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Treatment of bulimia nervosa: where are we and where are we going?
James E Mitchell1, Stewart Agras, Stephen Wonderlich
1Neuropsychiatric Research Institute, Fargo, North Dakota, USA. mitchell@medicine.nodak.edu
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.
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