Main description:

Anorexia nervosa has one of the highest death rates of all mental illnesses and one of the poorest treatment outcomes. However, one novel treatment, the neurobiologically-based treatment Temperament Based Therapy with Support (TBT-S), works with clients' temperament and traits to motivate change, ultimately managing and reducing symptoms. This practical and accessible book is the first guide to delivering TBT-S that addresses the underlying traits leading to symptoms of anorexia nervosa and helps people to manage symptoms long-term. It offers background information on the role of temperament in anorexia nervosa, the development of the TBT-S protocol and the evidence gathered. Chapters also cover how to use this therapy to augment existing treatment. A valuable resource for clinicians involved in the treatment of anorexia nervosa, including psychologists, psychiatrists, psychotherapists, specialist nurses, dieticians, and educators.

Contents:

Introduction; Section 1. Temperament-Based Therapy with Supports (TBT-S) Overview: 1. What is temperament based therapy with supports (TBT-S)?; 2. TBT-S core principles; 3. Overview of TBT-S intervention strategies; 4. State of the evidence base for TBT-S; 5. How to use this manual; Section 2. Setting Up Treatment: 6. How to introduce TBT-S at initial engagement; 7. How to engage supports in treatment; 8. Nuts and bolts for TBT-S modules; Section 3. TBT-S Treatment Interventions: 9. How to deliver neurobiology psychoeducation modules as a motivational strategy; 10. TBT-S neurobiology psychoeducational module: Overview of the neurobiology of anorexia nervosa; 11. TBT-S neurobiology psychoeducation module: Anxiety and interoception; 12. TBT-S neurobiology psychoeducational module: Reward and punishment sensitivity; 13. TBT-S neurobiology psychoeducation module: Decision-making and inhibitory control; 14. Introduction to temperament-based therapy with supports for young adults (YA TBT-S); 15. TBT-S multifamily group format for young adults with AN; 16. TBT-S YA parent skills training module; 17. Young adult TBT-S client skills training module; 18. TBT-S tools to manage and reduce ED symptoms; 19. TBT-S experiential activities; 20. TBT-S strategic dietary approach; 21. Framework for action via TBT-S behavioral agreement; 22. Young adult behavioral agreement (YA-BA); 23. TBT-S behavioral agreement for severe-and-enduring adults with anorexia nervosa (SE-AN); Section 4. TBT-S Augmenting Eating disorder Treatments: 24. Tailoring TBT-S treatment modules into all levels of care; 25. How to apply TBT-S in diverse settings; 26. How to interface TBT-S treatment with ongoing providers and ED programs; 27. Broad application summary of temperament-based therapy with supports: Treat to the traits; Appendix 1. 10 biological facts about anorexia nervosa; Appendix 2. Anxiety brain sculpt: TBT-S experiential activity; Appendix 3. Anxiety wave: TBT-S problem-solving experiential activity; Appendix 4. Young adult "RAD" skills handout: Clients with anorexia nervosa; Appendix 5. Young adult client rules and framework for meals and snacks handout; Appendix 6. Young adult behavioral agreement (YA BA); Appendix 7. Young adults: Emerging adulthood handout; Appendix 8. Parenting young adults with anorexia nervosa: Providing parental assistance in developmentally appropriate ways handout; Appendix 9. Brainwave: TBT-S neurobiological experiential activity; Appendix 10. Charades: TBT-S neurobiological problem-solving experiential activity; Appendix 11. Neurobiology experiential activity YES/NO game; Appendix 12. Communicating and listening young adult TBT-S experiential activity: Addressing family relationships; Appendix 13. Family circuits: TBT-S experiential activity addressing communication and family structure; Appendix 14. Family wise mind: Young adult TBT-S experiential activities addressing communication and family relationships; Appendix 15. Expert client advice: TBT-S experiential activity; Appendix 16. Landmine: TBT-S problem-solving experiential activity; Appendix 17. Nondominant hand: TBT-S neurobiological and problem-solving experiential activity; Appendix 18. Neuron activity: Why food and support are needed TBT-S neurobiological experiential activity; Appendix 19. Social gauntlet: TBT-S problem-solving experiential activity; Appendix 20. Stop, reboot, reroute: TBT-S problem-solving experiential activity; Appendix 21. Telephone: TBT-S neurobiological experiential activity; Appendix 22. What will you do? TBT-S problem solving experiential activity; Appendix 23. Wire-rewire: TBT-S neurobiological problem-solving experiential activity; Appendix 24. TBT-S tool-box; Appendix 25. TBT-S trait profile checklist; Appendix 26. SE-AN behavioral agreement; Appendix 27. Young adult TBT-S treatment targets matched with skills handout; Appendix 28. Par