Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Method
•A first case series was carried out on a group of 6 adult women diagnosed with AN at an outpatient eating disorder clinic. The treatment for this group was based around the standard DBT manual, as well as the DBT for binge eating manual. It involved individual standard DBT psychotherapy. Treatment goals were set using the standard DBT target hierarchy that ranks target behaviors in this order: life-threatening behavior, therapy-interfering behavior, quality-of-life interfering behavior and other client goals. Weight was taken at each therapy session.
•For the second case series, an adapted form of DBT was used as treatment for 9 adult women diagnosed with AN at an outpatient eating disorder clinic. The treatment for this group used standard DBT augmented by an early version (October, 2010) of a skills module addressing an over controlled style developed by Lynch et al., to standard DBT. This module focused on overcontrolled emotions and behaviours. It taught: (1) mindfulness mind states for over control; (2) identification of habitual ways of coping; (3) how to change social behavior by changing physiology; (4) engagement in novel behaviors, including playful behavior and disinhibited expression; (5) openness to others’ feedback; (6) trusting others and revealing feelings and thoughts; and (7) practicing Loving-Kindness Meditation to prolong the activation of social-safety mood states. As in case series one, the second case series also utilized individual standard DBT psychotherapy. Lynch’s 8-week module addressing over controlled emotions and behaviors was taught individually after the standard DBT skills training.
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Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Purpose
Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Method
Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Results
Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Conclusions
Adapting Dialectical Behavior Therapy For Outpatient Adult Anorexia Nervosa—A Pilot Study: Limitations