ABSTRACT
This chapter explores how cognitive remediation therapy (CRT) might be adapted for working with people with severe and enduring eating disorders (EDs) who also have severe comorbid illnesses, such as anxiety problems. It examines how CRT was integrated into the formulation developed by the wider treatment team. Cognitive inefficiencies have been clearly established as a core feature of major depressive disorders and, as in anorexia, the data indicate that some of these problems might remain despite symptom improvement. The chapter focuses on providing a brief review of how CRT has been used in conditions commonly comorbid with EDs, including depression and anxiety problems like obsessive compulsive disorder (OCD). There are few published reports of CRT being used to support cognitive functioning in OCD. Finally, the chapter also explores how small behavioral experiments were designed and used to increase flexibility and bigger-picture thinking, with the overall aim of increasing the individual's ability to function more independently.
