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Anorexia Nervosa, Pediatric

Darlene M. Atkins, PhD and Sara M. Buckelew, MD, MPH Reviewed 10/2018



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 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...


  • 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 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...


  • Academy for Eating Disorders. Critical Points for Early Recognition & Medical Risk Management in the Care of Individuals with Eating Disorders. 3rd ed.



  • 307.1 Anorexia nervosa

  • 307.59 Other disorders of eating


  • F50.00 Anorexia nervosa, unspecified

  • F50.01 Anorexia nervosa, restricting type

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

  • F50....


  • 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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