Book contents
- Comorbid Eating Disorders and Obsessive-Compulsive Disorder
- Comorbid Eating Disorders and Obsessive-Compulsive Disorder
- Copyright page
- Contents
- Foreword
- Preface
- Acknowledgments
- Abbreviations
- Part I Overview of the Existing Literature
- Part II Clinical Pitfalls and Treatment Failures
- Chapter 7 Underweight and Malnourished Patients
- Chapter 8 Provider Collaboration in Eating Disorder Treatment
- Chapter 9 Impact of Eating Disorder Treatment on Obsessive-Compulsive Symptoms
- Chapter 10 The Relationship between Eating, Distress Tolerance, and Emotion Regulation in Obsessive-Compulsive Disorder
- Chapter 11 Poorly Executed Exposures
- Chapter 12 Considerations for Exposure Therapy in Eating Disorder Treatment
- Chapter 13 Subclinical Features as Treatment Barriers
- Part III Evidence-Informed Considerations for Assessment and Treatment
- Part IV Special Topics and Future Considerations
- References
- Index
Chapter 13 - Subclinical Features as Treatment Barriers
from Part II - Clinical Pitfalls and Treatment Failures
Published online by Cambridge University Press: 14 December 2023
- Comorbid Eating Disorders and Obsessive-Compulsive Disorder
- Comorbid Eating Disorders and Obsessive-Compulsive Disorder
- Copyright page
- Contents
- Foreword
- Preface
- Acknowledgments
- Abbreviations
- Part I Overview of the Existing Literature
- Part II Clinical Pitfalls and Treatment Failures
- Chapter 7 Underweight and Malnourished Patients
- Chapter 8 Provider Collaboration in Eating Disorder Treatment
- Chapter 9 Impact of Eating Disorder Treatment on Obsessive-Compulsive Symptoms
- Chapter 10 The Relationship between Eating, Distress Tolerance, and Emotion Regulation in Obsessive-Compulsive Disorder
- Chapter 11 Poorly Executed Exposures
- Chapter 12 Considerations for Exposure Therapy in Eating Disorder Treatment
- Chapter 13 Subclinical Features as Treatment Barriers
- Part III Evidence-Informed Considerations for Assessment and Treatment
- Part IV Special Topics and Future Considerations
- References
- Index
Summary
Due to the rates of comorbidity between OCD and EDs, it is common for clinicians to encounter patients with subclinical features of each disorder. This can present in various ways, such as patients having a primary diagnosis of one disorder but with subclinical features of the other, or patients having a subclinical secondary feature of the other disorder. One of the most common co-occurring traits in EDs and OCD is perfectionism, which may present as high achievement, rigidity, overpreparedness, thoroughness, extreme promptness, and checking behaviors related to many domains, but it can also present as avoidant and somewhat scattered. Perfectionism in EDs would typically include content related to diet, eating behaviors, and exercise, whereas in OCD it may be related to morality-based obsessions. Impression management is another trait that is often seen in both disorders, which can cause anxiety and self-doubt. This can make it difficult for patients to be honest with their provider, thus hindering the treatment process. Orthorexia is a subclinical disorder that has traits of both EDs and OCD, highlighting the complication of subclinical features presenting at the same time.
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- Comorbid Eating Disorders and Obsessive-Compulsive DisorderA Clinician's Guide to Challenges in Treatment, pp. 84 - 88Publisher: Cambridge University PressPrint publication year: 2023