Currently available second-level treatment strategies for bulimia nervosa patients who do not respond to first-line cognitive behavioral therapy appear to be ineffective, and new models for such patients are necessary.
“In the case of bulimia nervosa, the research findings suggest that cognitive behavioral therapy (CBT) is the first level of treatment and that both antidepressant medication and interpersonal psychotherapy (IPT) may potentially be effective second-level treatments,” say researchers at five American institutions.
They randomised 62 patients with bulimia nervosa who were unsuccessfully treated with CBT to either interpersonal psychotherapy or medication management. Of these, 37 completed treatment and 25 dropped out or were withdrawn.
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