flashcards_bulimia_nervosa
What medical complications are often associated with bulimia nervosa that may require treatment?
Dental care is often needed.
What self-help programme is recommended for adults with bulimia nervosa?
Bulimia Nervosa-Focused Guided Self-Help Programme.
What therapy is recommended for children with bulimia nervosa?
Family therapy (FT-BN).
What role does CBT-ED play in the management of bulimia nervosa?
Includes nutrition and meal support.
What medications are used to reduce bingeing and purging in bulimia nervosa?
SSRIs (Fluoxetine) or SNRIs.
Should SSRIs or SNRIs be offered as sole treatment for bulimia nervosa?
No, they should not be offered as sole treatment.
What comorbid psychiatric illnesses are common in bulimia nervosa?
Depression, self-harm, and substance misuse.
What are the referral pathways for severe bulimia nervosa?
Urgent referral to Community Eating Disorder Service if there is daily purging with significant electrolyte imbalance or comorbidity.
What are the referral pathways for moderate bulimia nervosa?
Monitor/advice/support for 8 weeks, recommend self-help, consider SSRI, routine referral to CEDS if failure to respond.
What are the referral pathways for mild bulimia nervosa?
Recommend self-help, recommend BEAT, monitor/advice/support for 3 months, routine referral to CEDS if no improvement/deterioration.
What is the summary of management for bulimia nervosa?
Referral for specialist care is appropriate in all cases, BN-focused guided self-help for adults, if unacceptable/contraindicated/ineffective after 4 weeks consider ED-focused CBT, children should be offered BN-focused family therapy (FTBN), consider a trial of high-dose fluoxetine.
