The Renfrew Unified Treatment for Eating Disorders and Comorbidity. An Adaptation of the Unified Protocol, Therapist Guide

PREPARING FOR TREATMENT
Chapter 1: Introduction
Chapter 2: How To Use This Manual
Chapter 3: Therapist Materials For Preparing For Treatment
MODULE 1: MOTIVATION AND GOALS
Chapter 4: Therapist Materials For Motivation And Regular Eating
Chapter 5: Therapist Materials For Regular Eating (Supplementary Session)
MODULE 2: UNDERSTANDING EMOTION
Chapter 6: Therapist Materials For The Natural Function Of Emotions
Chapter 7: Therapist Materials For The Three Parts Of Emotions (3-Component Model)
Chapter 8: Therapist Materials For Tracking Emotions Over Time (The “Arc”)
MODULE 3: MINDFUL EMOTION AWARENESS
Chapter 9: Therapist Materials For Mindful Emotion Awareness
Chapter 10: Therapist Materials For Mood Induction
MODULE 4: COGNITIVE FLEXIBILITY
Chapter 11: Therapist Materials For Automatic Thoughts And Thinking Traps
Chapter 12: Therapist Materials For Core Beliefs
MODULE 5: BEHAVIORAL FLEXIBILITY
Chapter 13: Therapist Materials For Countering Avoidant Behaviors
Chapter 14: Therapist Materials For Countering Emotion-Driven Behaviors
MODULE 6: CONFRONTING PHYSICAL SENSATIONS
Chapter 15: Therapist Materials For Interoceptive Exposures
MODULE 7: EMOTION EXPOSURES
Chapter 16: Therapist Materials For Skills For Emotion Exposures
RELAPSE PREVENTION
Chapter 17: Therapist Materials For Continuing Progress Into The Future
Appendix A: Client Forms
Appendix B: Client Worksheets
References

The majority of individuals who suffer from severe eating disorders also experience symptoms of anxiety, depression, post-traumatic reactions, and/or obsessive-compulsive disorders. Unfortunately, most empirically supported treatments for eating disorders fail to adequately account for such comorbidities.

The Renfrew Unified Treatment for Eating Disorders and Comorbidity was developed to help practitioners serve individuals who struggle with any type of eating disorder as well as intense emotions like anxiety, sadness, anger, and guilt. This Therapist Guide provides guidance on a unified set of interventions that can address both eating issues and co-occurring emotional disorders using the same set of tools. The guide includes direction for use in both individual and group settings, as well as case studies describing the experiences of patients with a diverse set of symptoms, demographics, and backgrounds. Components of the treatment are intended to help identify and explain how eating and emotional issues interact, to address automatic and core thoughts, to change patterns of behavior, and to develop new flexibility and capacity in areas of life that have been affected. The guide also includes instruction on how to provide unified exposure therapy for co-occurring problems. The Renfrew Unified Treatment for Eating Disorders and Comorbidity is based largely on common principles found in existing empirically supported psychological treatments, and has been tested in extensive research summarized in this book.

• Provides a flexible approach to addressing typical co-occurring emotional and behavioral problems that may be equally, or even more, distressing than eating symptoms
• Suitable for use across treatment settings and regardless of the composition of the treatment team
• Inclusive, with case studies featuring clients with a diverse range of cultural, ethnic, and sexual and gender identities

Heather Thompson-Brenner, PhD, FAED is clinical psychologist in private practice and research consultant to The Renfrew Centers and to Cambridge Biotherapies. Melanie Smith, PhD, LMHC, CEDS-S is Director of Training for The Renfrew Centers. Gayle E. Brooks, PhD, CEDS-S is Vice President and Chief Clinical Officer for The Renfrew Centers. Rebecca Berman, LCSW, MLSP is Clinical Supervisor for the Renfrew Center of Maryland. Angela Kaloudis, LMHC, NCC, is a Clinical Training Specialist for The Renfrew Centers. Hallie Espel-Huynh, PhD is a postdoctoral research fellow at the Weight Control and Diabetes Research Center at Brown University. Dee Ross Franklin, MA is a predoctoral Intern at the Neurobehavioral Institute. James Boswell, PhD is an Associate Professor of Psychology at the University at Albany, State University of New York.

Reviews

"The treatment described in these manuals is revolutionary in its development, design, and implementation. From the initial selection of evidence-based treatment approaches, to the fastidious assessment of treatment fidelity, to the implementation of the treatment across numerous community-based settings, the approach is one-of-a-kind and will substantially improve our ability to effectively treat persons with eating disorders across treatment settings." - Kelly Klump, PhD, MSU Foundation Endowed Professor, Department of Psychology, Michigan State University