About this course

Learning Objectives

• Identify key diagnostic and assessment considerations for co-occurring OCD and PTSD in individuals with eating disorders.
• Describe strategies for treatment planning and prioritization using a Multidiagnostic Eating Disorder Dialectical Behavior Therapy (MED-DBT) framework.
• Explain how evidence-based exposure strategies, including food-related exposures, can be adapted for individuals with eating disorders and comorbid OCD and PTSD.

Learning Levels

• All levels
• Miscellaneous

Course Instructor(s)

• 

  Sanvi Beri , LPCC

  Sanvi Beri is a Licensed Professional Clinical Counselor (LPCC) who serves as the Post-Traumatic Stress Disorder (PTSD) Track Coordinator and as a therapist on the Co-Occurring Disorders track in the Adult Treatment Program at the UC San Diego Health Eating Disorders Center for Treatment and Research (UCSDH EDC). Throughout her clinical training, Sanvi has worked in various levels of care and treatment settings with a wide range of individuals and diagnoses, including PHP and IOP. Sanvi specializes in providing evidence-based care for individuals struggling with feeding and eating disorders, substance use disorders, mood disorders, anxiety disorders, PTSD, and personality disorders. Sanvi has been trained in Dialectical Behavior Therapy (DBT) and uses this modality to treat individuals, couples, families, and facilitate group therapy. Sanvi also has specialized training in Cognitive Behavioral Therapy (CBT), Enhanced Cognitive Behavioral Therapy (CBT-E), DBT for Substance Use Disorders (DBT-SUD), Cognitive Processing Therapy (CPT) and DBT-Prolonged Exposure for PTSD (DBT-PE).

• 

  Margaret Edwards, LPCC, NCC

  Margaret Edwards is a Licensed Professional Clinical Counselor who serves as the Obsessive-Compulsive Disorders Track Co-Coordinator and a therapist on the Co-Occurring Disorders (COD) track in the Adult Treatment Program at the UCSD Eating Disorder Center for Treatment and Research. Throughout her training, Marti has worked in PHP and IOP programs with a wide range of individuals and diagnoses, focusing on feeding and eating disorders, obsessive-compulsive disorders, substance use disorders, mood disorders, anxiety disorders, and personality disorders. Marti provides individual, group, couples, and family therapy utilizing Dialectical Behavior Therapy (DBT). Marti has also received specialized training in Exposure and Response Prevention Therapy (ERP), Cognitive Behavioral Therapy (CBT), DBT for Substance Use Disorders (DBT-SUD), and Enhanced CBT (CBT-E).

• 

  Ian Cohen, RD, CEDS

  Ian Cohen is a Registered Dietitian and Certified Eating Disorder Specialist who is also a contributor to the Co-Occurring Disorders (COD) track at the UC San Diego Health Eating Disorders Center for Treatment and Research (UCSDH EDC). Ian has over a decade of dietary experience at the residential, PHP, IOP and outpatient level of eating disorder treatment and has focused his practice at intersection of nutrition and substance use disorders. Ian is also a musician, journalist and author who has appeared in The New York Times, GQ, Healthline and whose first book, Feeling Neglected?, will be published by Atria Books in 2027.

• 

  Eva-Molly Dunbar, Ph.D.

  Eva-Molly Petitto Dunbar, Ph.D., is a clinical psychologist who serves as the Sport and Exercise Track Coordinator and Co-Coordinator of the Obsessive-Compulsive Disorders (OCD) Track, and as a psychologist on the Radically Open Dialectical Behavior Therapy (RO-DBT) and Posttraumatic Stress Disorder (PTSD) tracks in the Adult Treatment Program at the UC San Diego Health Eating Disorders Center for Treatment and Research (UCSDH EDC). She specializes in the evidence-based treatment of eating disorders, PTSD, OCD, and related disorders across the lifespan and levels of care. Dr. Dunbar has advanced training in DBT, DBT Prolonged Exposure for PTSD (DBT-PE), Cognitive Processing Therapy (CPT), Enhanced Cognitive Behavioral Therapy (CBT-E), CBT for Avoidant/Restrictive Food Intake Disorder (CBT-AR), Exposure and Response Prevention (ERP), RO-DBT for individuals with emotional overcontrol, and Family-Based Treatment (FBT), including adaptations for home-based delivery. Her research focuses on innovative prevention and treatment approaches for eating disorders, including specialized programming for athletes and the treatment of co-occurring conditions such as PTSD and OCD. She has also co-founded university-based eating disorder prevention and support programs as both an undergraduate and graduate student. In addition, Dr. Dunbar serves as the Academy for Eating Disorders Co-Chair of the Avoidant/Restrictive Food Intake Disorder (ARFID) Special Interest Group.

References

• Drakes, D. H., Fawcett, E. J., Rose, J. P., Carter-Major, J. C., & Fawcett, J. M. (2021). Comorbid obsessive-compulsive disorder in individuals with eating disorders: an epidemiological meta-analysis. Journal of Psychiatric Research, 141, 176-191. https://doi.org/10.1016/j.jpsychires.2021.06.035
• Mandelli, L., Draghetti, S., Albert, U., De Ronchi, D., & Atti, A. R. (2020). Rates of comorbid obsessive-compulsive disorder in eating disorders: A meta-analysis of the literature. Journal of affective disorders, 277, 927-939. https://doi.org/10.1016/j.jad.2020.09.003
• Rijkers, C., Schoorl, M., van Hoeken, D., & Hoek, H. W. (2019). Eating disorders and posttraumatic stress disorder. Current opinion in psychiatry, 32(6), 510-517. doi:10.1097/YCO.0000000000000545