Citation

Chakraborty K, Basu D. Indian J. Psychiatry 2010; 52(2): 174-186.

Copyright

(Copyright © 2010, Medknow Publications)

DOI

10.4103/0019-5545.64596

PMID

unavailable

Abstract

Anorexia nervosa and bulimia nervosa are primarily psychiatric disorders characterized by severe disturbances of eating behavior. Eating disorders are most prevalent in the Western culture where food is in abundance and female attractiveness is equated with thinness. Eating disorders are rare in countries like India. Despite a plethora of management options available to the mental health professionals, no major breakthrough has been achieved in recent years. Nutritional rehabilitation along with some form of re educative psychotherapy remains the mainstay of management of anorexia nervosa. In bulimia nervosa, both fluoxetine and cognitive behavior therapy have been found to be effective. Although the above-mentioned management options have been in use for decades, the active ingredient is still to be ascertained.

Language: en

Keywords

human; suicide; management; psychotherapy; depression; anger; cause of death; mortality; food intake; nutrition; hospitalization; clinical trial; anorexia nervosa; treatment outcome; mood disorder; Anorexia nervosa; review; testosterone; anorexia; bulimia; eating disorder; amitriptyline; citalopram; clomipramine; desipramine; fluoxetine; sertraline; cognitive therapy; impulsiveness; haloperidol; placebo; trazodone; family therapy; carbamazepine; weight gain; naltrexone; topiramate; phototherapy; body weight; estrogen; obsessive compulsive disorder; growth hormone; cyproheptadine; disease duration; brofaromine; medroxyprogesterone acetate; conjugated estrogen; feeding; guided imagery; behavioural interventions; medications