CEED training: Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Where are we now & where are we going?
May 10, 2017 - 9:00am
19th April 2017

CEED training: Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA): Where are we now & where are we going?

The cognitive-interpersonal maintenance model for anorexia nervosa includes predisposing factors such as obsessive compulsive features and anxious avoidance (particularly of close relationships) that increase the vulnerability to AN. These traits contribute to the maintenance of the disorder by linking with anorexia nervosa beliefs and behaviours.
Malnutrition accentuates these traits and as problems in social communication and emotional regulation increase, interpersonal relationships deteriorate and the individual becomes isolated within the illness. This model of understanding AN has been validated by emerging neuropsychological and treatment focused research.
MANTRA was devised to target the various facets of the model, has been manualised and there is a workbook for patients and carers.  A cognitive remediation approach is used to moderate OCPD traits and a variety of methods are used to improve social emotional communication. Letters writing is used to share the formulation and goals. Family and close others are actively involved in treatment as part of the focus on improving social functioning. 
Two randomised controlled trials have compared MANTRA with optimised clinical management SSCM.  The outcomes were similar between the two forms of therapy. The intervention has been adapted for a form of internet delivery as a supplement to outpatient care as recovery MANTRA in the SHARED project. An additional form of self-care, internet delivery in MANTRA has been used as a supplement for inpatient care. The development of the cognitive interpersonal model is continuing, along with implementation science. It is possible that new brain directed treatments targeting trait vulnerabilities can be added as supplements to MANTRA.
The aims of this workshop are to:
  • Give an update on the cognitive interpersonal model and how this has incorporated new findings about risk and maintaining factors and led to adaptations of the treatment
  • To briefly look at the outcome from the published data and from newer adaptation of the method
  • To demonstrate how this has been developed to be used as moderated forums and on line chat
The content will include:
  • Some didactic training
  • How videos co-produced with carers and patients are used in order to share information and behaviour change tips
  • How written feedback and guidance to facilitate change is utilized
About Professor Janet Treasure, OBE PhD FRCP FRCPsych:
Professor Janet Treasure has specialised in the treatment of eating disorders at the South London and Maudsley Hospital and also has had an academic career Kings College London for the majority of her career. The unit is one of the premier European academic centres for eating disorders. We have co-produced interventions with recovered patients and carers using some of the newest technologies including iPod, DVDs and web based as part of our interventions.
Janet Treasure was made a Professor of Psychiatry in 2000.  In 2013 she was given an OBE for her work in eating disorders. Her research has led to greater understanding of, and better treatments for, anorexia and bulimia. 
As well as editing professional texts, Janet has written several self-help books for people with eating disorders (Schmidt & Treasure, 1993; Treasure, 1997) .
Guided self-help using books such as these are recommended in the NICE guidelines as a first stage of treatment.        


Janet Treasure MANTRA Workshop Flyer