Resumen: El trastorno límite de la personalidad (TLP) presenta una gran heterogeneidad en sus manifestaciones clínicas: desde pacientes con rasgos acusados de TLP, hasta un cuadro completo y/o una gravedad y deterioro importantes. En el grupo de adolescentes, una menor gravedad puede indicar que el TLP está en desarrollo, por lo que intervenir tempranamente podría prevenir la instauración del cuadro completo. El programa de tratamiento psicológico para el TLP con mayor evidencia empírica es la terapia dialéctica comportamental (DBT) creada originalmente por Linehan (1993) para el TLP grave. El objetivo del presente trabajo es describir la aplicación de la DBT en un caso de una mujer joven diagnosticada de bulimia nerviosa y rasgos acusados de TLP. Los buenos resultados preliminares de este estudio indican que una adaptación de la DBT puede ser eficaz y producir mejoras significativas en este perfil de pacientes. Palabras clave: Trastornos de la personalidad, trastorno límite de la personalidad, trastornos de la conducta alimentaria, terapia dialéctico-comportamental. Dialectical behavior therapy in a case of borderline personality disorder traits and eating disorderAbstract: Borderline personality disorder (BPD) is heterogeneous in its clinical manifestations: from patients with marked traits of BPD to those that meet full criteria and/or with an important severity and impairment. In adolescents, a lower grade of severity may indicate a developing BPD in which case an early intervention may arrest a further development of the disorder. The psychological treatment program for BPD with the greater amount of empirical evidence is Dialectical Behavior Therapy (DBT) (,b), originally created by Linehan (1993) to treat severe BPD. The aim of this study is to describe the application of DBT in a young woman diagnosed with bulimia nervosa and marked traits of BPD. The good preliminary results of this study indicate that DBT could be efficacious and produce significant improvement in this type of patients.
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