ABSTRACT
Some adolescent patients with eating disorders have other pronounced psychological problems that may interact with the eating disorder and hinder treatment. Common coexisting psychological issues include clinical perfectionism, core low self-esteem, marked interpersonal difficulties, and mood intolerance. The broad form of enhanced cognitive behaviour treatment (CBT-E) has been developed to address these “external maintenance factors” of eating disorders. Other adolescents have a coexisting mental health disorder (e.g., clinical depression, substance use disorders) that needs to be treated separately, as it represents an obstacle to the implementation of CBT-E. This chapter describes the main procedures used by CBT-E to address coexisting psychological problems and mental health disorders and the ways in which parents can support the young person, if indicated, to implement them.
