Dialectal Behavioral

Therapy for Eating Disorders...

DBT skills have been shown to be an effective adjunctive treatment for eating disorders, particularly bulimia and binge-eating. [1][2][3]

  • Clients learn to effectively regulate their emotions and better tolerate distress.

  • They learn to assert themselves in effective, functional ways.

  • They become more mindful of their physical, emotional and cognitive process.

Often, deficiencies in one or more of these areas exacerbate the impulse to engage in pathological eating.



[1] Wisniewski, L., Safer, D., & Chen, E. (2007).  Dialectical behavior therapy and eating disorders. In Dimeff, L. A. &  Koerner, K. (Eds.), Dialectical behavior therapy in clinical practice: Applications across disorders and settings (pp. 174-221). New York: Guilford Press.

[2] Kristeller, J. L., Baer, R. A., & Quillian-Wolever, R . (2006). Mindfulness-based approaches to eating disorders. In Baer, R. A. (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 75-91). San Diego, CA: Elsevier Academic Press.

[3] Telch, C.F.Agras, W. S., & Linehan, M. M . (2001).  Dialectical behavior therapy for binge eating disorder. Journal  of Consulting and Clinical Psychology, 69, 1061-1065.

 Safer, D. L., Telch, C.F., & Agras, W. S. (2001). Dialectical behavior therapy for bulimia nervosa.American Journal  of Psychiatry, 158, 632-634.

 Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C. G. Fairburn& G. T.Wilson (Eds.), Binge eating: Nature, assessment and treatment (pp. 173–205). New York: Guilford Press.

 Telch, C. F
., Agras, W. S., &Linehan, M. M. (2001).  Dialectical behavior therapy for binge eating disorder.  Journal  of Consulting and Clinical Psychology, 69, 1061-1065.

 Jackson, B., Cooper, M. L., Mintz L., & Albino, A. (2003). Motivations to eat: Scale development and validation.  Journal of Research in Personality, 37, 297–318.

 Hohlstein, L. A., Smith, G. T., & Atlas J. G. (1998). An application of expectancy theory to eating disorder:  Development and validation of measures of eating and dieting expectancies.  Psychological Assessment,10, 49–58.

 Wiser, S., & Telch, C. F. (1999). Dialectical behavior therapy for binge eating disorder.  Journal of Clinical Psychology,  55,  755–768.

 Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating.  Journal of Rational-Emotive & Cognitive-Behavioral Therapy, 23, 281-300.