Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches
Eating disorders (EDs) and posttraumatic stress disorder (PTSD) frequently co-occur and share a functional relationship. Evidence suggests benefits of integrated and/or concurrent treatment; however, implementation is hindered by clinician training burden and the challenges of delivering two treatme...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-05-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/15/6/749 |
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| author | Kathryn Trottier Sara Bartel Aaron Keshen |
| author_facet | Kathryn Trottier Sara Bartel Aaron Keshen |
| author_sort | Kathryn Trottier |
| collection | DOAJ |
| description | Eating disorders (EDs) and posttraumatic stress disorder (PTSD) frequently co-occur and share a functional relationship. Evidence suggests benefits of integrated and/or concurrent treatment; however, implementation is hindered by clinician training burden and the challenges of delivering two treatments simultaneously. This paper explores two novel and feasible approaches to addressing ED-PTSD. The first is a clinician-guided cognitive behavioural workbook intervention delivered concurrently with ED treatment. It involves psychoeducation, addresses dissociation, and encourages approach (versus avoidance) practices. The second involves combining Written Exposure Therapy (WET) with ED treatment at both outpatient and day hospital levels of care. Both interventions have a low training burden and are feasible in routine clinical practice, making concurrent approaches available to those who need them. |
| format | Article |
| id | doaj-art-d6934cfae31940d990c9fc8d51cf3b61 |
| institution | Kabale University |
| issn | 2076-328X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj-art-d6934cfae31940d990c9fc8d51cf3b612025-08-20T03:32:31ZengMDPI AGBehavioral Sciences2076-328X2025-05-0115674910.3390/bs15060749Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible ApproachesKathryn Trottier0Sara Bartel1Aaron Keshen2Eating Disorders Program, Toronto General Hospital, University Health Network, Toronto, ON M5G 2C4, CanadaEating Disorders Program, Nova Scotia Health, Halifax, NS B3S 0H6, CanadaEating Disorders Program, Nova Scotia Health, Halifax, NS B3S 0H6, CanadaEating disorders (EDs) and posttraumatic stress disorder (PTSD) frequently co-occur and share a functional relationship. Evidence suggests benefits of integrated and/or concurrent treatment; however, implementation is hindered by clinician training burden and the challenges of delivering two treatments simultaneously. This paper explores two novel and feasible approaches to addressing ED-PTSD. The first is a clinician-guided cognitive behavioural workbook intervention delivered concurrently with ED treatment. It involves psychoeducation, addresses dissociation, and encourages approach (versus avoidance) practices. The second involves combining Written Exposure Therapy (WET) with ED treatment at both outpatient and day hospital levels of care. Both interventions have a low training burden and are feasible in routine clinical practice, making concurrent approaches available to those who need them.https://www.mdpi.com/2076-328X/15/6/749eating disordersposttraumatic stress disorderintegrated treatmentconcurrent treatmentfeasibility |
| spellingShingle | Kathryn Trottier Sara Bartel Aaron Keshen Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches Behavioral Sciences eating disorders posttraumatic stress disorder integrated treatment concurrent treatment feasibility |
| title | Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches |
| title_full | Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches |
| title_fullStr | Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches |
| title_full_unstemmed | Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches |
| title_short | Overcoming Implementation Barriers of Concurrent Treatment for Eating Disorders and Posttraumatic Stress Disorder: Two Novel and Feasible Approaches |
| title_sort | overcoming implementation barriers of concurrent treatment for eating disorders and posttraumatic stress disorder two novel and feasible approaches |
| topic | eating disorders posttraumatic stress disorder integrated treatment concurrent treatment feasibility |
| url | https://www.mdpi.com/2076-328X/15/6/749 |
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