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By Heather Thompson-Brenner PhD
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Additional resources for Casebook of Evidence-Based Therapy for Eating Disorders
Example text
Exposure to Coffee with Milk and Sugar The therapist set the table with cups of coffee varying in size, milk poured out into separate cups, and sugar. The fat content of the milk was not identified. Emily appeared flushed and described feeling warm, noticing tightness in her chest and throat as well as racing thoughts. She leaned away from the coffee and directed her gaze away from the drink. The therapist reiterated the rationale for exposure therapy and reminded Emily of the narrative she had provided about her experiences successfully facing anxiety as a student.
Walsh, B. T. (2012). Eating behavior in anorexia nervosa: before and after treatment. International Journal of Eating Disorders, 45(2), 290–293. Mazure, C. , Halmi, K. , Sunday, S. , Romano, S. , & Einhorn, A. M. (1994). The Yale–Brown–Cornell Eating Disorder Scale: development, use, reliability and validity. Journal of Psychiatric Research, 28, 425–445. Metropolitan Life Insurance. (1959). New weight standards for men and women. Statistical Bulletin, 40, 1–4. , Kaye, W. , Greeno, C. , & Weltzin, T.
AN-EXRP ends with the therapist and patient reflecting on the patient’s plan and supporting the continued integration and generalization of treatment principles going forward. Emily’s Phase III Exposure content came from the top third of Emily’s hierarchy, including an iced latte, and a peanut butter and jelly sandwich. She continued to challenge her fidgeting and food manipulation rituals in session, with an additional emphasis on avoidant behaviors such as underportioning foods and leaving food on the plate.