Psychotherapy, which includes multiple forms of treatment such as cognitive behavioral therapy and dialectical behavioral therapy, has been found to cause significant reductions in binge-eating episodes, depression, eating disorder psychopathology, and BMI 12 months after treatment. Final abstinence rates were found to range from 46 to 52%, with a total weight loss of 1.9 to 6.1kg. However, it is important to note that BMI reduction was non-significant at both 3 and 6 months following treatment, but eventually became significant by the 12-month mark. 

Psychotherapy Outcomes for Binge Eating Disorder

Structured self-help treatment has been found to cause significant reductions in binge-eating episodes, depression, and eating disorder psychopathology	12 months after treatment. Final abstinence rates were found to range from 45 to 53%. However, it is important to note that structured self-help treatment did not lead to any significant reduction in BMI and may thus not be the most suitable method of treatment for those suffering from obesity or other weight-related medical complications. 

Structured Self-Help Outcomes for Binge Eating Disorder

Meta-analyses have found that treatments that combine multiple methods of intervention for binge eating disorder cause significant reductions in binge-eating episodes, depression, eating disorder psychopathology, and BMI 12 months after treatment. Final abstinence rates ranged from 36 to 48%, with a total weight loss of 5.7 to 6.3kg. However, it is important to note that BMI reduction was non-significant at both 3 and 6 months following treatment, but eventually became significant by the 12-month mark.

Combined Treatment Outcomes for Binge Eating Disorder

Second-generation antidepressants have been found to serve as a treatment for binge eating disorder. However, meta-analyses of their long-term effectiveness has found that while they cause significant reductions in binge-eating episodes and BMI in the short-term, these results tend to return to non-significance within 12 months after treatment. As such, while pharmacotherapy certainly has value in the management of binge eating disorder, it is unlikely to have lasting effects unless combined with other treatment methods.

Pharmacotherapy Outcomes for Binge Eating Disorder

Behavioral weight loss treatment has been found to cause significant reductions in binge-eating episodes, depression, eating disorder psychopathology, and BMI 12 months after treatment. Final abstinence rates were found to range from 30 to 62%, with a total weight loss of 3.2 to 7.2g. 

Behavioral Weight Loss Treatment Outcomes for Binge Eating Disorder

Self-help weight loss treatments for binge-eating disorder have been found to cause significant reductions in binge-eating episodes 12 months after treatment. However, information about resulting weight loss or final abstinence rates are unclear. 

Self-Help Weight Loss Treatment Outcomes for Binge Eating Disorder

Inpatient treatment has been found to cause significant reductions in BMI between 6 and 12 months after treatment. At 3 to 6 months following treatment, abstinence rates were 44% with a total weight loss of 5.6 to 6.3kg. However, this reductions in BMI and binge-eating lost significance past the 12-month mark. As such, while inpatient treatment is acutely effective in reducing body weight, it does not appear to promote lasting improvement among binge eating disorder patients.

Inpatient Treatment Outcomes for Binge Eating Disorder

Multiple forms of treatment exist for binge eating disorder, each with different levels of efficacy in terms of prompting remission of binge-eating episodes, lessening psychological symptoms, and reducing body weight:

- Psychotherapy
- Structured self-help treatment
- Combined treatment
- Pharmacotherapy
- Behavioral weight loss treatment
- Self-help weight loss treatment
- Inpatient treatment 

Kalamazoo College

This list includes different types of methods for treating and/or managing different feeding and eating disorders. These include, but are not limited to the following:
-	Mindfulness for Patients with Eating Disorders
-	Cognitive-Behavioral Therapy vs. Behavioral Weight Loss (BWL) as Treatment for Binge-Eating Disorder
-	Mindfulness-Based Interventions for Binge Eating Disorders
-	Dialectical Behavior Therapy for treating Bulimia Nervosa
-	Dialectical Behavior Therapy for treating Anorexia Nervosa
-	Subjective Experiences of Eating Disorder Treatments
-	Pharmacological Treatment for Binge Eating Disorders
-	Enhanced Cognitive Behavioral Therapy (CBT-E) for Eating Disorders
-	Family-Based Treatment of Eating Disorders in Adolescents

Treatment & Management Methods for Feeding and Eating Disorders

Hilbert, A., Petroff, D., Herpertz, S., Pietrowsky, R., Tuschen‐Caffier, B., Vocks, S., & Schmidt, R. (2020). Meta‐analysis on the long‐term effectiveness of psychological and medical treatments for binge‐eating disorder. International Journal of Eating Disorders, 53(9), 1353-1376.

Meta-Analysis on the Long-Term Effectiveness of Psychological and Medical Treatments for Binge-Eating Disorder

Mindfulness interventions have been shown to be beneficial for those suffering with eating disorders including anorexia nervosa, binge eating disorder, and bulimia nervosa.

Mindfulness for patients with eating disorders

- Dialectic Behavior Therapy
- Mindfulness-Based Eating Awareness Training

Mindfulness-Based Interventions for Binge Eating Disorder

Though cognitive behavior therapy is generally considered the treatment of choice for bulimia nervosa, dialectical behavior therapy (DBT) may be particularly effective in treating bulimia nervosa due to its targeting of emotional dysregulation problems, which often underlie the eating disorder. One study has shown a significant decrease in binge/purging behaviors in patients with bulimia nervosa who underwent DBT with a focus on emotional regulation, though more research into this area is necessary.

Dialectical Behavior Therapy for treating Bulimia Nervosa

Dialectical behavior therapy (DBT) has been shown to be effective in treating anorexia nervosa (AN), as patients with the disorder who underwent DBT saw low dropout rates and increased BMIs which were sustained 6 months later. While standard DBT has been shown to be effective, a DBT program that was augmented to focus on overcontrolled emotions and behaviors which contribute to AN was more helpful in encouraging long term results.

Dialectical Behavior Therapy as Treatment for Anorexia Nervosa

One study examined the current literature on the experiences and perspectives of those across healthcare interfaces for eating disorders, to include individuals with eating disorders, people close to or caring for those with eating disorders such as family and friends, and health professionals.

Subjective Experiences of Eating Disorder Treatments 

One study explored the different pharmacological treatments for BED. The study found that antidepressants, appetite suppressants, and anticonvulsants, specifically, desipramine, fluvoxamine, fluoxetine, sertraline, citalopram, dexfenfluramine, sibutramine, and topiramate can aid in BED treatment. 

Pharmacologic Treatment for Binge Eating Disorder

Enhanced cognitive behavior therapy (CBT-E) is a transdiagnostic approach that is designed to treat multiple clinical conditions, including the complete list of eating disorders identified in DSM-V, such as anorexia nervosa, bulimia nervosa, binge eating disorder (BED), among others. It is different from typical CBT in that it aims to treat the underlying pathological factors contributing to several disorders, rather than any one condition. 

CBT-E is comprised of four stages, yet the details of each stage differ based on the individual patient and their clinical circumstances.

The overarching goal of CBT-E is to assist the patient in first acknowledging their harmful eating patterns and body-image concerns so that they can eventually begin actively participating in therapeutic sessions targeted at addressing the emotions, beliefs/thoughts, and behaviors (e.g., body-image concerns, low self-esteem stressful life events, interpersonal relationship conflicts, etc.)  sustaining their condition. 

After the patient has begun to heal, CBT-E treatment provides them with coping mechanisms to manage challenges to their recovery so that they can maintain their progress.

Enhanced Cognitive Behavioral Therapy (CBT-E) for Eating Disorders 

The family-based treatment (FBT) method for eating disorders entails a clinician working with the adolescent patient and their family to establish a comprehensive care plan that extensively engages the patient's home/family life.

Comprised of three phases, FBT is characterized by granting the patient's family responsibility to monitor and oversee their child's eating behaviors in order to support the patient's sustainable adoption of healthy eating habits. As the patient progresses in their recovery, they are incrementally granted more autonomy over their dietary decisions and eating preferences.

Family-based Treatment of Eating Disorders in Adolescents

Research unfortunately indicates that anorexia nervosa treatment outcomes are not always ideal. Although oftentimes significant weight is restored by the end of treatment, psychological symptoms frequently go largely unaddressed, indicating a gap in current treatment procedures that may leave patients more vulnerable to relapse.

Anorexia Nervosa Treatment Outcomes

Depending on the severity of the case of bulimia nervosa, treatment methods may vary, but often include the following: 

- Purging cessation
- Nutritional support
- Monitoring 
- Medical treatment for complications
- Psychotherapy
- Psychiatric medication

Bulimia Nervosa Treatment

CBT is known as an effective treatment for binge-eating disorder (BED) in that it helps people to stop binge-eating, but it does not actually help people to lose weight (which is important because BED puts people at high risk for obesity and the health problems associated with that).  Because of this shortcoming, perhaps another treatment option is necessary to help people with BED to lose weight.

Cognitive-Behavioral Therapy vs. Behavioral Weight Loss (BWL) as Treatment for Binge-Eating Disorder

Binge Eating Disorder Treatment Outcomes

In general, treatments for ARFID can be divided into two major groups: 

- Psychological treatment
- Adjunctive pharmacological treatment

Avoidant/Restrictive Food Intake Disorder (ARFID) Treatment

Several models exist to include family members in anorexia nervosa treatment. These models strive to put theory-based strategies into action, either by addressing intra- and inter-personal factors that maintain the disorder, by addressing behaviors of the illness, or by focusing on improving the well-being of the family as a whole: 

- CBT-oriented family module
- Systemic family therapy
- Maudsley model of family-based therapy (FBT)
- New Maudsley Model for Collaborative Care (NMCC)

Family Inclusion in Anorexia Nervosa Treatment

Neuromodulatory techniques are also being studied to directly affect the brain to regulate food intake and reduce AN’s psychological symptoms. Multiple forms on neuromodulation have been studied or are being studied currently, including the following:
- Transcranial direct-current stimulation (tDCS) 
- High-frequency repetitive transcranial magnetic stimulation (rTMS) 
- Deep brain stimulation (DBS)

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