Debra Safer

Publication Details

  • Dialectical behavior therapy adapted for bulimia: A case report INTERNATIONAL JOURNAL OF EATING DISORDERS Safer, D. L., Telch, C. F., Agras, W. S. 2001; 30 (1): 101-106


    This case report describes the application of dialectical behavior therapy (DBT) to the treatment of bulimia nervosa in a 20-session manualized therapy.The treatment, based on an affect regulation model of eating disorders, was developed to teach emotion regulation skills to replace eating-disordered behaviors. The patient, a 36-year-old woman, had a long history of binge eating and purging that had not responded to 2 years of counseling. In the 4 weeks before treatment began, she reported 13 objective binges and 21 purging episodes.Upon initiating DBT, her binge eating and purging rapidly declined. She achieved abstinence by the fifth week of treatment and maintained it through treatment. In the 6 months following treatment, she reported a total of two objective binge episodes and two purge episodes.

    View details for Web of Science ID 000169077300011

    View details for PubMedID 11439414

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