Scope
The Bottom Line
- Ask directly about restriction, bingeing, purging, compulsive exercise, body image and rapid weight change even when body mass index is not low.
- Assess pulse, lying and standing observations, temperature, hydration, ECG and electrolytes according to risk, together with suicide and self-harm assessment.
- Do not praise weight loss or focus on appearance; discuss medical risk and recovery using neutral, non-stigmatising language.
- Use early multidisciplinary care with a named medical clinician, evidence-based psychological treatment and dietetic support; do not delay referral for diagnostic certainty.
Practical clinical workflow
Topic-specific assessment action
Topic-specific diagnostic action
Topic-specific management action
Topic-specific follow-through
Safety boundaries and escalation
- Bradycardia, hypotension, syncope, hypothermia, significant electrolyte change, arrhythmia, acute food refusal or suicidality requires urgent specialist or hospital assessment.
- Family-based treatment is central for many adolescents and caregivers need practical meal and crisis support.
Implementation
Clinical use boundary
This independently written summary is not an official guideline. Check the linked source version, current TGA-approved product information where medicines are involved, and the applicable state, territory and local pathway at the point of care.
Source documents
Use the linked source documents for complete recommendations, evidence grading, exclusions and implementation detail.
- National Eating Disorders CollaborationEating disorders: A professional resource for general practitionersCurrent national resource checked 2026-08-20 路 accessed 2026-08-20view source
From guidance to deliberate practice and evidence
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