King's College London

Effective treatments have been developed for adults with bulimia nervosa and adolescents with eating disorders (EDs; Lock et al., 2005; 2010; Fairburn et al., 2003), but for adolescents with more severe and enduring forms of illness and adults with anorexia nervosa (AN), the evidence base is weaker (Strober, 2010). Cognitive Remediation and Emotion Skills Training (CREST) was developed as a treatment adjunct and aims to improve cognitive and emotional functioning in adults with EDs severe enough to require intensive hospitalisation. The overall aim of CREST is to increase quality of life and the skills and motivation required to move towards recovery. Published studies suggest that patients rate this as a relevant and acceptable intervention which may be of benefit to patients and can form part of the broader treatment for an ED (Money et al., 2011; Davies et al., 2012; Tchanturia et al., 2014). This workshop aims to outline the components of CREST and to enable participants to gain skills in its implementation and discuss how CREST could form part of the overall treatment plan offered to patients. New data from its implantation in adolescent inpatients (group and individual formats; Harrison et al., submitted) will be presented and following this, a discussion around how to adapt CREST for adolescents and patients with comorbidity such as intellectual disability and autism spectrum disorder. Videos of sessions and interactive exercises will be used to support learning and case studies will be discussed to facilitate understanding of how CREST can be adapted to support a wide range of patients.