Treatment for adults with eating disorders
Each adult with an eating disorder is at a different stage so different treatment approaches may need to be considered and options may require multiple aspects such as clinical interventions, social supports and other therapies that aid recovery.
Whilst the Maudsley Approach aka Family Based Treatment (FBT) is well documented for having positive outcomes with children and adolescents, there is not one treatment for adults with eating disorders that has the same wide ‘evidence based’ support.
A 2016 NEDC presentation by Professor Hay on latest research for treatment of eating disorders in adults indicated the following.
Adults with Anorexia Nervosa – no specific ‘first line’ some evidence for Cognitive Behavioural Therapy (CBT), Specialist Supportive Clinical Management(SSCM), Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) and specialist psychological therapies and almost all patients will need longer term therapy including nutritional counselling and medical monitoring.
Adults with Bulimia Nervosa – Commence CBT-E or other CBT. If they are not available commence professional Guided Self Help CBT (GSH-CBT)or Interpersonal Psychotherapy or Dialectical Behavioural Therapy (DBT). If psychotherapy not available some Pharmacological Therapy may be prescribed.
Adults with Binge Eating Disorder – CBT or if not available Interpersonal Psychotherpay (IPT) or GSH-CBT.