Therapeutic difficulties in management of the patient with anorexia nervosa and comorbid borderline personality disorder - case study

Katarzyna Kordynska*, Barbara Kostecka, Pawel Sala, Katarzyna Kucharska

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    1 Citation (Scopus)

    Abstract

    Aim: This case report addresses some clinical challenges occurring throughout the therapeutic process of specialized management and treatment of anorexia nervosa with comorbid borderline personality disorder.

    Materials and method: Clinical examinations and measures - Structured Clinical Interview for DSM-IV (SCID-II), Eating Attitudes Test (EAT-26), Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS), Beck Depression Inventory-II (BDI-II), Toronto Alexithymia Scale (TAS-20), and State-Trait Anxiety Inventory (STAI) have been employed to identify the nature and severity of patient's psychopathology and its potential change throughout the therapeutic process.

    Results: Despite some improvement in the symptoms of the eating disorder following treatment, some other measures of psychopathology (e.g., depression) remained at similar level. Discussion: Management of AN with comorbid BPD requires a comprehensive care package including integrative psychotherapy, nutritional interventions and pharmacotherapy at an inpatient setting as well as follow-up care thereafter.

    Conclusions: Only partial improvement in the profile of F.C.'s psychopathology was observed.

    Original languageEnglish
    Pages (from-to)71-78
    Number of pages8
    Journal Archives of Psychiatry and Psychotherapy
    Volume20
    Issue number3
    DOIs
    Publication statusPublished - Sep-2018

    Keywords

    • anorexia nervosa
    • borderline personality disorder
    • clinical management
    • resistance
    • BINGE-EATING DISORDER

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