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Outpatient Treatment
Please note: Eating disorders develop in men, women, girls, and boys. For ease in reading, we have used "she" and "her" in the text below.
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 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
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].
Refining treatments for eating disorders
Crow, S., Peterson, C.B. Refining treatments for eating disorders. American Journal of Psychiatry. 2009; 166: 266-7.
Prevalence and correlates of exercise motivated by negative affect
De Young, K.P., Anderson, D.A. Prevalence and correlates of exercise motivated by negative affect. International Journal of Eating Disorders. (In press).
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. (In press).
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.
Salient components of a comprehensive service for eating disorders
Halmi, K.A. Salient components of a comprehensive service for eating disorders. World Psychiatry. 2009; 8: 150-5.
Psychological treatments for bulimia nervosa and binging
Hay, P.P., Bacaltchuk, J., Stefano, S., Kashyap, P. Psychological treatments for bulimia nervosa and binging. Cochrane Database of Systematic Reviews. 2009; 7: CD000562.
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.
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.
Bulimic symptoms in undergraduate men and women: Contributions of mindfulness and thought suppression
Lavender, J.M., Jardin, B.F., Anderson, D.A. Bulimic symptoms in undergraduate men and women: Contributions of mindfulness and thought suppression. Eating Behaviors. 2009; 10: 228-31.
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
Roehrig, J.P., McLean, C.P. A comparison of stigma toward eating disorders versus depression. International Journal of Eating Disorders. (In press).
Integrating evidence-based treatments with individual needs in an outpatient facility for eating disorders
Schaffner, A.D., Buchanan, L.P. Integrating evidence-based treatments with individual needs in an outpatient facility for eating disorders. Eating Disorders. 2008; 16: 378-92.
Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa
Schmidt, U. Cognitive behavioral approaches in adolescent anorexia and bulimia nervosa. Child and Adolescent Psychiatric Clinics of North America. 2009; 18: 147-58.
Factors related to motivation for change in adolescents with eating disorders
Zaitsoff, S.L., Taylor, A. Factors related to motivation for change in adolescents with eating disorders. European Eating Disorders Review. 2009; 17: 227-33.
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This page was last updated on October 14, 2009.
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