauline S. Powers, Joel Yager, Pauline S. Powers
Edition: 1
Publisher: American Psychiatric Publishing
Year: 2007
Language: English
Pages: 482
Contents......Page 8
Contributors......Page 14
Preface......Page 20
1 Diagnosis, Epidemiology, and Clinical Course of Eating Disorders......Page 22
Anorexia Nervosa......Page 23
Bulimia Nervosa......Page 32
Eating Disorder Not Otherwise Specified......Page 40
References......Page 47
2 Assessment and Determination of Initial Treatment Approaches for Patients With Eating Disorders......Page 52
Assessing the Patient......Page 53
Assessing the Family......Page 64
Choosing Initial Treatment Approaches and the Initial Site of Treatment......Page 65
References......Page 78
Appendix: Eating Disorders Questionnaire (EDQ), Version 9.0......Page 81
3 Eating Disorders and Psychiatric Comorbidity: Prevalence and Treatment Modifications......Page 100
Prevalence of Axis I and Axis II Disorders in Patients With Eating Disorders......Page 101
Treatment Modifications for Comorbid Psychiatric Disorders and Eating Disorders......Page 105
Conclusion......Page 127
References......Page 128
4 Management of Anorexia Nervosa in Inpatient and Partial Hospitalization Settings......Page 134
Inpatient Hospitalization for Anorexia Nervosa: Inclusion Criteria......Page 135
Inpatient Treatment of Anorexia Nervosa......Page 137
Partial Hospitalization for Anorexia Nervosa......Page 143
References......Page 145
Clinical Vignette......Page 148
Treatment Goals......Page 150
Psychosocial Approaches to the Outpatient Treatment of Anorexia Nervosa......Page 153
Pharmacological Approaches to the Outpatient Treatment of Anorexia Nervosa......Page 159
Long-Term Monitoring and Follow-Up: Indications for Hospitalization and Management of the Chronic Patient......Page 164
References......Page 166
6 Family Treatment of Eating Disorders......Page 170
Why Families Have Been Targeted for Treatment......Page 171
Family Treatment for Adolescent Anorexia Nervosa......Page 173
Family Treatment for Adults With Anorexia Nervosa......Page 182
Family Therapy for Bulimia Nervosa and Eating Disorder Not Otherwise Specified......Page 183
Empirical Support for Family Therapy for Eating Disorders......Page 184
Future Directions in Family Therapy for Eating Disorders......Page 187
References......Page 188
7 Management of Bulimia Nervosa......Page 192
Clinical Vignette......Page 193
Psychosocial Approaches......Page 194
Medication and Other Somatic Treatments......Page 195
Combination CBT and Pharmacotherapy Trials......Page 205
Maintenance Studies......Page 208
References......Page 209
8 Management of Eating Disorders Not Otherwise Specified......Page 216
Binge-Eating Disorder......Page 218
Night Eating and Nocturnal Eating Syndromes......Page 228
Other EDNOS Syndromes......Page 239
References......Page 240
9 Psychiatric Aspects of Bariatric Surgery......Page 246
Overview of Bariatric Surgery Procedures......Page 247
Psychiatric Issues in Bariatric Surgery Candidates and Patients......Page 256
Psychosocial Outcomes of Bariatric Surgery......Page 259
Psychological Assessment for Bariatric Surgery......Page 262
Psychological Management......Page 267
References......Page 271
10 Medication-Related Weight Changes: Impact on Treatment of Eating Disorder Patients......Page 276
Physiology of Weight Regulation......Page 277
Medications That Affect Weight......Page 280
Weight-Altering Medications and Eating Disorders......Page 290
Clinical Recommendations......Page 297
References......Page 299
11 Cognitive-Behavioral Therapy for Eating Disorders......Page 308
Distorted Cognitions and Maladaptive Behaviors in Eating Disorders......Page 309
Patient Selection for CBT......Page 312
Applying CBT in Treating Patients With Eating Disorders......Page 313
When CBT Is Insufficient or Does Not Work......Page 320
References......Page 324
12 Psychodynamic Management of Eating Disorders......Page 328
Key Aspects of Psychodynamic Therapy......Page 330
Additional Psychodynamic Considerations......Page 339
Evolving Psychodynamic Research: Implications for Therapeutic Change......Page 347
Conclusion......Page 349
References......Page 351
13 Eating Disorders in Special Populations: Medical Comorbidities and Complicating or Unusual Conditions......Page 356
Diabetes Mellitus......Page 357
Pregnancy......Page 361
Nontraditional-Age Population......Page 367
Males With Eating Disorders......Page 370
Beyond the Narrow Diagnostic Boundaries in Anorexia Nervosa......Page 374
References......Page 375
14 Athletes and Eating Disorders......Page 378
Role of the Athletic Environment in Predisposing Athletes to Eating Disorders......Page 379
Identification and Assessment of Eating Disorders in Athletes......Page 382
Sport Participation for Symptomatic Patients: Evaluation Criteria......Page 387
Treatment for Athletes With Eating Disorders......Page 392
Prevention of Eating Disorders in Athletes......Page 397
References......Page 399
Appendix: Student Athletes and Eating Disorders: A Parents’ Guide......Page 404
15 Cultural Considerations in Eating Disorders......Page 408
Body Image and Eating and Dieting Behaviors in Non-Caucasian Women......Page 410
International Trends in Eating and Dieting Behavior......Page 418
Culturally Sensitive Assessment of Eating Disorders......Page 419
Treatment of Eating Disorders in Non-Caucasian Patients......Page 422
Conclusion......Page 423
References......Page 424
16 Management of Patients With Chronic, Intractable Eating Disorders......Page 428
Chronicity of Illness......Page 429
Treatment Nonresponse and Treatment Reluctance......Page 433
Therapeutic Goals......Page 436
Psychiatric Management......Page 439
Choice of a Treatment Site......Page 443
Medications and Other Somatic Treatments......Page 445
Legal, Ethical, and Humanistic Considerations......Page 449
Countertransference Issues and Their Management......Page 452
Compassionate Clinical Decision Making for Intractable Patients......Page 453
References......Page 457
A......Page 462
B......Page 464
C......Page 465
D......Page 468
E......Page 469
F......Page 471
H......Page 472
L......Page 473
M......Page 474
N......Page 475
O......Page 476
P......Page 477
R......Page 479
S......Page 480
T......Page 482
Z......Page 483
