Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients With Eating Disorders


  • The authors acknowledge the dialectical behavior therapy clinical staff at the Cleveland Center for Eating Disorders for their contributions to the development and implementation of the program presented in this article. The authors extend special thanks to the clients for their willing collaboration.

concerning this article should be addressed to Anita Federici, Cleveland Center for Eating Disorders, 25550 Chagrin Boulevard, Suite 200, Cleveland, OH 44122 (e-mail:


The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well established for the treatment of eating disorders. Attention is given to inclusion and exclusion criteria, how the program differs from standard treatments for eating disorders, and the application of specific DBT treatment components for multidiagnostic clients with eating disorders.