State of the Art: The Therapeutic Approaches to Bulimia Nervosa.

State of the Art: The Therapeutic Approaches to Bulimia Nervosa.
Clin Ther. 2020 Dec 23;:
Authors: Hagan KE, Walsh BT
Abstract
PURPOSE: Bulimia nervosa (BN) is an eating disorder characterized by binge eating, inappropriate compensatory behaviors, and body image concerns in persons at or above a healthy weight. BN is a serious disorder with medical sequelae and marked psychosocial impairment. To reduce and eliminate symptoms of BN, psychological and pharmacologic treatments for BN have been developed. We review the current state-of-the-art treatments for BN.
METHODS: We conducted a narrative review of the BN treatment literature to synthesize the current evidence base, provide recommendations, and propose future directions for BN treatment research.
FINDINGS: Currently, the first-line, state-of-the-art treatment for adults with BN is cognitive-behavioral therapy (CBT). Interpersonal therapy is a second-line evidence-based treatment for adults with BN, and dialectical behavior therapy and integrative cognitive-affective therapy are also promising. For BN in adolescents, family-based treatment for BN or CBT are evidence-based approaches. Pharmacotherapy is best considered adjunctive to psychotherapy in adults with BN but may be helpful, depending on the type of psychotherapy and whether psychotherapy is ineffective or unavailable. Fluoxetine 60 mg/d is the medication of choice for adults with BN. Little is known with r...

Source: Clinical Therapeutics - December 23, 2020 Category: Drugs & Pharmacology Authors: Hagan KE, Walsh BT Tags: Clin Ther Source Type: research