**SEPTEMBER BOOK REVIEW**

Brief Cognitive Behavioural Therapy for Non-Underweight Patients. CBT-T for Eating Disorders.

By: Waller, Turner, Tatham, @MountfordVicki and Wade.
[THREAD] 1/

*The pitch*

There is substantial evidence that CBT for eating disorders (CBT-ED) is an effective treatment, but it can be lengthy. What if we could make CBT-ED simpler and shorter? 2/

CBT-T sets out to be a brief, intensive form of CBT-ED, delivered in Ten sessions - hence the T in CBT-T. 3/

In addition, CBT-T is written with less experienced, more junior therapists in mind. In the event that EDs become treated under the UK’s IAPT program – which is a possibility, I understand – then CBT-T is right there ready for dissemination. 4/

If that wasn’t clever enough, it also specifically meets a demand in the UK’s NICE guidelines for research into shorter ED treatments. And it meets a demand across countries and healthcare systems for short, easily disseminable ED treatment. 5/

*Structure*

I live-tweeted a CBT-T workshop in March this year, so you can read a lot more detail about the manual in the thread below.

Briefly: CBT has 5 phases delivered across ten sessions, and there are 2 f/u sessions also. 6/ https://twitter.com/TomJewell17/status/1108732057520402432?s=20

*Strengths*

The manual is extremely well-written. Concepts are explained clearly, and supported by helpful figures and session transcripts.

The chapter on the first session is particularly detailed, and definitely meet the needs of CBT ‘newbies’ such as myself. 7/

Also great are the appendices, which include measures, handouts, and an awesome overview on nutrition – the REAL food guide. You can find these resources online here. 8/
http://cbt-t.group.shef.ac.uk/ 

The manual combines clearly articulated principles with flexibility and personalisation. Rather than tell you the exact content for each numbered session, the manual is to be used flexibly, with some phases expected to be discarded where not salient. 9/

*Critique*

The chapter on addressing emotional triggers is relatively brief, and inexperienced therapists might find themselves needing more help with this part of the manual. But those with lots of experience – including in DBT skills – will take the manual and run with it. 10/

I imagine that other readers might find some things to take issue with. For example, individualised case formulations, motivational interviewing and third-wave CBT techniques (e.g. mindfulness and CFT) are not a part of CBT-T. 11/

*Summary*

This is one heck of a manual.

If you’re looking for an easy-to-read CBT-ED book that covers:
-Psychoeducation
-Early behaviour change
-Inhibitory learning
-Exposure work
-Behavioural experiments
-Surveys...

…. then you need this in your life. (ENDS)