TREATMENT: EATING DISORDERS ANOREXIA NERVOSA
Maudsley family-based therapy is effective in younger individuals, with strict behavioral contingencies used when weight loss becomes critical. No pharmacologic intervention has proven to be specifically beneficial, but comorbid depression and anxiety should be treated. Weight gain should be undertaken gradually with a goal of 0.5–1 lb per week to prevent complications from rapid refeeding (fluid retention, congestive heart failure, acute gastric dilatation). Most individuals are able to achieve remission within 5 years of the original diagnosis.
BULIMIA NERVOSA Effective treatment approaches include selective serotonin reuptake inhibitors (SSRIs) antidepressants, usually in combination with cognitive-behavioral, emotion regulation, or interpersonal-based psychotherapies.