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Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders

Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders

NICE Clinical Guidelines - National Collaborating Centre for Mental Health (UK)

Version: 2004

Treatment and management of anorexia nervosa

The treatment plan for a patient with anorexia nervosa needs to consider the appropriate service setting, and the psychological and physical management, but unfortunately the research evidence base to guide decision making is very limited. The appropriate setting depends on the assessment of risk and the patient’s wishes, but in general the person with anorexia nervosa will initially be treated in a secondary care outpatient service, moving into a day or inpatient setting if required. Although convincing evidence is lacking on the most effective form of psychological therapy, psychological therapy is nevertheless crucial in addressing the underlying behaviours and cognitions. In children and adolescents some family-based psychological intervention is essential. Physical treatments comprise nutritional interventions and psychopharmacological agents. The latter are used to support psychological treatments or for the management of comorbid conditions, rather than being first line treatments.

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