Eating disorders have proved resistant to therapy with high relapse rates. Enhanced cognitive behavior therapy (CBT-E) is the favored treatment of choice but has been criticized for placing a similar emphasis on controlling eating behavior as the psychopathology it seeks to counter. In contrast, narrative therapy focuses on the development of an anti-eating disorder lifestyle and values. Evidence for this approach primarily consists of informal case study material. This case study describes a 28-year-old woman with a recurring history of anorexia nervosa, who selfreferred to a university psychology clinic, due to fears of imminent relapse. The client received 10 sessions of narrative therapy and made significant progress in externalizing her eating disorder, in lessening her adherence to the ascetic values underpinning it, and in developing/ expressing her non-eating disorder character and values. This case study provides evidence of the potential effectiveness of narrative therapy and contains valuable learning for clinicians regarding its implementation.

This is a study exploring perceptions of men's experience of depression in rural and remote areas of Australia. The purpose of this investigation was to generate 'new' information that can inform models of diagnosis and primary care for the treatment of depression in men in rural and remote areas. Men and women were recruited from two North Queensland sites to participate in semistructured interviews in both an individual and focus group format and completing a series of questionnaires. A combination of grounded theory and content analysis was adopted to analyse the qualitative data, and develop theory around men's experience of depression in rural and remote areas. The findings of this study suggest that men's experience of depression within a rural context is defined by a process of 'internal compound' whereupon emotional distress can represent itself in avoidant and dulling behaviours along with self-reliant attempts to 'fix' the situation. From this study a language has been provided to give explanation to the experience of depression in men in rural and remote areas. The findings of this study have implications for, and provide opportunity for reform in, how we approach the recognition, diagnosis and treatment of depression for men in rural and remote areas.

Rural Australians are shown to have poorer health and mental-health outcomes compared with their metropolitan counterparts, particularly for diabetes. Individuals with diabetes often meet criteria for comorbid mental-health conditions, such as anxiety and depression. Psychological treatment, as an adjunct to medical care, for individuals with diabetes is shown to improve overall health and wellbeing. This article describes a 38-year-old male who was referred to a very remote primary health care service by his diabetes educator for strategies to reduce work-related stress and improve his diabetes mismanagement. Mindfulness-based cognitive behavior therapy techniques were used, over six sessions, in the context of a rural and very remote community. Pre-and post-intervention measures showed a reduction in anxiety, distress, and improvement in his perception of his quality of life. Clinical implications for psychological treatment of diabetes and comorbid mental-health issues in rural and remote communities are discussed.