What is the first-line treatment for Bulimia Nervosa?

Cognitive Behavioral Therapy (CBT) is recognized as a first-line treatment for Bulimia Nervosa due to its strong evidence base and effectiveness in addressing the underlying cognitive distortions and behavioral patterns associated with the disorder. CBT helps individuals identify and challenge harmful thoughts related to body image, eating behaviors, and self-worth, allowing them to develop healthier coping mechanisms and attitudes toward food and weight.

The structured format of CBT typically encourages gradual exposure to feared situations, helping patients face their anxieties about food and weight without resorting to bingeing or purging behaviors. This therapy not only aids in symptom reduction but also promotes long-term recovery strategies, making it a comprehensive approach to treatment.

While SSRIs (selective serotonin reuptake inhibitors) can also be used effectively in conjunction with CBT, they are typically considered as an adjunct to therapy rather than a standalone first-line treatment. Some individuals may benefit from medication to help reduce the frequency of binge-eating episodes or manage co-occurring anxiety or depression, but CBT directly targets the behavioral aspects of Bulimia Nervosa and fosters a deeper understanding of the issues at play.

The other treatment options like TCAs (tricyclic antidepressants) and supportive therapy have less robust evidence supporting their use as first