Anorexia nervosa and bulimia: Diagnosis and comprehensive treatment

A. E. Andersen

Research output: Contribution to journalReview article

Abstract

The following principles are associated with successful treatment of anorexia nervosa and bulimia: correct identification of these syndromes by history and mental examination, rather than by the elimination of all possible medical explanations; a balanced approach between changing the abnormal weight or eating pattern and understanding and correcting the predisposing and underlying psychodynamics; an empirical practical approach to treatment that avoids speculative concepts of origin; an understanding of the natural history and underlying psychopathology of these disorders; a non-blaming supportive approach, with variation in the specific kind of psychotherapy chosen according to the needs and abilities of the patient; global treatment goals including psychologic, biologic, and social improvement; avoidance of procedures with high morbidity such as tube feeding, hyperalimentation, and high-dose medication; and an attitude of realistic optimism. Virtually all aspects of these disorders have the potential for complete improvement.

Original languageEnglish (US)
Pages (from-to)9-17
Number of pages9
JournalComprehensive therapy
Volume9
Issue number11
StatePublished - Dec 1 1983

ASJC Scopus subject areas

  • Medicine(all)

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