Treatment Plan

Admission criteria:

• Compromised physical health
• Low BMI
• Hypothermia
• Pulse <50
• Haemodynamically unstable
• Poor hydration/circulation
• Failed sit-up/squat test
• Significant blood abnormalities
• Risk of refeeding syndrome
• No support at home
• Risk of serious harm/suicide

Management:

• Adults with anorexia: individualized CBT
• Children with anorexia: family-based CBT
• Bulimia: individualized/family therapy
• Binge eating: self-help groups → group therapy → individualized therapy

Primary care advice:

• Vomiting: avoid tooth brushing immediately after, use water/non-alcoholic mouth rinses, avoid acidic foods/drinks
• Stop excessive laxative use/exercise
• Contraception advice: avoid unprotected intercourse, consider IUD/implants

Monitoring:

• BMI
• Heart rate
• BP
• Sit-up/squat test
• Hydration
• Circulation
• Regular blood tests