Medical Management of Eating Disorders: An Update

Ulrich Voderholzer; Verena Haas; Christoph U. Correll; Thorsten Körner


Curr Opin Psychiatry. 2020;33(6):542-553. 

In This Article


Eating disorders, and in particular anorexia nervosa, are associated with numerous physical complications that are sometimes life-threatening. These abnormalities require careful, multiprofessional assessment and treatment. There is growing evidence for adverse long-term consequences of anorexia nervosa and also bulimia nervosa on physical health and mortality. Recent advances focus on accelerated renutrition protocols, replacement of micronutirent deficiencies and the potential role of the microbiome in the pathogenesis and maintenance of at least some patients with eating disorders. Furthermore, there has been support for the utility of antidepressants for bulimia nervosa, stimulants for BED and antipsychotics for anorexia nervosa. However, the exact merit of these new and/or additional approaches for many patients or specific patient subgroups with eating disorders needs to be further established in prospective studies.