Part 2: UNITE Training

Cognitive-behavioral couple therapy (CBCT) is a highly efficacious approach for assisting couples in which a partner is experiencing a psychiatric disorder. For more than a decade, Drs. Bulik, Baucom, and Kirby at UNC-Chapel Hill have developed and tested a couple-based intervention for eating disorders entitled UNITE (UNiting couples In the Treatment of Eating disorders) that integrates partners into treatment to improve treatment response. This training will discuss UNITE principles, mechanisms, and interventions to guide couples in the implementation of behavior change consistent with recovery.

Course Prerequisite: Completion of the Cognitive-Behavioral Couple Therapy (CBCT) Therapist Training or permission based on previous training or professional experience. To inquire about permission, email [email protected].

Course Curriculum

    1. UNITE: General Resources

    2. UNITE: Module 1 Resources

    3. UNITE: Module 2 Resources

    4. UNITE: Module 3 Resources

    5. UNITE: Module 4 Resources

    6. UNITE: Module 5 Resources

    7. UNITE: Module 6 Resources

    8. UNITE: Module 7 Resources

    9. UNITE: Extra Handouts

    1. Lesson 1: Introduction to UNITE

    2. Lesson 2: Assessment

    3. Lesson 3: Psychoeducation

    4. Lesson 3: Case Introduction Jasmine and Tyler Anorexia Nervosa

    5. Lesson 3: Roleplay Providing Psychoeducation on Body Image

    6. Lesson 4a: Treatment Planning

    7. Lesson 4b: Treatment Process

    8. Test: Module 1: Early Treatment (Introduction to UNITE, Assessment, Psychoeducation, Treatment Planning)

    1. Lesson 1: Communication and Interaction Patterns

    2. Lesson 2: Communication Skills

    3. Lesson 3: Adapting Communication Skills

    4. Lesson 4: Roleplay: Anorexia Nervosa Sharing Thoughts and Feelings

    5. Lesson 5: Roleplay: Binge-Eating Disorder - Case Introduction Michelle and Susan Binge-Eating Disorder

    6. Lesson 5: Roleplay: Binge-Eating Disorder - Sharing Thoughts and Feelings

    7. Test: Module 2: Communication Skills (Communication Patterns, Sharing Thoughts and Feelings, Decision Making)

    1. Lesson 1a: Phase II Goals

    2. Lesson 1b: Phase II Healthy Eating Patterns

    3. Lesson 2: Roleplay: Anorexia Nervosa

    4. Lesson 3: Roleplay: Binge-Eating Disorder

    5. TEST: Module 3: Healthy Eating Patterns

    1. Lesson 1a: Emotion Regulation in the Context of ED

    2. Lesson 1b: Emotion Regulation - Assessment Domains

    3. Lesson 1c: Emotion Regulation - Prevention Strategies

    4. Lesson 1d: Emotion Regulation - Intervention Strategies

    5. Lesson 1e: Emotion Regulation - Recovery Strategies

    6. Lesson 2: Roleplay: Binge-Eating Disorder

    7. Lesson 3: Roleplay: Anorexia Nervosa Decision-Making on Emotion Regulation

    8. TEST: Module 4: Emotion Regulation (Psychoeducation, Interventions)

    1. Lesson 1: Food and Eating Context

    2. Lesson 2: Clinical Challenges

    3. Test: Module 5: Additional Factors (Food and Eating Context, Clinical Challenges)

  • Free
  • 55 lessons
  • 7 hours of video content
  • Certificate of Completion

CE Approval Statement

  • American Psychological Association (APA)

    The National Center of Excellence for Eating Disorders (NCEED) is approved by the American Psychological Association to sponsor continuing education for psychologists. NCEED maintains responsibility for this program and its content.

Learning Objectives

  • By the end of this training, participants will be able to:

    Explain how eating disorders affect and are affected by interpersonal relationships.

    List how partners can facilitate (and alternatively inhibit) eating disorder recovery.

    Describe two sets of communication skills (sharing thoughts and feelings, and decision-making) and how these communication skills can be used in the treatment of eating disorders.

    Identify common behavior changes couples make in the eating disorder recovery process.

Instructors

Cynthia Bulik, PhD, FAED

Distinguished Professor of Eating Disorders
Department of Psychiatry, UNC School of Medicine
Professor of Nutrition, Gillings School of Global Public Health
Professor, Department of Medical Epidemiology and Biostatistics

Dr. Bulik, a licensed clinical psychologist, received her BA from the University of Notre Dame and her MA and PhD from the University of California, Berkeley. She completed internships and post-doctoral fellowships at the Western Psychiatric Institute and Clinic in Pittsburgh, PA. Dr. Bulik has developed eating disorders programs in New Zealand, the United States, and Sweden and has active collaborations all over the world. She is author of several books including Crave: Why You Binge Eat and How to Stop, The Woman in the Mirror, Midlife Eating Disorders: Your Journey to Recovery, and Binge Control: A Compact Recovery Guide. She has developed, tested, and disseminated several evidence-based treatments for eating disorders and has trained clinicians around the world in providing evidence-based care. She has been the recipient of many awards for research, advocacy, and mentorship.

Disclosure: Dr. Bulik reports: Shire (past grant recipient, past Scientific Advisory Board member); Lundbeckfonden (grant recipient); Pearson (author, royalty recipient); Equip Health Inc. (Stakeholder Advisory Board).

Don Baucom, Ph.D.

Distinguished Professor of Psychology and Neuroscience
UNC-Chapel Hill

Dr. Don Baucom received his BA and PhD in Clinical Psychology from UNC-Chapel Hill and completed his predoctoral clinical internship at the University of Minnesota Medical Center. A licensed clinical psychologist in North Carolina, he directs a couple therapy clinic at UNC and sees couples clinically himself. He is one of the developers of cognitive-behavioral couple therapy (CBCT) which has strong empirical support for improving relationship distress. For many decades, he has contributed to the theoretical, clinical, and empirical bases for these interventions, adapting them to address a wide range of circumstances that couples confront. A major emphasis in expanding these interventions involves how to employ the couple as a resource in therapy when one partner is struggling with psychological or medical distress. He is the co-author of several books that serve as fundamental references for applying CBCT in various contexts. He provides workshops to clinicians around the world, teaching them to apply these interventions in applied clinical settings. He has received numerous awards and recognitions for his research contributions, mentorship of doctoral students, undergraduate teaching, and clinical supervision.

Disclosure: Dr. Baucom has no conflicts of interest to report.


Jennifer Kirby, Ph.D.

Clinical Professor and Director of Clinic Operations and Training
Department of Psychology and Neuroscience
Clinical Professor, Department of Psychiatry
UNC-Chapel Hill

Dr. Jennifer S. Kirby received her MA and PhD in Clinical Psychology from UNC-Chapel Hill and completed her predoctoral clinical internship at Duke University Medical Center. A licensed clinical psychologist in North Carolina, she serves as the Director of Clinic Operations and Training for the UNC-Chapel Hill Psychology Clinic. She specializes in cognitive behavioral therapy and dialectical behavior therapy, and trains and supervises graduate students, psychiatric residents, and professionals in individual and couple therapy using these treatment approaches. She has participated in the development and evaluation of a number of relationship intervention programs from a cognitive-behavioral perspective. These have included working with couples who are experiencing eating disorders, emotion dysregulation, infidelity, health concerns such as breast cancer, and couples who are preparing for marriage. She also maintains an active private practice with individuals and couples.

Disclosure: Dr. Kirby has no conflicts of interest to report.


Acknowledgments

The UNITE team would like to acknowledge the following individuals for their contribution to the UNITE program which evolved over a number of years through theoretical conceptualization, formative research, treatment development, and clinical trials to establish the efficacy of couple-based interventions for eating disorders:

UNITE Development Team

Cynthia Bulik
Donald Baucom
Jennifer Kirby
Cristin Runfola
Camden Matherne
Melanie Fischer
Emily Carrino

UNITE Contributors

Brian Baucom
Jennifer Belus
Jennifer Burnell
Jaqueline Carter
Joe Crozier
Katie Flanagan
Hunter Galligan
Robert Hamer
Meg Harney
Marina Harris
Mary Hill
Margie Hodgin
Tommy Hodgin
Sara Hofmeier
Jasmine Hudepohl Irvin
Mary Kate Kirby
Elisa Klein
Maria la Via
Brad MacNeil
Millie Maxwell
Beth McIntosh
Kathryn Nowlan
Kimberly Pentel
Emily Pisetsky
TJ Raney
Rachel (Guerra) Schultz
Colie Taico
Elysse Thebner
Laura Thornton
Frances Ulman
Hunna Watson
Danielle Weber
Stephanie Zerwas

UNITE program was created with support of the following agencies:

National Institute of Mental Health

  • R34 MH113681 Targeting Relationship Domains in Community-Based Treatment of Binge-Eating Disorder and Bulimia Nervosa
  • R01 MH093615 Enhancing Treatment for Adult Anorexia Nervosa with a Couple-Based Approach
  • R01 MH082732 UCAN: Uniting Couples (in the treatment of) Anorexia Nervosa


Global Foundation for Eating Disorders

Hilda and Preston Davis Foundation

Substance Abuse and Mental Health Administration H79 SM081924 (Christine Peat, PhD, PI)