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Comorbid Eating Disorders and Obsessive-Compulsive Disorder from Part I - Overview of the Existing Literature
Published online by Cambridge University Press: 14 December 2023
Eating disorders (EDs) can be treated with inpatient, residential, partial hospital, and outpatient care through various therapeutic orientations. Studies indicate that evidence-based treatment models in the least restrictive environment lead to the best outcomes. One treatment option is FBT for adolescent EDs, which encourages families to externalize the illness and be a primary agent of change. Cognitive-behavioral therapy (CBT) for EDs is collaborative and requires patient motivation. It includes forms like CBT-E, CBT-guided self-help, 10-session cognitive-behavioral therapy, and CBT for ARFID which are structured and manualized. CBT-E targets body weight, shape, and control and maintenance variables of the illness. Interpersonal psychotherapy (IPT) is a structured, time-limited treatment for adults with BN and BED, focusing on how relationships affect ED symptoms. Both IPT and CBT are effective for binge-related behaviors and cognitions. CBT-AR is a treatment option for individuals over 10 years old with all presentations of ARFID who are medically stable and not dependent on tube feeding.
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