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This iterative case series describes the augmentation of Dialectical Behavior Therapy (DBT) for outpatient adult AN with skills addressing emotional and behavioral overcontrol. An overly controlled style is theorized to develop from the transaction between an individual with heightened threat sensitivity and reduced reward sensitivity, interacting with an environment reinforcing overcontrol and punishing imperfection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Case Series 1 utilized standard DBT, resulting in retention of 5\/6 patients and a body mass index (BMI) effect size increase of <jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.5 from pre\u2010 to post\u2010treatment. Case series 2, using standard DBT augmented with skills addressing overcontrol, resulted in retention of 8\/9 patients with an effect size increase in BMI at post\u2010treatment that was maintained at 6\u2010 and 12\u2010months follow\u2010up (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22121.12, <jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.87, and <jats:italic>d<\/jats:italic>\u2009=\u2009\u22121.12).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings suggest that skills training targeting rigidity and increasing openness and social connectedness warrant further study of this model and treatment for AN. \u00a9 2014 Wiley Periodicals, Inc. 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