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Methylphenidate treatment for bulimia nervosa associated with a cluster B personality disorder by Mae S. Sokol; Nicola S. Gray; Amy Goldstein; Walter H. Kaye is a Psychology article available to read on EtoBox.

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## Objectives: Psychotherapy and antidepressant medication are helpful to many patients with bulimia nervosa (bn). however, a substantial number of bulimics respond poorly to such treatments. recent studies suggest that many of the poor responders have cluster b personality disorders. in some ways, the symptomatology of bulimics who have a comorbid cluster b disorder resembles that of patients with attention deficit hyperactivity disorder (adhd). in particular, individuals in both groups frequently have a high level of impulsivity. such a resemblance raised the question of whether administration of methylphenidate (mph), a drug used to treat adhd, would have therapeutic effects in this subgroup of bn patients. ## Methods: In a pilot study, we administered mph to 2 patients with bn and cluster b traits and found beneficial effects. these patients had not responded to adequate trials of psychotherapy and selective serotonin reuptake inhibitors (ssris). ## Results: Mph treatment was effective. both patients had decreased binging and purging. ## Discussion: Mph may be useful for bulimics with cluster b personality disorder who respond poorly to conventional treatment. further studies o

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Author

Mae S. Sokol; Nicola S. Gray; Amy Goldstein; Walter H. Kaye

Publisher

Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0276-3478)

Published

1999

Language

EN

Field

Psychology (Social Sciences)