What is the recommended treatment for bulimia nervosa?

The recommended treatment for bulimia nervosa primarily centers around Cognitive Behavioral Therapy (CBT) and the use of fluoxetine, an SSRI. CBT is a structured, goal-oriented psychotherapy that focuses on identifying and changing dysfunctional thought patterns and behaviors related to eating and body image. This approach helps patients develop healthier eating habits and coping strategies to manage their emotions, addressing the core issues contributing to the disorder.

Fluoxetine has been found to be effective in reducing binge-eating and purging behaviors, as well as alleviating symptoms of depression and anxiety that often accompany bulimia nervosa. The combination of CBT and medication is particularly beneficial, as it addresses both psychological and biological aspects of the disorder.

Other treatment options such as hospitalization or nutritional counseling may be necessary for individuals with severe cases or medical complications, but they do not represent the first-line treatment method. Behavior modification and high-calorie diets lack a strong evidence base specifically for bulimia nervosa treatment, and family therapy, while helpful for certain individuals, is not the primary recommended approach in the absence of a comprehensive treatment plan that includes CBT and medication. Thus, focusing on CBT and fluoxetine provides a targeted and effective strategy for managing bulimia nervosa.