{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:48:21Z","timestamp":1785941301186,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T00:00:00Z","timestamp":1732579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>This article presents a case study of a 31\u2010year\u2010old woman with a dual diagnosis of Borderline Personality Disorder (BPD) and Eating Disorder Not Otherwise Specified (EDNOS). Paula received a 12\u2010month Dialectical Behavior Therapy (DBT) outpatient treatment. DBT is considered a transdiagnostic treatment approach to address emotion dysregulation, which shifts the therapy focus traditionally placed only on behavioral change toward including also validation and acceptance and dialectical strategies. DBT addresses eating symptomatology as a dysfunctional form of emotional regulation and has shown promising results regarding its efficacy for the treatment of BPD and EDNOS comorbidity. Given the growing evidence, a standard DBT treatment plan was developed for this case. Specifically, pretreatment and phase 1 of the DBT program are described. During pretreatment and phase 1, individual therapy aims to improve and maintain client's motivation to change and engage in treatment, as well as to establish and prioritize treatment goals. As for group therapy, the main goal of the skills training in DBT is to enhance individual's capability by increasing skillful behavior (mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills). Paula received 24 weekly skills training sessions over a year. The results after a 12\u2010month standard DBT treatment showed that Paula no longer met criteria for BPD, she had a significant decrease in difficulties in emotional regulation and impulsiveness and in EDNOS symptomatology. This case study may enhance learning about how to apply a transdiagnostic treatment to address BPD and EDNOS together in clinical practice.<\/jats:p>","DOI":"10.1002\/jclp.23754","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T03:25:01Z","timestamp":1732677901000},"page":"102-112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Applying Dialectical Behavior Therapy as a Transdiagnostic Treatment in a Case of Borderline Personality Disorder and Eating Disorder"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9726-3250","authenticated-orcid":false,"given":"Mar\u00eda Vicenta","family":"Navarro\u2010Haro","sequence":"first","affiliation":[{"name":"Department of Psychology and Sociology, Faculty of Social and Human Science University of Zaragoza Teruel Spain"},{"name":"Biomedic Research Center of Aragon (CIBA) Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alba Abanades","family":"Morillo","sequence":"additional","affiliation":[{"name":"Department of Psychology and Sociology, Faculty of Social and Human Science University of Zaragoza Teruel Spain"},{"name":"Biomedic Research Center of Aragon (CIBA) Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azucena","family":"Garc\u00eda\u2010Palacios","sequence":"additional","affiliation":[{"name":"Department of Psychology and Sociology Faculty of Social and Human Sciences, University Jaume I Castell\u00f3n de la Plana Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders (Fourth Edition)","author":"American Psychiatric Association Publishing","year":"2023"},{"issue":"5","key":"e_1_2_8_3_1","first-page":"293","article-title":"Validation of a Spanish Version of the Diagnostic Interview for Bordelines\u2010Revised (DIB\u2010R) [Validaci\u00f3n de la versi\u00f3n espa\u00f1ola de la Diagnostic Interview for Bordelines\u2010Revised (DIB\u2010R)]","volume":"32","author":"Barrachina J.","year":"2004","journal-title":"Actas espanolas de psiquiatria"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2020.1723371"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0015616"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(02)00088-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","unstructured":"First M. 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