Treatment Delivery Strategies for Eating Disorders

Paulo P.P. Machado; Tânia F. Rodrigues


Curr Opin Psychiatry. 2019;32(6):498-503. 

In This Article

Alternative Treatment Delivering Strategies for Eating Disorders

One of the first attempts to broadening access to treatment, and deal with some of the barriers to treatment, consisted in the adaptation of CBT manuals to a self-help format, either pure self-help, or in GSH in which self-help manuals use is accompanied with some kind of minimal contact by a helper. Generally, self-help interventions imply the use of a treatment manual following step-by-step procedures to help the patient gain knowledge about his/her disorder, and learn skills to overcome the problem.

In a review of the literature, Wilson and Zandberg[8] focused on self-help interventions for bulimia nervosa, BED, and other specified feeding or eating disorders (OSFED), and concluded that CBT-GSH should be viewed as an evidence-based treatment, and be considered a viable first step in a stepped care model of treatment. Most recently, the United Kingdom National Institute for Clinical Excellence most recent guidelines[9] recommend GSH as the first line intervention, on a stepped care model, for bulimia nervosa and BED.