Indian Journal of PsychiatryIndian Journal of Psychiatry
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CME
Year : 2010  |  Volume : 52  |  Issue : 2  |  Page : 174-186

Management of anorexia and bulimia nervosa: An evidence-based review


Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160 012, India

Correspondence Address:
Debasish Basu
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh -160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5545.64596

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Anorexia nervosa and bulimia nervosa are primarily psychiatric disorders characterized by severe disturbances of eating behavior. Eating disorders are most prevalent in the Western culture where food is in abundance and female attractiveness is equated with thinness. Eating disorders are rare in countries like India. Despite a plethora of management options available to the mental health professionals, no major breakthrough has been achieved in recent years. Nutritional rehabilitation along with some form of re educative psychotherapy remains the mainstay of management of anorexia nervosa. In bulimia nervosa, both fluoxetine and cognitive behavior therapy have been found to be effective. Although the above-mentioned management options have been in use for decades, the active ingredient is still to be ascertained.



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