Temperament Based Therapy with Support for Anorexia Nervosa
A Novel Treatment

A guide to deliver Temperament Based therapy with Support, addressing the underlying traits that lead to symptoms of anorexia nervosa.

Laura L. Hill (Author), Stephanie Knatz Peck (Author), Christina E. Wierenga (Author)

9781009016803, Cambridge University Press

Paperback / softback, published 21 April 2022

250 pages
23.3 x 15.6 x 2 cm, 0.57 kg

'Recovery from Anorexia Nervosa is elusive for far too many individuals who have been afflicted by this serious eating disorder. The authors have integrated decades of clinical and research experience into a novel treatment approach. This clear and comprehensive manual describes how to work with (rather than against) the temperamental features that may have led to the development of the eating disorder or impede efforts toward positive change. It offers new hope to people with anorexia nervosa and those committed to support them in their journey toward recovery. The book also provides a valuable resource for researchers seeking to advance evidence-based treatment for eating disorders.' Ruth Striegel Weissman, Dipl.Psych., Ph.D., Professor of Psychology and Walter A. Crowell University Professor of the Social Sciences, Emerita Wesleyan University; Editor-in-Chief, International Journal of Eating Disorders

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.

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

Subject Areas: Coping with eating disorders [VFJJ], Eating disorders & therapy [MMZD], Psychotherapy [MMJT], Psychiatry [MMH]