In addressing purging behaviors, a CBT clinician might focus on identifying triggers and challenging cognitive distortions, while a DBT clinician might validate the emotional distress behind the behavior and guide the client toward healthier emotion-regulation strategies. In Navarro-Haro et al.’s (2018) study of 118 women diagnosed with both BPD and EDs (DBT group = 71; TAU CBT group = 47), both approaches reduced hospitalizations, suicide attempts, dysfunctional eating, and emotional suppression. Neither treatment emerged as definitively superior, but DBT may offer advantages for emotion regulation across diagnoses. Clinically, many providers combine CBT and DBT principles, as CBT alone is often insufficient for BPD, while DBT may not fully address cognitive distortions central to ED pathology. For example, an individual admitted for Anorexia Nervosa might initially receive CBT for nutritional rehabilitation and cognitive restructuring; if borderline traits emerge, DBT modules may be introduced to address emotional instability and self-destructive behaviors.