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Comorbid Eating Disorders and Obsessive-Compulsive Disorder from Part II - Clinical Pitfalls and Treatment Failures
Published online by Cambridge University Press: 14 December 2023
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 Despite evidence supporting the efficacy of CBT-E and FBT, outdated ideas about ED maintenance and treatment persist in the healthcare community, which can be a challenge in treatment, especially when the patient also has a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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