Enhanced cognitive behavioural therapy for an adolescent with purging disorder: a case report.

To present a case report detailing the use of an enhanced form of cognitive behavior 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. 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. 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.

呈现一个病例报告，详细描述一种强化形式的认知行为疗法（CBT）的应用。该治疗用于一名被诊断为非特定性进食障碍（EDNOS）的青少年，并且重点关注情绪不耐受和人际关系问题等额外的维持机制。 这个病例始于一次不成功的家庭治疗尝试，其中潜在的功能失调加剧了症状，并使家庭士气低落。治疗师随后选择使用一种强化版的CBT，同时处理患者的症状，并尝试在多个领域实现改变。提供了对患者进食障碍病理、29次治疗过程以及治疗结果的描述。 这个案例研究表明，正如……所建议的，在治疗一名被诊断为EDNOS的年轻患者时，有可能成功地使用经过符合发展阶段的调整的强化CBT。