Comorbid Eating Disorders and Obsessive-Compulsive Disorder 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 8 - Provider Collaboration in Eating Disorder Treatment
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
The primary empirically supported treatments for EDs are CBT-E and FBT. Both recommend a limited treatment team that includes a primary therapist who focuses on changing eating behaviors, weight, and related body image concerns; a medical provider to monitor stability; and a psychiatrist for medication management of any comorbid diagnoses. Dietitians may be used as consultants, and other types of therapy should be suspended during treatment. This approach aims to reduce the risk of conflicting messages among providers, treatment fatigue, and reinforcing of safety behaviors, but it has not yet become standard practice in ED treatment (particularly in the United States). Despite evidence supporting the efficacy of CBT-E and FBT, outdated ideas about ED maintenance and treatment persist in the healthcare community, which can be a challenge in treatment, especially when the patient also has a co-occurring diagnosis of OCD.
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- Comorbid Eating Disorders and Obsessive-Compulsive DisorderA Clinician's Guide to Challenges in Treatment, pp. 59 - 61Publisher: Cambridge University PressPrint publication year: 2023