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Chapter 18 - Navigating the Scale & weighing

from Part III - Evidence-Informed Considerations for Assessment and Treatment

Published online by Cambridge University Press:  14 December 2023

Jenna DiLossi
Affiliation:
Center for Hope and Health, LLC, Pennsylvania
Melissa Harrison
Affiliation:
Center for Hope and Health, LLC, Pennsylvania
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Summary

The treatments with the strongest evidence base for EDs use collaborative weighing at the beginning of each session, but this may be challenging for patients with comorbid OCD due to their increased tendency for rigidity, reassurance seeking, perfectionism, and a decreased tolerance for uncertainty. Personalized interventions should be devised to target the specific factors that maintain the patient’s disorder, such as addressing the core fears and how this impacts weight exposures (e.g., blind or viewed). Collaborative weighing is appropriate and needed for most patients. It is important to be mindful that certain aspects of providing weight information can become obsessive with this comorbidity, and engaging in hidden weighing can be useful in increasing tolerance of uncertainty related to changes in weight. Identifying and addressing compulsions and escape behaviors and encouraging the patient to abandon these behaviors and face the possibility of relapse can be beneficial for treatment in the long term.

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Comorbid Eating Disorders and Obsessive-Compulsive Disorder
A Clinician's Guide to Challenges in Treatment
, pp. 120 - 126
Publisher: Cambridge University Press
Print publication year: 2023

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  • Navigating the Scale & weighing
  • Jenna DiLossi, Center for Hope and Health, LLC, Pennsylvania, Melissa Harrison, Center for Hope and Health, LLC, Pennsylvania
  • Book: Comorbid Eating Disorders and Obsessive-Compulsive Disorder
  • Online publication: 14 December 2023
  • Chapter DOI: https://doi.org/10.1017/9781009186865.023
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  • Navigating the Scale & weighing
  • Jenna DiLossi, Center for Hope and Health, LLC, Pennsylvania, Melissa Harrison, Center for Hope and Health, LLC, Pennsylvania
  • Book: Comorbid Eating Disorders and Obsessive-Compulsive Disorder
  • Online publication: 14 December 2023
  • Chapter DOI: https://doi.org/10.1017/9781009186865.023
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Navigating the Scale & weighing
  • Jenna DiLossi, Center for Hope and Health, LLC, Pennsylvania, Melissa Harrison, Center for Hope and Health, LLC, Pennsylvania
  • Book: Comorbid Eating Disorders and Obsessive-Compulsive Disorder
  • Online publication: 14 December 2023
  • Chapter DOI: https://doi.org/10.1017/9781009186865.023
Available formats
×