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Schumann S-A et al. - The primary challenge is to determine which of your patients have eating disorders. When discussing diet, adding a simple question such as, "Are you happy with your current weight?" can help you identify those who meet the criteria for an eating disorder or are at high risk. Identifying local mental health providers who are trained to provide CBT for patients with eating disorders is another concern. Insurance coverage for this intensive treatment may also be a limiting factor in some cases. Many studies support the use of fluoxetine for patients with bulimia, and combined treatment with SSRIs and CBT has been shown to be superior to either treatment alone. Consider starting the patient on an antidepressant while she (or he) awaits the start of CBT.

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