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Case Reports
. 2011 Jan-Feb;19(1):37-45.
doi: 10.1002/erv.1044.

Enhanced cognitive behavioural therapy for an adolescent with purging disorder: a case report

Robyn Sysko  1 , Tom Hildebrandt
Affiliations
Case Reports

Enhanced cognitive behavioural therapy for an adolescent with purging disorder: a case report

Robyn Sysko et al. Eur Eat Disord Rev. 2011 Jan-Feb.

Abstract

Objective: To present a case report detailing the use of an enhanced form of cognitive behaviour therapy (CBT). The treatment was provided to an adolescent with an eating disorder not otherwise specified (EDNOS) diagnosis, and included a focus on the additional maintaining mechanisms of mood intolerance and interpersonal problems.

Case: This case began as an unsuccessful attempt at family therapy, where the underlying dysfunction exacerbated symptoms and demoralized the family. The therapist subsequently chose to utilize an enhanced version of CBT to simultaneously address the patient's symptoms and try to effect change across multiple domains. A description of the patient's eating disorder pathology, the 29-session treatment, and outcome, are provided.

Conclusion: This case study illustrates that it is possible to successfully use enhanced CBT with developmentally appropriate adaptations in the treatment of a young patient with an EDNOS diagnosis, as suggested by Cooper and Stewart (2008).

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Figures

Figure 1
Figure 1. Change in Frequency of Daily Subjective Bulimic Episodes (SBE) and Purging Over the Course of Family Therapy (MFT) and Cognitive Behavior Therapy (CBT)
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