Treatment of Bulimia Nervosa

Abstract

Cognitive behavior therapy (CBT) is the most effective treatment for bulimia nervosa based on multiple consistent randomized-controlled trials (RCTs). (Strength of Recommendation [SOR]: A). Guided self-help has not been shown to be beneficial in reducing binge and purge episodes, but it may relieve some related symptoms, especially if CBT is not available. (SOR: B, based on RCTs and case-control studies with heterogeneous results). Pharmacotherapy with antidepressants has been shown to be effective in treating bulimia nervosa, with an additive effect when combined with psychotherapy. (SOR: A, based on multiple consistent RCTs).