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A randomized Controlled Trial of Mentalization Based Therapy against Specialist Supportive Clinical Management in patients with both Eating Disorders and symptoms of Borderline Personality Disorder - The NOURISHED Study

Patients with eating disorders combined with symptoms of borderline personality disorder (BPD) present particular therapeutic challenges.

Their personality disorder symptoms lead them to engage in self harm (with use of acute psychiatric services), substance misuse and unstable relationships and can interfere with attempts at treatment of the eating disorder.

Treatment needs to address both the eating and personality disorders. BPD has been shown to respond to Mentalization Based Therapy (MBT) which targets deficits in self-reflectiveness (mentalizing) which are common in both BPD and eating disorders.

This project is a Feasibility/Pilot study in which information to guide the design of a larger, definitive study will be obtained.