Antidepressants vs. psychotherapy in the treatment of bulimia nervosa

Studies of the effectiveness of psychotherapy and pharmacotherapy in the treatment of bulimia nervosa have been accumulating over the last decade. Only recently, however, have investigations been reported comparing the two modalities directly, assessing whether one might be more effective than the other, or whether a combination of the two approaches might be superior to either alone. This paper reviews the three combined treatment studies that have been published to date and discusses their implications for clinical practice and for future research.