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

NB: 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 (Maudsley Family Based Therapy) & CBT-E (Cognitive Behaviour Therapy-Enhanced for Eating Disorders)

FBT is recommended as the first line of treatment for young people

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FBT-BN & CBT-E

There is evidence to support both FBT & CBT-E

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CBT-E & CBT-GSH

An adapted version of CBT-E that is available and recommend for young people.

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FBT & CBT-AR

Since ARFID is a relatively new diagnosis, there is currently no evidence-based treatment for the disorder.

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Adult
CBT-E, SSCM, MANTRA

There is some evidence for the use of CBT-E, SSCM and MANTRA

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CBT-E, CBT-GSH, ITP

There is substantial research to support CBT-E as the first line psychological treatment.

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CBT-E, CBT-GSH

CBT-E is the first line of psychological treatment, with evidence to support delivery in an individual or group format.

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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).