Robyn Sysko1, Tom Hildebrandt. 1. New York State Psychiatric Institute, College of Physicians and Surgeons of Columbia University, USA. syskor@childpsych.columbia.edu
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).
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).
Authors: Christopher G Fairburn; W Stewart Agras; B Timothy Walsh; G Terence Wilson; Eric Stice Journal: Am J Psychiatry Date: 2004-12 Impact factor: 18.112
Authors: Christopher G Fairburn; Zafra Cooper; Kristin Bohn; Marianne E O'Connor; Helen A Doll; Robert L Palmer Journal: Behav Res Ther Date: 2007-02-04
Authors: T Bravender; R Bryant-Waugh; D Herzog; D Katzman; R D Kreipe; B Lask; D Le Grange; J Lock; K Loeb; S Madden; D Nicholls; J O'Toole; L Pinhas; E Rome; M Sokol-Burger; U Wallen; N Zucker Journal: Int J Eat Disord Date: 2007-11 Impact factor: 4.861