In treating patients with uncomplicated bulimia, what is the recommended first-line treatment?

The recommended first-line treatment for patients with uncomplicated bulimia nervosa is psychotherapy, specifically cognitive-behavioral therapy (CBT). This approach is effective in addressing the underlying psychological issues that contribute to the disorder, such as distorted thoughts about body image and eating behaviors.

While antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can be beneficial in managing bulimia nervosa, especially for patients who may not respond adequately to psychotherapy alone or those with co-occurring mood disorders, they are generally considered a secondary option rather than the first-line treatment.

Psychotherapy equips individuals with coping strategies and skills to deal with triggers and the behaviors associated with bulimia, leading to more sustainable long-term recovery. It's designed to empower individuals to challenge and change harmful thought patterns and behaviors related to their eating issues. By focusing on these therapeutic techniques, patients often achieve better outcomes.

In contrast, hospitalization is typically reserved for individuals with severe cases or significant medical complications resulting from bulimia, and dietary supplements do not address the core issues associated with the eating disorder. Therefore, psychotherapy stands out as the most effective initial intervention for uncomplicated bulimia nervosa.