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

PREPARING FOR TREATMENT
Chapter 1: Eating Disorders and Emotional Disorders
Chapter 2: About This Treatment
Chapter 3: Recording Your Experiences: Eating, Depression, and Anxiety (EDA)
MODULE 1: MOTIVATION AND GOALS
Chapter 4: Motivation and Regular Eating
Chapter 5: Regular Eating (Supplementary Session)
MODULE 2: UNDERSTANDING EMOTION
Chapter 6: The Natural Function of Emotions
Chapter 7: The Three Parts of Emotions (3-Component Module)
Chapter 8: Tracking Emotions Over Time (the "ARC")
MODULE 3: MINDFUL EMOTION AWARENESS
Chapter 9: Mindful Emotion Awareness
Chapter 10: Mood Induction
MODULE 4: COGNITIVE FLEXIBILITY
Chapter 11: Automatic Thoughts and Thinking Traps
Chapter 12: Core Beliefs
MODULE 5: BEHAVIORAL FLEXIBILITY
Chapter 13: Countering Avoidant Behaviors
Chapter 14: Countering Emotion-Driven Behaviors
MODULE 6: CONFRONTING PHYSICAL SENSATIONS
Chapter 15: Interoceptive Exposures
MODULE 7: EMOTION EXPOSURES
Chapter 16: Skills for Emotion Exposures
RELAPSE PREVENTION
Chapter 17: Continuing Progress Into the Future

The majority of individuals with eating disorders also experience symptoms of anxiety, depression, post-traumatic reactions, and/or obsessive-compulsive disorders. Most research-supported treatments for eating disorders, however, do not integrate interventions for these co-occurring conditions in a unified way.

The Renfrew Unified Treatment for Eating Disorders and Comorbidity was developed to help people who struggle with any type of eating disorder as well as intense emotions like anxiety, sadness, anger, and guilt. Eating disorders include symptoms such as efforts to restrict eating, binge eating or overeating, and compulsive or unhealthy efforts to lose weight, alongside strong, distressing feelings about the importance of shape, weight, or eating control. The goal of this Workbook, which is designed to accompany the companion Therapist Guide, is to help people overcome their individual eating and emotional issues using a common set of scientifically tested tools. The steps and exercises in this book are intended to help readers identify and better understand how eating and emotional issues interact, to address some of the core thoughts and behaviors that underpin both eating and emotional disorders, and to develop new flexibility and capacity in areas of life that have been affected. The strategies included in this book are based on common principles found in existing empirically supported psychological treatments, and have been extensively tested in research studies. The research to support these interventions is included in the companion Therapist Guide.

• Provides a flexible and unified approach to addressing common co-occurring emotional problems that may be equally, or even more, distressing than eating symptoms
• Provides psychoeducation, plus written and experiential exercises that allow readers to personalize the treatment to the specific combination of problems they want to address
• Inclusive, including ample examples from clients with a diverse range of emotional problems, as well as 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