title: The Integration of Family-Based Treatment and Dialectical Behavior Therapy for Adolescent Bulimia Nervosa: Philosophical and Practical Considerations.
abstract: Dialectical behavior therapy (DBT) and family-based treatment (FBT) are two evidence-based interventions that have been applied in the treatment of bulimia nervosa (BN) in adolescents. While DBT focuses on providing skills for coping with emotion dysregulation that often co-occurs with BN, FBT targets the normalization of eating patterns. The purpose of the current article is to introduce an integration of both treatments to provide a more comprehensive approach that targets the full scope of the disorder. We provide a review of the conceptual similarities and differences between FBT-BN and DBT along with strategies to guide a blended treatment approach. Given the strengths and limitations of either independent treatment, DBT and FBT-BN complement one another and together can address the range of symptoms and behaviors typically seen in adolescent BN.
authors.affiliation: a Department of Psychiatry , University of California, San Diego , San Diego , California , USA.
authors.forename: Leslie K
authors.initials: LK
authors.lastname: Anderson
authors.forename: Stuart B
authors.initials: SB
authors.lastname: Murray
authors.forename: Ana L
authors.initials: AL
authors.lastname: Ramirez
authors.forename: Roxanne
authors.initials: R
authors.lastname: Rockwell
authors.forename: Daniel
authors.initials: D
authors.lastname: Le Grange
authors.forename: Walter H
authors.initials: WH
authors.lastname: Kaye
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001521:Behavior Therapy; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D055317:Evidence-Based Practice; D005196:Family Therapy; D006801:Humans