Treatment of bulimia nervosa: Where are we and where are we going?

Authors

  • James E. Mitchell MD,

    Corresponding author
    1. Neuropsychiatric Research Institute, Fargo, North Dakota
    2. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
    • Neuropsychiatric Research Institute, Fargo, ND
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  • Stewart Agras MD,

    1. Department of Psychiatry, Stanford University Medical School, Stanford, California
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  • Stephen Wonderlich PhD

    1. Neuropsychiatric Research Institute, Fargo, North Dakota
    2. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota
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Abstract

Objective:

The purpose of this article is to review the extant treatment literature on bulimia nervosa and to offer suggestions for future research directions.

Method:

The available treatment studies regarding both pharmacotherapy and psychotherapy are reviewed.

Results:

Both pharmacotherapy and psychotherapy appear to play a role in the treatment of bulimia nervosa; however, available data suggest that cognitive behavioral therapy remains the treatment of choice.

Conclusion:

Additional work is clearly indicated regarding assisted and unassisted self-help. An enhanced form of CBT and the integrative cognitive-affective therapy both deserve further study. New approaches need to be piloted. More research is needed on treatment modeling. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006

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