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“A detailed and highly instructive guide....The book offers a session-by-session map of how common problems might be addressed, from initial assessment including motivational assessment and psycho-education through behavioral methods, cognitive methods, and development of alternative coping strategies, constituting a 20-session treatment plan for adolescent and adult patients. The book is filled with useful worksheets, plus appendices with assessment instruments. New practitioners and even veterans will find useful guidance for the basic CBT approach here.”

—Gürze Books Eating Disorders Review


“A useful and informative manual....A range of clinical techniques is presented....I found these immediately useful for bulimic patients, as well as for patients in general....What I found to be the most impressive aspect of the book, was the authors' description of the possible integration of alternative therapeutic techniques, such as those of interpersonal psychotherapy....I found the section discussing managed care to be very thoughtful and considerate to therapists, especially in the current health care climate....A very interesting and helpful book that would be useful for any practitioner working with patients who struggle with bulimia nervosa or binge eating disorder.”

—Eating Disorders


“CBT is the gold-standard treatment for bulimia nervosa, but many therapists lack training in the approach. This guide presents the behavior change tools that comprise this intervention in the form of worksheets and a complete case example. The authors do an excellent job of disseminating core skills.”

—Janet Treasure, PhD, FRCP, FRCPsych, Eating Disorders Research Unit, Department of Academic Psychiatry, Guy's Hospital, London, UK


“This is a helpful and informative guide for the clinician working with bulimic-spectrum disorders and an essential educational aid for clinicians in training. Focusing on the cognitive-behavioral model of bulimia, the volume contains many helpful tools.”

—Daniel Le Grange, PhD, Benioff UCSF Professor in Children's Health, Department of Psychiatry, University of California, San Francisco; Emeritus Professor of Psychiatry and Behavioral Neuroscience, The University of Chicago


“This is a great book that provides comprehensive instruction in the cognitive-behavioral treatment of bulimia and binge-eating disorder. It is grounded in the most recent empirical findings and offers a session-by-session format with practical, easy-to-follow guidelines. The reproducible worksheets, forms, and figures facilitate therapeutic impact and reduce the therapist's workload. This book can be used by clinicians in direct practice, by supervisors with trainees, and with graduate students in psychology and counseling. I will use it in my training and supervision of doctoral students and postdoctoral fellows in eating disorder treatment.”

—Sherrie S. Delinsky, PhD, private practice, Wellesley, Massachusetts; Instructor, Harvard Medical School


“A disfigured reflection in a carnival mirror encapsulates the negative self-image and distorted perceptions evident in bulimia nervosa and other eating disorders. Zweig and Leahy provide the tools, strategies, and interventions necessary to clear up distortions in the mirror. This is one of those rare books that are enjoyable to read, pragmatic, and deeply rooted in science and theory. Clinicians will read and reread this book and, ultimately, patients will reap the benefit. If you are interested in improving treatment outcomes, this is a resource you will want to pull from your shelf whenever you begin treating someone with bulimia or binge-eating disorder.”

—Dennis Greenberger, PhD, Director, Anxiety and Depression Center, Newport Beach, California


“Zweig and Leahy have written the definitive practitioner's guide to CBT for bulimia nervosa and binge-eating disorder. This book is an essential addition to the library of both the novice and the experienced cognitive-behavioral therapist working with eating-disordered patients. Zweig and Leahy walk the reader through treatment step by step—from assessment and case conceptualization to treatment planning and particular cognitive techniques. Readers will particularly appreciate the sample case chapter illustrating treatment from start to finish. The compendium of assessment measures in the appendix is an added bonus.”

—Lisa A. Napolitano, PhD, Director, CBT/DBT Associates, New York City

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Table of Contents

1. Introduction

2. Bulimia Nervosa

3. Assessment, Diagnosis, and Treatment Planning

4. Detailed Treatment Plan for Bulimia Nervosa

5. Case Example

6. Treatment within a Managed Care Context

Appendix A. “Transdiagnosis” of Eating Disorders

Appendix B. Selected Assessment Tools

Appendix C. Recommended Additional Reading

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About the Authors

Rene D. Zweig, PhD, is Director of Union Square Cognitive Therapy, a full-time private practice in New York City. Previously, she directed the Eating Disorders and Weight Management Program at the American Institute for Cognitive Therapy. Dr. Zweig is Adjunct Clinical Supervisor at the Ferkauf Graduate School of Psychology at Yeshiva University and a Diplomate of the Academy of Cognitive and Behavioral Therapies.

Robert L. Leahy, PhD, is Director of the American Institute for Cognitive Therapy in New York City and Clinical Professor of Psychology in the Department of Psychiatry at Weill Cornell Medical College. Dr. Leahy is Associate Editor of the International Journal of Cognitive Therapy and is past president of the Association for Behavioral and Cognitive Therapies (ABCT), the International Association for Cognitive Psychotherapy, and the Academy of Cognitive and Behavioral Therapies (A-CBT). He is a recipient of the Outstanding Clinician Award from ABCT and the Aaron T. Beck Award from A-CBT. Dr. Leahy is author or editor of 29 books for mental health professionals and the general public, including If Onlyand The Worry Cure. His books have been translated into 21 languages.

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