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Home » Feeding and eating disorders of childhood

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A Complicated Process: Diagnosing and Treating Anorexia Nervosa and Bulimia

By Katherine A. Halmi, M.D. | May 1, 2005
Diagnosis of the two main major eating disorders, anorexia nervosa and bulimia nervosa, can be difficult because of denial of symptomatology by the patients and problems with some of the diagnostic criteria. Although CBT has been the most effective, there are no treatments available that can guarantee a cure for either disorder. Medication is only a helpful adjunct to the treatment of anorexia, while many controlled studies that show antidepressant medications are effective in reducing binge/purge behavior in bulimia.

Psychiatric Times May 2005 Vol. XXII Issue 6



Sponsored by CME LLC for 1.5 Category 1 credits.
Original release date 6/05. Approved for CME credit through 5/31/06.

Educational Objectives:


Upon completion of this educational activity, the reader will be familiar with:
  • Diagnostic criteria of anorexia nervosa, bulimia nervosa and partial eating disorder syndromes.
  • Other psychiatric disorders that are comorbid with AN and BN.
  • Pharmacological and behavioral treatments for AN and BN.

Who will benefit from reading this article?

Psychiatrists, primary care physicians, neurologists, nurse practitioners, psychiatric nurses and other mental health care professionals. Continuing medical education credit is available for most specialties. To determine if this article meets the CE requirements for your specialty, please contact your state licensing board.


Anorexia nervosa (AN) and bulimia nervosa (BN) are the two major eating disorders. Anorexia nervosa is characterized by weight loss, an intense fear of gaining weight, a distorted body image and amenorrhea. Bulimia nervosa is a disorder in which binge eating is the predominant behavior. People with BN engage in some sort of compensatory behavior to counteract the potential weight gain from calories ingested during bingeing. They are frequently overconcerned about their physical appearance.

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