Bulimia nervosa can evidence itself in a vast array of comorbid symptoms, often overwhelming both the patient's ability to cope and managed care's willingness to pay. This first-of-its-kind manual provides an effective, integrated treatment approach for working with clients struggling with bulimia nervosa in today's managed care environment.
The author presents a detailed range of "dosage" treatment plans—from 1–2 sessions to over a hundred sessions—to deal with the varied manifestations of this disorder. He also outlines an empirically based, yet quick and effective clinical screening protocol that plans treatment in a way that both patients and care managers can understand. The author focuses on building coping skills, and throughout he draws on interpersonal, coping, stage of change, trauma, and development theory to fully explain the rationale, methods, and complexities of his empirically-based approach. Coping strategies therapy offers refreshingly effective guidance for practitioners struggling to help troubled patients in today's challenging health-care environment.
Preface
Acknowledgments
The Need for Combination Treatments: An Introduction to Coping Strategies Therapy
I. Framework for Coping Strategies Therapy
- Theory, Research, and Practice in the Treatment of Bulimia Nervosa
- A Clinical Overview of Coping Strategies Therapy
- Individual Differences in Bulimia Nervosa: A Multifactorial Model
II. The Treatment Doses
- Dose 1: Problem Engagement (1–2 Sessions)
- Dose 2: Problem Engagement (3–8 Sessions)
- Dose 3: Emotion Engagement (9–20 Sessions)
- Dose 4: Disengagement (50–100+ Sessions)
- Conclusion
References
Author Index
Subject Index
About the Author
David L. Tobin, PhD, is an associate professor of psychiatry at Tufts University School of Medicine, Medford, MA, and a staff psychologist at Baystate Medical Center, Springfield, MA, where he coordinates the treatment of eating disorders. He received his BA in psychology at the University of Colorado and his PhD in clinical psychology from Ohio University. Dr. Tobin's research interests include the assessment of coping, clinical characteristics, and comorbidity of eating disorders and empirical models of psychotherapy. He is also interested in integrative approaches to psychotherapy. He has authored more than 30 articles and book chapters on eating disorders, coping skills, and behavioral medicine.
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