Ellen Astrachan-Fletcher

Mima Simic

Karyn D. Hall

A groundbreaking workbook to help you develop healthy coping strategies, build a solid support network, and stay on the path to recovery. If you’ve been in therapy for an eating disorder, such as anorexia nervosa or bulimia, your past treatment may have focused on helping you control your emotions and contain your behaviors. However, research now shows that many people with eating disorders actually suffer from emotional overcontrol. Based on more than twenty years of research, this breakthrough workbook offers skills based in radically open dialectical behavior therapy (RO DBT), a proven-effective, transdiagnostic approach for treating disorders of overcontrol (OC). With this compassionate workbook, you’ll learn how to move beyond the unhealthy coping strategies that keep you feeling isolated and lonely, find tips for building a solid support network and enriching social connections, and develop your own personalized plan for staying on the path to recovery. You’ll also find assessments to help you determine the root cause of your OC disorder, exercises for increasing social engagement, and skills for improving social flexibility, trust, and intimacy. Having an eating disorder can make you feel like you’re alone in the world. Even if you’re in recovery, you may have days when feelings of isolation are too much, and you may feel tempted to fall back into unhealthy patterns of eating or restrictive eating. This workbook will help you build your own “treatment tribe,” a group of people that help lift you up and support you as you find your way to a full recovery and a rich, meaningful life.

From Overcontrol and Loneliness to Recovery and Connection

The Radically Open DBT Workbook for Eating Disorders

Lucy Taylor

Ulrike Schmidt

Cutting Down provides a practical and accessible treatment programme based on Cognitive Behaviour Therapy (CBT) principles for young people who self-harm. This fully revised and updated second edition includes new techniques from ‘third’ wave CBT, Acceptance Commitment Therapy (ACT) and Dialectical Behaviour Therapy (DBT). This enriches the material and brings the concepts up to date. Another key addition to this new edition is the inclusion of strategies for young people who engage in suicidal behaviour. The manual is evidence based and focuses on a flexible and formulation driven model to direct treatment in around 15 sessions for young people and six sessions for parents and caregivers. It provides a clear structure for each session and an easy-to-follow outline on how the therapist should deliver each session. The content of each session is supported by handouts and worksheets which can be used within sessions or as homework between sessions. Enhanced with online resources, the workbook will be useful for all professionals working with young people who self-harm across a wide range of settings from schools, primary care and voluntary sector, to community mental health services and inpatient units.

An Evidence-based CBT Workbook for Treating Young People Who Self-harm

Cutting Down

Many people with eating disorders also suffer from emotional overcontrol (OC). Based on more than twenty years of research, this breakthrough workbook offers skills grounded in radically open dialectical behavior therapy (RO DBT)--a proven-effective, transdiagnostic approach for treating OC disorders. With this workbook, readers will learn healthy coping skills, tips for building a solid support network and rich social connections, and strategies for staying on the path to recovery.

A quarter of adolescents engage in some form of self-harm and even experienced therapists can find working with these young people difficult. Based on Cognitive Behaviour Therapy (CBT), a highly effective method for working with emotional problems, Cutting Down offers a practical and accessible programme for mental health therapists from different professional backgrounds working with young people who self-harm. The programme is comprised of four parts, each covering a specific stage of therapy, and is split into 27 short modules. Although designed to be delivered over a course of 14 sessions, the programme is presented in a way that allows the therapist to decide which combination of specific modules is chosen and how long is spent on each, based on the specific clinical needs of the person they are working with. Throughout the programme, virtual patients are used to illustrate the various exercises and strategies. Part One, What’s Going On?, introduces self-harm and CBT and aims to develop insight into feelings, problems, goals and the concept of change. Part Two, Feelings, Thoughts and Behaviour, looks at working on activities, managing depression and identifying and managing negative thoughts. Part Three, Coping Strategies, introduces modules on problem solving, assertiveness, mindfulness and alternatives to self-harm. Part Four, On You Go!, finishes up the programme with a review of goals, identifying triggers and developing a ‘first aid kit’ and a ‘tool box’ of skills to reinforce the programme. Downloadable worksheets enhance the practicality of the text. Designed to support clinicians working with adolescents engaging in self-harm, this unique workbook is ideal for counsellors, counselling psychologists, clinical psychologists, CBT therapists, IAPT practitioners, CAMHS mental health workers and nurse therapists as well as students and trainees.

Mima Simic

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