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10.2337/dc19-s011 9 ChangK
First-line treatments recommended by NICE include: Guided self-help based on cognitive behavioural therapy (CBT) principles, often delivered through structured programmes or supported by a healthcare professional Individual CBT-ED (CBT adapted for eating disorders) for adults where guided self-help has not been effective Interpersonal psychotherapy (IPT) as an alternative for those who do not respond to CBT These approaches aim to break the binge-restrict cycle by addressing distorted thoughts about food, weight, and body image, improving emotional regulation, and developing healthier coping strategies
[2] In clinical trials (STEP programme), patients lost an average of 10-15% of their body weight over the treatment period, though individual responses vary considerably
Valcavi R, Menozzi C, Roti E, Zini M, Lolli G, Roti S, et al
Bocchetti M, Luce A, Iannarone C, Pasquale LS, Falco M, Tammaro C, et al