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Outpatient Treatment

Intensive outpatient treatment is appropriate for individuals who need some structure from health professionals in order to refrain from abnormal behaviors and work toward feeling more at peace with themselves. As an example of intensive outpatient treatment, evening programs offering supervised dinner followed by group therapy are often helpful to those who work or go to school during the day. In addition to attending a structured program, the individual in intensive outpatient care meets with the various members of his or her treatment team, which may include a psychotherapist, a psychopharmacologist, a primary care physician, and a registered dietician.


Generally, individuals stay at the intensive outpatient level for a couple of weeks to a few months. As they move beyond the need for staff support during meals and snacks, they will continue to require management and monitoring on an outpatient basis. With further progress, they can begin to meet with the members of their professional team less frequently. Some individuals with anorexia nervosa may need outpatient psychotherapy for years.




References
Motivation-focused treatment for eating disorders: A sequential trial of enhanced cognitive behaviour therapy with and without preceding motivation-focused therapy.
Allen, K.L., Fursland, A., Raykos, B., Steele, A., Watson, H., Byrne, S.M. Motivation-focused treatment for eating disorders: A sequential trial of enhanced cognitive behaviour therapy with and without preceding motivation-focused therapy. European Eating Disorders Review. (In press).

Practice guideline for the treatment of patients with eating disorders
American Psychiatric Association (APA). Practice guideline for the treatment of patients with eating disorders. 3rd ed. Washington (DC): American Psychiatric Association ; 2006 Jun. 128 p. [765 references].

A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: a randomized controlled trial
Catalan-Matamoros, D., Helvik-Skjaerven, L., Labajos-Manzanares, M.T., Martínez-de-Salazar-Arboleas, A., Sánchez-Guerrero, E. A pilot study on the effect of Basic Body Awareness Therapy in patients with eating disorders: a randomized controlled trial. Clinical Rehabilitation. 2011; 25: 617-26.

Early response to family-based treatment for adolescent anorexia nervosa
Doyle, P.M., le Grange, D., Loeb, K., Doyle, A.C., Crosby, R.D. Early response to family-based treatment for adolescent anorexia nervosa. International Journal of Eating Disorders. 2010; 43: 659-62.

Body attitudes in patients with eating disorders at presentation and completion of intensive outpatient day treatment
Exterkate, C.C., Vriesendorp, P.F., de Jong, C.A. Body attitudes in patients with eating disorders at presentation and completion of intensive outpatient day treatment. Eating Behaviors. 2009; 10: 16-21.

An eleven site national quality improvement evaluation of adolescent medicine-based eating disorder programs: predictors of weight outcomes at one year and risk adjustment analyses
Forman, S.F., Grodin, L.F., Graham, D.A., Sylvester, C.J., Rosen, D.S., Kapphahn, C.J., Callahan, S.T., Sigel, E.J., Bravender, T., Peebles, R., Romano, M., Rome, E.S., Fisher, M., Malizio, J.B., Mammel, K.A., Hergenroeder, A.C., Buckelew, S.M., Golden, N.H., Woods, E.R; National Eating Disorder QI Collaborative. An eleven site national quality improvement evaluation of adolescent medicine-based eating disorder programs: predictors of weight outcomes at one year and risk adjustment analyses. Journal of Adolescent Health. 2011; 49: 594-600.

Cognitive remediation therapy (CRT) for anorexia in group format: a pilot study
Genders, R., Tchanturia, K. Cognitive remediation therapy (CRT) for anorexia in group format: a pilot study. Eating and Weight Disorders. 2010; 15: e234-9.

Should I ask about eating? Patients' disclosure of eating disorder symptoms and help-seeking behaviour
Gilbert, N., Arcelus, J., Cashmore, R., Thompson, B., Langham, C., Meyer, C. Should I ask about eating? Patients' disclosure of eating disorder symptoms and help-seeking behaviour. European Eating Disorders Review. (In press).

Do eating attitudes predict early change in eating behaviors among women with bulimic disorders who are treated with cognitive behavioral therapy?
Haslam, M., Meyer, C., Waller, G. Do eating attitudes predict early change in eating behaviors among women with bulimic disorders who are treated with cognitive behavioral therapy?. International Journal of Eating Disorders. 2011; 44: 741-4.

Psychological treatments for bulimia nervosa and binging
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Overview of treatment modalities in adolescent anorexia nervosa
Herpertz-Dahlmann, B., Salbach-Andrae, H. Overview of treatment modalities in adolescent anorexia nervosa. Child and Adolescent Psychiatric Clinics of North America. 2009; 18: 131-45.

Anxiety in anorexia nervosa and its management using family-based treatment
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The slippery slope: prediction of successful weight maintenance in anorexia nervosa
Kaplan, A.S., Walsh, B.T., Olmsted, M., Attia, E., Carter, J.C., Devlin, M.J., Pike, K.M., Woodside, B., Rockert, W., Roberto, C.A., Parides, M. The slippery slope: prediction of successful weight maintenance in anorexia nervosa. Psychological Medicine. 2009; 39: 1037-45.

Evaluation of family treatment models for eating disorders
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Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders
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The use of a parent support group in the outpatient treatment of children and adolescents with eating disorders
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Cognitive remediation therapy in an outpatient setting: A case series
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Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery
Pretorius, N., Arcelus, J., Beecham, J., Dawson, H., Doherty, F., Eisler, I., Gallagher, C., Gowers, S., Isaacs, G., Johnson-Sabine, E., Jones, A., Newell, C., Morris, J., Richards, L., Ringwood, S., Rowlands, L., Simic, M., Treasure, J., Waller, G., Williams, C., Yi, I., Yoshioka, M., Schmidt, U. Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery. Behaviour Research and Therapy. 2009; 47: 729-36.

A comparison of stigma toward eating disorders versus depression
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Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa
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The role of imagery-based techniques in cognitive-behavioural therapy for adults with eating disorders
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The case for early intervention in anorexia nervosa: theoretical exploration of maintaining factors
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A description of multiple family workshops for carers of people with anorexia nervosa
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The therapeutic alliance in the early part of cognitive-behavioral therapy for the eating disorders
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Eating disorders - early identification in general practice
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This page was last updated on December 5, 2011.