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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the authors' clinical recommendations.
A 23-year-old woman with anorexia nervosa visits her internist. Her height is 5 ft 6 in. (168 cm), and her weight is 104 lb (47 kg), with a body-mass index (the weight in kilograms divided by the square of
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Eating Disorders Research Unit, Department of Psychiatry, Columbia University College of Physicians and Surgeons, and the New York State Psychiatric Institute, New York.
Address reprint requests to Dr. Attia at Columbia University College of Physicians and Surgeons, 1051 Riverside Dr., Unit 98, New York, NY 10032, or at ea12@columbia.edu.
Related Letters:
Behavioral Management for Anorexia Nervosa
Scolnick B., Cereda E., Sacchi M. C., Pedrolli C., Attia E., Walsh B. T.
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N Engl J Med 2009;
360:2141-2142, May 14, 2009.
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This article has been cited by other articles:
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