Treatment Manual for Anorexia Nervosa, Third Edition: A Family-Based Approach

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James Lock (Stanford University School of Medicine , United States) Daniel Le Grange (San Francisco; The University of Chicago (Emeritus), United States)

Treatment Manual for Anorexia Nervosa, Third Edition

A Family-Based Approach

James Lock (Stanford University School of Medicine , United States), Daniel Le Grange (San Francisco; The University of Chicago (Emeritus), United States)

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English

Guilford Press
13 November 2025

Family psychology; Health psychology; Psychotherapy; Eating disorders & therapy

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).

By: James Lock (Stanford University School of Medicine United States), Daniel Le Grange (San Francisco; The University of Chicago (Emeritus), United States)
Imprint: Guilford Press
Country of Publication: United States
Edition: 3rd edition
Dimensions: Height: 229mm, Width: 152mm,
ISBN: 9781462558803
ISBN 10: 1462558801
Pages: 324
Publication Date: 13 November 2025
Audience: Professional and scholarly , Undergraduate
Format: Paperback
Publisher's Status: Forthcoming

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

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 Behavioral Sciences 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 trained at the Institute of Psychiatry, Psychology and Neurology, University of London, and 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.

Reviews for Treatment Manual for Anorexia Nervosa, Third Edition: A Family-Based Approach

“The third edition of this classic treatment manual incorporates timely clinical recommendations based on the latest research, including a chapter providing detailed, session-by-session guidance for intensive parental coaching. In line with the changing demographics of the illness, Lock and Le Grange provide updated guidance on delivering family-based treatment for atypical AN and for patients with gender diversity and neurodiversity. Finally, they carefully describe adaptations for virtual delivery of the therapy in our increasingly digital age. A tour de force.”--Jennifer J. Thomas, PhD, FAED, Co-Director, Eating Disorders Clinical and Research Program, Massachusetts General Hospital; Department of Psychiatry, Harvard Medical School “The most significant developments in the field over the past decade are incorporated into the third edition of this manual. The authors summarize the recent literature, critically review who family-based treatment for AN may be most appropriate for, and discuss specific needs in the context of comorbidities or child development. There is also an emphasis on comparing family-based treatment with other therapies, including parent-focused approaches, which is an important addition.”--Guido Frank, MD, Department of Psychiatry, University of California San Diego School of Medicine-Highly recommended for all professionals engaged in work with adolescents suffering from anorexia nervosa. (on the first edition)--Journal of Clinical Psychiatry, 10/1/2001Æ’Æ’This work was designed to be most valuable to psychotherapists, and it succeeds well in this mission. (on the first edition)--Journal of Developmental and Behavioral Pediatrics, 6/1/2001