In January, 2004, the UK’s National Institute for Clinical Excellence (NICE) issued clinical guidelines for the treatment of eating disorders in England and Wales. The NICE guidelines are strongly based in evidence and are more rigorous than the equivalent United States American Psychiatric Association PGED guidelines. Cognitive Behavioral Therapy for bulimia was assigned a grade of A. I trained under one of the early developers of CBT for bulimia in the 1990s and am experienced in CBT-E (Fairburn 2008), the most up-to-date version of CBT for eating disorders.
For adolescent anorexia nervosa family interventions that directly address the eating disorder was given a grade of B. Family Based Therapy (Maudsley model) is a new and promising treatment for eating disorders, especially for the treatment of adolescent anorexia nervosa and bulimia nervosa. This treatment approach enlists the support of the whole family as a resource in the patient’s recovery I have had training in Family Based Therapy (Maudsley) and am pursuing further training in this treatment approach. Very promising research out of the University of Chicago and Stanford University shows that at the end of a course of FBT, two-thirds of adolescents with anorexia nervosa are recovered and 75 to 90% are weight-recovered at five year follow-up.