CPG for Eating Disorders

General Recommendations for Psychological Therapy (GP) in EatingDisorders (GP) (Questions 9.3.-9.8.)Anorexia nervosaD 9.GP.1. The psychological therapies to be assessed for eating disorders are: CBT,SFT, IPT, PDT and BT.D 9.GP.2. In the case of patients who require special care, the selection of thepsychological treatment model that will be offered is even moreimportant.D 9.GP.3. The objective of psychological treatment is to reduce risk, to encourageweight gain by means of a healthy diet, to reduce other symptoms relatedwith eating disorders and to facilitate physical and psychologicalrecovery.D 9.GP.4. Most psychological treatments for patients with AN can be performed onan outpatient basis (with physical monitoring) by professionalsspecialised in eating disorders.D 9.GP.5. The duration of psychological treatment should be of at least 6 monthswhen performed on an outpatient basis (with physical monitoring) and 12months for inpatients.D 9.GP.6. For patients with AN who have undergone outpatient psychologicaltherapy but have not improved or have deteriorated, the indication ofmore intensive treatments (combined individual and family therapy, dayor inpatient care) must be considered.D 9.GP.7. For inpatients with AN, a treatment programme aimed at suppressingsymptoms and achieving normal weight should be established. Adequatephysical monitoring is important during renutrition.D 9.GP.8. Psychological treatments must be aimed at modifying behaviouralattitudes, attitudes related to weight and body shape and the fear ofgaining weight.D 9.GP.9. The use of excessively rigid behaviour modification programmes is notrecommended for inpatients with AN.D 9.GP.10. Following hospital discharge, patients with AN should be offeredoutpatient care that includes monitoring of normal weight restoration andpsychological intervention that focuses on eating behaviour, attitudes toweight and shape and the fear of social response regarding weight gain,along with regular physical and psychological follow-up. Follow-upduration must be of at least 12 months.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS24