 
Last week, I wrote about the co-occurrence between personality disorders and eating disorders last week, describing the major eating disorders, and gave a few numbers on how frequently people with eating disorders can also be diagnosed with personality disorder. You might have wondered whether the presence of both a personality disorder and an eating disorder would affect the way these difficulties should be treated.
There are some clinicians who feel that the presence of a personality disorder can complicate the treatment of other difficulties, because people with personality disorders often have difficulties in interpersonal relationship. This can make it hard for someone with a personality disorder to bond with a therapist, to trust a therapist, or to attend treatment regularly and consistently over longer periods of time. Some people with personality disorders can be pretty self-destructive and might end up sabotaging the therapy process. Many people with personality disorders can have a tendency to first idealize and then devalue the therapist, which also makes it hard to maintain a relationship.
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