DISCUSSION

Muriel was seen for twenty sessions over six months. Her self-reported binge days were zero over the last three months of treatment and her BDI score was down to 2 immediately after treatment, indicating no clinically significant symptoms of depression. Although IPT-ED proved an effective intervention for Muriel, alternative or adjunctive treatments were considered. These included: (1) pharmacotherapy, given the severity of her depressive symptoms at presentation and her previous good response to medication; and (2) marital therapy, given the intensity of her marital distress at intake. However, she opposed medication and noted that her husband would be unwilling to engage in couples counseling. Fortunately, Muriel embraced the identified problem area and treatment goals and benefited from this course of therapy, demonstrating what many clinical trials have indicated: that IPT is a viable and effective treatment modality for individuals with eating disorders characterized by recurrent binge eating.

 
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