Anorexia Nervosa

Umer Farooq, MD and Saeed Ahmed, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Intentional restriction of energy intake leading to significantly low weight in the context of age, sex, developmental trajectory, and physical health, with intense fear of weight ga...

DIAGNOSIS

HISTORY

  • Onset may be insidious or stress-related.

  • Patient unlikely to self-identify problem (lack of insight into the illness); corroborate with parent/relative.

  • Restriction of energy intake re...

TREATMENT

GENERAL MEASURES

  • Initial treatment goal geared to weight restoration; most managed as outpatients (OPs)

  • OP treatment:

    • ▪ Interdisciplinary team (primary care physician, mental health provider, d...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Close follow-up until patient demonstrates forward progress in care plan.

  • Family and individual therapy is extremely important for the long-term benefits/outcomes.

  • ...

REFERENCES

Stice  E, Shaw  H, Marti  CN. A meta-analytic review of eating disorder prevention programs: encouraging findings. Annu Rev Clin Psychol.  2007;3: 207–231. [View Abstract on OvidInsig...

ADDITIONAL READING

  • American Psychiatric Association. Practice Guideline for the Treatment of Patients with Eating Disorders. 3rd ed. Arlington, VA: American Psychiatric Association; 2006.

  • Dalle Gra...

SEE ALSO

  • Amenorrhea; Osteoporosis; Bulimia Nervosa

  • Algorithm: Weight Loss

CODES

ICD10

  • F50.00 Anorexia nervosa, unspecified

  • F50.01 Anorexia nervosa, restricting type

  • F50.02 Anorexia nervosa, binge eating/purging type

  • F50.8 Other eating disorders

ICD9

  • 307.1 Anorexia nervosa

  • 307.59 O...

CLINICAL PEARLS

  • “Are you satisfied with your eating patterns?” and/or “Do you worry that you have lost control over how you eat?” may help to screen those with an eating problem.

  • Studies have shown pat...

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