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Treatment of co‐occurring food avoidance and alcohol use disorder in an adult: Possible avoidant restrictive food intake disorder?
Author(s) -
Steen Eloisa,
Wade Tracey D.
Publication year - 2018
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22832
Subject(s) - psychology , alcohol use disorder , meal , anxiety , binge eating , binge drinking , depression (economics) , psychiatry , eating disorders , alcohol , clinical psychology , medicine , poison control , injury prevention , environmental health , biochemistry , chemistry , economics , macroeconomics
Objective This case report details the presentation and treatment of a 42‐year‐old male self‐presenting for treatment who reported having been a restrictive eater since childhood; since adolescence he had failed to meet appropriate nutritional intake with one meal at night followed by around 10–20 standard alcoholic drinks. Method Ten sessions of cognitive behavioral therapy were offered emphasizing the need to adhere to regular eating patterns in conjunction with significant reduction of binge drinking. Results At the end of treatment, and 1‐month follow‐up, improvements in nutritional intake and alcohol intake were observed, accompanied by improvements in depression, anxiety, and stress. Discussion However, excessive alcohol intake had reoccurred at 3‐month follow‐up, accompanied by increases in negative affect and impairment due to eating, indicating that longer‐term therapy may be required for this group of people.

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