Anorexia Nervosa, Pediatric

Reviewed 06/2017
 


Basics

Description

Anorexia nervosa (AN) is a complex biopsychosocial illness. 
  • Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria:

    • Restriction of energy intake relative t...

Diagnosis

Diagnosis is made using DSM-5 criteria. However, many patients exhibit marked symptoms but do not meet the full criteria for AN; for example, despite drastic weight loss, the patient’s weigh...

Treatment

  • Multidisciplinary team approach is considered the state of the art standard of care and includes medical monitoring, nutritional counseling, and psychological treatments.

  • Family-based treatme...

Ongoing Care

  • Ongoing medical monitoring with emphasis placed on overall vital signs and not on weight alone

  • Goals are set for nutritional rehabilitation. Meal plans are established and reassessed at ea...

Additional Reading

  • Academy for Eating Disorders. Eating disorders. AED Report 2012. 2nd ed. www.aedweb.org. Accessed March 11, 2015.

  • American Psychiatric Association. Guideline Watch (August 2012): Pra...

Codes

ICD09

  • 307.1 Anorexia nervosa

  • 307.59 Other disorders of eating

ICD10

  • F50.00 Anorexia nervosa, unspecified

  • F50.01 Anorexia nervosa, restricting type

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

  • F50...

FAQ

  • Q: If the patient presents with severe low mood, why not start them on an antidepressant right away?

  • A: Many of their depressive symptoms may be secondary to the effects of their malnourished state...

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