What is the first-line treatment for bulimia nervosa?
Treatment usually includes a mix of psychotherapy, nutritional support, and sometimes medication, and multiple therapeutic approaches have been used and shown to be effective. Cognitive-behavioral therapy (CBT), family-based treatment (FBT), or interpersonal psychotherapy (IPT) are commonly used to treat bulimia; children and adolescents may be more likely to be treated with FBT, as their recovery often needs to involve other family members to some degree. Psychotherapy for bulimia focuses on the maladaptive thought processes or relationship habits that drive binging and purging, as well as the depression and anxiety that frequently co-occur with bulimia. In nutritional therapy, a dietitian will work with the patient to help them make healthier food choices and learn to better recognize their body’s signals. Medications such as Prozac or other antidepressants can be prescribed for additional symptom support as needed.