Eating Disorders
Feeding and Eating Disorders (DSM-5-TR)
Severe disturbances in eating behaviors and related thoughts/emotions. Includes anorexia nervosa, bulimia nervosa, binge eating disorder, and ARFID. FBT is gold standard for adolescent anorexia; CBT-E leads for bulimia and BED.
Prevalence: ~5% lifetime; highest mortality of any mental disorder (anorexia)
13 Therapeutic Approaches
Sorted by evidence tier: guideline-recommended first, then RCT-supported, then emerging/limited evidence.
Guideline-Recommended (2)
Cognitive-Behavioral
CBT-E
Christopher Fairburn · 2008
Effect: d = 0.90+
~50-60% remission in BN; ~40% in AN
NICE: recommended for bulimia and binge eating (NG69)
Family Systems
FBT / Maudsley
Lock / Le Grange · 1985
Effect: d = 0.75
~40-50% full remission (AN)
NICE: recommended for adolescent anorexia (NG69)
RCT-Supported (11)
Cognitive-Behavioral
CBT
Aaron Beck · 1964
Integrative
Clinical Hypnotherapy
Milton Erickson · 1950
Cognitive-Behavioral
DBT
Marsha Linehan · 1993
Integrative
IPT
Klerman / Weissman · 1984
Humanistic
Motivational Interviewing
Miller / Rollnick · 1983
Cognitive-Behavioral
RO-DBT
Thomas Lynch · 2018
Effect: Preliminary RCT positive
~35-40% full remission refractory AN
Cognitive-Behavioral
Schema Therapy
Jeffrey Young · 1990
Family Systems
Structural Family Therapy
Salvador Minuchin · 1974
Cognitive-Behavioral
Compassion-Focused Therapy
Paul Gilbert · 2005
Cognitive-Behavioral
Compassionate Mind Training
Paul Gilbert · 2005
Expressive
Dance/Movement Therapy
Marian Chace · 1942
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