Concluding Comments

Eating disorders and their commonly associated medical problems frequently bring patients to the attention of pediatric psychosomatic medicine services. Brief mental health consultations should focus on clarifying the diagnosis, identifying relevant psychiatric comorbidity, assisting with management in the acute medical or psychiatric setting, and referring patients to specialized centers for follow-up care. For adolescents, family therapy is currently the best-studied treatment, although data support the use of individual approaches, in particular that of CBT for bulimia nervosa. Medications studied to date appear to be of limited utility for the primary symptoms of eating disorders, especially for adolescents. Mental health consultants should be particularly aware of the relative medical fragility of underweight adolescents with eating disorders and be knowledgeable of the behavioral and mental health interventions that are useful during inpatient admissions.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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