Anorexia Nervosa and Bulimia: A Review of Clinical Issues
Leah J. Dickstein M.D.1
1 The Department of Psychiatry the University of Louisville School of Medicine, 500 South Preston Street, Louisville, Kentucky 40292
As increasing numbers of teenage and young adult women of all economic and educational backgrounds seek treatment for eating disorders, primarily anorexia nervosa and bulimia, mental health professionals must become knowledgeable about diagnosis and treatment of these conditions. The author's review of the literature focuses on current and often controversial views about diagnosis, incidence, etiology, and treatment of anorexia nervosa and bulimia. Topics discussed include specific diagnostic criteria; biological, psychodynamic, and psychosocial under-pinnings; and experimental pharmacologic and psychotherapeutic treatments. Two case studies illustrating general characteristics of anorexia nervosa and bulimia are presented.
