Clinical recommendationEvidence ratingReferences
Initial evaluation of patients with eating disorders requires assessing medical stability and whether hospitalization is required.C3, 11, 12, 35, 37, 38
In patients with eating disorders, assess for psychiatric comorbidities, including depression and suicide risk, anxiety disorders, and substance use disorders.C3, 11, 12, 3840
An interdisciplinary team approach is needed for the treatment of eating disorders, and often includes a family physician, a psychotherapist or psychiatrist, a dietitian, an eating disorder specialist, and school personnel.C11, 12, 2126, 35, 36
A minimum weight restoration target for patients with anorexia nervosa is 90% of the average weight expected for the patient's age, height, and sex.C12, 22
Family-based treatment (the Maudsley method) is effective for treating anorexia nervosa in adolescents.B23, 24
Most patients with bulimia nervosa benefit from psychotherapy such as cognitive behavior therapy and/or treatment with a selective serotonin reuptake inhibitor.B11, 12, 26, 27, 3537
Antipsychotic medications are generally not effective in the treatment of eating disorders.B11, 3235