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5 Comorbid Eating Disorders 129
insular cortex, which is also part of the limbic system, is thought to pro-
cess convergent information to produce an emotionally relevant response
to sensory experience. That is to say, it is thought to integrate perceptual
information, from exteroceptive (e.g. visual processing) and interoceptive
(e.g. bodily sensations) inputs in an effort to maintain bodily homeostasis
[98–100], and insular dysfunction is linked to affective disorder diagnosis
(e.g. anxiety and depressive disorders) [101, 102]. Therefore, we target
these regions using LORETA neurofeedback as they are associated with
feelings of fear, anxiety, and low mood, which are all common in patients
with eating disorders. Although yet to be tested empirically, it is possible
that this clinical approach can downregulate affective distress in eating
disorder patients, especially in the case there is no apparent proximal (or
recalled) cause of the distress.
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