Dialectical Behavior Therapy for Binge Eating and Bulimia

Author(s): Debra L. Safer

For Clinicians | Dialectical Behaviour Therapy

This groundbreaking book gives clinicians a new set of tools for helping people overcome binge-eating disorder and bulimia. It presents an adaptation of dialectical behavior therapy (DBT) developed expressly for this population. What makes this research-based approach unique is its focus on disordered eating as a problem of emotional dysregulation. Featuring vivid case examples and 30 reproducibles, the book shows how to put an end to binge eating and purging by teaching clients more adaptive ways to manage painful emotions. Step-by-step guidelines are provided for implementing DBT skills training in mindfulness, emotion regulation, and distress tolerance, including a specially tailored skill, mindful eating.


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"Safer et al. have done pioneering work adapting dialectical behavior therapy to the treatment of eating disorders. This book provides a comprehensive yet practical and user-friendly guide for clinicians working with these patients. The authors are to be congratulated for providing a mechanism for the dissemination of this empirically validated treatment. Very highly recommended." - James E. Mitchell, Christoferson Professor and Chair, Department of Clinical Neuroscience; Chester Fritz Distinguished University Professor, University of North Dakota School of Medicine and Health Sciences, USA "This book is, to date, the only DBT treatment manual for disordered eating behaviour, which is supported by research data... The book offers useful case study accounts, which illustrate the model and its techniques and structure. This book is a 'must-have' for anyone working with earing disordered behaviours." - Rose Mahon, Addiction Today, May-June 2010

Debra L. Safer, MD, is Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University Medical Center. Her research and clinical work focus on treating eating disorders utilizing DBT and other empirically validated treatments. Christy F. Telch, PhD, is in private practice in Palo Alto, California. She served on the faculty of the Department of Psychiatry and Behavioral Sciences at Stanford, where she conducted National Institute of Mental Health-funded research on adapting DBT for the treatment of binge-eating disorder. That research is the basis on which this book was conceived. Eunice Y. Chen, PhD, is Assistant Professor in the Department of Psychiatry and Behavioral Neurosciences at the University of Chicago, where she runs a research program funded to develop DBT for individuals with difficult-to-treat eating disorders.

Introduction. Binge-Eating Disorder and Bulimia Nervosa: Why Dialectical Behavior Therapy? Orientation for Therapists. The Pretreatment Stage: The Pretreatment Interview and Introductory Sessions. Mindfulness Core Skills. Emotion Regulation Skills. Distress Tolerance Skills. Final Sessions: Review and Relapse Prevention. Illustrative Case Examples. Future Directions. Appendix: Information for Researchers.

General Fields

  • : 9781606232651
  • : Guilford Publications
  • : Guilford Publications
  • : July 2009
  • : United States
  • : books

Special Fields

  • : Debra L. Safer
  • : Hardback
  • : 616.852630651
  • : 244
  • : Illustrations