What is the role of behavioral therapies in the treatment of anorexia nervosa?

Updated: Jun 10, 2019
  • Author: Bettina E Bernstein, DO; Chief Editor: Caroly Pataki, MD  more...
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Answer

Psychodynamic psychotherapy in combination with behavioral strategies is indispensable in patients with anorexia nervosa. Randomized, controlled trials show that CBT is very effective, especially in the setting of tube feeding. [120]

A flexible approach to the use of CBT or IPT is important and should be tailored to the individual, whenever possible, especially taking into account expressed emotion. [121] Successful CBT can yield better results than community-based treatment, especially in the presence of specific issues (eg, sexual abuse, traumatic events) more likely to respond to specific subtypes of CBT, such as trauma-focused CBT or exposure therapy with response prevention. [44, 122, 123, 124]


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