Outpatient Treatment

Patients with eating disorders require collaborative and integrated outpatient treatment programs that include, at a minimum, a mental health clinician and a primary care clinician. Ideally, both clinicians will be experienced in management of eating disorders. Identifying an appropriate mental health clinician with expertise in the treatment of pediatric patients with eating disorders may be challenging.1 The primary care clinician is needed to monitor patients for medical complications. A psychiatrist may also be needed if patients require treatment with psychotropic medications. A dietician experienced in eating disorders may be helpful in determining nutritional needs, although giving dietary advice alone has been found to be an inadequate treatment option (Hall and Crisp 1987; Pike et al. 2004).

In some areas of the country, more intensive outpatient treatment options (e.g., intensive outpatient, day treatment, or partial hospital programs) are available as a transition between inpatient hos-pitalization and outpatient treatment. Although no current empirical data are available to support the benefits of these programs, they appear useful for patients whose families are unable to provide support and monitoring of meals in the home.

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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