Manual-based cognitive behavior therapy (CBT) is presently the most effective treatment of bulimia nervosa. Its efficacy is limited, however. Different strategies for improving upon current manual-based CBT are discussed, including combining CBT with antidepressant medication, integrating CBT with alternative psychological therapies, and expanding the scope and flexibility of manual-based CBT. CBT is underutilized in clinical practice. Dissemination of evidence-based treatment is a priority. Research on anorexia nervosa is minimal. Effective treatments have yet to be developed, although the Maudsley method of family therapy has shown the most promise in the treatment of adolescents. The most commonly seen eating disorders in clinical practice are those classified as "eating disorder not otherwise specified." With the exception of binge eating disorder (BED), however, they have been neglected by researchers. Several psychological therapies have been shown to be effective in treating BED. Controversy exists over whether treatment-specific effects have been identified. Whereas treatments have proved effective in eliminating binge eating and associated eating disorder psychopathology, achieving clinically significant weight loss remains a challenge.

中文翻译：

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饮食失调的心理治疗。

基于手动的认知行为疗法（CBT）是目前对神经性贪食症最有效的治疗方法。然而，其功效是有限的。讨论了用于改善当前基于手动CBT的不同策略，包括将CBT与抗抑郁药相结合，将CBT与替代心理疗法相结合以及扩展基于手动CBT的范围和灵活性。CBT在临床实践中未得到充分利用。传播循证治疗是当务之急。对神经性厌食症的研究很少。尽管Maudsley家庭治疗方法在青少年治疗中显示出最大的希望，但尚未开发出有效的治疗方法。在临床实践中最常见的饮食失调是归类为“饮食失调”。但是，除了暴饮暴食症（BED）外，研究人员忽略了它们。几种心理疗法已显示可有效治疗BED。是否已确定治疗特异性作用存在争议。事实证明，治疗有效地消除了暴饮暴食和相关的进食障碍的精神病理学，实现临床上显着的体重减轻仍然是一个挑战。