People with eating disorders who also struggle with co-occurring high-risk or dysregulated behaviors are often not well served by standard eating disorder therapies. From pioneering treatment developers Anita Federici and Lucene Wisniewski, this book presents a groundbreaking adaptation of dialectical behavior therapy (DBT) for individuals with multidiagnostic eating disorder (MED) presentations. MED-DBT is affirming, non-stigmatizing, and evidence informed. It integrates the full DBT model—including individual therapy, skills training, phone coaching, and consultation team—with strategies for treating eating behaviors, body image, interoception, and medical instability. Featuring rich case examples, the book is grounded in extensive clinical experience and state-of-the-art neurobiological research.