Cognitive-Behavioral Therapy for Rumination Syndrome (CBT-RS)

Rumination syndrome (RS) is a condition characterized by repeated, effortless regurgitation of material (usually food). RS is classified as both a disorder of gut-brain interaction, and as a feeding and eating disorder. Not only can the experience of RS be distressing, it can severely impact a patient’s medical functioning and ability to live a full life.

RS is unfortunately an overlooked (and thus under-treated) condition, as individuals with RS may often describe their symptoms as “reflux” or “vomiting.” RS can also co-occur with other gastrointestinal and eating disorders, further complicating the clinical picture. The good news is that RS can be successfully treated.

This book offers a comprehensive treatment approach for RS, for use with children, adolescents, and adults. With evidence backing its use, Cognitive-Behavioral Therapy for RS (CBT-RS), is designed for clinicians (behavioral health or medical) to use with patients in their own clinical settings. With case examples and a practical stepwise approach, clinicians are able to take CBT-RS into their own clinical settings to increase treatment access for RS.

• Addresses an often overlooked and undertreated condition characterized by repeated, effortless regurgitation
• Describes practical tips for assessing, diagnosing, and treating Rumination Syndrome in patients of all ages
• Provides a practical and clear four-step solution to the problem
• Includes a patient friendly workbook to accompany the clinician guide

CONTENTS

Preface
Foreword
Introduction to the Book
Chapter 1: What is Rumination Syndrome?
Chapter 2: Symptom-Based Assessment of Rumination Syndrome
Chapter 3: Basics of Gastrointestinal Assessment for Complex Presentations (Guest author Dr. Christopher D. Vélez)
Chapter 4: Overview of CBT-RS
Chapter 5: Step 1-Education and Self-Monitoring
Chapter 6: Step 2-“Habit Reversal Training” with Diaphragmatic Breathing
Chapter 7: Step 3-Individualized CBT Modules to Address Remaining Symptoms
Chapter 8: Step 4-Maintaining Progress and Relapse Prevention
Chapter 9: Data to Support the Efficacy of CBT-RS
Conclusions and Future Directions
Appendix A: Assessment Measures
Appendix B: CBT-RS Patient Workbook