What is the first-line therapy for bulimia nervosa?

Cognitive behavioral therapy (CBT) is recognized as the first-line therapy for bulimia nervosa due to its evidence-based effectiveness in treating the disorder. CBT focuses on altering the negative thought patterns and behaviors related to eating and body image, which are central to bulimia nervosa. This therapeutic approach helps individuals understand and change the cognitive distortions that lead to binge-eating and purging behaviors.

By targeting specific behaviors and developing coping strategies, CBT also addresses the emotional and psychological factors contributing to the disorder. It typically involves teaching clients how to manage triggers, regulate emotions, and develop healthier eating patterns. Studies have shown positive outcomes in reducing symptoms and improving overall well-being in individuals with bulimia through this structured approach.

While weight management plans, antidepressants, and antipsychotics can play roles in the overall treatment of eating disorders, they are not considered the primary or first-line intervention for bulimia nervosa. Weight management alone does not tackle the underlying psychological aspects. Antidepressants may be used, particularly when there are comorbid conditions like depression, but they are generally not as effective when used as a standalone treatment. Antipsychotics do not have a specific role in the treatment of bulimia nervosa and are not a recommended