Treatment Manual for Anorexia Nervosa A Family-Based Approach

by Lock, James; Le Grange, Daniel; Russell, Gerald

• ISBN13: 9781462558810
• ISBN10: 146255881X
• Edition: 3rd
• Format: Hardcover
• Copyright: 2025-11-13
• Publisher: The Guilford Press

Summary

Now in a revised and expanded third edition reflecting key advances in research and clinical practice, this manual presents the leading empirically supported treatment for adolescents with anorexia nervosa (AN). Strategies and procedures for family-based treatment are described in session-by-session detail. The book gives practitioners a clear framework for mobilizing parents to promote their child's weight restoration and healthy eating; involving siblings; improving parent–child relationships; and getting adolescent development back on track. Integrating state-of-the-art knowledge about medical and psychological aspects of AN, the manual is complete with sample dialogues, troubleshooting tips, and a chapter-length case example. 

New to This Edition

• Chapter on intensive parental coaching, a three-session adaptation for families who need extra support. 
• Synthesizes the growing evidence base for the approach. 
• New and expanded discussions of clinical issues--atypical AN, gender-diverse patients, those with psychiatric comorbidities, and more.
• Describes innovations in clinical training and modes of delivery.  

Family-based treatment is recognized as a best practice for the treatment of AN in adolescents by the U.K. National Institute for Health and Care Excellence (NICE).

Author Biography

James Lock, MD, PhD, is the Eric Rothenberg, MD, Professor of Child Psychiatry and Pediatrics at Stanford University and Director of the Stanford Child and Adolescent Eating Disorders Program. Dr. Lock is committed to providing evidence-based treatments to children, adolescents, and their families. He is a Distinguished Fellow of the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry, and a recipient of the Agnes Purcell McGavin Award for Distinguished Career Achievement in Child and Adolescent Psychiatry from the American Psychiatric Association, the Price Family Foundation Award for Research Excellence from the National Eating Disorders Association, the Leadership Award in Research from the Academy of Eating Disorders, and Early and Mid-Career Development Awards from the National Institute of Mental Health.

Daniel Le Grange, PhD, is Benioff UCSF Professor in Children’s Health in the Department of Psychiatry and UCSF Weill Institute for Neurosciences and Director of the Eating Disorders Program at the University of California, San Francisco. He is Emeritus Professor at the University of Chicago, where he was Director of the Eating Disorders Program until 2014. Dr. Le Grange was a member of the team at the Maudsley Hospital in London that developed family-based treatment for anorexia nervosa. Over his career, he has treated numerous adolescents and families struggling with eating disorders. He is a recipient of the Leadership Award in Research from the Academy of Eating Disorders and an Early Career Development Award from the National Institute of Mental Health, and is a Fellow of the Academy of Eating Disorders.

Table of Contents

Note from the Authors
Foreword to the Second Edition & Foreword to the First Edition, James Russell, MD
Preface
1. Introduction and Background Information on Anorexia Nervosa
2. Family Based Treatment for Anorexia Nervosa
3. Phase I: Initial Evaluation and Setting Up Treatment
4. Session 1: The First Face to Face Meeting
5. Session 1 in Action
6. Session 2: The Family Meal
7. Session 2 in Action
8. The Remainder of Phase I (Sessions 3–10)
9. Intensive Parental Coaching to Improve Early Response in Phase I 
10. Session 8 in Action
11. Beginning Phase II: Helping the Adolescent Eat on Her Own (Sessions 11–16)
12. Phase II in Action
13. Starting Phase III: Adolescent Issues (Sessions 17–20)
14. Phase III in Action
15. Summary of a Completed Case
16. Where Are We Going from Here?: Training, Dissemination, Clinical Practice, and Research
References
Index