Treating Eating Disorders: the Pitfalls and Perplexities

Arline Kaplan

August 1, 2004

During the 1980s, Halmi said the program had only five or six readmissions in the entire decade; now, one-third of admissions are readmissions. The limitations imposed by health maintenance organizations and managed care, she said, are often an "enormous detriment to the patients" and have resulted in higher relapse rates and more expensive care over the long term.

Pages: 1 2 3 4

References
1. Bacaltchuk J, Hay P (2003), Antidepressants versus placebo for people with bulimia nervosa. Cochrane Database Syst Rev 4:CD003391 [update].
2. Braun DL, Sunday SR, Halmi KA (1994), Psychiatric comorbidity in patients with eating disorders. Psychol Med 24(4):859-867.
3. Brewerton TD, Lydiard RB, Herzog DB et al. (1995), Comorbidity of axis I psychiatric disorders in bulimia nervosa. J Clin Psychiatry 56(2):77-80.
4. Bushnell JA, Wells JE, McKenzie JM et al. (1994), Bulimia comorbidity in the general population and in the clinic. Psychol Med 24(3):605-611.
5. Halmi KA, Agras WS, Mitchell J et al. (2002), Relapse predictors of patients with bulimia nervosa who achieved abstinence through cognitive behavioral therapy. Arch Gen Psychiatry 59(12):1105-1109 [see comments].
6. Hoopes SP, Reimherr FW, Hedges DW et al. (2003), Treatment of bulimia nervosa with topiramate in a randomized, double-blind, placebo-controlled trial, part 1: improvement in binge and purge measures. J Clin Psychiatry 64(11):1335-1341.
7. Kaye WH, Nagata T, Weltzin TE et al. (2001), Double-blind placebo-controlled administration of fluoxetine in restricting- and restricting-purging-type anorexia nervosa. Biol Psychiatry 49(7):644-652.
8. Pike KM, Walsh BT, Vitousek K et al. (2003), Cognitive behavior therapy in the posthospitalization treatment of anorexia nervosa. Am J Psychiatry 160(11):2046-2049.

FROM PHYSICIANS PRACTICE

Five Steps to Improving Patient Access
Judy Capko, May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.

Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins, May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.

Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD, May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.

Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz, May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.

Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD, May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.

Treating Eating Disorders: the Pitfalls and Perplexities

Join the Conversation