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Bulimia Nervosa — UKMLA MCQ

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A 28-year-old woman with bulimia nervosa, bingeing and purging four times per week, is motivated to change. According to NICE, which psychological intervention is recommended first-line?

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Correct answer: E — CBT specifically adapted for eating disorders

NICE guidelines for bulimia nervosa recommend CBT adapted for eating disorders (CBT-ED) as first-line. Inpatient admission is reserved for severe medical instability, and ECT is not indicated for bulimia.

Reference: https://www.nice.org.uk/guidance