Detecting and managing anorexia nervosa and bulimia in adolescents.

This paper suggests a diagnostic process for anorexic nervosa and/or bulimia in adolescents. A complete history guided by an understanding of the symptomatology and family conflicts associated with these disorders is the single best tool for their diagnosis. Lengthy investigations are not warranted in most cases. Following an information-giving phase with the patient and her/his family, the treatment plan should be tailored to the patient's individual needs. A biopsychosocial model is suggested consisting of a nutritional rehabilitation program; individual, group and family therapy; and the use of self-help support groups as necessary or available. Working with these patients can be challenging, but rewarding.