Treatment Evidence & Planning
The Treatment Evidence Table below will help you select the right treatment and treatment team for an individualised approach. Click on the link that matches the individual's age and diagnosis to explore recommended treatments and evidence to support their use.
OSFED
To treat a person with Other Specified Feeding or Eating Disorder (OSFED), the best treatment approach will depend on the individual's symptoms. For instance, if symptoms most closely resemble bulimia nervosa, then the treatment approach should be the same as for someone with bulimia nervosa.
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
ARFID
Child & Adolescent
FBT & CBT-E
Maudsley Family Based Therapy (FBT) is recommended as the first line of treatment for young people. Enhanced Cognitive Behavioural Therapy (CBT-E) is a specific form of CBT for the treatment of eating disorders
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FBT-BN & CBT-E
There is evidence to support both Maudsley Family Based Therapy (FBT) & Enhanced Cognitive Behaviour Therapy (CBT-E) for the treatment of bulimia nervosa.
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CBT-E & CBT-GSH
An adapted version of Enhanced Cognitive Behaviour Therapy (CBT-E) is available and recommend for young people, as well as Cognitive Behaviour Guided Self-Help (CBT-GSH).
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FBT & CBT-AR
Since ARFID is a relatively new diagnosis, there is currently no evidence-based treatment for the disorder, but Cognitive Behavioural Therapy for ARFID (CBT-AR) is under study.
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Adult
CBT-E, SSCM, MANTRA
There is some evidence for the use of Enhanced Cognitive Behaviour Therapy (CBT-E), Specialist Supportive Clinical Management (SSCM) and Maudsley Model of AN Treatment for Adults (MANTRA)
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CBT-E, CBT-GSH, ITP
There is substantial research to support Enhanced Cognitive Behaviour Therapy (CBT-E) as the first line psychological treatment. There is also evidence to support Cognitive Behaviour Guided Self-Help (CBT-GSH), and Interpersonal Therapy (ITP).
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CBT-E, CBT-GSH
Enhanced Cognitive Behaviour Therapy (CBT-E) is the first line of psychological treatment, with evidence to support delivery in an individual or group format. Cognitive Behaviour Guided Self-Help (CBT-GSH) can be an effective intervention in mild to moderate presentations.
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FBT & CBT-AR
A specific CBT program, Cognitive Behavioural Therapy for ARFID (CBT-AR) is currently being studied.
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Medication
Low doses of antipsychotics
Low doses of antipsychotics such as olanzapine or quetiapine may be helpful
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SSRIs
In combination with psychotherapy
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SSRIs
In combination with psychotherapy
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Family & Carers
Involve parents/family members/supports as part of the treatment team wherever possible and appropriate. Monitor their need for support, information and referral for individual therapy.
Peer Support
Depending on age and stage of illness/recovery, some people benefit from peer mentoring and/or participation in support groups (online, in person).