{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T20:04:57Z","timestamp":1789243497894,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007723","name":"Oxford University Press","doi-asserted-by":"publisher","award":["0014097"],"award-info":[{"award-number":["0014097"]}],"id":[{"id":"10.13039\/501100007723","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Comorbidity between Eating Disorders (ED) and Emotionally Unstable Personality Disorder (EUPD) is high. This comorbidity is also linked with worse outcomes for traditional evidence\u2010based treatments. We aimed to improve mental health service experience for adults with comorbid EUPD and ED by: (1) understanding the service\u2010user experience of receiving and accessing care; (2) identifying areas of unmet need; and (3) creating recommendations for improving care for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The project comprised semi\u2010structured interviews with nine service\u2010users within the UK National Health Service. Reflexive Thematic Analysis was used to generate themes, which informed clinical recommendations and a framework for improving care to meet local needs, with implications beyond.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Service\u2010users described long waits and disjointed care, often feeling pressured to prioritise one difficulty over another in ways that did not align with their own goals. Many reported that their needs were only recognised at crisis point, highlighting a gap between clinician understanding and personal experiences. Six themes were derived from patient interviews. Psychoeducation about the links between EUPD and ED was seen as helpful, as well as the need for more consistent individualised care that better reflects service\u2010users\u2019 goals and needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The project increased understanding of the experiences of mental health service use in adults with comorbid ED and EUPD, and produced a set of recommendations, aimed at improving care for these individuals. These included a thorough assessment of comorbidity, consideration of service\u2010user choice, alongside appropriate service adaptations to best meet service\u2010users\u2019 goals and needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70221","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T19:11:00Z","timestamp":1789240260000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIt All Exists Within Me\u201d: A Qualitative Study Exploring Mental Health Service Experiences in Adults With Comorbid Eating Disorders and Emotionally Unstable Personality Disorder"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6463-9459","authenticated-orcid":false,"given":"Amy","family":"Lunn","sequence":"first","affiliation":[{"name":"Oxford Health NHS Foundation Trust &amp; Oxford Institute of Clinical Psychology Training and Research Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angie","family":"Jenkin","sequence":"additional","affiliation":[{"name":"Oxford Institute of Clinical Psychology Training and Research Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Lau\u2010Zhu","sequence":"additional","affiliation":[{"name":"Oxford Department of Experimental Psychology Oxford UK"},{"name":"Department of Brain Sciences Imperial College London UK"},{"name":"Oxford Health Foundation trust Linacre College UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisle","family":"Scott","sequence":"additional","affiliation":[{"name":"Oxford Health NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Dunnage","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Stewart","sequence":"additional","affiliation":[{"name":"Oxford Health NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Holliday","sequence":"additional","affiliation":[{"name":"Oxford Health NHS Foundation Trust Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Bell A. andA.Pollard.2022. \u201cNo Wrong Door: A Vision for Mental Health Autism and Learning Disability Services in 2032.\u201dhttps:\/\/www.nhsconfed.org\/publications\/nowrong-door."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260902848576"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199209000-00008"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20522"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20754"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0015616"},{"key":"e_1_2_10_9_1","volume-title":"Cognitive Therapy for Personality Disorders: A Guide for Therapists","author":"Davidson K. 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