What are the Royal Australian and New Zealand College of Psychiatrists guidelines on anorexia nervosa?

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

The Royal Australian and New Zealand College of Psychiatrists released the first set of eating disorder guidelines that incorporate recommendations from the DSM-5. The guidelines focus on anorexia nervosa, but also cover bulimia nervosa, binge eating disorder, and the new disorder of avoidant-restrictive food intake disorder. [129]

Recommendations include the following:

  • Most patients with anorexia nervosa should be treated as outpatients or day patients.

  • A multi-disciplinary treatment approach incorporating consideration of nutritional, medical and psychological aspects, family-based therapies in younger patients, and specialist therapist-led manual-based psychological therapy with long-term follow-up in all age groups should be used.

  • In chronic anorexia nervosa, a harm minimization approach should be used.

  • The approach to diagnosis and treatment should be culturally informed.


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