Bulimia Nervosa Guidelines

Updated: Feb 28, 2020
  • Author: Donald M Hilty, MD; Chief Editor: David Bienenfeld, MD  more...
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Guidelines

Guidelines Summary

Canadian practice guidelines

Canadian practice guidelines for treating children and adolescents with eating disorders were published in 2020. [105] Recommendations include the following:

  • Family-based treatment (FBT) is strongly recommended for children and adolescents with anorexia nervosa or bulimia nervosa.

  • Multi-family therapy (MFT) is a reasonable treatment option for children and adolescents with anorexia nervosa.

  • Cognitive-behavioral therapy (CBT) is a reasonable treatment option for children and adolescents with anorexia nervosa or bulimia nervosa.

  • Adolescent-focused therapy (AFP) is a reasonable treatment option for children and adolescents with anorexia nervosa.

  • Yoga, in addition to standard treatments, is a reasonable treatment option for medically stable children and adolescents with anorexia nervosa, bulimia nervosa, and other specified feeding and eating disorders.

  • Olanzapine or aripiprazole may be reasonable treatment options for certain populations of children and adolescents with anorexia nervosa if monitored carefully.

  • It is strongly recommended that the least intensive treatment environment be provided, especially for those children and adolescents with anorexia nervosa requiring a first admission to hospital and/or with a duration of illness less than 3 years.