Different approaches for longstanding Anorexia Nervosa
Friday Workshop (April 5)
Enhanced Cognitive Behaviour Therapy (CBT-E) is a transdiagnostic treatment for eating disorders involving behavioural change (in terms of eating patterns) and the challenging of cognitions. It has been shown to be effective in reducing eating disorder psychopathology, in both effectiveness studies in the community and in randomised controlled trials. This workshop covers a CBT-E approach to treating people with long-standing anorexia nervosa. It will outline the research on recovery in this population, showing that recovery is indeed possible for many in this group and that recovery rates using CBT-E do not differ between those with recent onset and people with longstanding anorexia nervosa. We will discuss if and when evidence-based treatments should be adapted when treating people with a longstanding eating disorder, and how CBT-E might be tailored to meet the needs of this population.
Specialist supportive clinical management (SSCM) is a psychotherapy with a growing body of evidence, showing promising potential for the treatment of anorexia nervosa. It has two distinct components: clinical management, which involves alleviation of the symptoms of anorexia nervosa; and a supportive psychotherapeutic approach to issues identified by the patient as important, including life issues that may impact on the eating disorder.
SSCM has been included in six randomised controlled trials for anorexia nervosa. One of these modified SSCM for the treatment of participants with severe and enduring anorexia nervosa. A major modification of the treatment was the change of primary focus of treatment to quality of life, rather than weight gain.
This workshop on SSCM for severe and enduring anorexia nervosa includes a description of key therapeutic strategies in SSCM and an outline of existing research. Tools for delivering the therapy will be presented, using role plays and practical strategies.
Dr Anthcea Fursland was for many years Director of the Centre for Clinical Interventions (CCI) and is now Director of the WA Eating Disorders Outreach & Consultation Service (WAEDOCS). She has worked for more than 35 years in eating disorders, with previous experience in the UK and the US. Anthea is involved in applied clinical research, service development, supervision, consultation and training (of GPs, mental health practitioners and carers). She has trained and supervised clinicians throughout Australia in CBT-E, has co-authored several peer-reviewed papers and created a web-based self-help resource: https://www.cci.health.wa.gov.au/Resources/Looking-After-Yourself/Disordered-Eating She presented a workshop on severe and enduring anorexia nervosa at the 2017 ANZAED Conference and has had a workshop accepted for ICED 2019. Anthea is Past-President of the Australia and New Zealand Academy for Eating Disorders, on the Steering Committee of the National Eating Disorders Collaboration and a Fellow of the international Academy of Eating Disorders.😊😊😊
Dr Virginia McIntosh PhD, Dip Clin Psyc, MNZCCP, firstname.lastname@example.org
Gini is a clinical psychologist who teaches in the Clinical Psychology Programme at the University of Canterbury. In her previous position within the Clinical Research Unit, University of Otago, Christchurch Gini worked as an investigator and therapist on clinical trials for bulimia nervosa, anorexia nervosa, binge eating disorder and major depression. She has trained in CBT, IPT, metacognitive therapy and schema therapy, along with colleagues has adapted IPT for anorexia nervosa, schema therapy for depression and binge eating and MCT for depression, and has developed novel psychotherapies including an appetite focused CBT for binge eating.