Treatment of an eating disorder generally includes a team approach. The team typically includes medical providers, mental health providers and dietitians — all with experience in eating disorders.
Treatment depends on your specific type of eating disorder. But in general, it typically includes psychotherapy, nutrition education and medication. If your life is at risk, you may need immediate hospitalization.
Psychotherapy, also called talk therapy, can help you learn how to replace unhealthy habits with healthy ones. This may include:
- Cognitive behavioral therapy (CBT). CBT is commonly used in eating disorder treatment, especially for bulimia and binge-eating disorder. You learn how to monitor your eating and your moods, develop problem-solving skills and explore healthy ways to cope with stressful situations. Psychotherapy can also help improve your relationships and your mood.
- Family-based therapy (FBT). FBT is an evidence-based treatment for children and teenagers with eating disorders. The family is involved in making sure that the child or other family member follows healthy-eating patterns and maintains a healthy weight.
Weight normalization and nutrition education
If you're underweight due to an eating disorder, the first goal of treatment will be to start getting you back to a healthy weight. No matter what your weight, dietitians and other health care providers can give you information on a healthy diet and help design an eating plan to help you achieve a healthy weight and learn normal-eating habits.
If you have serious health problems, such as anorexia that has resulted in severe malnutrition, your doctor may recommend hospitalization on a medical or psychiatric ward. Some clinics specialize in treating people with eating disorders. Some may offer day programs, rather than full hospitalization. Specialized eating disorder programs may offer more intensive treatment over longer periods of time.
Medication can't cure an eating disorder. However, certain medications may help you control urges to binge or purge or to manage excessive preoccupations with food and diet. Drugs such as antidepressants and anti-anxiety medications may help with symptoms of depression or anxiety, which are frequently associated with eating disorders.
Feb. 14, 2015
- Feeding and eating disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://psychiatryonline.org. Accessed Dec. 16, 2014.
- Feed and eating disorders. American Psychiatric Publishing. http://www.dsm5.org/Pages/Default.aspx. Accessed Dec. 18, 2014.
- Complementary, alternative, or integrative health: What's in a name? National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/whatiscam. Accessed Dec. 18, 2014.
- Breuner CC. Complementary, holistic, and integrative medicine: Eating disorders. Pediatrics in Review. 2010;31:e75.
- Longo DL, et al. Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.mhmedical.com/book.aspx?bookid=331. Accessed Nov. 13, 2014.
- Campbell K, et al. Eating disorders in children and adolescents: State of the art review. Pediatrics. 2014;134:582.
- Couturier J, et al. Efficacy of family-based treatment for adolescents with eating disorders: A systematic review and meta-analysis. International Journal of Eating Disorders. 2013;46:3.
- Eating disorders. National Institute of Mental Health. http://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml. Accessed Dec. 18, 2014.
- Eating disorders. American Psychiatric Association. http://www.psychiatry.org/eating-disorders. Accessed Dec. 18, 2014.
- Eating disorders. American Psychological Association. http://apa.org/helpcenter/eating.aspx. Accessed Dec. 18, 2014.
- Eating disorders. National Alliance on Mental Illness. http://www.nami.org/Template.cfm?Section=By_Illness&Template=ContentDisplay.cfm&ContentID=65851. Accessed Dec. 18, 2014.
- Cook AJ. Decision Support System. Mayo Clinic, Rochester, Minn. Oct. 20, 2014.
- McElroy SL, et al. Efficacy and safety of lisdexamfetamine for treatment of adults with moderate to severe binge-eating disorder: A randomized clinical trial. JAMA Psychiatry. In press. Accessed Jan. 14, 2015.
- Sim LA (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 4, 2015.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 5, 2015.
- Hensrud DD (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 8, 2015.