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Nutritional rehabilitation is the most pressing priority and may be achieved in some circumstances in an outpatient setting. If severely underweight, initial nutritional rehabilitation will be achieved in an in-patient or residential treatment setting. If nutritional rehabilitation is begun in an outpatient setting, consultation with a nutritionist and home-health organization for monitoring will be done along with weekly follow-up visits in this clinic.
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Initial
assessment involves a comprehensive medical and psychiatric evaluation.
Inpatient hospitalization for either medical stabilization of a physical
complication or initiation of nutritional rehabilitation may be needed.
Medications
for food and anxiety symptoms can also be effective. Formal psychotherapy
with severely underweight patients is often ineffective. Once some significant
amount of weight gain has been achieved, either individual or group
psychotherapy focusing on body image, social anxiety or obsessive compulsive
traits can be initiated.