Anorexia Nervosa Guidelines

Updated: Apr 21, 2017
  • Author: Bettina E Bernstein, DO; Chief Editor: Caroly Pataki, MD  more...
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Guidelines Summary

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. [121, 122]

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.