Recently, distress tolerance skill training has been applied effectively to disorders other than BPD, including drug/alcohol use and eating disorders. In each case, the focus is on learning to participate in other, more adaptive activities when distressed instead of engaging in the addictive behavior (Robins & Chapman, 2004). Clyne and Blampied (2004) provided training in emotion recognition and management, problem solving, assertiveness training, relaxation, and stress management to 11 women with binge eating disorder. This intervention appears to address the tendency for emotion-based rash action directly. The treatment reduced binge eating frequency, stress, and depression over the course of 11 sessions; no participant met criteria for binge eating disorder at follow-up.
