Sumary of Speaker: Implement clinical considerations in treatment of common eating disorders:
- Clinicians should implement specific evidence-based treatments for various eating disorders, according to a presenter at the NEI Max Virtual Conference..
- Adobe Stock “Anorexia nervosa is characterized by an intense fear of weight gain and a very disturbed body image, which motivates very severe dietary restriction,”.
- Serious medical morbidity and psychiatric comorbidity are common and actually expected with anorexia nervosa, and it has a relapsing and protracted course that is very difficult to treat.”.
- According to Citrome, the DSM-5 does not require the presence of amenorrhea for the diagnosis of anorexia nervosa..
- For adult anorexia nervosa, studies have not produced strong evidence for significant beneficial effect of interventions, but enhanced cognitive behavioral therapy, focal psychodynamic psychotherapy, Maudsley model of anorexia nervosa treatment for adults and specialist supportive clinical management have moderate evidence of efficacy..
- Both binge-eating disorder and bulimia nervosa are more common than anorexia nervosa, with 12-month prevalence rates of 0.44%, 0.14% and 0.05%, respectively, according to data from the 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions..
- Although binge-eating disorder and bulimia nervosa are similar, they also have important differences highlighted in DSM-5 diagnostic criteria..
- Both involved binge eating with loss of control, but bulimia nervosa involves regular compensatory behaviors and requirement of overconcern for shape and weight, whereas binge-eating disorder does not..
- However, pharmacological interventions differ, with fluoxetine the only FDA-approved medication for bulimia nervosa, and it is often prescribed at higher does than those used to treat major depressive disorder….