Article

A practice guideline for treatment of eating disorders in children and adolescents.

Unit for Child Psychiatry, University of Oulu, University Hospital of Oulu, PO Box 26, FIN-90029 OYS, Finland.
Annals of Medicine (impact factor: 3.52). 02/2003; 35(7):488-501. DOI:10.1080/07853890310000727 pp.488-501
Source: PubMed

ABSTRACT Eating disorders are diseases of both the body and the psyche. Early treatment focuses on restoration of nutritional status and somatic health, including psycho-educational counselling and support offered to the patient and his/her family. Diagnosis and treatment require a multidisciplinary approach. Psychological factors related to the condition should be assessed. The most severe weight loss should be reversed before psychotherapeutic treatment. Nutritional counselling is recommended, and the benefits of individual and/or family therapy are considered in accordance with the patient's age, development, symptomatology and comorbid psychiatric disorders. Medication is useful in the treatment of bulimia nervosa and certain comorbid symptoms of anorexia nervosa. Early admission to treatment and active therapy are associated with a more favourable prognosis.

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Keywords

anorexia nervosa
 
bulimia nervosa
 
certain comorbid symptoms
 
comorbid psychiatric disorders
 
Eating disorders
 
family therapy
 
his/her family
 
nutritional status
 
patient's age
 
Psychological factors
 
psychotherapeutic treatment
 
severe weight loss