Dialectical Behavior Therapy

Linehan, Armstrong, Suarez, Allmon, and Heard (1991) reported the first randomized controlled trial (RCT) of DBT. Since then, DBT has generated by far the greatest number of studies of any psychosocial treatment for BPD (reviewed by Robins & Chapman, 2004). In addition to a number of uncontrolled studies, there are now four RCTs of standard DBT for BPD, as well as two RCTs of adaptations of DBT for BPD or suicidal behavior; two RCTs of an adaptation of DBT for patients with BPD and comorbid substance abuse; and two nonrandomized but controlled trials of adaptations of DBT, one for suicidal adolescents and one for inpatients with BPD. There have also been two RCTs of DBT adaptations for eating disorders (binge-eating disorder and bulimia) and two RCTs of adaptations for older adult depressed patients, with or without comorbid personality disorders. In all, 11 RCTs of standard DBT, or close adaptations of it, have all reported beneficial effects.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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