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Comorbid Obsessive-Compulsive Disorder (OCD) and Post-traumatic Stress Disorder (PTSD) are increasingly recognized among individuals with eating disorders, significantly impacting symptom presentation and complicating treatment planning. Despite growing awareness, this intersection remains under-researched, and there is a notable lack of clinical guidance on how to address these overlapping diagnoses in treatment. Given the complexity of both OCD and PTSD, clinicians are finding it difficult to determine how and when to target these disorders in conjunction with the eating disorder. Symptom presentation for OCD and PTSD can be similar and may also serve as maintaining factors for the eating disorder. Likewise, the eating disorder can function as a maintaining factor for both OCD and PTSD. It is imperative that individuals seeking eating disorder treatment be assessed for comorbidities, particularly OCD and PTSD, as this assessment informs both the treatment plan and the overall treatment approach. This interdisciplinary panel will bring together clinicians specializing in eating disorders, trauma, and OCD to explore nuanced clinical decision-making in the treatment of these comorbidities across levels of care. Attendees will gain insight into how OCD and PTSD can present in the context of an eating disorder and how to prioritize treatment across diagnoses. The panelists will present on topics related to the overlap of OCD and PTSD as seen across various clinical settings and will discuss clinical considerations including evidence-based treatment modalities, treatment planning and prioritization, the dietary impacts of OCD and PTSD, and psychopharmacological options. To support attendees' learning, the panel will include case examples and case-based discussion.
Specific topics addressed during this panel will include:
Background information on OCD and PTSD, including prevalence and diagnostic considerations.
Treatment prioritization using a Multi-diagnostic Eating Disorder Dialectical Behavior Therapy (MED-DBT) framework to guide treatment when both disorders present with equal severity.
Treatment approaches, including differences in how to structure exposures depending on diagnosis.
The impact of OCD and PTSD on dietary aspects of treatment and how dietitians can support individuals affected by these diagnoses.
