A dialectical behavior therapy program for people with an eating disorder and borderline personality disorder—description and outcome
Article first published online: 19 MAR 2003
Copyright © 2003 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 33, Issue 3, pages 281–286, April 2003
How to Cite
Palmer, R. L., Birchall, H., Damani, S., Gatward, N., McGrain, L. and Parker, L. (2003), A dialectical behavior therapy program for people with an eating disorder and borderline personality disorder—description and outcome. Int. J. Eat. Disord., 33: 281–286. doi: 10.1002/eat.10141
- Issue published online: 19 MAR 2003
- Article first published online: 19 MAR 2003
- Manuscript Accepted: 23 NOV 2002
- dialectical behavior therapy;
- eating disorders;
- borderline personality disorder
To describe and evaluate a full dialectical behavior therapy (DBT) program for people with comorbid eating disorder and borderline personality disorder. The program included a novel skills training module written especially for eating-disordered patients.
The program was run for 18 months. Days in hospital and major acts of self-harm were counted for the 18 months before and after DBT.
There were no dropouts from the program. The patients seemed to benefit. Most patients were neither eating disordered nor self-harming at follow-up.
Full DBT is an expensive and demanding treatment but deserves consideration for patients with an eating disorder and co-morbid borderline personality disorder and self-harm. There is a need for a more systematic and thorough evaluation. © 2003 by Wiley Periodicals, Inc. Int J Eat Disord 33: 281–286, 2003.