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Bulimia nervosa
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===Medication=== Antidepressants, particularly [[selective serotonin reuptake inhibitor]]s (SSRI), are often prescribed to treat bulimia nervosa, especially when comorbid depression or anxiety disorders are present. However, medications alone are generally not sufficient and are typically used in conjunction with psychotherapy.<ref name=":1" /><ref name=":2" /> Compared to placebo, the use of a single antidepressant has been shown to be effective.<ref name="pmid14583971">{{cite journal | vauthors = Bacaltchuk J, Hay P | title = Antidepressants versus placebo for people with bulimia nervosa | journal = Cochrane Database Syst Rev | volume = | issue = 4 | pages = CD003391 | date = 2003 | pmid = 14583971 | doi = 10.1002/14651858.CD003391 | pmc = 6991155}}</ref> Combining medication with counseling can improve outcomes in some circumstances.<ref>{{cite journal | vauthors = Bacaltchuk J, Hay P, Trefiglio R | title = Antidepressants versus psychological treatments and their combination for bulimia nervosa | journal = The Cochrane Database of Systematic Reviews | issue = 4 | pages = CD003385 | date = 2001 | volume = 2001 | pmid = 11687197 | pmc = 6999807 | doi = 10.1002/14651858.CD003385}}</ref> Some positive outcomes of treatments can include: abstinence from binge eating, a decrease in obsessive behaviors to lose weight and in shape preoccupation, less severe psychiatric symptoms, a desire to counter the effects of binge eating, as well as an improvement in social functioning and reduced relapse rates.<ref name=Hay2010/> A combination of psychotherapy, especially CBT and pharmacological treatments, such as SSRIs, often lead to better outcomes for individuals with bulimia. Combining both approaches is particularly beneficial in severe or chronic cases, where behavioral modification and mood stabilization are crucial.<ref name=":2" />
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