Complicated bulimia nervosa associated with borderline personality disorder

Bulimia nervosa that is complicated by borderline personality disorder can be challenging to treat. Particular problems that may be encountered by those trying to treat patients with these diagnoses include anxiety, splitting, and therapist burnout. There is also the problem of motivation to change, whether they should be predominantly treated as in-patient or outpatient and the role of medication. Dialectical behaviour therapy is one way of treating this sub-group and its main components are described.