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Using CBT‐E in the Treatment of Anorexia Nervosa With Comorbid Obsessive‐Compulsive Personality Disorder and Clinical Perfectionism.

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Title: Using CBT‐E in the Treatment of Anorexia Nervosa With Comorbid Obsessive‐Compulsive Personality Disorder and Clinical Perfectionism.
Authors: Sand, Liv (AUTHOR), Shafran, Roz (AUTHOR)
Source: Journal of Clinical Psychology. Aug2025, Vol. 81 Issue 8, p768-776. 9p.
Subjects: Anorexia nervosa, Personality disorders, Cognitive therapy, Eating disorders, Sports teams, Perfectionism (Personality trait)
Abstract: Objective: Several studies and clinical vignettes emphasize the association between eating disorders and maladaptive personality traits that should be targeted in treatment to strengthen the therapeutic prognosis and outcome. The aim of this paper is to present a single case study with a patient showing comorbid Anorexia Nervosa (AN) and Obsessive‐Compulsive Personality Disorder (OCPD) with perfectionistic traits, using Cognitive Behavioral Therapy for Eating disorders (CBT‐E) and Perfectionism (CBT‐P). Methods: The patient, a young girl aged 17 years, was underweight when entering therapy and received an enhanced version of CBT‐E with 40 sessions as recommended in the manual. The treatment was adjusted for adolescents with a heightened focus on motivation, therapeutic alliance, and parental involvement. The clinical interventions were structured in accordance with CBT‐E for adolescents with six added sessions targeting clinical perfectionism based on CBT‐P focusing on over‐evaluation of achievements in addition to weight and shape. Results: The patient showed a gradual decrease in eating disorder symptoms and perfectionism through the 1‐year treatment. She was normal weight by the end of therapy, enjoyed varied food, was more socially engaged and balanced clinical perfectionism with more healthy strivings and standards. She was also able to express her need for boundaries and rest to family, friends and her sports team. At the final assessment, she did not fulfill diagnostic criteria for AN or OCPD with perfectionistic traits, but she showed some symptoms in achievement situations that was targeted by information and preventive interventions. Conclusion: In accordance with the manual for CBT‐E, perfectionism should be targeted as part of the treatment for eating disorders when in the clinical range. This was done in the present case with AN and perfectionistic traits within a comorbid OCPD, using elements of CBT‐P that showed positive results and meaningful changes for the patient. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Group: Ti
  Data: Using CBT‐E in the Treatment of Anorexia Nervosa With Comorbid Obsessive‐Compulsive Personality Disorder and Clinical Perfectionism.
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  Data: <searchLink fieldCode="AR" term="%22Sand%2C+Liv%22">Sand, Liv</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shafran%2C+Roz%22">Shafran, Roz</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Aug2025, Vol. 81 Issue 8, p768-776. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+disorders%22">Personality disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Sports+teams%22">Sports teams</searchLink><br /><searchLink fieldCode="DE" term="%22Perfectionism+%28Personality+trait%29%22">Perfectionism (Personality trait)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Several studies and clinical vignettes emphasize the association between eating disorders and maladaptive personality traits that should be targeted in treatment to strengthen the therapeutic prognosis and outcome. The aim of this paper is to present a single case study with a patient showing comorbid Anorexia Nervosa (AN) and Obsessive‐Compulsive Personality Disorder (OCPD) with perfectionistic traits, using Cognitive Behavioral Therapy for Eating disorders (CBT‐E) and Perfectionism (CBT‐P). Methods: The patient, a young girl aged 17 years, was underweight when entering therapy and received an enhanced version of CBT‐E with 40 sessions as recommended in the manual. The treatment was adjusted for adolescents with a heightened focus on motivation, therapeutic alliance, and parental involvement. The clinical interventions were structured in accordance with CBT‐E for adolescents with six added sessions targeting clinical perfectionism based on CBT‐P focusing on over‐evaluation of achievements in addition to weight and shape. Results: The patient showed a gradual decrease in eating disorder symptoms and perfectionism through the 1‐year treatment. She was normal weight by the end of therapy, enjoyed varied food, was more socially engaged and balanced clinical perfectionism with more healthy strivings and standards. She was also able to express her need for boundaries and rest to family, friends and her sports team. At the final assessment, she did not fulfill diagnostic criteria for AN or OCPD with perfectionistic traits, but she showed some symptoms in achievement situations that was targeted by information and preventive interventions. Conclusion: In accordance with the manual for CBT‐E, perfectionism should be targeted as part of the treatment for eating disorders when in the clinical range. This was done in the present case with AN and perfectionistic traits within a comorbid OCPD, using elements of CBT‐P that showed positive results and meaningful changes for the patient. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jclp.23806
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        Text: English
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      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Personality disorders
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Eating disorders
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      – SubjectFull: Sports teams
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              M: 08
              Text: Aug2025
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              Y: 2025
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