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 language | English |
|---|---|
| Pages (from-to) | 71-78 |
| Number of pages | 8 |
| Journal | Archives of Psychiatry and Psychotherapy |
| Volume | 20 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Sept-2018 |
Keywords
- anorexia nervosa
- borderline personality disorder
- clinical management
- resistance
- BINGE-EATING DISORDER