Lorna Richards

Lorna Richards
Barnet, Enfield and Haringey Mental Health NHS Trust · Eating disorders

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13
Publications
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Introduction
Skills and Expertise

Publications

Publications (13)
Article
Background Despite their use in clinical practice, there is little evidence to support the use of therapist written goodbye letters as therapeutic tools. However, preliminary evidence suggests that goodbye letters may have benefits in the treatment of anorexia nervosa (AN). Aims This study aimed to examine whether therapist written goodbye letters...
Article
Full-text available
This study is part of a series of process evaluations within the MOSAIC Trial (Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related Conditions). This randomised controlled trial (RCT) compared two psychological treatments, the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinica...
Article
Objective: Case formulation is a core component of many psychotherapies and formulation letters may provide an opportunity to enhance the therapeutic alliance and improve treatment outcomes. This study aimed to determine if formulation letters predict treatment satisfaction, session attendance, and symptom reductions in anorexia nervosa (AN). It w...
Article
Full-text available
Objective: This study reports follow-up data from a multicenter randomized controlled trial (n = 142) comparing the Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) with Specialist Supportive Clinical Management (SSCM) in outpatients with broadly defined anorexia nervosa (AN). At 12 months postrandomization, all patients had statis...
Chapter
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Eating disorders present many moral and ethical dilemmas. Family-based therapy makes parents into both patients (in therapy) and therapists (insisting on the young person eating) and can distort the whole family. Imposed treatment under mental health or children’s legislation is viewed by some as a denial of human rights and by others as a right in...
Article
Anorexia nervosa (AN) in adults has poor outcomes, and treatment evidence is limited. This study evaluated the efficacy and acceptability of a novel, targeted psychological therapy for AN (Maudsley Model of Anorexia Nervosa Treatment for Adults; MANTRA) compared with Specialist Supportive Clinical Management (SSCM). One hundred forty-two outpatient...
Article
Objective: This study aimed to explore the neuro- and social-cognitive profile of a consecutive series of adult outpatients with anorexia nervosa (AN) when compared with widely available age and gender matched historical control data. The relationship between performance profiles, clinical characteristics, service utilization, and treatment adhere...
Article
Forming part of a process evaluation of a large randomised controlled trial (the Maudsley Outpatient Study of Treatments for Anorexia Nervosa and Related conditions, MOSAIC) comparing two outpatient therapies for Anorexia Nervosa (AN), the Maudsley Model for Treatment of Adults with Anorexia Nervosa (MANTRA) and Specialist Supportive Clinical Manag...
Article
Full-text available
Background: Anorexia nervosa (AN) is a biologically based serious mental disorder with high levels of mortality and disability, physical and psychological morbidity and impaired quality of life. AN is one of the leading causes of disease burden in terms of years of life lost through death or disability in young women. Psychotherapeutic interventio...
Article
Background: The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited. Aims: To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology. Method: 101 participants were recruited from eating disorders clinics or...
Article
Cultural issues appear to play an important role in the eating problems of adolescents. Asian adolescent girls living in the U.K. have unusually high levels of eating psychopathology, with a particular emphasis on bulimic behaviours and attitudes. This study examines these cultural differences in bulimic eating patterns in more detail among a group...
Chapter
IntroductionService DevelopmentGuidelines and Standards for Specialist Eating Disorders ServicesWhat Should a Service Look Like?Problems in Providing a ServiceWhat Services Should be Offered?Users and CarersConclusions References
Article
Cultural issues appear to play an important role in the eating problems of adolescents. Asian adolescent girls living in the U.K. have unusually high levels of eating psychopathology, with a particuldr emphasis on bulimic behaviours and attitudes. This study examines these cultural differences in bulimic eating patterns in more detail among a group...

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