Case Conceptualization and Treatment of Comorbid Body Dysmorphic Disorder and Bulimia Nervosa

Elizabeth R. Didie*, Mark A. Reinecke, Katharine A. Phillips

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Body dysmorphic disorder (BDD) and eating disorders often co-occur and share some clinical features. In addition, the co-occurrence of BDD and an eating disorder may be associated with greater impairment in functioning. Furthermore, clinical impressions suggest that this comorbidity may be more treatment resistant than either disorder alone. The current article discusses the treatment of a 48-year-old female diagnosed with BDD and comorbid bulimia. We attempted to address these co-occurring disorders in a strategic, formulation-based manner using a variety of cognitive-behavioral strategies such as cognitive restructuring, rational disputation, exposure with response prevention, and mirror retraining. Despite the complexity of this case, results suggest that comorbid BDD and bulimia nerosa can be effectively managed with cognitive behavioral therapy.

Original languageEnglish (US)
Pages (from-to)259-269
Number of pages11
JournalCognitive and Behavioral Practice
Volume17
Issue number3
DOIs
StatePublished - Aug 1 2010

ASJC Scopus subject areas

  • Clinical Psychology

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